Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
3921 Solar Ln - Building
CITY OF PORT ANGELES r it* DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001183 Date 11/15/11 Application pin number 447950 Address t Property ASSESSOR PARCEL NUMBER: 06 -30 -1156- 7-0080 -0000- REPORT SALES TAX Tenant nbr, name ICARUS HALL 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 144552 Application desc 1,488 SF HOME, 576 SF ATT GAR, 66 SF CVRD PRCH Owner Contractor final 1.21.1 ICARUS HALL GROFFS CONSTRUCTION LLC 204 N TARA LANE PO BOX 1659 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457 -8201 (360) 477 -1405 Structure Information 000 000 1,488 SF SFR, 576 ATT GAR, 66 CVR PRCH Other struct info TOTAL LOT COVERAGE 22.50 CONSTRUCTION TYPE VB FIRE SPRINKLERS REQUIRED YES NUMBER OF STORIES 1.00 LOT SIZE 9441.00 PROPOSED LOT COVERAGE 2130.00 TOTAL LOT COVERAGE 2130.00 NUMBER OF UNITS 1.00 Permit BUILDING PERMIT RESIDENTIAL Additional desc Permit Fee 1272.25 Plan Check Fee 826.96 Issue Date 11 /15 /11 Valuation 144552 Expiration Date 5/13/12 Qty Unit Charge Per .Extension BASE FEE 1020.25 45.00 5.6000 THOU BL- 100,001 -500K (5.60 PER K) 252.00 Permit MECHANICAL PERMIT Additional desc Permit Fee 107.85 Plan Check Fee .00 Issue Date 11/15/11 Valuation 0 Expiration Date 5/13/12 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 Permit PLUMBING PERMIT 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. HC TOW2 LS t116 1 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 1 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 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 11- 00001183 Date 11 /15 /11 Application pin number 447950 REPORT" SALES TAX desc Permit Fee 149.00 Plan Check Fee .00 on your state excise tax form Issue Date 11/15/11 Valuation t o the City of Port Angeles Expiration Date 5/13/12 Y g Qty Unit Charge Per Extension (Location Code 0502) BASE FEE 50.00 9.00 7.0000 EA PL- PLUMBING TRAP 63.00 1.00 7.0000 EA PL -WATER LINE 7.00 1.00 7.0000 EA PL- BACKFLOW PROTECTION <OR =2" 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 October 25, 2011 7:33:41 AM rbecker. If your fire sprinkler system is a closed system, you will need to install a double check valve assembly. If it is an open fire sprinkler system, you will not need to install a backflow assembly. If you have any.questions, contact Ron Becker at 417 -4886, E -mail: rbecker@cityofpa.us or 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). November 8, 2011 3:27:55 PM sroberds. The proposal will result in a new sfr in the RS -9 for total lot coverage of 23% and site coverage of 32 No land use issues anticipated. October 25, 2011 4:46:26 PM tamiot. Electrical load calculations and electrical permits are required. October 25, 2011 4:47:12 PM tamiot. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Inspection Request Number 417 -4831 Construct driveway and Sidewalks 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. 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 -ln Water Line (Meter to Bldg) Gas Line Back Flow Water 1 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 44N, CITY OF PORT ANGELES g Itg4E DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION ®J 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 3 Application Number 11- 00001183 Date 11/15/11 Application pin number 447950 REPORT SALES TAX Permit Fee Total 1529.10 1529.10 .00 .00 on your state excise tax form Plan Check Total 826.96 826.96 .00 .00 to the City of Port Angeles Other Fee Total 5294.50 5294.50 .00 .00 Grand Total 7650.56 7650.56 .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 PLEASE PRO\ /IDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 QQ 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: OUNDATION: Footings 1111111,101111111111V:. A t(,v t 2 2-4 Stemwall 1111M111111111111110 I Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Z— �1 Water Line (Meter to Bldg) 7 C( "2J. )Z_ c_ V_ Gas Line Back Flow Water FINAL Date` O` accepted by� LN AIR SEAL: a 1 12' 1 Walls Ceiling FRAMING: Z I 119' n Joists Girders Under Floor '-/Z .3Zv CJ Shear Wall Hold Downs /I t2- Walls Roof Ceiling Drywall (Interior Braced Panel Only) 2-114 (17 l S T -Bar INSULATION: I l.(- 1 12' Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date' ceptedby..-/ MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: t C7 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE 4 Inspection Type Date Accepted By Electrical 417 -4735 Construction R.VV. PW Engineering 417 -4831 _1 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 1/475 1.0L- 0 2, °�wF CITY OF PORT ANGELES F` PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Now- e Application Number 11- 00001183 Date 11/15/11 PropertylAddressnumber 447950 3921 SOLAR LN REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 15 -6 -7 -0080 -0000- on your state excise tax form Tenant nbr, name ICARUS HALL Application type description RES NEW SFR to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 144552 Application desc 1,488 SF HOME, 576 SF ATT GAR, 66 SF CVRD PRCH Owner Contractor ICARUS HALL GROFFS CONSTRUCTION LLC 204 N TARA LANE PO BOX 1659 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457 -8201 (360) 477 -1405 Structure Information 000 000 1,488 SF SFR, 576 ATT GAR, 66 CVR PRCH Other struct info TOTAL t LOT COVERAGE 22.50 CONSTRUCTION TYPE VB FIRE SPRINKLERS REQUIRED YES NUMBER OF STORIES 1.00 LOT SIZE 9441.00 PROPOSED LOT COVERAGE 2130.00 TOTAL LOT COVERAGE 2130.00 NUMBER OF UNITS 1.00 Permit DRIVEWAY INSTALLATION Additional desc Permit Fee 180.00 Plan Check Fee .00 Issue Date 11/15/11 Valuation 0 Expiration Date 5/13/12 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 11/15/11 Valuation 144552 Expiration Date 5/13/12 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 11 /15 /11 Valuation 144552 Expiration Date 5/13/12 Qty Unit Charge Per Extension 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. i;4 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. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE f INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE. SITE EROSION CONTROL PARKING SIDEWALK f; CURB &GUTTER DRIVEWAY 'APPROACH BACK -FLOW DEVICE 'FINAL INSPECTIONS. REQUIRED PRIOR TO'OCCUPANCY /USE RESIDENTIAL-: DATE' YES, NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R W::7 CONSTRUCTION,- W ENGINEERING 417 -480 PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. -417 -4750 PLANNING DEPT. BUILDING 417 BUILDING 4815 T Forins /Building Division/Pubic Works Perini s` "cF CITY OF PORT ANGELES .11' PUBLIC WORKS UTILITIES 321 EAST5TH STREET, PORT ANGELES, WA 98362 a y Page 2 Application Number 11- 00001183 Date 11/15/11 Application pin number 447950 REPORT SALES TAX on your state excise tax form 1.00 Unit Charge Per Extension 1.00 150.0000 EA er SAN SEWER HOOKUP Ext 150.00 to the City of Port Angeles Special Notes and Comments (Location Code 0502) October 25, 2011 7:33:41 AM rbecker. If your fire sprinkler system is a closed system, you will need to install a double check valve assembly. If it is an open fire sprinkler system, you will not need to install a backflow assembly. If you have any questions, contact Ron Becker at 417 -4886, E -mail: rbecker @cityofpa.us or 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). November 8, 2011 3:27:55 PM sroberds. The proposal will result in a new sfr in the RS -9 for total lot coverage of 23% and site coverage of 32 No land use issues anticipated. October 25, 2011 4:46:26 PM tamiot. Electrical load calculations and electrical permits are required. October 25, 2011 4:47:12 PM tamiot. Sanitary sewer connection inspection is required.by Public Works prior to back fill of ditch. 24 hour advance notice is required. Inspection Request Number 417 -4831 Construct driveway and Sidewalks 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. 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 750.00 750.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 5294.50 5294.50 .00 .00 Grand Total 6044.50 6044.50 .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 CONN SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK i y •e,: CURB DRIVEWAY`APPROACH `BACK FLOWDEVICE 7 r .t.:� ..h. .a s i �—a. er 1 FINAL INSPECTIONS .REQUIRED PRIOR'TO OCCUPANCI /USE' Q RESIDENTIAL DATE IES NO COMMERCIAL "L. ■ATE;'' ACCEPTED ..NO. CON R W 7rPW/ r CONSTRUCTION. R W t`',; ENGINEERINGa:_, 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 Permn s 3 q S 1 4 10 H N r Ca GI 10 E (R a q 1.010 I. 00 ig d' N H m NN H H H H H r m #0 O O H H H O 0 >v d' d' C A A H O 0 0 .0 .-1 .0 H a 1 S-1 H ..0 H .0 H +1 N S-) S 40 0 So .0 0 11 L 44 a.1 S+ 4a 0 N 0 0 d d 0 .H S+ m 1, 0 4 0) 0) .i 0) ,1 0 10 10 0 A A 'H N •.1 0) .1 0 •H A H A H m m 0 >4 M M 0, p, W •n A HI A H4 A H R •n P. n m 0) 7 a a a n a v 0 a H w G1 a s a o) a F 0 Z 0 a N N 0 d' N M 01 a W m 10 0 0 m a O H m O N H M M M H H N H X14 0 10 10 U u1 N d' H N H F 0(0 m 00 00 7. O N 01 O 01 O N m X H r4 I H 0 d' N N H N d' 01 d' 01 d' 0 O M H H M 1.0 W H 3 F E 2. N o H d' N d lfl Z 0 m W O H N d' 01 M m d' N N Z" O E• H mu) m d' m d' .7 0 m m 0 Oa W <Hm 11tH H N N4N N< O F H O V) H 10 0 10 10 0 10 0 0 0 1 10 (0 10 H 2. H H m a m Z HP F Z H 0 0 Z H o m o H H H H 10 .1 -1 (0 0 10 0 (0 0 -4 0 H -1 -4 F 01 F 0 U U Z 0 01 1000(0100101000 N O 0 H o O 01 O O N 01 N H N 01 N Cr, Z Z H 1 W W 10 W H004. H N W d' a N N a N 10 N 10 10 10 4 m m N N W H N 01 W 0 F• a s F m+ •F F -H .r0 a m 0 m m F .a •m -0 H H X W HOG X w mm 'Z O d o•:,,,,4 r 1 0 1 1 W 0 0 Z 00 d' d' a M' m Y, O O 'Z. X 0 m 2 X 9 Z Z 00 Q 0+ N Q m N r N a H H m O1 1 01 H 01 001 a H O H rC N O N a N N a 00 0 N' 00 Z H H H 0 \0 1 H r ,,41-4 H 1.0 H 0 1.0 Q 10 ,0 0 U a' 0 H U H F 0 d' S-, 0 Sa a 0 d' N W a Lo a 0 d' d' 3 Z F U k.0 Hr. F 0 a 0 1 0 0 0) 0 0) 0 0) 0) 0 H PPPCCC S+ 1+ z 1+ 0 a 1+ 1+ 1n O H 10 0 H1010 a V) Z HHF W AWA4A Am S+S+r00) 0)a 0) 0)H 0) 0)Q 0) 0)UNN0 HF ZN HF 0 ti) a41 E E Ew E m m 0 0 0 p ))H as 0000 0 u a C4u0 0004000)00)1000 Uu 0>,(.4 Uu a 00 Mmm 00(0 0 0Q 0 0 0Q C 0A mAQA 0)A0A mAQA NA10H10 mm 0,m (4)0)7 a o Ca m0 2CQwo 0010i001010uwrowuwawuwaaiwuwa r ,h 10 E F 00 E qa 0 0 Z H 10 H r 5 ow 0 a a a aa 0.009 M Z a a am0 8m0 ■mq 41 41 0 r Z m a 41 a .4 a Z m Z m La 4-100 M H w C O N 10 00 00 .4104 41 04 a s 41:4 4a >a a 0 4- 4 )0 OHW H 0 Z Z a a< 0<b< h< ri< h‹ b< hrC as h H a ti 1 Z a 01 x o U S u1 10 Q H m 0 H O a W m m m m 0 H Q Lin Q Q -.4 910900 ".J 0w ,H 10 10 10 4 0. N N N N N N N N N N N N N W W N 4 W W N W H a a M 0 (0 F [0 H H H H H H H H H H H H H H H H H H H Z F E+ H a F F HO N rC O 00 ma mw mw z 100100010 0)31.- N M 0)01010 10 1 0101 0101 d' d' M ,1 M M r 0 4 1 1 r 041,1 S.04 M H U H O H O Z a NN O O N N -1 -0. 00 00 H H NN NN N 00 a N 0 Q a F W O H H N N N N H H NN N N NN N N SS r 1=1 0 r W 0 a a a 1 0 H H 10 4 10 00 0 a U 41 14 10 •0004 PI W 0. 0 F W W m 0 H H H H H H H H H H H a0 q mF< az F 0 o 0 0 0 0 0 0 0 0 0 F 0 o F 0 0 00 0 g 1- 000a 0 H m w 11) (0) W ro a a (A (A a ro a H X a F N N r W W 7 F 0 0 aca Ol 0 0 0 N H OJ N. r r 0I H r C 0 0 O O S1 �m m N m m a w H a H w w W m MI 0 0 0 w G W 0 x x N H m as 0 H 0 z Fh H w 0 o z 0 r z H O m H F F N N m U U z 0 0 0 a F W W W O o m Z z w a 0 N o Z w z z 0 z o H x z O 0 a 1 0 w H H H U m 0 w 00 z u H F H 0) H x 0m w a o W (((07 0 a o m 4141 a h O FD a z o o 0 0 H 0 z F m r 0 o w a s aa( r z m a Ln a< z a L0 m H a h a KCx0 H O 0 U x 0 m 0 H o w m m m 0 o W q L-1 0 w 0 o o W W N N N H 0) 0 0 0 m Z 0100010.-1 W a 0101 r s 00 N F w o 0 0) 0 r a' x a x 0 w a w a ZO m w 01 cn 0 a H H a 0 0 y 0. az a o 0 W F 0 Z z z a s a N 01 W U 0. al O U O W r4 E 2 W PROJECT STATUS UPDATE Permit f l S 1 50I a V t h Date: 1((241 1 phoned the: Applicant Ca.- at 4 1 Property Owner at Contractor at I (left a phone message, •r discussed The permit (has expired, e ill expire soo What is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. Val k \Oe CCU/Lk I uo1 n NW t I HL42c \l 11- l 18''S b I w Wct-ie 3 )5 12- do lZslaa— T:Fonns /Building Division/Project Status Update d' N H m N W G] 0 F 4 4 a W k H 00 O CL N H 0 m N N 0 H H H H .-I r Ln O 0 0 0 H 0 0 d' a .4 .4 4 H O 0 0 .0 H .0 1 1J A 1, ,C.' H ,0 r1 .0 H 0 Q) 1, F1 F1 F1 a) 1J 11 0 H .0 11 F, N 11 0 0 r0 ra MI ..-I 11 a) s1 v 1, v 0 /0 0 1D W A A A H 0 -H 0 -H 0 -H -4 A H A Lti >1 mm CL CL P1 n A H A H A 'H W n 01 01 a r+ 0, •Hi a H 4 X a a a a a x x X a a X Z a a a F ca w w Z Z u1 a N N u1 d' N m Cn 4/ 1 0 (0 00 in .7 0 ,-I /0 o v1 H m m m H H N W x W O xi x C'J 4 /0 N d' H N H F U a s 0 H ,7. 0 3 N 01 O 01 O N (0 H d' N N H (V d' 0) d' 0) r 0 0 m z Fri F O m W O H N d' O\ m m 0 z O E F H 4 m v1 co a' m c 0a C4 4H CD %H H N NaN 0 f 1 H H 0 H H .4 1 10 1 1 1 1 H (0 4 4-' F F Z H 0 Z H o 10 O H H H H /0 /0 /0 (0 0 .1 0 (0 0 /0 (1) U U Z 0 N O O a N O N O 0 OHO 0 08 0 0 (10 08 (1 4-4 (1001 F w w w Pm. H N W d' 1 N (4 (4 08 (1. N m N H m m a n a n Hz x g 0 m •W o H3 -W •m •Z <w m a ,a-1m m i X Z Z 0 0 Q o• N (.1 L<1 X (V l• N a H H CD at 1 05 H O\ o Ol .1 -1 O H 4 N O ,X H H H r FU z 0 d' H O 11 a 1, d' 1, W H H a L /0 m /0 1 0 0 Q a n 0 0 10 0 10 (0 10 10 (0 >4 >4 4 4 1 1 /0 4 10 /4 11 z F 1 11 a F 1 H F w A a a n F1 s1 O ro ro w ro m H m M O M M a 1 E E E E M T 7 >,0 M>-, 0>... 7 O W 4/ 0 0 4-4)100 N U' 0 U' N w N C.7 7 C 11 O P U F1 N F1 011 a) F1 U' 11 N ow f0(nu) 0100 >0 O0 O O O0 0 C0 A m.OQA u)AO.A 0 A0.0 W ■7 0 CD w w .1 N 0 a) a a) a) ro rd a a) rd a) .1 O to a) .1 a.) rd a) a) ra o QM 100/. z 0 Q M 0 0 0 M 0 0 0 0 U a w (U a a a U (10 0 Z 03 O W F 0 Z H U o(f) i F N z a Wa W P41 Ilk a U narm OH W Ma wa)a a a a a 0 r H (04)(0.1/001 Z a a 4 a4 h 4 h 4 0 4 0 4 0 M U U(L n H -1-+ q (1) 0 H o W (fl(/)(0(0/0 Hwq 044.0 0 0 7 111121 H H H H H H NN N N N N NN N N W /0(0(0(0080 G A F F 4 4 .-4H.-/-4 /0 /0 .4 /0 H H l /0 H PO N4O4 WW Z� O1 U a U LD ,1 0(0,1 N m UI In H H H H MM MO) d' /0 m m< m H U 1-I O H O a N N O O N N ,I,-1 0 0 00 H H N N a H W O H H N N N N H H N N N N N N N N a a a Ri a U H H H H H H O -0( •w LL a zo w al 0 F W W Cn 0 H H H H H H H H a O W F 4 a ,1Z H 0 o 0 0 0 0 0 0 0 04>1 0 a a w E' O z Z Z a a a H N a O1 H m H Q a H gw 034a LLWVV r a a .1 a 4 a a 4 a U 4) FUOa4 04 F 10 10 0.l Q] w 10 (A w MN 0 0 HI N W W O H as Z If) .-1 0 O O 0 0 N 0 H 00 0 n n 0 H H H H ('-40 O 0 0 0 0 aI a ,G .G .G 0 O 0 0 0 .0 4.) l 4 L S .0 4 i ,C .0 H 1J Sa Sa H H t1 4 $4 u S0 )1 N 0 0 d N N -H H Si U1 S-I U/ N ,0 0 0 A A A H III H m .H m 40 A 00 a a a r, A H A H A H a a a •r, a r, a r, a a H IOW a a Ka a Ka a p d a E 0 zz -0 lf).7N N 11) 40 0 40 (3 W 00 M 0 H 1n O M H M 0 M H W x W Q x x 0 a• In N 4 M N H E 0 0 m 04 03 z 0 3 N m o 0 -140) H N N H N d m C m O 40 Eh E ..X ••40 NO H a H w 0 m W O H N 40 m 0 z O E E H 4 mm m a m O H O W w H H 0 H 40 N N N N N N H EF H 40 40 0ZH oleo HH H H HHH40OH m 00 40 O m N O o a N O N 4 0 0 OHO o m o O N m E- (0 W W HM* H N W C ('4 ('4 1 (‚4 0) (‚4 N m N m 40 03 04 40 Pro* -H, E .H 4 m (0 m F .m W 0 0 H z O 4 0 m 4 0 0 4 40O W -m •40 I .4 a 1 40 H 40 00 no 4 NQ4n40N1-N4 -04000 1 m moo,4Ho E H H U 0 ,0 H 0 H H 0 ,0 ,0 0 E\ 0 04 0 0 0 1 40 4- 0 124 a>10>, -o 0 400 m 0) 0 00 0 0 04 H 10 ti.1a (1 H 1 z t~ HHH w 1d w I1 S 1 rl m w m TS H rd u1a0 0 0 a 00310 W mm a> a a> O .124 M00 0 N* d1 O N 0 041 w N 0 7 7 0 S0 041 )1 0 Sa N 0 Sa O) .7 o w gM Q O* Q U Q U O U Q C C Q A w A Q A M A Q A w .7 o W 1 0 04 40 U Z40040400040 z O O J W F 00 H E m U o m F m z a o a a m 4 .7 E r 40 W a 4 .7 0 4M4.0 (04-10)1 M a 40040 4a .7 a 4a M Mxoaamm Z a o44 a4 b 1 D4 b4 .h 05 4 Ux40 5 M 0 40 0 W 0 0 0 0 4 0 (-4(0(0 r 7 0 03 0 0 0 'J W W H H H H H H N N N N N N N N W H W w a' M 0 40 E H H H H H H H H H H H H H H HO N rj 0 Q MW \0 m U PS 0 4.0 0 0411- N M 0 lf) H H 40 40 0101 m 0, 40 0,0H0-1 O a NN 0 0 N N H H 00 00 H H aE F WO H H N N N N H H N N N N N N w a a (0400 40 40 H H H H 0 4040 W a a ZO W w Q E W w U) U z H H H H H H H W 0 v)EE .]40 F F, 0 0 0 0 0 0 0 0 W H g RI QZZZOa W a H N 040 m a 0 H W U 40 q F U 0 0 40 40 a F W M 4 W W 40 W dr 0 H 0 0 WW O P as Q,(21 x x x 0 H O o 0 N H 0J x N 0 H H r N m *0 0 0 H H r, i as S-I .00 A A U N s, a) Sa JJ 0 0 0 0 0 0 -r. S, a) S, S, MM A 0 A A 0 0 r 0., A n A Itl 0 0 ,n a a a A a a a a W H 00 0 00 0 Ha 0 ZZ -X LC) ,-.1N NM W (n W m 00 *m00 H m o0 H (n W x0 0 0 0 0 t m N 0 N F U 0 (n 100 Z o 3 N m o 0 H 0 d 0 N H N d' 01 01 Z HI H 0 ••Z No H 0 0 co W 0 0 N 0 Z•• 0 0 HHa 0101 01 CO O a w H 0 0 01 H HO m H H 0 H H NN N N HP E Z H o ,Z H o m o H H H 01 01 (n U U `.Z 0 (4 -K 01 0 0 0 ('1 0 01 0 0 0 OH OM H W W W H 01 H N W d' 000 N 01 ,(Z 00 0 H 0* H F 4 MC.) m W Z 00 H 00 0 00 0 N N N a 00 m0\ 1 010 H z 0 0 h f: H ,1 O 0 H 0 Qv s 0 H 1. 0 S A W a 0 0 a (4 U O w m 0 a) 0 a) 0 a) a) x H S.1 C a S, H H F W ,q w W .00-I) W co (Aaa E E E w E rd 0 0>, 7> W U i s U 0 0 a) a) U a) 0 m w m 0 0 0 C. 11 a) 0 SS.; a) a or, (4(401 0 14 x> q U q u 0 u q 0 C 0 A m q A m a o 0 00 a 01* 0 a 0 a a) N a) a 0 0 a a) 10 a 0) N o I qa 001 Z(0000 0'7O W 0UW WO Z o 0 E H O H U o m H Z P4 11=4 WWW o a s (40 1 M OO ZW MO, W CL i Pa 0 W 1 a N ,5Z1- Z a 0.4g 04:04: h M"'" 01 0 U 4 14 H 9 m O 0 0 W 4 0 4 0 1 0 H0 0 NS a 0 1 '.7 W W H0 H H H H N N 0 N N W 0000010 (4( H 01 01 0001,-) 00 H H HO N4O4 WW \Z 00(40010 0(4,1 N M N 44,-it--4 0 H 01 01 i 01 r'1 H 0 H 0 H O 'q P, NN 0000 H H 0 0 o O£ F W O 01 -1 N N N N H H N N Na a a 0(0 HH HHHH 0 W a W a a ZO w (a CI E WW (0 1 Z F 0 0 0 0 0 0 0 W H 124<P00, Z Z 0 a W a H N 0 01 H 01 I24. g000<0 WWW a a a a 4 a 12,0 <(-0004: a E W W (A (0 (A W M N HI I r-1 1 1 H 1 I I I I Will Q 0 a q k 1 k 1 -3 1 0 1 4 1 4 00 '6(1 1 4 H M 1 4 r N 1 4 rl i-1 rl h N 1 4 O O 0 r-1 e1 a 4 .0 .0 .0 ,-I 0 Y 1■ L 11 1 x 11 la la a) a) 00 1 46 6 6 1 -1 10 4 1 A A H N M M 1 M 1 4 p, 4. p, n A .7 1 4 01 a 1 H i. d a a a 4) w 1 4 Q F Q z z 1 410 N 111 11) 4) 4 W 00 1 3(04)0 H M 0 W J' W q x U g m 1411. 1 z 30 m O O H 1 F 3 4 N N rl N z F h 0 m W O H N a� q O F H 0C4 1 a H m 4) H H m HO m H H q H H N H H F z0 O H 0410 m UU z 0 at+ N0 o F 4) W a W M 4 4)4)4) d' 1-IN Z as 1 1Q 1-14)4 -F F .-I -30 w Z CnCo H 11 ,(2;,S 0 0 1 N 0 O N r (V fC H O z N H 1 [s1 E v x Sa a Y-1 c4 11 •e la W U Mk Q a N 0 4 0 0 0 4 1 0 (1) >v N F a a a m 11 r. 4) 4) 4) W G b U N 4)14)04) U' a) v 0 4)147 a.) 4) 00 7 a 0 4) 1 4) 4) 4) 0 0 4 0 0 0 0 0 0 0 C fib a 0(1)1 1 1 .7 16+ O.] 0.] a) 111-7 16 y z 0 3 i 1 2 11 W U* znamal04704) O W I F H O ,Z IN F m 1 M C..) o W 1 0 4) z a 1a1a 4) a 7 0.7 4) 1 4�Hw 4)a 4)4)4)4) a N xo� ,oH 1 N a a,‹ aFChQ 0 1-7 0 41 4) 4) 1 4) m 0 H 0 I l,] W 4) -H7 0 W Oo 1 4 4 4) W H4 HHH4 N N W H a a a M o I 4) F F 4) 4) 4) H 4) 1 H HO N 0 30 1 1 I MW -....g 4)1 0 4) 0 1O H I O W l N M 4)4)4)4) H H 4)4)0604) I O a a N N 001114) H H 1 4) F 1 WO H H N N N N H -1 4) a 4) 1 CS 4) U H H .-I H H H 0 W 4) W 1 {31 a 4) 0 W 1 4 0 F 1 W k. m- 0 H H H rl 4)0 (04)30 .7z I F a o 0 0 0 W H Q ZZ Z Z a w 1 N a H N 0. ci 01 4)31 0 4) 0 30 4) I >1 .7 .1 4) U 4) 0 0 4) 30 1 4) F W 0.l W W N N 0 O1 o 0 W W CD H 4 0 ,1, 4:1 0)0 0 0 0 H m N r 01 01 H 0 0 0 0 O tO l.0 O 0 Col 0 Col A a a 0 H a a 0 W w XW 0 X 0 E U cn ww 0 Ha 01 z E 0 0 Q Z 0 H �a 0 0 Cr) 0 E H E i N N cn UU Z x010 H C.1 w w 09001 Z c a n CO a 7. (0 0 0 N to H H 0 0 (0 a o O 0 U <r U am z>, H E H a, al rd U ,7 ow cn 0 Cx a o 0 a a 0 Rs 0 0 0 0 i W F H o z H U N co n x E aa( N zm x O 1D 01 M H p 1 0 0 a 0 0 00 a a W a o O a Q w 0 N w HI Ri W Pi 0 O a H E HI H0 0r.00 FC 0 )01 Ve 010(00010 041,4 0) 01 mH 0 H 0 H 00a 0 0 dX .-E 441 0 H M' a f00 a ZO 01 a 0 W v) -U H a0 cn H .7z F a o a01 Q (00 (0a r a aU 0)000(0) a 0 (0 0 H N 410 E 0 aA 0 H O O 0103 0 l� 1 0 H H 11 L 11 N Sa y 00 ro ro al ,o io *A A A �V a a a a a 0 a 1 a H r7 0 Z Z 1 N -d N N V1 xw O x O x c� P 0 0 m w a z i 0 N 0 0 H< H 0 N N z H h F z 0 m0.00 (a 0 a 0 -40 m 0 0010 EH H Z H O 0. H O m U1 0 0 Z 001000000 H WW 01 W 01 H m 0 N H .0i 01 m m H Z E l 0 0 01 -00 E H H 0 0 0 0 0 0 0 0 E 0 r E 00 l0 0 zz 0 N 0 0 Gaul 1 p 00 p mw q a) v i aa w E E Ew U a W U 0 01 (1 01 (1 01 (1 4 4 mm 0 m* >0 00 U 0 a 04 W W a ro* 0 o 0C4 001 ZI0000 z os O W H OZ H E m o w a z a 1% amp ZW 1=4,4Z1-1u). 124 a� as O ,4 H H a u x m H 9 m 0 H o W 000(1)40 H 0 0 0W 00 W 00 HH H0 H -4 H a9 N <C 0 4 1 1 M W 000000 O 0 1 N 111 0 0 H H H 0' H 0 0 0 00 01 NN 000 H WO 00 N N N N a a a 01 a 0 H 0 O 0 H 0 w a w w a ZO m w w w w m 0 01 0 01 H 1=40 m H< z E 0 0 0 0 wH aa H Oq H W N 0i O 0 E 0 0 0< 0 0A 0i 0i V. 0 H 0 0 HI W W as aq WI 0 lc 00 0 N H W 0 r Hi 0 v, 0 0 c a 0 Y H 00 N ,o V) A a H d� H W W F W z 0 a U) x W 0 W 0 0 N< E H< CO as z 3 .i 0 z E 7 F 0 0 ty m W 0 0 O <00) 0. 0 O (n 0 00 z 00)* 00 co W W 04 H m* H Z H Z E a W* 0< X HH 00 U QED* Nq 0 E\ 0d'* 00 U 000 0 00 O Z 0100 04). .7 o W 0)00 (:)04 >0 a o m W W a b* 0 a o 1 qa a)U* zw 3 0 3 0 W E 0 0'z N U o (n i F 0 z a a 0 WW 0 a 0 r a aco r, 0 0(0 p1:14, a 7 axo4 om Z a 44< C m a 0x00 2 m 0 00 W Cr) m0)( 1 0 0q0 -.7 0 W 0 o o 0 W 0 H 0 0 H W H a W 0 0 o 0)040 H 0 0) 00 N<0< MW 00Z0 0 W 00 In In MH U' 000 00a NN 0 0 Od X F W O 00 N N a a a x a 0 H H 0 H 0 •PI W •W a a Z w w 0) W m -0 0) H H 0 m a 400a a 0 o o z F 41E, ,qq 0 o 3,, a N a a 0U QEUO0< P( E 0. Oct N H H 0 G C7 H a 0 a Q H 0 0 N H N r- .14 O O rn l0 M W H H w w H Q zz cn x CG 0 0 c1) H H m a s H 0 H h H 0 Q 0 0 Ow C H 0 cn HH E z-1# (11 U U 1 0 0 0 1 E w H oz) z (0 m H 0 0 0 H H 0 0 0 o# 0 H U 10 0 G P. co 0�# U H H E W 0. k a 00 00(0 0 m11 ■-7 0 1n W w 0) ((1 0 0(0 W.U# O 0 O w N H 0 0 H E o m 0 p o w W a a 'z a a (f) w a .ccn4 1 10 OHM a M ar1z0)iom Z x h x 0 KC E H 4 u x u1 H 9 m 0 H o .w7 N 00 oo H ',7 Q Q W H HC7 N SOFC r l H n 0IOP:ukr 0w4 N NPC en H 0 H 0 H 0 (0 E W O H3 H P: fx a a' a U HH. H0 •w a a z 0 w f-0 W 01 (0 (0 H 00 (OH4 0)z N a o a Q 4 q 0 0 0 KC w r a a 0 a< (1[-100001 a H w 4 1 %BUILDING PLUMBING MECHANICAL PERMIT APPLICATION LONG FORM (To be use for projects that require plan review.) Date Recei d 16_ 19 Permit W63 City of Port Angeles Please print in ink. Date Appro eo ORE Attn: Building Permit Technician Approved b 321 E. 5th St., Port Angeles, WA 98362 V y 360- 417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no Ame ica I Express) Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8: I -12:30 pm Contact person: fly Phone: 3 qbv Ben/ Property owner: 7 ..re_ at 4_1c s �`1 Phone: 3 (ea /457 82_4( Property owner's mailing address: 26"9 N T L-10 {?o o-- Contractor's business name: (,��F -5 Cer05 i ierit./ Phone: (or property owner's name if he /she is doing /overseeing the work) 56o 41 b® l Contractor's mailing address: 13 co G cl Contractor's L &I license number: Expiration date: 0 F F C L 900 Ole 8//2-- i Z_ Project Address: Project Type: Es-Residential D Commercial D Industrial o Multi- family Project Business Name: Zoning: 19 s (for commercial, industrial, or multi- family projects) k Parcel Lot 0 64, 38 iS' 6,70 ©8a Complete only the portions of this permit that are relevant to your project. 1/ Pay the plan check fee (based on the valuation of the project) at the time of submittal Residential Projects submit: Two sets of plans* (including engineering calcs, geotech reports, etc. if applicable) Prescriptive Approach Simple Form (confirming conformance to the Energy Code) Commercial Projects submit: Three sets of plans* (including engineering calcs, geotech reports, etc. if applicable) Paperwork confirming conformance.to the Energy Code For large projects, a pre- construction meeting with various City department personnel is highly recommended. To schedule a pre- construction meeting, contact the Planning Manager at (360) 417 -4750. Additional information may 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: (1) 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 I4 P�� Repair Solar Panels I Miscellaneous: (explain the project) _yn Project Valuation RemodeE(explain the protect, including how the building space is currently being used and what the new, remodeled use will be) 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) Maximum height of the new addition feet Project Valuation New Structure: (explain the project and complete submit page 3) N& w 4 T.A N te—D 6A-1Z-A-K, Maximum height of the new structure b feet Project Valuation PLUMBING PERMIT: Will there be ANY plumbing change s (items moved, added, replaced, or altered) Check one: No Yes V if yes, complete submit page 4 "Plumbing Changes" MECHANICAL PERMIT: Will there be ANY mechanical changes (items moved, added, replaced, or altered) Check one: No Yes V If yes, complete submit page 4 "Mechanical Changes" Occupancy group of bedrooms 3 Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? yes 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 have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date 1`� Signature 1 Pe Print Name 4‘ j_ i� Page 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 >e Yes '.I Quantity Toilet No st- Yes 2- Quantity Bathtub No e� Yes Quantity Shower N o Yes Quantity Washing Machine No x Yes 1 Quantity Hot Water Heater No Yes Quantity Water Line (meter to structure) No Yes Quantity Re -plumb the structure No Yes Quantity Sewer Line No D( Yes i Quantity Backflow Prevention Device Types: Beverage Machine No Yes Quantity Landscape Watering System No Yes Quantity Fire Sprinkler System 2 inch line No b Yes Quantity Fir _e_Sprinkl.er_System_ >_2_inch_ 1ine_____ _._Yes Quantity Please list all other planned plumbing changes or additions that aren't listed above. MECHANICAL CHANGES Check "No” or "Yes" (and enter quantities) for each line item. I Type Mechanical Changes (Moved, Added, Replaced, Furnace, heat pump, or or Altered) forced air unit 5 tons No g- Yes 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 No Yes Quantity Wood- burning stove No 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 u_ Yes Quantity Ventilation fan (single duct) No k Yes 3 Quantity Hood duct mechanical exhaust No X Yes i Quantity Ventilation system (not part of a heating or air conditioning system) No Yes Quantity Air handler No Yes Quantity Evaporative cooler (non portable) No Yes Quantity Please list all other planned mechanical changes or additions that aren't listed above. Page 4 of 4 Floor Areas Existing square New square Price per new footage footage square foot Basement x 1 Floor �/`�3' B`5. 00 12 2nd Floor 3 Floor Garage 5 3o, 00 7 2_6D Carport Covered Porch (p i2,08 7/ Z Deck 30" high)* Deck 30" high) *e Shed Other Other Remodel project valuation TOTAL VALUATION l 1 1 Z1 r I 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 2 1 36 sq. ft. lot size 1 sq.ft. Lot coverage 22 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? -yes o no If yes, what will the driveway be made of? 1v- cement asphalt gravel other (NOTE: 18 feet is the recommended minimum driveway length for residential projects) Does this project include a new parking pad? yes )(no If yes, what will the parking pad be made of? cement asphalt gravel other a) Total footprint of structures 21 3. sq. ft. (existing new) b) Total concrete, asphalt, other impervious surfaces 12-8 sq. ft. (existing new) c) Add lines "a" "b" above to get the total impervious 3a5fai sq..ft. (existing new) Total impervious 35 56 sq. ft. lot size 144 sq. ft. Site coverage 32 tj Page 3 of 4 22 S3',, IN S 7 (e 1 z J ti3 31.91 4) V\ .:3' I I 1_ ..ii_-. -T a 91./7 1.2) --kV IN I --za4 it 11 t R -1-,02 w t. 0 I 00.2_ e°Q5- L 4§dg 1 W d a ii,r,) s 'i i I P ii.i 6 e ii 1 1 f 14 f l 1 1 '1 if I i, CIP i. �t' y d 1 i. 2 �n fi t fY "5+ Lt i G .A hD ti jj((pq il. 1-' t.. p N p t} fi I n p, x. -Noll ®r 1 N McGil /Ave w r A D G aon f 1 Y m W �Y O 7 .t SrvA r ,a' {4r i dE li Ste' 6 r: n Ig it 1 7 F W77 y^ 44 1 1 i �0�11 S i N d W its t ..r k �i+ sr. u W; 4 xl1Nl .11 i x, P N !g ren p, 3j e 0 3a dYT y, #2 CN 'm v 71 Abp w tag tis lad a L I El n I ems i sly a cts d a t s o ea Ir w of to. 0 m Prescriptive Energy Code Compliance for Single Family and Duplex Housing: Zone 1 Project Information Contact Information Groff Residence Groff Residence 3921 Solar Lane 3921 Solar Lane Port Angeles, WA 98362 Port Angeles, WA 98362 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 9 Walt' Wall- int Wall. ext Slab io Glazing U- Factor Door Vaulted Option Area: Ceiling' 3 Above Below Below Floor on of Floor Vertical Overhead U- Factor Ceiling 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 Adv. Int• TB 2' R-49 or R -21 R -21 R -10 O II 25% 0.32 0.50 0.20 R -38 R -38 Int.' TB R -10 R -30 2 Adv. R-49 or R -21 R -21 R -10 OIII Unlimited 0.30 0.50 0.20 R -38 R -38 Int.' R-21 R -10 R -30 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. BI 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 1c High Efficiency HVAC Equipment 3 2 High Efficiency HVAC Distribution System 3a Efficient Building Envelope 1 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 5b High Effieciency Water Heating 6 Small Dwelling Unit 7 Large Dwelling Unit ∎•■21 8 Renewable Electric Energy *1200 kwh Total Credits -'li WSEC Prescriptive Worksheet (2010 edition) Zone 1 WSUEEP10-010 Copyright 2010 .Simple Heating System Size: Climate Zone 1 Project Information Contact Information Groff Residence Groff Residence 3921 Solar Lane 3921 Solar Lane Port Angeles, WA 98362 Port Angeles, WA 98362 Indoor Design Temperature 70 Outdoor Design Temperature 1 281 Design Temperature Difference (AT) AT Indoor Outdoor Design Temp 42 Conditioned Floor Area 1488 Conditioned Volume 11904 Glazing Copy Sum of UA from Glazing Schedule 1 731 Attic U- Factor X Area UA R-49 0.027 1488 40.2 R -38 Advanced 0.026 1 1 1 Single Rafter or Joist Vaulted Ceilings U- Factor X Area UA R -38 Vented 0.027 1 1 1 Above Grade Walls U- Factor X Area UA R -21 0.056 1344 75.3 1 1 1 Floors U- Factor X Area UA R -30 0.029 1488 43.2 1 1 1 Below Grade Walls U- Factor X Area UA 2' Depth Walls 0.042 3.5' Depth Walls 0.041 7' Depth Walls 0.037 1 1 1 Slab Below Grade F- Factor X Length UA 2' Depth 0.59 3.5' Depth 0.64 7' Depth 0.57 1 1 1 Slab on Grade F- Factor X Length UA R -10 2' perimeter 0.54 R -10 Full Heated 0.55 1 1 1, Sum of UA 1 2321 Envelope Heat Load 97311Btu Hour Sum of UA X AT Air Leakage Heat Load 54001Btu Hour ((Volume X 0.6) X sr) X .018)) Building Design Heat Load 1 151301Btu Hour Air Leakage Envelope Heat Loss Building and Duct Heat Load 1 11 151301Btu Hour If ducts are located in unconditioned space: Sum of Building Heat Loss X 1.15 If ducts are located in conditioned space: Sum of Building Heat Loss X 1 Maximum Heat Equipment Output 150% 1 226951Btu Hour Budding and Duct Heat Loss X 1.50 WSEC Prescriptive Worksheet (2010 Edition) WSUEEP10 -010 Copyright 2010 -Glazing Schedule ,!'i i Project Information 'tontact Information Groff Residence. Groff Residence 3921 Solar Lane, 3921 Solar Lane Port Angeles, WA 98362 Port Angeles, WA 98362 Conditioned Floor Area.. 1488 i Sum of UA.for Heating System.Sizing1- 73.11 :Sum of-All Glazing Areas From-Below I. 188 Glazing to Flopr Area Ratio 4 12.619/0 602j..2 Exception.Ratio (not to exceed 1%)1 I i ExteriorMoors t I Plan. Component Door Percent Width Height Glazing Door Door :ID 2 2, Description Ref. U-factor Glazed Qt. Feet inch Feet inch Area Area UA Entry Door 0.200 1 3 6 8 20.0 4.0 Garage Door 0:200 I 'k •3' ;7 '6 I 1. :2070' -I; t t One Exempt Swinging Door 24 Square Feet 0 Suin GlaZingAtea, Dbor Area, and UA (do not inclUde doot) 1 40.0 8.0 000 ..0 Area Weighte U UA/Area 0.20 Suni of Area' and UA for Heating system size only (include eYrempt docir) 1 Il 40.0 '8.0 Vertical Glazing (Windows, Glazed doors using Exception 602.6 #1) Plan Component Glazing A Width Height Glazing ID Description Ref. U-factor Qt. Feet Inch Feet inch Area UA 5'x4' Slider 0.340 4 5 4 80.0 27.20 4'x4' Slider 0.340 1 4 4 16.0 5.44 6'x4' Slider 0.340 1 6 4 24.0 8.16 2'x4' Single Hung 0.340 2 2 4 16.0 5.44 5'x3' Slider 0.340 1 5 3 15.0 5.10 2.5'x4' Fixed 0.340 1 2 6 4 10.0 3.40 3'x4' Fixed 0.340 1 3 4 12.0 4.08 Entry Side Light 0.340 1 1 6 8 6.7 2.27 Sum of Area and UA 1 179.7 61.09 Area Weighted U UA/Area 0.34 WSEC Prescriptive Worksheet (2010 Edition) 0. 2 u k -1,2 .ii ':'1. 7 1i i., WSUEEP10-010 Copyright 2010 Overhead Glazing Plan Component ....Glazing Width Height ID Description -2- Ref. U Qt Feet inch Feet Inch. Area -UA 2'x4 fixed Skylight 0.500 1 2 4 8.0 1rJ, .11' 1, Sum of Area and UA 8.0 4.0 Area Weighted 0 UA/Area 0.50 DO Glazed Garden Windows Section 601.7.2 Exception Plan CornPOhent Width Height ID Description Qt Feet Inch Feet inch Afea UA Sum of Area Sum of Area X 3 (This total is automatiballyinclUded in the' glazing area totdl.) Glazing UA for Heating System Size Only Area X 0.63 I WSEC Prescriptive Worksheet (2010 Edition) orn", WSUEEP10-010 Copyright 2010 eve Porch Beam by Weyerhaeuser 3 1/2" x 5 1/2" 1.6E Solid Sawn Douglas Fir #2 TJ-Beam® 6.36 Serial Number. User. 2 10/14120113:19:15PM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Pace 1 Engine Version: 6.35.0 CONTROLS FOR THE APPLICATION AND LOADS LISTED Member Slope: 0112 Roof Slope0J12 6 All dimensions are horizontal. Product Diagram is Conceptual. LOADS: Analysis is for a Drop Beam Member. Tributary Load Width: 11' 6" Primary Load Group Snow (psf): 25.0 Live at 115 duration, 17.0 Dead SUPPORTS: Input Bearing Vertical Reactions (Ibs) Detail Other Width Length Live/DeadIUpliWrotal ViSev; 1 Stud wall 3.50" 1.50" 863 600 0 1463 By Others None 2 Stud wall 3.50" 1.50" 863 600 0 1463 By Others None DESIGN CONTROLS: Maximum Design Control Result Location Shear (Ibs) 1381 -1097 2657 Passed (41 Rt. end Span 1 under Snow loading Moment (Ft -Lbs) 1957 1957 1923 Passed (102 MID Span 1 under Snow loading Live Load Defl (in) 0.086 0.189 Passed (L792) MID Span 1 under Snow loading Total Load Deft (in) 0.146 0.283 Passed (L/467) MID Span 1 under Snow loading Deflection Criteria: STANDARD(LL:L/360,TL:L/240). Bracing(Lu): All compression edges (top and bottom) must be braced at 6' o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -The allowable shear stress (Fv) has not been increased due to the potential of splits, checks and shakes. See NDS for applicability of increase. -Analysis based on vertical loads only and assumes structural supports as noted in the input. Axial loads are not considered in this analysis. ADDITIONAL NOTES: IMPORTANT! The analysis presented is output from software developed by iLevel®. iLevel® warrants the sizing of its products by this software will be accomplished in accordance with iLevel® product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by an iLevel® Associate. -Not all products are readily available. Check with your supplier or iLevel® technical representative for product availability. -THIS ANALYSIS FOR iLevel® PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. Solid sawn lumber analysis is in accordance with 2001 NDS methodology. Allowable Stress Design methodology was used for Building Code IBC analyzing the solid sawn lumber material listed above. PROJECT INFORMATION: OPERATOR INFORMATION: Groff Annie O'Rourke 3921 Solar Lane Prudential Drafting Solutions Port Angeles, WA 98362 PO Box 1246 Port Angeles, WA 98362 -9836 Phone: (360)417 -5615 draftingsolutions@olypen.com Copyright 2009 by iLevel®, Federal Way, WA. C: \Documents and Settings \Annie \Desktop \Drafting Solutions \Groff Solar \Porch Beam.sms eve Floor Beams by Weyerhaeuser 3 1/2" x 11 1/4" 1.6E Solid Sawn Douglas Fir #2 TJ- Beam®6.36 Serial Number. User:2 10/14/2011 3:18:22 PM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Paget Engine Version: 6.35.o CONTROLS FOR THE APPLICATION AND LOADS LISTED }I L b 9' Product Diagram is Conceptual. LOADS: Analysis is for a Drop Beam Member. Tributary Load Width: 10' 6" Primary Load Group Residential Living Areas (psf): 40.0 Live at 100 duration, 12.0 Dead SUPPORTS: Input Bearing Vertical Reactions (Ibs) Detail Other Width Length Live/DeadlUplift/Total 1 Stud wall 3.50" 1.68" 1890 609 0 2499 By Others Rim 1 Ply 1 3/4" x 11 1/4" 1.9E Microllam® LVL 2 Stud wall 3.50" 1.68" 1890 609 0 2499 By Others Rim 1 Ply 1 3/4" x 11 1/4" 1.9E Microllame LVL DESIGN CONTROLS: Maximum Design Control Result Location Shear (lbs) 2407 -1816 4725 Passed (38 Rt. end Span 1 under Floor loading Moment (Ft -Lbs) 5214 5214 5919 Passed (88 MID Span 1 under Floor loading Live Load Defl (in) 0.080 0.289 Passed (L/999 MID Span 1 under Floor loading Total Load Defl (in) 0.106 0.433 Passed (L/980) MID Span 1 under Floor loading Deflection Criteria: STANDARD(LL:L/360,TL :L/240). Bracing(Lu): AD compression edges (top and bottom) must be braced at 9' o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -The allowable shear stress (Fv) has not been increased due to the potential of splits, checks and shakes. See NDS for applicability of increase. ,ADDITIONAL NOTES: IMPORTANT! The analysis presented is output from software developed by 'Level®. iLevel® warrants the sizing of its products by this software will be accomplished in accordance with 'Level® product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by an Level Associate. -Not all products are readily available. Check with your supplier or iLevel® technical representative for product availability. -THIS ANALYSIS FOR iLevel® PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. Solid sawn lumber analysis is in accordance with 2001 NDS methodology. Allowable Stress Design methodology was used for Building Code IBC analyzing the solid sawn lumber material listed above. PROJECT INFORMATION: OPERATOR INFORMATION: Groff Annie O'Rourke 3921 Solar Lane Prudential Drafting Solutions Port Angeles, WA 98362 PO Box 1246 Port Angeles, WA 98362 -9836 Phone: (360)417 -5615 draftingsolutions@olypen.com Copyright 2009 by iLevel®, Federal Way, WA. C: \Documents and Settings \Annie \Desktop \Drafting Solutions \Groff Solar \flr bm.sms eve Garage Door Header by Weyerhaeuser 5 1/2" x 12" Glulam (24F 1.8E Framing DF) TJ -Beam® 6.36 Serial Number. User: 2 10/14/2011 3:17:52 PM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Page 1 Engine Version: 6.35.0 CONTROLS FOR THE APPLICATION AND LOADS LISTED Member Slope: 0112 Roof Siope0/12 131 P IO 1 r g•• AU dimensions are horizontal. Product Diagram is Conceptual. LOADS: Analysis is for a Drop Beam Member. Tributary Load Width: 13' Primary Load Group Snow (psf): 25.0 Live at 115 duration, 17.0 Dead SUPPORTS: Input Bearing Vertical Reactions (lbs) Detail Other Width Length Live/Dead /Uplift/Total 1 Stud wall 3.00" 2.01" 2722 1985 0 4707 By Others None 2 Stud wall 3.00" 2.01" 2722 1985 0 4707 By Others None DESIGN CONTROLS: Maximum Design Control Result Location Shear (lbs) 4637 -4005 9867 Passed (41 Rt. end Span 1 under Snow loading Moment (Ft -Lbs) 19127 19127 30360 Passed (63 MID Span 1 under Snow loading Live Load Defl (in) 0.380 0.550 Passed (L/521) MID Span 1 under Snow loading Total Load Defl (in) 0.657 0.825 Passed (U301) MID Span 1 under Snow loading Deflection Criteria: STANDARD(LL:U360,TL:U240). Bracing(Lu): All compression edges (top and bottom) must be braced at 16' 9" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: IMPORTANT! The analysis presented is output from software developed by iLevel®. iLevel® warrants the sizing of its products by this software will be accomplished in accordance with current code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by an iLevel® Associate. -Not all products are readily available. Check with your supplier or iLevel® technical representative for product availability. PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. Allowable Stress Design methodology was used for Building Code IBC analyzing the iLevel® Custom product listed above. -The analysis presented is appropriate for Glulam beams. PROJECT INFORMATION: OPERATOR INFORMATION: Groff Annie O'Rourke 3921 Solar Lane Prudential Drafting Solutions Port Angeles, WA 98362 PO Box 1246 Port Angeles, WA 98362 -9836 Phone: (360)417 -5615 draftingsolutions @olypen.com Copyright CO 2009 by iLevel Federal Way, WA. TJ -Beam® is a registered trademark of iLevel C: \Documents and Settings \Annie \Desktop \Drafting Solutions \Groff Solar \Hdrs.sms eve Headers by Weyerhaeuser 2 Pcs of 1 1/2" x 9 1/4" 1.6E Solid Sawn Douglas Fir #2 Td -Beam® 6.36 Serial Number. User. 2 10/14/2011 3:17:07 PM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Page 1 Engine Version: 6.35.0 CONTROLS FOR THE APPLICATION AND LOADS LISTED Member Slope: 012 Roof Slope01l2 6' All dimensions are horizontal. Product Diagram is Conceptual. LOADS: Analysis is for a Drop Beam Member. Tributary Load Width: 17' Primary Load Group Snow (psf): 25.0 Live at 115 duration, 17.0 Dead SUPPORTS: Input Bearing Vertical Reactions (Ibs) Detail Other Width Length Live /Dead /Upliftlfotal 1 Stud wall 1.50" 1.70" 1275 887 0 2162 By Others None 2 Stud wall 1.50" 1.70" 1275 887 0 2162 By Others None Bearing length requirement exceeds input at support(s) 1, 2. Supplemental hardware is required to satisfy bearing requirements. DESIGN CONTROLS: Maximum Design Control Result Location Shear (Ibs) 2162 -1516 3830 Passed (40%) Rt. end Span 1 under Snow loading Moment (Ft-Lbs) 3243 3243 3944 Passed (82 MID Span 1 under Snow loading Live Load Defl (in) 0.039 0.200 Passed (L/999 MID Span 1 under Snow loading Total Load Defl (in) 0.066 0.300 Passed (U999 MID Span 1 under Snow loading Deflection Criteria: STANDARD(LL:U360,TL:U240). Bracing(Lu): All compression edges (top and bottom) must be braced at 6' o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -The allowable shear stress (Fv) has not been increased due to the potential of splits, checks and shakes. See NDS for applicability of increase. Analysis based on vertical loads only and assumes structural supports as noted in the input. Axial loads are not considered in this analysis. Analysis assumes continuous member. Lap joints, splices and finger joints significantly reduce member performance and have not been considered. ADDITIONAL NOTES: IMPORTANT! The analysis presented is output from software developed by iLevel®. 'Level® warrants the sizing of its products by this software will be accomplished in accordance with iLevel® product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by an iLevel® Associate. -Not all products are readily available. Check with your supplier or iLevel® technical representative for product availability. -THIS ANALYSIS FOR iLevel® PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. Solid sawn lumber analysis is in accordance with 2001 NDS methodology. Allowable Stress Design methodology was used for Building Code IBC analyzing the solid sawn lumber material listed above. -Note: See iLevel® Specifier's/Builder's Guide for multiple ply connection. PROJECT INFORMATION: OPERATOR INFORMATION: Groff Annie O'Rourke 3921 Solar Lane Prudential Drafting Solutions Port Angeles, WA 98362 PO Box 1246 Port Angeles, WA 98362 -9836 Phone: (360)417 -5615 draftingsolutions @olypen.com Copyright 2009 by iLevel®, Federal Way, WA. C: \Documents and Settings \Annie \Desktop \Drafting Solutions \Groff Solar \Hdrs.sms SIMPSON Is 1 Simpson Strong-Tie 2009 IRC Required Braced-Wall-Line Length Calculations PROJECT INFORMATION NAME: Groff ADDRESS: 3921 Solar Lane, Port Angeles, WA, 98362 WALL DIRECTION: Front to Back SEISMIC DESIGN CATEGORY: D1 1 61/(. ,C BASIC WIND SPEED: 100 mph WIND EXPOSURE CATEGORY: C STONE OR MASONRY VENEER: No Wall Line A-1 Wall Line B-1 Braced-Wall-Line Location 1st of 1-story 1st of 1-story Eave to Ridge Height 6 ft 1 6 ft Braced-Wall-Line Spacing 24 ft 24 8 Braced-WalH_ine Length 24 ft 24 5 Wall Height 9 ft 9 ft Bracing Method WSP WSP GB Construction Type N/A N/A Gypsum Wall Board on Inside Ye's Yes Horizontal Joints Blocked Yes Yes Holdown Device Used No No Wall Dead Load 8 psf 6 psf Roof/Ceiling Dead Load 15 psf 15 psf EMITZ:775- az Tabulated Wind Bracing Amount 5.8 ft 5.8 ft Exposure Height Factor 1.2 1.2 Eave-to-Ridge Height Factor 0.78 0.76 Wind Wall Height Factor 0.95 0.95 Number of BWL Factor 1 1 Holdown Factor 1 1 Blocked Joint Factor 1 1 Gypsum on Inside Factor 1 1 Wind GB Construction Factor 1 1 Required Wind Bracing Amount 5.03 ft 5.03 ft Tabulated Seismic Bracing Amount 4 ft 4.8 ft Seismic Wall Height Factor 1 1 BWL Spacing Factor 1 1 Blocked Joint Factor 1 1 Gypsum on Inside Factor 1 1 Seismic GB Construction Factor 1 1 Wall Dead Load Factor 0.85 0.85 Roof Dead Load Factor 1 1 wv Av:trongti'e :cciiriliniebapps/bracedWall This is page 1 of 2 SIMPSON Strong-Tie Simpson Strong -Tie s 1u s s Veneer Factor 1 1 Required Seismic Bracing Amount 4.08 ft 4.08 ft MOMm Length of Wall Bracing Required 5.03 R 1 5.03 ft NOTES 1. This wall- bracing evaluation is based on the 2009 International Residential Code. The user is responsible for ensuring that the project fits within the scope of the IRC and complies with the wall- bracing requirements of Sections R602.10, R602.11 and R602.12 as applicable. 2. One- and two- family dwellings and townhouses in Seismic Design Category DO, D1, or D2 are subject to the wind and seismic requirements of the IRC. The length of wall bracing shall be the greater of that required by Table R602.10.1.2(1) based on wind speed, and Table R602.10.1.2(2) based on seismic design category, including all applicable adjustment factors. 3. Braced -wall panel construction shall be in accordance with the requirements of Section R602.10.2 and Table R602.10.2 and the minimum length requirements of Section R602.10.3. 4. Braced -wall panels shall be located at each end of braced -wall lines. At exterior braced -wall lines, braced -wall panels may begin up to 8 feet from each end when the additional requirements of Section R602.10.1.4.1 are satisfied. At interior braced -wall lines, braced -wall panels may begin up to 12.5 feet from each end. The total combined distance from each end shall not exceed 12.5 feet. 5. Braced -wall panel spacing shall not exceed 25 feet on center in accordance with Section R602.10.1.4. 6. Interior braced wall -line spacing is the greater of the distance between two adjacent braced -wall lines in accordance with Figure R602.10.1.4(4). 7. Refer to the Strong -Wall Shearwalls Presciptive Design Guide for pre engineered solutions when the required bracing amounts cannot be satisfied with prescriptive braced -wall panels. Simpson Strong -Tie Wood and Steel Strong -Wall shearwalls may be considered equivalent to the code braced -wall panel construction method WSP with gypsum board applied on the inside. 8. Braced- wall -line spacing shall not exceed 25 feet on center in each story in both longitudinal and transverse directions in accordance with Section R602.10.1.5. However, the spacing between two adjacent braced wall lines shall not exceed 35 feet on center in order to accomodate one single room when the provision of the exception to R602.10.1.5 are satisfied. 9. Horizontal panel joints in braced -wall panels shall be blocked in accordance with Section R602.10.8. WARNINGS 1. For buildings in SDC DO, D1, and D2 the user must ensure braced wall line spacing greater than 25 feet satisfies the requirements of Section R602.10.1.5. 2. The wall bracing provisions of the IRC may not be used in hurricane prone regions, as defined in Section R202, where the basic wind speed equals or exceeds 100 mph. 3. Different bracing methods are not permitted to be mixed within a braced wall line for Townhomes in Seismic Design Category C and all structures in Seismic Design Category DO, D1, or D2 in accordance with Section R602.10.1.1 item #3. .WW W.strongtie:comM ebapps /bracedWall This is page 2 of 2 SIMPSON Simpson Strong-Tie !r.i e 1 .:7. IStroarTio 2009 IRC Required Braced-Wall-Line Length Calculations PROJECT INFORMATION -A- a C....— NAME: Groff ADDRESS: 3921 Solar Lane, Port Angeles, WA, 98362 WALL DIRECTION: Front to Back I SEISMIC DESIGN CATEGORY: D1 BASIC WIND SPEED: 100 mph WIND EXPOSURE CATEGORY: C' STONE OR MASONRY VENEER: No Wall Line A-1 I Wall Line B-1 Wall Line C-1 exii=AW,,, ki1.011MitikPi?-9Nlig:'7Y;:::::, Braced-Wall-Line Location 1st of 1-story 151 01 1-story 1st 01 1-51001 Eave to Ridge Height 8 ft 8 0 8 8 Braced-Wall-Line Spacing 16.5 ft 16.58 15.58 Braced-Wall-Line Length 46 ft 46 ft :46 ft Wall Height 8 8 8 ft 8 6 Bracing Method WSP GB VVSP 1 GB Double GB Construction Type N/A sided 4" 0.0 N/A Fastening Gypsum Wall Board on Inside Yes N/A Yes 00 H( Horizontal Joints Blocked Yes Yes Yes Holdown Device Used No No No Wall Dead Load 8 psf 8 psf 8 psf Roof/Ceiling Dead Load 15 psf 15 psf 15 psf 2311 00•444:0, W.P. YMii Tabulated Wind Bracing Amount 4.125 ft 7.1 ft 3.8758 Exposure Height Factor 1.2 1.2 1.2 Eaye-to-Ridge Height Factor 0.88 0.88 0.88 Wind Wall Height Factor 0.9 0.9 0.9 Number of B014_ Factor 1.3 1.3 1.3 Holdown Factor 1 1 1 Blocked Joint Factor 1 1 1 Gypsum on Inside Factor 1 1 1 Wind GB Construction Factor 1 0.7 1 Required Wind Bracing Amount 5.1 ft 8.148 4.79 ft effe461:0440.04W %•4;,,, Tabulated Seismic Bracing Amount 9.20 13.8 ft 9.2 ft Seismic Wall Height Factor 1 1 1 BWL Spacing Factor 1 1 Blocked Joint Factor 1 1 1 Gypsum on Inside Factor 1 1 1 Seismic GB Construction Factor 1 1 1 Wall Dead Load Factor 0.85 0.85 0.85 imilivAti6n6tie',Coiti/webappsibracedWall This is page 1 of 2 SIMPSON =t r•a.!.. Simpson Strong -Tie Roof Dead Load Factor 1 1 1 Veneer Factor 1 1 1 Required Seismic Bracing Amount 7.82 ft 11.73 ft 7.8211 Length of Wall Bracing Required 7.82 ft 11.73 ft 7.82 11 NOTES 1. This wall- bracing evaluation is based on the 2009 International Residential Code. The user is responsible for ensuring that the project fits within the scope of the IRC and complies with the wall- bracing requirements of Sections R602.10, R602.11 and R602.12 as applicable. 2. One- and two-family dwellings and townhouses in Seismic Design Category D0, D1, or D2 are subject to the wind and seismic requirements of the IRC. The length of wall bracing shall be the greater of that required by Table R602.10.1.2(1) based on wind speed, and Table R602.10.1.2(2) based on seismic design category, including all applicable adjustment factors. 3. Braced -wall panel construction shall be in accordance with the requirements of Section R602.10.2 and Table R602.10.2 and the minimum length requirements of Section R602.10.3. 4. Braced -wall panels shall be located at each end of braced -wall lines. At exterior braced -wall lines, braced -wall panels may begin up to 8 feet from each end when the additional requirements of Section R602.10.1.4.1 are satisfied. At interior braced -wall lines, braced -wall panels may begin up to 12.5 feet from each end. The total combined distance from each end shall not exceed 12.5 feet. 5. Braced -wall panel spacing shall not exceed 25 feet on center in accordance with Section R602.10.1.4. 6. Interior braced wall -line spacing is the greater of the distance between two adjacent braced -wall lines in accordance with Figure R602.10.1.4(4). 7. Refer to the Strong -Wall Sheatwalls Presciptive Design Guide for pre engineered solutions when the required bracing amounts cannot be satisfied with prescriptive braced -wall panels. Simpson Strong -Tie Wood and Steel Strong -Wall shearwalls may be considered equivalent to the code braced -wall panel construction method WSP with gypsum board applied on the inside. 8. Braced wall -line spacing shall not exceed 25 feet on center in each story in both longitudinal and transverse directions in accordance with Section R602.10.1.5. However, the spacing between two adjacent braced wall lines shall not exceed 35 feet on center in order to accomodate one single room when the provision of the exception to R602.10.1.5 are satisfied. 9. Horizontal panel joints in braced -wall panels shall be blocked in accordance with Section R602.10.8. WARNINGS 1. For buildings in SDC D0, D1, and D2 the user must ensure braced wall line spacing greater than 25 feet satisfies the requirements of Section R602.10.1.5. 2. The wall bracing provisions of the IRC may not be used in hurricane prone regions, as defined in Section R202, where the basic wind speed equals or exceeds 100 mph. 3. Different bracing methods are not permitted to be mixed within a braced wall line for Townhomes in Seismic Design Category C and all structures in Seismic Design Category D0, D1, or D2 in accordance with Section R602.10.1.1 item #3. wwwstrongtie ;corn /webapps /bracedWall This is page 2 of 2 E st I Simpson Strong -Tie 2009 IRC Required Braced -Wall -Line Length Calculations PROJECT INFORMATION NAME: Grog _t ADDRESS: 3921 Solar Lane, Port Angeles, WA 98362 WALL DIRECTION: Side To Side SEISMIC DESIGN CATEGORY: D1 BASIC WIND SPEED: 100 mph WIND EXPOSURE CATEGORY: C STONE OR MASONRY VENEER: No Wall Line 1 -1 Wall Line 2 -1 Wall Line 3 -1 Braced -Wall -Line Location 151011-story 1st of 1 -story 1st of 1-story Eave to Ridge Height 8 ft 8 ft 8 0 Braced-Wall-Line Spacing 25 ft 25 0 21 h t I Braced -Wall -Line Length 32 ft 32 ft 3211 Wall Height 8 9 8 0 8 ft f1 Bracing Method WSP GB WSP GB Double GB Construction Type N/A sided 4" O.0 N/A Fastening Gypsum Wall Board on Inside Yes Yes Horizontal Joints Blocked Yes Yes Yes Holdown Device Used No No No Wall Dead Load 8 psi 8 psf 8 psf Roof/Ceiling Dead Load 15 psf 15 psf 15 psf Tabulated Wind Bracing Amount 8 8 10.25 ft 5.2 ft Exposure Height Factor 1.2 1.2 1.2 Eave to-Ridge Height Factor 0.88 0.88 0.88 Wind Wall Height Factor 0.9 0.9 0.9 Number of BWL Factor 1.3 1.3 1.3 Holdown Factor 1 1 1 Blocked Joint Factor 1 1 1 Gypsum on Inside Factor 1 1 1 Wind GB Construction Factor 1 0.7 1 Required Wind Bracing Amount 7.41 ft 8.86 ft 8.42 ft Tabulated Seismic Bracing Amount 6.4 ft 9.6 ft 6.4 ft Seismic Wall Height Factor 1 1 1 BWL Spacing Factor 1 1 1 Blocked Joint Factor 1 1 1 Gypsum on Inside Factor 1 1 1 Seismic GB Construction Factor 1 1 1 Wall Dead Load Factor 0.85 0.85 0.85 www :strongtie.com/webapps /bracedWall This is page 1 of 2 SIMPSON s r Simpson Strong -Tie Roof Dead Load Factor 1. 1 1 Veneer Factor 1 1 1 Required Seismic Bracing Amount 5.44 ft 8.16 ft 5.44 ft Length of Wall Bracing Required 7.41 R 8.86 ft 6.42 ft NOTES 1. This wall- bracing evaluation is based on the 2009 International Residential Code. The user is responsible for ensuring that the project fits within the scope of the IRC and complies with the wall- bracing requirements of Sections R602.10, R602.11 and R602.12 as applicable. 2. One- and two family dwellings and townhouses in Seismic Design Category DO, Di, or D2 are subject to the wind and seismic requirements of the IRC. The length of wall bracing shall be the greater of that required by Table R602.10.1.2(1) based on wind speed, and Table R602.10.1.2(2) based on seismic design category, including all applicable adjustment factors. 3. Braced -wall panel construction shall be in accordance with the requirements of Section R602.10.2 and Table R602.10.2 and the minimum length requirements of Section R602.10.3. 4. Braced -wall panels shall be located at each end of braced -wall lines. At exterior braced -wall lines, braced -wall panels may begin up to 8 feet from each end when the additional requirements of Section R602.10.1.4.1 are satisfied. At interior braced -wall lines, braced -wall panels may begin up to 12.5 feet from each end. The total combined distance from each end shall not exceed 12.5 feet. 5. Braced -wall panel spacing shall not exceed 25 feet on center in accordance with Section R602.10.1.4. 6. Interior braced wall -line spacing is the greater of the distance between two adjacent braced -wall lines in accordance with Figure R602.10.1.4(4). 7. Refer to the Strong -Wall Shearwalls Presciptive Design Guide for pre engineered solutions when the required bracing amounts cannot be satisfied with prescriptive braced -wall panels. Simpson Strong -Tie Wood and Steel Strong -Wall shearwalls may be considered equivalent to the code braced -wall panel construction method WSP with gypsum board applied on the inside. 8. Braced wall -line spacing shall not exceed 25 feet on center in each story in both longitudinal and transverse directions in accordance with Section R602.10.1.5. However, the spacing between two adjacent braced wall lines shall not exceed 35 feet on center in order to accomodate one single room when the provision of the exception to R602.10.1.5 are satisfied. 9. Horizontal panel joints in braced -wall panels shall be blocked in accordance with Section R602.10.8. WARNINGS 1. For buildings in SDC DO, 01, and D2 the user must ensure braced wall line spacing greater than 25 feet satisfies the requirements of Section R602.10.1.5. 2. The wall bracing provisions of the IRC may not be used in hurricane prone regions, as defined in Section R202, where the basic wind speed equals or exceeds 100 mph. 3. Different bracing methods are not permitted to be mixed within a braced wall line for Townhomes in Seismic Design Category C and all structures in Seismic Design Category DO, 01, or D2 in accordance with Section R602.10.1.1 item #3. www. str :com/webapps /bracedWall This is page 2 of 2 Clallam County Assessor Treasurer Property Details 68257 ICARUS HALL for Yea... Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 68257 ICARUS HALL for Year 2012 2013 Property Account Property ID: 68257 Legal Description: LOT 8 PARK MEADOWS V15 PG22 Geographic ID: 0630156700800000 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: I t w Range: Location Address: 3921 SOLAR LN Mapsco: PORT ANGELES, WA 98362 d Neighborhood: PA South Res Map ID: 2 Neighborhood CD: 4151000 Owner 1 4 Name: ICARUS HALL Owner ID: 112759 i Mailing Address: 204 N TARA LANE Ownership: 100.0000000000% PORT ANGELES, WA 98362 Exemptions: Taxes and Assessment Details Property Tax Information as of 11/14/2011 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. Click on "Statement Details" to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due Statement Details 2011 161699 $224.44 $224.36 $0.00 $0.00 $448.80 $0.00 Statement Details 2010 49983 $186.72 $186.76 $0.00 $0.00 $373.48 $0.00 Values Taxing Jurisdiction Improvement Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement This year is not certified and ALL values will be represented with "N /A Website version: 9.0.32.2200 Database last updated on: 11/10/2011 3:51 AM ©2011 True Automation, Inc. All Rights Reserved. Privacy Notice http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year= 2012 &prop_id =68... 11/14/2011 Contractors or Tradespeople Detail Page 1 of 2 Cr Washington State Department of Labor Industries Contractors or Tradespeople Detail Return to List Start a New Search C Printer friendly Verify Workers' Comp Premium Status Check for Dept. of Revenue Account About General /Specialty Contractor A business registered as a construction contractor with L &I 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 GROFFS CONSTRUCTION LLC UBI No. 1,1 602999133 Phone No. (360) 477-1405 Status ii Active Address P O Box 1659 Suite /Apt. License No. GROFFCL908NK City Port Angeles License Type Construction Contractor State WA Effective Date 8/12/2010 Zip 98362 Expiration Date 8/12/2012 County Clallam Suspend Date Business Type Limited Liability Company Parent Company Specialty 1 i General Specialty 2 li Unused (=_j Other Associated Licenses License Name Type Specialty Specialty Effective Expiration Status 1 2 Date Date GROFFC *910M1 GROFF'S Construction Re- General Unused 7/21/2009 7/21/2011 CONSTRUCTION Contractor Licensed t~ Business Owner Information Hide All Name Role Effective Date Expiration Date GROFF, WAYNE L Partner /Member 08/12 /2010 GROFF, CASEY) Partner /Member 08/12/2010 El Bond Information Bond Bond Company Bond Account Effective Expiration Cancel Impaired Bond Received https: fortress .wa.gov /lni/bbip /Result.aspx ,11/14/2011 ELECTRICAL PERMIT CITY OF PORT ANGELES k. 360- 417 -4735 Application Number 11- 00001429 Date 12/22/11 Application pin number 570311 Property Address 3921 SOLAR LN REPORT SALES TAX —.0 ASSESSOR PARCEL NUMBER: 06-30-15-6-7-0080-0000- your excise tax form Application type description ELECTRICAL ONLY on Y Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc New home Owner Contractor ICARUS HALL KIRSCH ELECTRIC INC. 204 N TARA LANE P. 0. BOX 3396 PORT ANGELES WA 98362 SEQUIM WA 98382 r_� (360) 457 -8201 (360) 683-6819 64'3 cjNI Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit Fee 180.70 Plan Check Fee .00 Issue Date 12/22/11 Valuation 0 Expiration Date 6/19/12 Qty Unit Charge Per Extension 1.00 110.3000 ECH EL -R -SQFT FIRST 1300 110.30 q 2.00 35.2000 ECH EL -R -SQFT ADDITIONAL 500 ,70.40 Fee summary Charged Paid Credited Due v Permit Fee Total 180.70 180.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 180.70 180.70 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH G 1\C--b SERVICE i /a 4 4$ ROUGH -IN Z 1311.-- FINAL 7 o COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owrier or Electrical Contractor X Date: G:AEXCHANGE \BUILDING >oR r, CITY OF PORT ANGELES PERMIT APPLICATION FL' ^1 Building Division/Electrical Inspections E OLU I J" 31 East Fifth Street P.O. Box 1150 Port Angeles Washington, 95362 I Ph: (360 417-4735 Fax: (360) 417 -4711 r' 2i1.1 Date: i oks '1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addit 1 Remodel Repair* INSPECTIONS Plan Review M require Please Com lete Electrical Plan Review Information Sheet Job Address: n A Building Square Footage: OC3 r Description of above 'i Owner Inform tion Contractor Information Name: 4r 1t c. ...f.,As`t 4 Name: �aT.;jC. J Cic.7 Mailing Address: Mailing Address: City: State: Zip: City: State: Zip: Phone: Fax: Phone: Fax: License Exp. License Exp. Item Unit Charge gi)L 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 ServicelFeederover 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service /Feeder 201 -400 Amp. 110.30 Temp. Service /Feeder401 -600 Amp. 148.70 Temp. Service /Feeder 601 -1000 Amp 167.90 Portal to Portal Hourly 95 Sign /Outline Lighting 88 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 S 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 Manufactured Home Connection 119.90 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 I. If 70 .4Q Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 otal 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, l hereby certify that 1 am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator Cash Check Credit Card 0, x Jam i 1 c�.,0.4 Dated: la a it i 0110112010 V CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5'h Street, Port Angeles, WA 98362 Application Number 12- 00000015 Date 1/19/12 Application pin number 428255 Property Address 3921 SOLAR LN REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-15-6-7- 0080 -0000- Application type description FIRE SPRINKLER SYSTEM on your state excise tax form Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 2725 Application desc RESIDENTIAL FIRE SPRINKLER SYSTEM Owner Contractor U 2� i l ICARUS HALL INNOVATED FIRE SPRINKLERS �5ibvvv�Vw 204 N TARA LANE 81 NEW HAVEN LANE PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457 -8201 (360) 452 -7583 Permit FIRE SPRINKLER RESIDENTIAL Additional desc RES FIRE SPRINKLER SYSTEM Permit Fee .00 Plan Check Fee .00 Issue Date 1/19/12 Valuation 2725 Expiration Date 7/17/12 Special Notes and Comments A full acceptance test will be required for the fire sprinkler system. 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) 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 examined 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 compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel th provisions of any state or local law regulating the work specified in the permit. A— 4 Signature of Contractor o Au -iorized Agen Date 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 U\1 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 Alarm 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 (o 1241 GENERAL COMMENTS: 2/15/00 w i o POW ,I..1, BUILDING PERMIT APPLICATION Print in ink ire.. CITY OF PORT ANGELES or For City Use Only: Attn: Building Permit Technician 1 Date Received iZ 321 E. Fifth St., Port Angeles, WA 98362 iR 360) 417 -4815 fax (360) 417 -4711 Permit G Date e Approved 5 i rS% Applicant or Agent V i uLC /2, bk, De Q Phone 4-- /(pl 6 3S Owner G c, ,s-e 2 G y g -f -f- Phone 66 8 a f Owner's Address Contractor /Engineer //1/A/0 v/4- D ED I i R SP hone VS 2 1 7,s- a 3 Contractor /Engineer's Address 8/ 1c Q,,'+ License NA/0 t/ /S 0 1- 1 4 -1 n Expires v /j z. z I PROJECT ADDRESS 392_/ S 01 c v- L1 Parcel Number Lot Zoning Project Type Brief Description: XResidential o Commercial Multi- family o Industrial Check all that apply stew Construction J �,.s it C .Q S (<1.€' iv .S' ,s -e v i Addition o Remodel Repair Re -roof o Demolition o Sign wall- mounted o projecting o freestanding awning o other Total sign area sq. ft. Maximum allowed sign area sq. ft. o Heat System o Heat pump wood burning stove o gas fireplace pellet stove o other o Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 4 1 7-422 0 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION a7 a5 G U 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 Toad 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 he true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Jy g r 4 Date 1 S Print Name ,...._c_. Q ,'1`}3 k..."‘ Si nature vr:Forrns/ uil ing Division/Bldg Permit Appl. -2006 Code.doc