HomeMy WebLinkAbout1303 Rook Dr - Building,54 VORrM.
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INGW
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Stibdivision Name
Property Use
Property Zoning
Application valuation
Owner
GREEN CROW TIMBER LLC
PO BOX 2439
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
WA 983620312
Signature of Contractor or Authorized Agent
T•\Policies \1102.15R [1105]
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00001049
699035
1303 ROOK DR
06 30 14 6 7 0290 0000
PUBLIC WORKS UTILITES
0
Contractor
OWNER
PUBLIC WORKS RES WATER SERV
IRRAGATION METER
87577
775 00
9/25/06
3/24/07
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 775 0000 EA PW W/M 1 SERV 1 METER
Charged Paid Credited Due
Permit Fee Total 775 00 775 00 00
Plan Check Total 00 00 00
Grand Total 775 00 775 00 00
Date 9/25/06
00
0
Extension
775 00
00
00
00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date Signp(ure of/Owne((if owner is builder)
Date
CALL 417 -4807 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.
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
CONSTRUCTION R.W /PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T•\Policies \1102.158 [1/051
RESIDENTIAL
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES I NO
I I I
I I I
I I I
I I I
I I
I I I
I I I
I I I
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I I I
I I I
I I I
I I I
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I I I
I I I
I I I
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I I I
I I I
I I I
I I I
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COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
.:
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ELECTRICAL WORK PERMlT APPLICATI8N-
,~
Job wired by
~rical Contractor 0 Owner
Installation description
o Commercial 0 Residential
ate Expires
=-
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o Altered/Addition
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Owner as defined by RCW. /9.28.261:(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 ;s for sale, rent or lease.
Arter reading the above statement, ] hereby certify that I am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal-
lation 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 ec fica ns.
Sig
o Cash
o Check #
o Credi t Card
Card #
Visa
Mastercard
Discover
r or electrical admi
Jate:3
Ele rica I Load Additions and or subtractions
D NO LOAD CHANGES
o Baseboard KW
~tlrnace !l. KW
P11eat Pump ~ Ton _ LAR
D Fan-Wall KW
Expiration Date
of card
" t:O
.C--'
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage
PhaseD1D3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN
RMOSTAT
~Q
SERVICE
Dale Approved By
Dale Appr<:l\"oo Dy
r;
FINAL
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nrrCH
FEEDER
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Appro,.cd By
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Inspection
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Electrical
}nspcctor
Area, Building or Equipment Inspected
Action Taken
12/01/2005 05:53
3505830859
KIRSCH ELECTRIC INC
PAGE 01
b~~
~ectricsl Contractor
S
Q Owner ~;';J
ELECTRICAL WORK PERMIT APPLICATION
~1~Cqucst Inspection 0 i -fc:- ~ 0/\ ;7JcnJa(
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o AnnU91 Permit 0 Alarm Q Carnival 0 Commercial ~dentjal 0 Residential Malnl. Q Siglls 0 Thermostat 0 Telecom.
Job wired by
I13'"€iccrrical Contractor 0 Owner
rMt:'l11ntion dc~c:rifll;on
[lec:tric:l1 CL)l1lraC:lor name
(Q i d'", I-LI-;t
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~ I f cf.
L.icC:I'~c: number
Premhu owner's nslt1t .. ,
fi cl \/''1 "'+"''j'" JL \ \ r1
Add.-eH of I"SPCc~ion R
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Cily
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FAX number
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o Cash 0 Check #
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rceJitCard .~
Card #
Mastercard
Discover
, hereby certify thilt J am Ihe owner of the nl)ovc named property or II licensed
eleCtrical contrilClor (or the firm'!. authorized ngcnl) nnd am makinH the clectriClll
installation or :llfcration in compliance with thc electric..] law, Chaplcr 19.28 RCW.
. -
----~------------
t,.actnr or eh:cldC31 n(1ministnfnr
Expiration Date
of card
WALLS
.Insul.ation Only
CEILING
Insulation Only
&.
THERMOSTAT
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Electrical Load Additions and Dr s~.ptractions
CI NO LOAD CHANGES
C) Baseboard KW
CI i=urnace KW
CJ Heal F>UfTlP _ Ton _ LAR
o Fan-Wall _ KW
~rvice InformatioQ
Cl Overhead Servioe
I:) Temp Servioe
Cl Underground Service
Voltage
Phase CI 1 CI 3
S8rvJC~ Size: _
Feeder Size:
Area. Building or Equipment Insp~led
AClion T"ken
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ELECTRICAL WORK PERMIT APPLICATION
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a Credit Card
Visa
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Card #
x
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Expiration Date
of card
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r SERVICE
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Electrical Load Additions and or subtr.~tI9JlS
Q NO LOAD CHANGES
Q Baseboard KW
U Furnace KW
o He;)'1 Pump Ton LAR
Q Fan.W,1I KW
u
Service Information
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Ph... ~ 1 Q ~
Sorvico Sizo: {; 0
Foodor SizQ:
Cl Q\l9rnead Servioo
o Tomp SorviC(l
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C[TY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
m EAST STH STREET. PORT ANGELES. WA 98362
.
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
05-00001104 Date 11/14/05
841056
1303 ROOK DR
T6~30-14-3-1-0100-0029-
ELECTRICAL ONLY
o
Owner
Contractor
GREEN CROW TIMBER LLC
PO BOX 2439
PORT ANGELES WA 983620312
QUALITY ELECTRIC
257 CAYS RD
SEQUIM
(360) 460-3811
WA 98382
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date .
ELECTRICAL TEMPORARY
QUALITY/ 60A TEMP
65029
QUALITY ELECTRIC
42.20
11/14/05
5/13/06
SERVICE
plan Check Fee
Valuation
.00
o
...........
W
CJ
\).l
Qty
1. 00
Unit Charge Per
42.2000 ECH EL-TEMP SRV - 0-60 SRV FDR
Extension
42.20
Permit Fee Total
plan Check Total
Grand Total
42.20
.00
42.20
42.20
.00
42.20
.00
.00
.00
.00
.00
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Fee summary
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Appl1cation pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuat10n
05-00000583 Date
798458
1303 ROOK DR
T6-30-14-3-1-0100-0029-
RES NEW SFR
194775
Owner
Contractor
GREEN CROW TIMBER LLC
PO BOX 2439
PORT ANGELES
Other struct info .
ADVANTAGE BUILDERS,
PO BOX 3634, SEQUIM
WA 983620312 SEQUIM
(360) 683 -8992
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc 2915 SF SFR
Permit pin number 55475
Permit Fee 1549.25 Plan Check Fee
Issue Date 7/26/05 Valuation
Expiration Date 1/22/06
Qty Unit Charge Per
BASE FEE
95.00 5.6000 THOU BL-100,001-500K (5.60 PER K)
Perm1t MECHANICAL PERMIT
Additional desc
Permit pin number 55459
permi t Fee 108.70 Plan Check Fee
Issue Date 7/26/05 Valuation
Expirat10n Date 1/22/06
Qty Unit Charge Per
BASE FEE
5.00 7.2500 ECH ME-VENT FAN
1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5
1.00 14.8000 ECH ME-INSTALL FLOOR FURNACE
Permit . . . . .
Additional desc .
Perm1t p~n number
Perm1t Fee
Issue Date
Expirat10n Date
PLUMBING PERMIT
55467
153.00
7/26/05
1/22/06
Plan Check Fee
Valuation
Qty Unit Charge Per
BASE FEE
11. 00 7.0000 ECH PL- EA. FIXTURE ON ONE TRAP
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE
1. 00 15.0000 ECH PL- EA. BLDG SEWER
1.00 7.0000 ECH PL- EA.WATER HEATER
7/26/05
;:'lNALELJ
0/t3/a.
INC.
WA.
WA 98382
27.90
1. 00
10410.00
2915.00
1. 00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pnvate and public Improvements ThiS permit becomes
null and VOId If work or construction authonzed IS not commenced within 180 days, If construction or work is suspended or abandoned
for a period OED days after th ork as commenced, or If required inspections have not been requested within 180 days from the last
inspectlo I ereby certify at I , ave read and examined thiS application and know the same to be true and correct All prOVIsions of
laws and r nances overn g this type of work Will be compiled with whether specified herein or not The granting of a permit does not
presum give aut onty violate or cancel the provIsions of any state or local law regulating construction or the performance of
constr tlon
7- 2b-O-S-
Date
T IPolIclesll102_15 bUlldmg pennlt mspectlOn record05 wpd [1/4/2005]
619.70
194775
~
;;
Extension
1017.25
532.00
.00
o
Extension
47.00
36.25
10.65
14.80
.00
o
Extens10n
47.00
77.00
7.00
15.00
7.00
Signature of Owner (If owner IS builder)
lIII"""
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number . . . . . 05-00000583
Application pin number 798458
Page
Date
2
7/26/05
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or plped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
07/19/2005 10:44 AM SROBERDS --- The proposal will
result in a new s.f. res w/attached garage for a total of
28% lot coverage in the RS-9 zone. No land use issues are
noted.
$713 Connect Fee.
Electrical load calculations and permits are required.
07/14/2005 06:50 AM JHEBNER ----------------------------
Any modifications to the City'S electrical facilities will
be at the customer's expense.
07/14/2005 06:51 AM JHEBNER ----------------------------
Ditches and 12" culverts will be installed to City
Stanards. See Public Works Engineering for Standards.
Sanitary sewer connection inspection is required by
Public Works prlor to back fill of ditch.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1810.95 1810.95 .00 .00
Plan Check Total 619.70 619.70 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 4205.15 4205.15 .00 .00
Separate Permits are required for electncal work, SEPA, Shoreline, ESA, utilities, private and public Improvements ThiS permit becomes
null and void If work or construction authonzed is not commenced Within 180 days, If construction or work is suspended or abandoned
for a penod 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 authonty 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 \Pohcles\1102_15 buddmg pemn! mspectlOn record05 wpd [1/4/2005]
\""'Il
BUILDING PERMIT INSPECTION RECORD t9 S -se 3
CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
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
FOUNDATION ~~ - yIYv'!~ JlV
FOOTINGS J '-/O-a" J L.L......
WALLS II-/~-OS' _\ I l ~
FOUNDATIQN DRAINAGE / DOWN SPOUTS ']..-1 ""vl rx;. TIA./
PIERS
POST HOLE~ (POLE BLDGS )
PLUMBING HK~~ . (.,/1 lOG ~
UNDER FLOOR / SLAB
ROUGH-IN ~/"/b' ']7A/
WATER LINE (METER TO BLDG) I I-
GAS LINE
BACK FLOW / WATER
AIR SEAL I
WALLS I ~/l1 f Oc" 1W
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROQF / CEILING ~{11J()(d W
DRYW ALL (IINTERrOR BRACED PANEL ONLY)
T-BAR
I"ISULATION
SLAB
WALL / FLOGJR / CEILING I I
I ~~~{ - b/n/rx:, 7v"
MECHANICAL
HEAT PUMP (FURNACE / DUCTS
GAS UNE
WOOD STOVE / PELLET / CHIMNEY
I
COMMERCIAL HOOD / DUCTS
I
MANUFACTU~ED HOMES
I
FOOTING / SLAB
I
BLOCKING <I ,HOLD DOWNS
SKlRTING
I
PLANNING DEPT SEPARATE PERMlT #'s SEPA
I
P ARKING/LIbHTlNG ESA
I
I
LANDSCAPI~G SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
I RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
I
I
YES NO
ELECTRICAL -fLIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUC nQN R W / PW / CONSTRUCTION - R W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 , I PLANNING DEPT
BUILDING 417-4815 ,/ / ?/ Or.. . iJl<.--' BUILDING
.....
~~
~\)
~ ~
~~
~~
'"
T \Poltcles\1102_115 buildIng penmt Inspection record05 wpd [1/4/2005]
I
PREPARED 6/13/06, 11 26'35
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
5
6/13/06
ADDRESS
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER
1303 ROOK DR
ADVANTAGE BUILDERS, INC
GREEN CROW TIMBER LLC
06-30-14-6-7-0290-0000-
05-00000583 RES NEW SFR
SUBDIV
PHONE
PHONE
(360) 683-8992
TYP/SQ
REQUESTED
COMPLETED
INSP
RESULT
DESCRIPTION
RESULTS/COMMENTS
'"":"'::::'ltll"':::~::::Z7;:;~::~~,':::::,,::A::"'-::::::::::::::::::::::::::::::::
tq\ d\-~. ~ 'PI "'" ~
lo\~~
M e{;~
r It.{~
T (j-tk\
BUILDING DIVISION
.~
CITY OF PORT ANGELES
* *
Correction Notice
',-
Job Located at
13l>~ ?-,ook
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
~
SO~\\ ' \ ~~y -
to t-~
l
(. tlJ ~c
..Jo ~b 90iJ
pz,
~
These corrections must be made and are not to be
covered until reinspection is made. When c9"rections
have been made, please call-Blry - t/~(~
for inspection.
Date
Inspector for Building Division
DO NOT REMOVE THIS TAG
PREPARED 6/02/06, 9 54,28
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER
1303 ROOK DR
ADVANTAGE BUILDERS, INC.
GREEN CROW TIMBER LLC
06-30-14-6-7-0290-0000-
05-00000583 RES NEW SFR
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 11/10/05 JLL
11/10/05 AP
BI2 01 11/18/05 JLL
11/18/05 AP
BL9 01 2/21/06 JLL
2/21/06 DA
BL9 02 2/22/06 JLL
2/22/06 AP
DSD 01 2/22/06 JLL
2/22/06 AP
BAIR 01 3/17/06 JLL
3/17/06 AP
BL3 01 3/17/06 JLL
3/17/06 AP
BLI 01 3/22/06 JLL
3/22/06 AP
BLDR 01 4/04/06 JLL
4/05/06 AP
BL99 01 6/02/06 ~
PAGE
DATE
1
6/02/06
. -
SUBDIV.
PHONE (360) 683-8992
PHONE ,
BUILDING FOUNDATION FOOTING
11/10/2005 04 42 PM JLIERLY ----------------------------
ground 1n foot1ng/)11
BUILDING FOUNDATION WALL
11/17/2005 03 14 PM DYASUMUR
TIM TAYLOR 670-1259
11/18/2005 05,06 PM JLIERLY ----------------------------
BUILDING SHEARWALL TIME 13 00
* OVERRIDE TAKEN BY DYASUMUR DATE 02/21/06 TIME, 08,33,37
02/21/2006 08.33 AM DYASUMUR ---------------------------
SAM 460-5302
02/21/2006 05 08 PM JLIERLY ----------------------------
block at 1ntersect1on/)11
BUILDING SHEARWALL TIME. 13,00
* OVERRIDE TAKEN BY DYASUMUR DATE, 02/21/06 TIME, 16 11,24
02/21/2006 04,11 PM DYASUMUR ---------------------------
SAM 460-5302
02/22/2006 04,45 PM JLIERLY ----------------------------
BUILDING DOWN SPOUT DRAINS TIME 13.00
* OVERRIDE TAKEN BY DYASUMUR DATE. 02/21/06 TIME, 16,11 58
02/21/2006 04 11 PM DYASUMUR ---------------------------
SAM 460-5302
02/22/2006 04 45 PM JLIERLY ----------------------------
BUILDING AIR SEAL TIME, 17.00
* OVERRIDE TAKEN BY JLIERLY DATE, 03/16/06 TIME, 13.40,55
03/16/2006 10,31 AM PBARTHOL ---------------------------
03/16/2006 01,41 PM JLIERLY ----------------------------
03/17/2006 04,07 PM JLIERLY ----------------------------
BUILDING FRAMING TIME, 17.00
* OVERRIDE TAKEN BY JLIERLY DATE. 03/16/06 TIME, 13,40 55
03/16/2006 10 30 AM PBARTHOL ---------------------------
SAM 460-5302
03/16/2006 01 41 PM
03/17/2006 04 07 PM
BUILDING INSULATION
03/21/2006 03 02 PM
SAM 460-5302
03/22/2006 04 33 PM
BUILDING DRYWALL IBWP
04/03/2006 09 32 AM
SAM 460-5302
04/05/2006 08 27 AM PBARTHOL ---------------------------
BUILDING FINAL TIME 13 00
SAM 460-5302 06/01/2006 04 22 PM DYASUMUR
JLIERLY ----------------------------
JLIERLY ----------------------------
TIME, 13,00
DYASUMUR ---------------------------
JLIERLY ----------------------------
TIME 13,00
DYASUMUR ---------------------------
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
321 E 5TH STREET
P.O. BOX 1150
PORT ANGELES WA 98362
C E R T I F I CAT E
o F
OCCUPANCY
Issue Date
Expiration Date
Parcel Number .
Property Address
Subdivision Name
Legal Description
Property Zoning
Owner . . .
Contractor
Application number
Description of Work
Construction type
Occupancy type
Flood Zone
Approved
T E M P 0 R A R Y
6/02/06
7/02/06
06-30-14-6-7-0290-0000-
1303 ROOK DR
PORT ANGELES WA 98362
GREEN CROW TIMBER LLC
\).\
\)
\~
~
\J
F
~
ADVANTAGE BUILDERS, INC.
360 683-8992
000 000
VOID UNLESS SIGNED
PREPARED 3/17/06, 12 13'58
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
2
3/17/06
1303 ROOK DR
ADVANTAGE BUILDERS, INC.
GREEN CROW TIMBER LLC
06-30-14-6-7-0290-0000-
05-00000583 RES NEW SFR
(360) 683-8992
SUBDIV
PHONE
PHONE
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 11/10/05 JLL
11/10/05 AP
BI2 01 11/18/05 JLL
11/18/05 AP
BL9 01 2/21/06 JLL
2/21/06 DA
BL9 02
2/22/06
2/22/06
JLL
AP
DSD 01
2/22/06
2/22/06
JLL
AP
BAIR 01
~~
BL3
01~~
BUILDING FOUNDATION FOOTING
11/10/2005 04 42 PM JLIERLY ----------------------------
ground 1n foot1ng/]11
BUILDING FOUNDATION WALL
11/17/2005 03 14 PM DYASUMUR
TIM TAYLOR 670-1259
11/18/2005 05:06 PM JLIERLY ----------------------------
BUILDING SHEARWALL TIME 13 00
* OVERRIDE TAKEN BY DYASUMUR DATE 02/21/06 TIME 08 33 37
02/21/2006 08:33 AM DYASUMUR ---------------------------
SAM 460-5302
02/21/2006 05 08 PM JLIERLY ----------------------------
block at 1ntersect1on/]11
BUILDING SHEARWALL TIME 13 00
* OVERRIDE TAKEN BY DYASUMUR DATE. 02/21/06 TIME: 16.11 24
02/21/2006 04 11 PM DYASUMUR ---------------------------
SAM 460-5302
02/22/2006 04 45 PM JLIERLY ----------------------------
BUILDING DOWN SPOUT DRAINS TIME 13:00
* OVERRIDE TAKEN BY DYASUMUR DATE 02/21/06 TIME: 16 11:58
02/21/2006 04 11 PM DYASUMUR ---------------------------
SAM 460-5302
02/22/2006 04 45 PM JLIERLY ----------------------------
BUILDING AIR SEAL TIME 17.00
* OVERRIDE TAKEN BY JLIERLY DATE 03/16/06 TIME: 13.40:55
03/16/2006 10 31 AM PBARTHOL ---------------------------
03/16/2006 01 41 PM JLIERLY ----------------------------
BUILDING FRAMING TIME 17 00
* OVERRIDE TAKEN BY JLIERLY DATE: 03/16/06 TIME 13:40:55
03/16/2006 10 30 AM PBARTHOL ---------------------------
SAM 460-5302
03/16/2006 01 41 PM JLIERLY ----------------------------
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 3/02/06, 11.42:44
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR. JAMES L LIERLY
PAGE
DATE
6
3/02/06
ADDRESS
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER
1303 ROOK DR
ADVANTAGE BUILDERS, INC.
GREEN CROW TIMBER LLC
06-30-14-6-7-0290-0000-
05-00000583 RES NEW SFR
SUBDIV
PHONE
PHONE
(360) 683-8992
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL6
01
11/30/05 JLL
11/30/05 AP
PLUMBING WATER SUPPLY TIME: 13:00
11/30/2005 03 30 PM PBARTHOL
DENNIS TAYLOR 670-1259
11/30/2005 04 32 PM JLIERLY ----------------------------
PLUMBING ROUGH-IN TIME. 13 00
* OVERRIDE TAKEN BY DYASUMUR DATE: 03/02/06 TIME 08:07 18
03/02/2006 08:06 AM DYASUMUR ---------------------------
MARK - INFORM CONTRACTOR HE HAS OUTSTANDING FEES.$713 00
ELECTRICAL SERVICES
PL2
01
~ff-
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 2/22/06, 13:30 13
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
2/22/06
1303 ROOK DR
ADVANTAGE BUILDERS, INC.
GREEN CROW TIMBER LLC
06-30-14-6-7-0290-0000-
05-00000583 RES NEW SFR
(360) 683-8992
SUBDIV
PHONE
PHONE :
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLl 01 11/10/05 JLL
11/10/05 AP
BI2 01 11/18/05 JLL
11/18/05 AP
BL9 01 2/21/06 JLL
2/21/06 DA
BL9 02 ~ ~
DSD 01 2/22/06 JLL
~~\~ ~
BUILDING FOUNDATION FOOTING
11/10/2005 04 42 PM JLIERLY ----------------------------
ground In footlng/)ll
BUILDING FOUNDATION WALL
11/17/2005 03 14 PM DYASUMUR
TIM TAYLOR 670-1259
11/18/2005 05 06 PM JLIERLY ----------------------------
BUILDING SHEARWALL TIME 13:00
* OVERRIDE TAKEN BY DYASUMUR DATE 02/21/06 TIME 08:33 37
02/21/2006 08.33 AM DYASUMUR ---------------------------
SAM 460-5302
02/21/2006 05,08 PM JLIERLY ----------------------------
block at lntersectlon/)ll
BUILDING SHEARWALL TIME 13 00
* OVERRIDE TAKEN BY DYASUMUR DATE 02/21/06 TIME. 16.11'24
02/21/2006 04 11 PM DYASUMUR ---------------------------
SAM 460-5302
BUILDING DOWN SPOUT DRAINS TIME 13.00
* OVERRIDE TAKEN BY DYASUMUR DATE: 02/21/06 TIME: 16.11.58
02/21/2006 04 11 PM DYASUMUR ---------------------------
SAM 460-5302
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 2/21/06, 13'48 42
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR, JAMES L LIERLY
PAGE
DATE
3
2/21/06
1303 ROOK DR
ADVANTAGE BUILDERS, INC.
GREEN CROW TIMBER LLC
06-30-14-6-7-0290-0000-
05-00000583 RES NEW SFR
(360) 683-8992
SUEDIV:
PHONE
PHONE
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 11/10/05 JLL
11/10/05 AP
BI2 01 11/18/05 JLL
11/18/05 AP
BL9 01 ~~
BUILDING FOUNDATION FOOTING
11/10/2005 04:42 PM JLIERLY ----------------------------
ground 1n foot1ng/)11
BUILDING FOUNDATION WALL
11/17/2005 03 14 PM DYASUMUR
TIM TAYLOR 670-1259
11/18/2005 05 06 PM JLIERLY ----------------------------
BUILDING SHEARWALL TIME 13:00
. OVERRIDE TAKEN BY DYASUMUR DATE' 02/21/06 TIME. 08 33 37
02/21/2006 08.33 AM DYASUMUR ---------------------------
SAM 460-5302
-------------------------------------- COMMENTS AND NOTES --------------------------------------
~c;)C- fA.- S~ f! Q J-s
~l(
N~J t>f
,
.~
PREPARED 11/18/05, 13 37,01
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
6
11/18/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1303 ROOK DR
ADVANTAGE BUILDERS, INC
GREEN CROW TIMBER LLC
T6-30-14-3-1-0100-0029-
05-00000583 RES NEW SFR
SUBDIV
PHONE (360) 683-8992
PHONE ,
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1
01
11/10/05
11/10/05
JLL
AP
BUILDING FOUNDATION FOOTING
11/10/2005 04 42 PM JLIERLY ----------------------------
ground ln footlng/]ll
BI2 01 ~11/18/05 ~JLL BUILDING FOUNDATION WALL
11/17/2005 03 14 PM DYASUMUR
TIM TAYLOR 670-1259
-------------------------------------- COMMENTS AND NOTES --------------------------------------
~'\
PREPARED 11/10/05, 16,42 14
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
1
11/10/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1303 ROOK DR
ADVANTAGE BUILDERS, INC
GREEN CROW TIMBER LLC
T6-30-14-3-1-0100-0029-
05-00000583 RES NEW SFR
SUBDIV.
PHONE (360) 683-8992
PHONE ,
PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
~~:__::_-~-_:~~----~~~~:~~::::::::~:::P:::::~:~~~-~~~~~~~~~~~~~~~~~~~~~~~~~~~~_____
"
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your applicatior. and site plan MUST B
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Y,^-lo II\. ~ Phone: (;, '6 / - s Lf 6<-/
Owner: .:::r~ \M J.- 14. ~<\.. J.: 3"" A- \IV\ ILS Phone: 5B ~ - ,0 -z... D Lf_
Address: '2, L\ l.-~ A- hh~..(' b~('b ettIty: ,~~.lA~ \N\- Zip. 9 & s g 2-
ArchItect/Encineer: f'~....~J-cv--~ 6}J~c>- 04..s,: ,5\A- Phone: l-/S7 - 3LJI'D
Conn-actor 4.1\2>.'" ~ ... . ~U(S.Jt.UState LlCens~ #'. 6.2. u 3b Z~p: JI-I - efj Phone: 6fJ3- 89 J z..
Address: I>> 6/J~' 5634 City: 5~';-tA\'("v\,... ZIp: :l f:f38'2-
/
lilt: _,n. 5"
I
~ D~ 3 OJ 4 3 J ft) lllJt/'J
Apphcant or Agent' ~ ~A. ~
CLALLAM COUNTY PARCEL NUMBER:
SubdlVlsion:
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot . 2. 1
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC
TYPE OF WORK:
~ ResIdenTIal ~ New Constr 0 Re-roof
o MultI-family 0 AdilitIon 0 Move
o CommercIal 0 Remodel 0 Demolition
o RepaIr 0 SIgn
BRlEF DESCRIPTION OF THE PROJECT:
",t.-\1~
\ 07
City:
#
Exp. Date:
I~ SIZEIVALUATION: ".: L 00.
o Stove ~l. - 2., Z. 2.-,-/ SF @ $ 80........ /SF. = $ 17S~ 671.. "/
o Garage12 ~E-'6t> I ,SF @$. 2S,,7Y /SF. =$5."il)'.~
o Deck K;;f~ ~O _ SF @ ~ _'l/.>.. 'YjSF. = $ I ~~ ,.~
~ Othflj \. ~AL VALUATlUN $- l ~ljl ~W~
iJ} " It {.W) I 11A t(. ~ II"CA'1f L
COMMERCIAL/RESIDENTIAL: Occupancy Group: Ii /J
No. of Stones' ~ Lot ~ize:. ~~39 ExistIng Sq. Ft. P
Total lot coverage--14B!O~~ %
Occupant Load: ConstructIon Type:
& Proposed Sq. Ft Z 'jJ _~ = TOTAL Sq. Ft 2.3. l: G ..
ESAlWetland(s): 0 Yes 0 No SEPA Checklist reqmred? 0 Yes 0 No Other:
APPRO V ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applIcant. This figure will be revIewed
and may be revised by the Buildmg DIVISIon to comply with current fee schedules. Contact the Pelmit Coordmator at 41 7-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due It must he submitted at the tIme the bmldmg perrmt applicatIOn and construction plans are
subrmtted All other perrmt fees are due at the tlllle of perrmt Issuance.
EXPIRATION OF PLAN REVIEW: Ifno perrmt IS Issued withm 180 days of the date of apphcatIOn, the application will expire. The
Buildmg OffiCIal can extend the tlllle for actIon by the applIcant up to 180 days upon wntten request by the applIcant (see Section R1 05.3.2
of the InternaTIonal Building/Residential Code, 2003) No application can be extended more than once.
T \Pohcles\BL-1l02_13 wpd Apphca:
JOn a d ow the same to be true and correct. I am authorized to apply for this permit and
its a e r quired ,not the City's, and that I mIld nhtain such permJts pnor to work.
Date: ?~:6 - 0 S-
Prescriptive Approach - Simple Form
For the Washington State Energy Code (2003 Edition)
Climate Zone 1 '
Site Information
-Building Department UseOn!y
2..9
Address I 30 3 Y2-eDl-:::. 0 ((,
City P oc-t- A-vu<Ll~S
State lJA Zip 9 83b 2-
Contact So... '^"- Yo... ~o lA.-
Phone. 68J - sL/ b Lj
Ll60-q3o~
68) - '5Y6Lj
Lot
, ,
Permit #:
Notes'
- . ~ ~'
',j-'
Phone 2
-::0, ,
"':; ,. .' " .,
I hI' '> >-
l/":,, "I.
, < l ~ I < I',. l ' l> ' l
'~_ <'~ I ,'> ." _ '
-__'." _ ,''''!-.'Of_...'',<:""
,-' ,'''' 1 , d:
Fax'
,. >.l ,,<,
O'l'=
,If,l
'If ,P " l-" <:I;,"i,<>^>..:'---' - =" ,
;:"'~ ~i " ,!: =? -- , , !,. ~.
n UnIte azmg DtlOn ny
GlaZIng Glazmg U-Factor Door9 Wall Wall Wall SIab4
OptlOn Area 10 U- Ceiling2 Vaulted Above Int4 Ext4 FloorS On
% of Floor Vertical Overhead 11 factor Ceilmg3 Grade Below Below Grade
Grade Grade
ill Unlinuted
Group R-3 040 0.58 0.20 R-38 R-30 R-21 R-21 R-IO R-30 R-I0
Occupancy
Onlv
Table 6-1
PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
(U r . d GI . O' 0 I )
See the code text for footnote references
This project complies with the following:
./' The project IS a Single family residence or duplex.
./' The project IS wood frame OR all of the insulation IS Intenor or exterior of the frammg.
./' All building components meet the requirements Itsted in Table 6-1, Option III
./' 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'
o 602 6 Exception 1 One door, that IS 24 ft 2 or less, that does not meet the standards is allowed
Location of the door taking thiS exception
o 6026 Exception 2 Doors With a U-factor of 0 40 allowed Without calculations, Option III only
Location of the door(s) taking thiS exception
\
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Copynght 2002, WSUCEEP02-056
Copied by permission from the Washington State University ExtenSion Energy Program
Prescnptlve - Simple Form - Climate Zone 1
/
/ 7/26/2004
~
CLALLAM COUNTY DEPARTMENTS OF
COMMUNITY DEVELOPMENT and ROADS
PERMIT APPLICATION SITE PLAN
PLEASE SHOW ALL REQUIRED INFORMATION
Applicant
Please Indicate
Direction
Parcel #
Applicant Signature/Date
80. w'
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PLEASE NOTE: This sheet is provided for your use; a larger sheet may need to be used depending on the size/complexity of your project.
If a larger sheet is needed 6 additional copies must be submitted.
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Staff Initials
1'603
Qook R..O.
D{L~ vC- t.J0-)'
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Cu.I Vlfrz...T
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Scale 1" = 2.0
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90
Feet
~"rllcal Datum = NA VD 88
HarlZllntal Datum = NAD 83191
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Area Map
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This map IS not m/ended to be lIsed as a legal descnplfon
ThIs map/drawmg IS produced by the City of Port Angeles for Its own use and purposes
An\' olhel use of thIs map/drawmg shall not be the responsfbtlltl' of the elf\'
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
nl EAST 5TH STREET. PORT ANGELES. WA 911~62
~.'
Application Number
Application pln number
Property Address
ASSESSOR PARCEL NUMBER'
Appllcation type description
Subdlvision Name
Property Use
Property zoning ,
Appllcatlon valuation
05-00000583 Date 12/07/05
798458
1303 ROOK DR
T6-30-14-3-1-0100-0029-
RES NEW SFR
194775
Owner
Contractor
Other struct info
ADVANTAGE BUILDERS,
PO BOX 3634, SEQUIM
WA 983620312 SEQUIM
(360) 683-8992
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
INC
WA,
WA 98382
GREEN CROW TIMBER LLC
PO BOX 2439
PORT ANGELES
27 90
1 00
10410 00
2915 00
1 00
Permit
Additional desc .
Permlt pln number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
QUALITY/ 2825 SQFT SFR
66738
QUALITY ELECTRIC
166 60
12/07/05
6/05/06
Plan Check Fee .
Valuatlon
.00
o
~
l\)
tAl
Qty
1 00
4 00
Unit Charge Per
73 0000 ECH
23 4000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
73 00
93.60
~
~
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" In height Numbers colors must contrast with wall
color they are mounted on (Ord 14 36 050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locatlon No
pressurized or pumping to curbs are allowed An inspection
by Building Department is required prior to backflll
07/19/2005 10 44 AM SROBERDS --- The proposal wlII
result in a new s f res w/attached garage for a total of
28% lot coverage in the RS-9 zone No land use issues are
noted.
$713 Connect Fee
Electrical load calculations and permits are required
07/14/2005 06 50 AM JHEBNER ----------------------------
Any modificatlons to the City's electrical facllities will
be at the customer's expense.
07/14/2005 06.51 AM JHEBNER ----------------------------
Ditches and 12" culverts will be installed to City
Stanards See Public Works Engineering for Standards
Sanitary sewer "connection inspectlon lS required by
Public Works prlor to back flll of dltch
~
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
745 00
4 50
COMMENTS/ACTION NEEDED
c!pJ"~.
$ti~~
D!I
""~
'.
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
l2\ EAST 5TH STREET. PORT ANGELES. WA 98362
'. \
Applicatlon Number
Appllcatlon pln number
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged
166 60
00
1774 50
1941.10
COMMENTS/ACTION NEEDED
05-00000583
798458
PW WATER SYSTEM USE FEE
Pald
Credited
166 60
00
1774 50
1941.10
Page 2
Date 12/07/05
1025 00
Due
00
00
00
00
00
00
00
00
:'
ELECTRICAL PERMIT INSPECTION RECORD
I
tALL 417-4135 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
I INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
I
I
1
iispECTION TYPE
II
II
-I
"
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DATE
COMMENTS
NO
II
II
II
I!
Ii
1'1
Ii
II
11
GENERAL COMMENTS:
II
PW-II02 15(4'961
'~
~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
nl EAST 5TH STREET. PORT ANGELES. WA 98362
'.
1
Appl~cat~on Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Appl~cat~on type description
Subdivision Name
Property Use
Property Zon~ng
Application valuation
05-00000583 Date
798458
1303 ROOK DR
06-30-14-6-7-0290-0000-
RES NEW SFR
3/24/06
194775
Owner
Contractor
GREEN CROW TIMBER LLC
PO BOX 2439
PORT ANGELES
ADVANTAGE BUILDERS,
PO BOX 3634, SEQUIM
WA 983620312 SEQUIM
(360) 683-8992
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
INC
WA
WA 98382
Other struct info
27 90
1 00
10410 00
2915 00
1 00
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
PEN HEAT/ T-STAT
73304
PENINSULA HEAT
36 40
3/24/06
9/20/06
Plan Check Fee
Valuation
00
o
Qty
1 00
Un~t Charge Per
36 4000 ECH EL-LVT-FIRST THERMOSTAT
Extension
36 40
Spec~al Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height Numbers colors must contrast with wall
color they are mounted on (Ord 14.36 050-E)
When roof gutters are ~nstalled, dra~ns will located in dry
wells or piped to approved storm drain location No
pressur~zed or pumping to curbs are allowed An ~nspection
by Building Department is required pr~or to backfill
07/19/2005 10 44 AM SROBERDS --- The proposal will
result in a new s f res w/attached garage for a total of
28% lot coverage ~n the RS-9 zone No land use ~ssues are
noted
$713 Connect Fee.
Electrical load calculations and permits are required
07/14/2005 06 50 AM JHEBNER ----------------------------
Any modifications to the City's electrical facilities will
be at the customer's expense
07/14/2005 06 51 AM JHEBNER ----------------------------
Ditches and 12" culverts will be installed to City
Stanards See Public Works Engineering for Standards
San~tary sewer connection inspect~on ~s requ~red by
Public Works p~ior to back fill of ditch.
Other Fees
RES UNDERGRND SERVICE FEE
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
713 00
745 00
4.50
COMMENTS/ACTION NEEDED
s
""..~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
l2\ EAST 5TH STREET. PORT ANGELES. WA 911362
..
~
Application Number
Application pin number
05-00000583
798458
Page 2
Date 3/24/06
Other Fees
PW WATER SYSTEM USE FEE
1025 00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Perm~t Fee Total 36 40 36 40 .00 .00
Plan Check Total 00 00 00 00
Other Fee Total 2487 50 2487 50 00 00
Grand Total 2523 90 2523 90 00 00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALI!' 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. rr IS UNLA WFUL TO COVER,
I INSULA. TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
.#
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
iNSPECTION TYPE
II
DATE
COMMENTS
NO
3'....
I
11
I
II
II
II
GENERAL COMMENTS:
I,
I
PW-II02.U (4196)
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CITY OF PORT ANGELES
PUBLIc WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number . . . . . 05-00000583
Application pin number 798458
Page
Date
2
7/26/05
Special Notes and Comments
by Building Department is required prior to backfill.
07/19/2005 10:44 AM SROBERDS --- The proposal will
result in a new s.f. res w/attached garage for a total of
28% lot coverage in the RS-9 zone. No land use issues are
noted.
"$713 Connect Fee.
Electrical load calculations and permits are required.
07/14/2005 06:50 AM JHEBNER ----------------------------
"Any modifications to the City's electrical facilities will
be at the customer's expense.
07/14/2005 06:51 AM JHEBNER ----------------------------
Ditches and 12" culverts will be installed to City
Stanards. See Public Works Engineering for Standards.
sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
-----~~~~~-;~~~--~-~-~-~-~-~-~-~-~--~;~;;-~~~;;~-~;~;-~~~;---<=74~.OO\)--
------------------------------------~~~~;:;~~~~;;-~~~-~~~---~:;:?~--
Fee summary Charged Paid credited Due
,
Permit Fee Total
plan Check Total
Other Fee Total
Grand Total
335.00
.00
1774.50
2109.50
335.00
.00
1774.50
2109.50
.00
.00
.00
.00
.00
.00
.00
.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utililies, 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 nol 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 Iype of work will be complied with whether specified herein or not. The granling of a permit does nol
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 Conlractor or Authorized Agent
Date
Signalure of Owner (If owner is builder)
Date
T:\Policics\1102.15R [1/05 J