HomeMy WebLinkAbout1332 Rook Dr - Building ELECTRICAL PERMIT e
1
CITY OF PORT ANGELES
360-417-4735
Application Number 11- 00000713 Date 7/13/11
Application pin number 499955 REPORT SALES TAX
Property Address 1332 ROOK DR on our excise tax form
ASSESSOR PARCEL NUMBER: 06- 30- 14 -7 -2- 0060 -0000- y
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property Use
(Location Code 0502)
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Lower meter base
Owner Contractor
GREEN CROW PROPERTIES INC BOTERO SON ELECTRICAL
PO BOX 2439 940 TAMARACK WAY
PORT ANGELES WA 983620312 PORT ANGELES WA 98362
(360) 452-4766
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 189019
Permit Fee 119.90 Plan Check Fee .00
Issue Date 7/13/11 Valuation 0
Expiration Date 1/09/12 c\Q
Qty Unit Charge Per Extension
1.00 119.9000 ECH EL -0 -200 SRV FEEDER 119.90
Fee summary Charged Paid Credited Due
Permit Fee Total 119.90 119.90 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 119.90 119.90 .00 .00
V
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE 7)13 /IJ 44
ROUGH -IN
FINAL 7 1 ti31 i Q
..7
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:AEXCHANGE \BUILDING
�'URT 1
F
*ECEIV 1 CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections JUL 1 3 2011_ x-
321 East Fifth Street P.Q. Box 1150 Port Angeles Washington, 98362 t
Ph: (360) 417 -4735 Fax: (360) 417 -4711 ELECTRICAL
INSPECTIONS
Date: '7 1. fi
1 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair*
Plan Review May Be Required, P ase Co plete Electrical Plan Review Information Sheet
.Job Address: Ca
Building Square Footage:
Description of above
A-J e s-7 J
Owner info tion Contract. nfo .tion
Name: C' Lam.) Name: 4
Mailing Addr. Mailing)res c. t� 4 ..A„ U rJ
City: State: Zip: City: 1 f i j State: OA Zip: 9 k$&�
Phone Fax: Phone: 'G7 7/.1 Fax: 4 -75 I ?G
License 4 Exp. License 4 Exp. rc') 1 n s 1 f 0
Item .Unit Charge Qty Total (Qty Multiplied by Unit Charge)
Service /Feeder 200 Amp. 119.90 1 L? `20
Service /Feeder 201 -400 Amp. 145.50
Service /Feeder 401 -600 Amp 204.60
Service /Feeder 601-1000-Amp. 262.20
Service /Feeder over 1000 Amp. 372.50
Branch Circuit W/ Service Feeder 2.60
Branch Circuit W/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 /Feeder 401 -600 Amp. 148.70
Temp. Service /Feeder 601 -1000 Amp 167.90
Portal to Portal Hourly 95.90
Sign /Outline Lighting 88.20
Signal Circuit/ Limited Energy /First 1500 sf Commercial 95.90
Note: $5.00 for each additional 1500 sf
Signal Circuitl.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
Each Outbuilding or Detached Garage 73.50
Each Swimming Pool or Hot Tub $110.30.
1` t0 Total
Owner as defined by RCW.19.28.261: •(1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. 1 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 l
C Credit Card Cam.
x l 0110 2010
Dated:
r
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 10- 00000484 Date 5/25/10
Application pin number 487656
Property Address 1332 ROOK DR
ASSESSOR PARCEL NUMBER: 06-30-14-7-2- 0060 -0000-
Tenant nbr, name GREEN CROW PROPERTIES INC
Application type description RES NEW SFR
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 147132
Application desc
1,572 SF SFR, 440 SF GARAGE, 26 SF CVRD PORCH
Owner Contractor
GREEN CROW PROPERTIES INC GREEN CROW CONSTRUCTION LLC
PO BOX 2439 PO BOX 2439
PORT ANGELES WA 983620312 PORT ANGELES WA 98362
(360) 452 -3325 (360) 452 -3325
Structure Information 000 000 1,572 SF SFR, 440 SF GARAGE, 26 CVR PRCH
Other struct info TOTAL LOT COVERAGE 30.70
CONSTRUCTION TYPE VB
FIRE SPRINKLERS REQUIRED NO
NUMBER OF STORIES 1.00
LOT SIZE 6638.00
PROPOSED LOT COVERAGE 2038.00
TOTAL LOT COVERAGE 2038.00
NUMBER OF UNITS 1.00
Permit BUILDING PERMIT RESIDENTIAL
Additional desc 1,572 SF SFR, 440 SF GARAGE
Permit pin number 165399
Permit Fee 1289.05 Plan Check Fee 837.88 r ah
Issue Date 5/25/10 Valuation 147132 �v
Expiration Date 11/21/10
Qty Unit Charge Per Extension
BASE FEE 1020.25 6D
48.00 5.6000 THOU BL- 100,001 -500K (5.60 PER K) 268.80
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 165407
Permit Fee 215.30 Plan Check Fee .00
Issue Date 5/25/10 Valuation 0
Expiration Date 11/21/10
Qty Unit Charge Per Extension
BASE FEE 50.00
5.00 7.2500 EA ME -VENT FAN (SINGLE DUCT) 36.25
1.00 10.6500 EA ME- STOVE /FIREPLACE /MISC. APP. 10.65
8.00 14.8000 EA ME- HEATER(SUSP /WALL /FLOOR -MTD) 118.40
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.
acau
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:FonnsBuilding Division/Building Pennit
BUILDING PERMIT, INSPECTION RECORD .o
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL.:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parkin Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T: Forms /Building Division /Building Permit
CITY OF PORT ANGELES
��1 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number 10- 00000484 Date 5/25/10
Application pin number 487656
Permit PLUMBING PERMIT
Additional desc
Permit pin number 165415
Permit Fee 156.00 Plan Check Fee .00
Issue Date 5/25/10 Valuation 0
Expiration Date 11/21/10
Qty Unit Charge Per Extension
BASE FEE 50.00
11.00 7.0000 EA PL- PLUMBING TRAP 77.00
1.00 7.0000 EA PL -WATER LINE 7.00
1.00 15.0000 EA PL -SEWER LINE 15.00
1.00 7.0000 EA PL -WATER HEATER 7.00
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
May 25, 2010 8:38:24 AM sroberds.
The proposal will result in a new sfr in the RS -9. No land
use issues are anticipated with the proposal that will
result in 30% lot coverage and 40% site coverage.
Electrical load calculations and electrical permits are
required.
Any modifications to the City's electrical facilities will
be at the customer's expense.
Ditches 8" culverts will be installed to City Stanards.
See Public Works Engineering for Standards.
"Any and all contractor(s) and subcontractor(s) doing work
under this permit in the City Right of Way is required to
provide written documentation that the City has been named
as an additional insured"
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway to City Standards. Concrete with exposed
aggregate or other non standard finishes(including colors or
dyes)are not allowed in the City road right of way. Broom
finish only. An inspection by Public Works Engineering is
required prior to pouring concrete.
Other Fees RES UNDERGRND SERVICE FEE 770.00
SEWER SYSTEM DELV CHARGE 1980.00
STATE SURCHARGE 4.50
PW WATER SYSTEM USE FEE 1980.00
Fee summary Charged Paid Credited Due
Permit Fee Total 1660.35 1660.35 .00 .00
Plan Check Total 837.88 837.88 .00 .00
Other Fee Total 4734.50 4734.50 .00 .00
Grand Total 7232.73 7232.73 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and
void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days
after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have
read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any
state or local law regulating construction or the performance of construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:FormsBuilding Division/Building Permit
BUILDING PERMIT INSPECTION RECORD r�
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735 1
Public Works Utilities 417 4831 Backflow Prevention Inspections 4174886 --C
00
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: V i F(2 50 5 104
Footings 7 5 L.L
Stemw 1_3o_ 10
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING: \l"
Under Floor/Slab W
Rough -In i0 It-- 10 3" [./I
Water Line (Meter to Bldg) 1
Gas Line
Back Flow 1 Water FINAL Date Accepted by 3 1 1--
AIR SEAL: 1 Q Z$, 0 (-L..
Walls �-r
Ceiling 8
FRAMING: 10 _fig- O -31.-(-- 7
Joists Girders Under Floor
Shear Wal9Hold Downs I_'; 0 -10 5 Cy
Walls Roof Brag
Drywall all (Interior for ior Braced Panel Only) 11 10-- T) (5 '3'(,4L-
T -Bar
INSULATION: I i 0 "SL t
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney -1,0 -ILL,
Commercial Hood Ducts FINAL Date J Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA: (c\
Parkin 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 k
f Planning 417 -4750
Building 417 -4815 5--20 11 -ILL_
T:Forms /Building Division /Building Permit i•
°Rr"" CITY OF PORT ANGELES
i PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
—4
Application Number 10- 00000484 Date 5/25/10
Application pin number 487656
Property Address 1332 ROOK DR
ASSESSOR PARCEL NUMBER: 06-30-14-7-2- 0060 -0000-
Tenant nbr, name GREEN CROW PROPERTIES INC
Application type description RES NEW SFR
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 147132
Application desc
1,572 SF SFR, 440 SF GARAGE, 26 SF CVRD PORCH
Owner Contractor
GREEN CROW PROPERTIES INC GREEN CROW CONSTRUCTION LLC
PO BOX 2439 PO BOX 2439
PORT ANGELES WA 983620312 PORT ANGELES WA 98362
(360) 452 -3325 (360) 452 -3325
Structure Information 000 000 1,572 SF SFR, 440 SF GARAGE, 26 CVR PRCH
Other struct info TOTAL LOT COVERAGE 30.70
CONSTRUCTION TYPE VB
FIRE SPRINKLERS REQUIRED NO
NUMBER OF STORIES 1.00
LOT SIZE 6638.00
PROPOSED LOT COVERAGE 2038.00
TOTAL LOT COVERAGE 2038.00
NUMBER OF UNITS 1.00
QS.)
Permit DRIVEWAY INSTALLATION (N
Additional desc
Permit pin number 165910
Permit Fee 180.00 Plan Check Fee .00
Issue Date 5/25/10 Valuation 0
Expiration Date 11/21/10
Qty Unit Charge Per Extension
BASE FEE 180.00
Permit PUBLIC WORKS RES WATER SERV
Additional desc 3/4" DROP IN
Permit pin number 165936
Permit Fee 420.00 Plan Check Fee .00
Issue Date 5/25/10 Valuation 147132
Expiration Date 11/21/10
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 pin number 165951
Permit Fee 150.00 Plan Check Fee .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: \Policies \1 102.15 10/08]
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
INSPE',CTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W. PW/ CONSTRUCTION R.W.
ENGINEERING 417 -4831 PW ENGINEERING
FIRE 417 -4653 FIRE DEPT.
PLANNING DEPT. 417 -4750 PLANNING DEPT.
BUILDING 417 -4815 BUILDING
T: \Policies \1102.15 [10/08]
°R ""Q CITY OF PORT ANGELES
7 F� PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
14 4c v.00
x
Page 2
Application Number 10- 00000484 Date 5/25/10
Application pin number 487656
Issue Date 5/25/10 Valuation 147132
Expiration Date 11/21/10
Qty Unit Charge Per Extension
1.00 150.0000 EA SAN SEWER HOOKUP 150.00
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
May 25, 2010 8:38:24 AM sroberds.
The proposal will result in a new sfr in the RS -9. No land
use issues are anticipated with the proposal that will
result in 30% lot coverage and 406 site coverage.
Electrical load calculations and electrical permits are
required.
Any modifications to the City's electrical facilities will
be at the customer's expense.
Ditches 8" culverts will be installed to City Stanards.
See Public Works Engineering for Standards.
"Any and all contractor(s) and subcontractor(s) doing work
under this permit in the City Right of Way is required to
provide written documentation that the City has been named
as an additional insured"
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway to City Standards. Concrete with exposed
aggregate or other non standard finishes(including colors or
dyes)are not allowed in the City road right of way. Broom
finish only. An inspection by Public Works Engineering is
required prior to pouring concrete.
Other Fees RES UNDERGRND SERVICE FEE 770.00
SEWER SYSTEM DELV CHARGE 1980.00
STATE SURCHARGE 4.50
PW WATER SYSTEM USE FEE 1980.00
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 4734.50 4734.50 .00 .00
Grand Total 5484.50 5484.50 .00 .00
a
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: \Policies \1102.15 [10/08]
PERMIT INSPECTION RECORD
CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W. PW/ CONSTRUCTION R.W.
ENGINEERING 417 -4831 PW ENGINEERING
FIRE 417 -4653 FIRE DEPT.
PLANNING DEPT. 417 -4750 PLANNING DEPT.
BUILDING 417 -4815 BUILDING
T: \Policies \1102.15 [10/08]
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BUILDING Y� PERMIT APPLICATION Print in ink
0 1 f
I•-- CITY OF PORT ANGELES
4 For City Use Only:
-••+3 Attn: Building Permit Technician Date Received Vii- k 3- ti0
321 E. Fifth St., Port Angeles, WA 98362
Permit 10 494 (360) 417 -4815 fax (360) 417 -4711
ate Approved Sit QJ
��x /7t
Applicant rn Crs
e ,c.�1 Ca-A a •tom c_�-k l ,1, C- Ph e 4 /.a-
Property Owner C; e. rL �r� r e,� T t c Phone `7 ?,(P S
Property Owner's Address f,h &W 3, 14 1r3 c' Q c� s-1 uJeA2v t g
Contractor C- C,(7:3 C�c�r� r1, L LC. Phone 4/ 5-
Contractor's Address Q 10 ,z cs /�t q K,3 a
License G Kt; e rr GL 9 3:2, C� Expires 0t E -mail
PROJECT ADDRESS j<3A a /2l uutr
Parcel Number 30 I 472_ Zonin
Proiect Type Brief Description: residential Multi- family Commercial Industrial
Check all that apply
IgNew Construction /3 ,S l( r .0 1 7k ri-�- 77+ --et\
Addition
Remodel
Repair
Demolition
Re -roof p..House garage other tear off re -roof lay over one layer
Heat System Heat pump wood burning stove ❑'gas fireplace pellet stove other
Other Pic a Wo i-- v-rah he44
Floor Areas Existing (sa. ft.) Proposed (sa. ft.)
Basement per sq. ft.
1St Floor IS _153 (2-0
2nd Floor
3rd Floor
Garage iT IA o
Carport
Covered Porch �(1 t� 3t
Deck
Shed
Other
c) x.`..) a.I 4 3 Le w-t-Lk' `1L1 t 1a 3 g TOTAL VALUATION j
Total footprint of structures 2Q31? sq. ft. Lot size 626 SS sq. ft. Lot coverage 1 30..7
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage 3`1,7_
2bJp 1 O "k
6 3
Max. height of proposed s rRi i;tures 19. ft. Occupancy group of bedrooms 3
Will a lawn sprinkler system be installed? Occupant load of full baths
Will a fire sprinkler system be installed? ua Construction type of half baths
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand
that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects.
Date( /t f o Print Name ne.v�v■LI L. v t✓L. Signature 1 n.N. l_w t A
T:Forms/Building Division /Bldg Permit.doc
PRESCRIPTIVE APPROACH SIMPLE FORM
For the Washington State Energy Code (2006 Edition)
Climate Zone 1
CITY GOVERNMENT Site Information: Building Department Use Only:
Lot: jo 0 J- nti96 14 Piz. Permit
Address: 3 0.0 U 6 Notes:
City: Pm2.. A4-713-c,1 �S
State: w Zip: 9
Contact: C o c 0
Phone: '360 Yl 7- 3 /0SLi
Phone 2:
FAX: c..5 U
Table 6-1
PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
(Unlimited Glazing Option Only)
Glazing Glazing U- Factor Door Wall Wall Wall
Option Area of U- Ceiling Vaulted Above- i nterior Exterior Floor Slab on
Floor Vertical Overhead Factor Ceiling Grade_ Below Below Concrete
Grade Grade
Unlimited
Group R -3
IV and R -4 0.35 0.58 0.20 R -38 R -30 R -21 R -21 R -10 R -30 R -10
Occupancies
Only
This Project complies with the following:
J The project is a single family residence or duplex.
J The project is a wood frame OR all of the insulation is interior or exterior of the framing.
J All building components meet the requirements listed above.
J The project will meet all other provisions of the WSEC and VIAQ.
The Project will take advantage of the following exceptions to the prescriptive option.
602.6 Exception 2. One unlabeled or untested exterior swinging door, 24 sq.ft. or less, may be
installed per unit for ornamental, security, or architectural purposes.
Location of the door taking this exception:
602.6 Exception 2. If a door is mostly glass, it should meet the requirement of the vertical
glazing U- factor listed above.
Location of the door(s) taking exception:
Type of Heat Source: P \,,5 W a. �L \e a►. 7
T:Forms /Building Division /Prescriptive Approach Simple Form
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Electrical Information Form
Public Works Utilities Department (360) 417 -4700
y .0* City Electrical Inspector (360) 417 -4735
ac
Please complete and return to Public Works Utilities Department
Applicant Information
Permanent service: Name: Q k r C r t o c-7 L c' LA-C.
Name and address of party Street: P C) "A 39
responsible for permanent City State ZIP: 9 '4 e c_ \AYR, 9 IC 5 L
service billing? Daytime Phone: t/ 1 Home Phone:
Contact Information (if other than above)
Site contact: Name: a oQ dC S t( Title:
Daytime Phone: L{,( <1s b
Contractor: Name: y 5 Company: y-
Daytime Phone: L{
Electrician: Name:
QoL 11 4 f r o Company: S b+ti
Daytime Phone:
Excavator Name: 5�L Company: e. e_,._ (''r
Daytime Phone: t4 6 0 Z S o O
Project Type Existing `New
Single- family residence ❑Multi family residence; of units
Commercial ❑Subdivision; of lots
Overhead service ❑General service
Underground service DOther:
Project Information Description of work: C nn
Street address lot number 3 a. (Zen 11 L 07' Co y �97J7PJS�Z 41k RV\
Nearest cross street: AA tt Z-i O
Desired connection date:
Electrical transformer serving property is: on a pole on the ground
Electrical Load
Total square footage: b 2 3q. ft. Main disconnect size: ?d 0 amps
In
Voltage: 20/240 1ph 0120/208 3ph 0277/480 3ph
0120/240 3ph 0480 3W 3ph Other
Standard residential loads (Lighting, refrigerator, dishwasher, washer)
Check all that apply: NC ton) 1Range /Oven Hot Tub
jSClothes Dryer Heating Pumps Hp)
No Load Change -Water Heater Elevator Hp) Other
Supporting Documentation Please provide a copy of the following:
*Detailed plot plan (.dwg or .dxf format mandatory for subdivisions).
*Electrical one -line drawing showing the service entrance panel and location.
*Connected load data.
*Size and locked rotor amps of all motors over 50hp.
Applicant's Signature: v J Date: 5 l L3 Lt
V
MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362
FAX TO: 360- 417 -4711
WS
WF
Information form.xls
N: \PWKS \LIGHT\ENGR\ #Originals \Information form Revised 1 -15 -09
Clallam County Assessor Treasurer Property Details 67580 GREEN CROW PROP... Page 1 of 3
CIallam County Assessor Treasurer
Property Search Results 67580 GREEN CROW PROPERTIES INC for Year 2010 2011
Property
Account
Property ID: 67580 Legal Description: BEACON HILL ADDITION
CAMPBELL AVE PRD PH I
LOT6.15A
Geographic ID: 0630147200600000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 91
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi Family Redevelopment: N
Location
Address: 1332 ROOK DR Mapsco:
PORT ANGELES, WA 98362
Neighborhood: Cycle 4 Res Map ID:
Neighborhood CD: 10952130
Owner
Name: GREEN CROW PROPERTIES INC Owner ID: 27618
Mailing Address: PO BOX 2439 Ownership: 100.0000000000%
PORT ANGELES, WA 98362 -0312
Exemptions:
Taxes and Assessments Due
Property Tax Information as of 05/13/2010
Amount Due if Paid on: A-
First Second
Half Half
Statements Base Base Base Amoui
Year ID Taxing Jurisdiction Due Due Penalty Interest Paid Due
1 2010 49410 ST SCH STATE SCHOOL $50.78 $50.78 $0.00 $0.00 $50.78 $50.
2010 49410 CC -GEN COUNTY $27.03 $27.02 $0.00 $0.00 $27.03 $27.0
2010 49410 PORT PORT $3.80 $3.80 $0.00 $0.00 $3.80 $3.€
2010 49410 PORT ANG PORT ANGELES $62.56 $62.57 $0.00 $0.00 $62.56 $62.'.
2010 49410 SD #121 SCHOOL DISTRICT #121 $65.76 $65.78 $0.00 $0.00 $65.76 $65.
2010 49410 NTH OLY LIB NORTH OLYMPIC LIBRARY $7.85 $7.85 $0.00 $0.00 $7.85 $7.E
2010 49410 HOSP #2 HOSPITAL #2 $11.08 $11.09 $0.00 $0.00 $11.08 $1
1.0
2010 49410 WSMET PK DIST WILLIAM SHORE MET PARK DIST $3.52 $3 53 $0 00 $0.00 $3.52 $3.E
2010 49410 WEED CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $0.82 $0.E
2010 49410 TOTAL: $233.20 $233.23 $0.00 $0.00 $233.20 $233.;
NOTE: If you plan to submit payment on a future date, make sure you enter the date and RECALCULATE
to obtain the correct total amount due.
Values
Improvement Homesite Value: N/A
Improvement Non Homesite Value: N/A
Land Homesite Value: N/A
Land Non Homesite Value: N/A Ag Timber Use Value
http: /vpn.clallam. net: 8084/ propertyaccess /Property.aspx ?cid =0 &year 2010 &prop_id =67... 5/13/2010
Application Number 10 00000941
Application pin number 522778
Property Address 1332 ROOK DR
ASSESSOR PARCEL NUMBER 06 30 14 7 2 0060 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
new home
Owner
GREEN CROW PROPERTIES INC
PO BOX 2439
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty
1 00
2 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
Unit Charge Per
110 3000 ECH
35 2000 ECH
WA 983620312
ELECTRICAL NEW RESIDENTIAL
172452
180 70
9/01/10
2/28/11
Charged
180 70
00
180 '0
Signature of owner or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Contractor
BOTERO SON ELECTRICAL
940 TAMARACK WAY
PORT ANGELES
Plan Check Fee
Valuation
EL R SQFT FIRST 1300
EL R SQFT ADDITIONAL 500
Paid Credited
180 70
00
180 70
INSPECTION TYPE DATE.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
00
00
00
RESULTS
91taloo mR
`o /{L (lip
v/2-7
!s Li,
Date 9/01/10
WA 98362
452. 6'76(2
00
0
Extension
110 30
70 40
Due
00
00
00
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
Date:
>IP
DAT l
2 `I g)
OWNER
CONTRACTOR
ADDRESS
52_
APPROVED
0
0
0
0
CORRECTIONS NEEDED:
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
PERMIT
it) 1
NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL 2 )32IN,...,
C t
DO NOT REMOVE
INSPECTOR
TV
1 �5 r"c.L 61 11# r
uA f ti r- Gr >6 K)
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street P.O Box 1150 Port Angeles Washington, 98362
Ph (360) 417 -4735 Fax. (360) 417 -4711
Date. )r• 3 0
1 2 Single Family Dwelling
Plan Review May Be Required, Please Com Ito Electrical Plan Review Information Sheet
Job Address: 7 .1 a.. )c
Building Square Footage: i st IV 2 ■r')
Description of above 47 7. -,.n .l 0 .,.I 1 e 0 1A-A.)
f:'
Owner Information
Name:
Mailing ress:
City
Phone: V�
License 47 Exp.
State: Zip:
rs 5
Item
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp.
Service /Feeder 401 -600 Amp
Service /Feeder 601 1000 Amp.
Service /Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service /Feeder 201 -400 Amp.
Temp. Service /Feeder 401 -600 Amp.
Temp. Service /Feeder 601 1000 Amp
Portal to Portal Hourly
Sign /Outline Lighting
Signal Circuit/ Limited Energy First 1500 sf Commercial
Note. $5:00 for each additional 1500 sf
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
NEW CONSTRUCTION ONLY.
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Signature of owner electrical contractor or electrical administrator
x
Unit Charae
119.90
$145.50
204.60
262.20
372.50
2.60
73.50
2.60
92.70
110.30
$148.70
$167.90
95.90
88.20
95.90
63.90
63.90
$119.90
$102.30
56.00
$110.30
35.20
73.50
$110.30
Dated: I/'')
ELECTRICAL
IAISPECTIONS
Multi- Family or Commercial* Commercial Addition Alteration I Remodel I Repair*
Contractorjtlf ormation
Name: <ANA
Mailing Address: ADO 7 7 4
City 7 .r State:12 4 Zip: 9V F
Phone: 4, z Fax: r-) y Ga •76,6„, License /Exp. 1anrer�.c i n C0
Total (Qtv Multiplied by Unit Charnel
bash Check
Lld‘edit Card /J 24.1 7i /FJ
01/01/2010
Owner as defined by RCW 19.28 :261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above. statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC Chapter 296 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14 05 050 regarding Electrical Permit Applications.
a