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Home My WebLink About1336 Rook Dr - Building ,�s CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000225 Date 2/29/12 Application pin number 003775 Property Address 1336 ROOK DR ASSESSOR PARCEL NUMBER: 06- 30- 14 -7 -2- 0050 -0000 REPORT SALES TAX Application type description MECHANICAL APPL. PERMIT on your state excise tax form Subdivision Name Property Use to the City of Port Angeles Property Zoning R59 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 5000 Application desc FREE STANDING GAS FIREPLACE Owner Contractor ANDREW AND LISA NEISINGER EVERWARM INC 1336 ROOK DR 257151 HWY101 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (206) 510 -0315 (360) 452 -3366 Permit MECHANICAL PERMIT Additional desc FREE STANDING GAS FIREPLACE /TA Permit Fee 71.30 Plan Check Fee .00 Issue Date 2/29/12 'Valuation 0 Expiration Date 8/27/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 10.6500 EA ME- STOVE /FIREPLACE /MISC. APP. 10.65 1.00 10.6500 EA ME -FUEL GAS PIPING,1 -5 OUTLETS 10.65 Fee summary Charged Paid Credited Due Permit Fee Total 71.30 71.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 71.30 71.30 .00 .00 I 1 n 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. oil za /1j*Z ',r&. A)eis i n3 l ---r �2 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 uJ w 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. co 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 Puma/ Furnace FAU Ducts Rough -In Gas Line y nt-t 1 Wood Stove Pellet Chimney b Commercial Hood Ducts FINAL Date 4• I n O 1 Accepted by S 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 1 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 �n l Plannirt_ 417 -4750 Building 417 -4815 T:Forms /Building Division /Building Permit CO N N 40 W H a s a ca 4 0 M M N O 1 H 40 40 O O \D 74 N 0 O .-1 H N M N N N Ti H ti N .0 H H n n r] H W W W VI W O 0 F. E 4 W x w a x a U V a a M 0 H N H z H h o H w 04 0 Z •X z N N N H H 0 H cn a aa,o F-F H a U 0 40 Z V l 2 N o W W p; W /S N N H H H Z as w X 0 Hwo VI w Z z a 0 0 0 .1 c 0 V N O 0. N lD E H H ..1 H N u u N O U a a Vl H VI c11 H IX 4 a s 1 40 H w U' ua x x•.+x zo.7 vi V) 0 •4 Sru NL m EQ E g 4 E 4 RC zoo tn O H 0 E r a N N Q z a N Vl CJ H w a s H 0 r N H a' F] KC r] Q, x Z N W OK K K4 ppqq QQ niW 40 a a 01 0 E N N H i.-i H (0 M W 0 m W 40 N 00,1 rn N o (V< H W O H 0004 O H H 00 \H WO 40c w Or 4 au O o m 40 W Vl U H H (40 cna az H 0 0 0 a r 0('0 H o w H 0 z z O a a '0 m a V 4 0 u O a R W H E E u N N W E a Q 4] NJ M M N cr. LID N o co O M O M N a f\J a m U H x H E a2 o w xw MOO xxx Sao F u cn a a H a to H OD a' I Z �o o a M N H O E H H E m 1+ cn C.) C-1 z v F w a W N to 2 a s W H C W VI U1 a 2 o 'H HH O H O U r.� O E U 2 U a W w F 2 3 4 a s r.0 H u 5 x •H H o w w w 13 cn o U F(=11 a 4 H o z H z H 2 o a g y o U W H chow a o H 5 U a N z n a Lr, Le) Fa H g r N H H i OD O£ cro 0 124 w ar.0 3 00 N W 0aa�o W W o H F F E H C7 M W 2 cn W U H W Q o N O W 0 o 0 �E w x au 0 o m O E ao m u az F 0 o a 0 HE w ua X N m w f�2 zaa a m o 4 uoaa a H tfl 61,0R BUILDING PERMIT APPLICATION Print in ink Atr ib- cm- 0116. CITY OF PORT ANGELES Attn: Building Permit Technician For City Use Only: 321 E. Fifth St., Port Angeles, WA 98362 Date Received 2--- l 2 (360) 417 -4815 fax (360) 417 -4711 Permit t. Date Approved .2— aPi t� Applicant And A1��S`tr►et' Phone 2_66-51 -0315 Property Owner 5,,,, Phone Property Owner's Address 1336 e_ �r«rcr Contractor `tterwa_,(t,,,, Phone 3G o Y52 -3366 Contractor's Address License Expires E -mail PROJECT ADDRESS Parcel Number Lot zoning Project Type Brief Description: ti.Resldential Multi family Commercial Industrial Check all that apply New Construction Addition Remodel Repair Demolition Re -roof House garage other tear off re -roof lay over one layer Heat System Heat pump wood- burning stove 57 gas fireplace pellet stove other o Other Floor Areas Existing (sq. ft.) proposed (sq. ft.) Basement 1557 per sq, ft. 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATIO1■41, j 0 6 e, Total footprint of structures sq, ft. T Lot size sq. ft. Lot coverage 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 Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths 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 g ojects. Date OZt2q/ tZ Print Name �(Ndr c.,, i.1ei5 i (16N-el' -el Signature T:Forms /Building Division /Building permit application Clallam County Assessor Treasurer Property Details 67579 ANDREW AND LISA Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 67579 ANDREW AND LISA NEISINGER for Year 2011 2012 Property Account Property ID: 67579 Legal Description: BEACON HILL ADDITION CAMPBELL AVE PRD PHI LOT 5 .15A Geographic ID: 0630147200500000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 91 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: Location Address: 1336 ROOK DR Masco: PORT ANGELES, WA 98362 Neighborhood: PA South Res Map ID: 2 Neighborhood CD: 4151000 Owner Name: ANDREW AND LISA NEISINGER Owner ID: 211260 Mailing Address: PO BOX 1750 Ownership: 100.0000000000% PORT ANGELES, WA 98362 Exemptions: Taxes and Assessment Details Values Taxing Jurisdiction Improvement Building Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement Website version: 9.0.32.2200 Database last updated on: 2/29/2012 3:55 2012 True Automation, Inc. All Rights AM Reserved. Privacy Notice http: /websrv8.clallam. net/ propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =67579 2/29/2012 CITY OF PORT ANGELES it DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION �J 311 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000180 Date 3/16/11 Application pin number 859720 Property Address 1336 ROOK DR REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-14-7-2- 0050 -0000- Tenant nbr, name GREEN CROW PROPERTIES INC 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 149932 Application desc 1,588 SF SFR, 428 SF ATT GAR, 48 SF CVRD PORCH ETC Owner Contractor GREEN CROW PROPERTIES INC OWNER PO BOX 2439 PORT ANGELES WA 983620312 (360) 417 -3654 Structure Information 000 000 1588 SF SFR, 428 SF ATT GAR, 48 CV PRCH Other struct info TOTAL o LOT COVERAGE 32.37 CONSTRUCTION TYPE VB FIRE SPRINKLERS REQUIRED NO NUMBER OF STORIES 1.00 LOT SIZE 6672.00 PROPOSED LOT COVERAGE 2160.00 TOTAL LOT COVERAGE 2160.00 NUMBER OF UNITS 1.00 Permit BUILDING PERMIT RESIDENTIAL Additional desc 1,588 SF SFR, 428 SF ATT GAR Permit pin number 181917 Permit Fee 1300.25 Plan Check Fee 845.16 Issue Date 3/16/11 Valuation 149932 Expiration Date 9/12/11 Qty Unit Charge Per Extension BASE FEE 1020.25 50.00 5.6000 THOU BL- 100,001 -500K (5.60 PER K) 280.00 Permit MECHANICAL PERMIT Additional desc Permit pin number 181941 Permit Fee 145.00 Plan Check Fee .00 Issue Date 3/16/11 Valuation 0 n �1 11 Expiration Date 9/12/11 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80 2.00 7.2500 EA ME -VENT FAN (SINGLE DUCT) 14.50 1.00 10.6500 EA ME- HOOD /DUCT -MECH. EXHAUST 10.65 1.00 10.6500 EA ME- STOVE /FIREPLACE /MISC. APP. 10.65 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. 3 1 c)\ 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 Puma/ 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: Parkin Lig hting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION w 321 EAST 5TH STREET, PORT ANGELES, WA 98362 9 Page 2 Application Number 11- 00000180 Date 3/16/11 Application pin number 859720 REPORT SALES TAX Qty Unit Charge Per Extension on your state excise tax form 3.00 14.8000 EA ME- HEATER(SUSP /WALL /FLOOR -MTD) 44.40 to the City of Port Angeles Permit PLUMBING PERMIT (Location Code 0502) Additional desc Permit pin number 181933 Permit Fee 149.00 Plan Check Fee .00 Issue Date 3/16/11 Valuation 0 Expiration Date 9/12/11 Qty Unit Charge Per Extension BASE FEE 50.00 10.00 7.0000 EA PL- PLUMBING TRAP 70.00 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. March 15, 2011 2:24:44 PM sroberds. The PRD allows for an increase in lot coverage and a reduction in setbacks. The proposal results in 37% lot coverage. The driveway area permits a standard off street parking area. No land use issues anticipated. 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. All construction work within the City right of way requires a separate Right of Way Construction application to be completed by the contractor and approved by Public Works Engineering prior to the start of work. 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 2260.00 STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 2260.00 Fee summary Charged Paid Credited Due Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling nail (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 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 3 Application Number 11- 00000180 Date 3/16/11 Application pin number 859720 REPORT SALES TAX Permit Fee Total 1594.25 1594.25 .00 .00 on your state excise tax form Plan Check Total 845.16 845.16 .00 .00 Other Fee Total 5294.50 5294.50 .00 00 to the City of Port Angeles Grand Total 7733.91 7733.91 .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 1 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 1 BUILDING PERMIT INSPECTION RECORD oo 0 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 4 -Z6-II PE Stemwall 5 -3 -1i :-.11.4.-- (Foundation (Foundation Drainage Downspouts 6.011 ''Lc-- Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In H Z`l-t( C- Water Line (Meter to Bldg) 6 (5 ti RI- Gas r� Back Water FINAL Date J Accepted by V L✓ V AIR SEAL 7 24 3 6."' Walls Ceiling FRAMING 5 -lt -l( Z Ll...- gx1e 0r e&.4ln1n9 TLL, 2- I( Joists Girders Under Floor -20 -1 R at- r) z LL 1 -20 -1 1. Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Onl LL- T -Bar INSULATION: "7 11 TL V Slab Wall Floor Ceiling 1 7 MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by\J MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting ,0 PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Q Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 I g, Planning 417 -4750 417 -4815 Z 7 Building T:Forms /Building Division /Building Permit F CITY OF PORT ANGELES SwF (r PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES WA 98362 r wa Application Number 11- 00000180 Date 3/16/11 Application pin number 859720 Property Address 1336 ROOK DR REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 14 -7 -2 -0050 -0000- on your state excise tax form Tenant nbr, name GREEN CROW PROPERTIES INC Application type description RES NEW SFR to the City of Port Angeles Subdivision Name (Location Code 0502) Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 149932 Application desc 1,588 SF SFR, 428 SF ATT GAR, 48 SF CVRD PORCH ETC Owner Contractor GREEN CROW PROPERTIES INC OWNER PO BOX 2439 PORT ANGELES WA 983620312 (360) 417 -3654 Structure Information 000 000 1588 SF SFR, 428 SF ATT GAR, 48 CV PRCH Other struct info TOTAL s LOT COVERAGE 32.37 CONSTRUCTION TYPE VB FIRE SPRINKLERS REQUIRED NO NUMBER OF STORIES 1.00 LOT SIZE 6672.00 PROPOSED LOT COVERAGE 2160.00 —e TOTAL LOT COVERAGE 2160.00 7 NUMBER OF UNITS 1.00 J 1 Permit DRIVEWAY INSTALLATION V v Additional desc Permit pin number 182576 Permit Fee 180.00 Plan Check Fee .00 Issue Date 3/16/11 Valuation 0 Expiration Date 9/12/11 Qty Unit Charge Per Extension BASE FEE 180.00 Permit PUBLIC WORKS RES WATER SERV 7c Additional desc Permit pin number 182584 Permit Fee 420.00 Plan Check Fee .00 Issue Date 3/16/11 Valuation 149932 -.9 Expiration Date 9/12/11 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 182600 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 fQr 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 CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING. SIDEWALK ^CURB GUTTER DRIVEWAY APPROACH BACK FLOW DEVICE t.. tJ 7 t r gi s ;<t 4 at c FI INSPECTIONS• REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL_ DATE YES NO COMMERCIAL DATE" ACCEPTED, CONSTRUCTION R W PPW CONSTRUCTION R.W ENGINEERING:i.,. 417- 4807` PW /.ENGINEERING FIRE 417-4653 FIRE DEPT.. PLANNING DEPT. 4174750. PLANNING DEPT. BUILDING:. i 4.7 •BUILDING '4815 w T Forms /Bui lding Dn iston /Public Works Permit °r CITY OF PORT ANGELES V F,m N h� PUBLIC WORKS UTILITIES 32] EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 11- 00000180 Date 3/16/11 REPORT SALES TAX Application pin number 859720 Issue Date 3/16/11 Valuation 149932 on your state excise tax form Expiration Date 9/12/11 to the City of Port Angeles Qty Unit Charge Per Extension (Location Code 0502) 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. March 15, 2011 2:24:44 PM sroberds. The PRD allows for an increase in lot coverage and a reduction in setbacks. The proposal results in 37% lot coverage. The driveway area permits a standard off street parking area. No land use issues anticipated. 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. All construction work within the City right of way requires a separate Right of Way Construction application to be completed by the contractor and approved by Public Works Engineering prior to the start of work. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway t� 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 CONNECTION SANITARY STORM SITE DRAINAGE: SITE EROSION CONTROL PARKING sSIDEWALK -CURB &'GUTTER DRIVEWAY' APPROACH BACK FLOW.'DEVICE:., L M P P a r t a s t 'P. 1 t 1 a i... w. _..a,S. 7.. �i FINAL INSPECTIONS,REQUIRED PRIOR TO OCCUPANCI /USE RESIDENTIAL DATE I ES NO COMMERCIAL DATE ACCEPTED CONSTRUCTION R W PW/ •CONSTR'UCTION. R.W ENGINEERING;: 417 -4807 PW ENGINEERING FIRE 417 -1653 FIRE DEPT. PLANNING DEPT 417 -4750. PLANNING DEPT. BUILDING 4 -7 ;BUILDING 4815 .b T Forms /Bmldmg Division/Public Works Pemut s ro al ro H ro 3 H al o H r ro o n H r n ro C C C K 0 01 K C K 0x0001 100 Hal ■0 N 01 'O ',C 0 0 i 10 'V Di 0 z 0 z a) H 00 0 3 0 3 rn MH 01 a 1 Kro 0 0 0 t0 y 0 0 y o 0 zt 0 a' 2, H C1) 001 H r H 01 01 C n' (n '(0 (1) -0 m 0 ro 01 n a7 r r n a7 01 n a7 pi p F 01 0101 0101 00 01 0 C1 r 0 t H 310 30 30 01 01 NN H ro 0 o 01 "G0 r roC 010 0 G7r yy�1 --1 Lc U C C.1 0 1 C 0 0 Ctrl H m a7 a7 w z to Cr) ^ti tl Cn 00 01 1)H GI 01 0101 0101 HHh1 H HH3 r HH 0W 11 ta01 [+l7, r 01 01 01 01 d 0 0 r 01 (0 d r a) al o 0 z z 0 0 n no (0 01 0.0(1 a70 0 -i 4 Y. 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Fifth St., Port Angeles, WA 98362 v' e a tiy J D` ermit Date Received (360) 417 -4815 fax (360) 417 -4711 Q u� G \ne .,(e,,-,-- 3,1 il P ate Approved d ffil Applicant or Agent oak. bW T Dry «c`tt( Lux._ P 3( o o. tea 3,3 Property Owner WA j f a A. Property Owner's Address Phone c3 co-? ��Sy' Contractor /Engineer (a -7 C t p C:_o Phone 3 c 3 a.,, 3 Contractor /Engineer's Address Q n h` c3._•_ 9 2-- as P'1 u.1)1 to-a License CC 9, c_."2____ Expire 3 1 c c./ PROJECT ADDRESS __Nc to `rOC71c, Art__, PRIV Parcel Number 0630 H 0050 Lot S Zoning k Project Type Brief Description: XResidential Commercial Multi- family Industrial Check all that apply XNew Construction MC `S. JO \--fl* Pr c Addition Remodel Repair Re -roof Demolition Heat System Heat pump wood burning stove gas fireplace pellet stove other Ja<Dther L-.) c. f.I. S k1/41—ry r U1r■ 4D p c c -milt v'1 hoisrao m COrP.G1 S r►e) hecA-ev -s iv-) *-14 10a'U- t -r,-e) hek,G Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Qaft phone cct. c,,14, J. J. yib Basement per sq. if 15, Floor 5 $5' I i $0 2 Floor 1 3 Floor Garage y d 3!) IZ Carport Covered Porch z/ (414) 9 6,0 Deck 9/4 fZ. 1)152. -.5 Shed Other 14g) C r32 TOTAL VALUATION -nO n 6 Total footprint of structures a/ p sq. ft. Lot size --17, sq. ft. Lot coverage 3 a• 11 -Yyc, -pt. fw d r, vc...... t-- v-rt (000 4 6 5 4e cov2ho 'e, 3 1 Max. height of proposed structures ft. Occupancy group of bedrooms ..3 Will a lawn sprinkler system be installed? NO Occupant load of full baths a Will a fire sprinkler system be installed? No 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 Print Name JC cio km Signature T:Forms /Building Division /Bldg Permit Appl. -2006 Code.doc Covatt6e. C b� 35 t n 1 s PRD J k1`) Gr NOTES Permit I,! 3 -1 -H z cow 77 5 "7 8G, io-e 1 r Whit 4 lir i i L /_.yam ern v TO (9 i4 3 ■o -11 A-\-a 34 cetkaaA mcz_ /)..0 n 6 1 A .Al A_/ 0 /16t LA) 15' 2 c 0 R sciA J€. r .1 3 -11 B rru ce C re,e -ex C h 0 co C oxY i 4 l Kell w �i'�► �1 a>tna.n DSo kke a, tRow Brvc have I dl V Z ccr l.e h h c a 19 atnV2U T:Forms /Building Division/Notes i r i i I i 1 1 1 r i i Z '1 i I 1 i .7 i 1 l'-- 1 -7-----------; l• if gat! 1 i_ 601 1.-kfr 1 1 9 ILI 0 co cz• z '''7,;;.: 02 6-__,, cy .1. n.n CO: i gag 0 ..i C 4 grail r 02° I t■ 4-) '..,,..--...;‘,-;:.,f.:-...;.-2.:;:?-.'-:,-,1•1;, 'N. -..;,-,..:.,..-..;‘,4;-..,,,,..„ o, 1 1 I I d c_l ::::-.-':',...-:'.'i.:,-".;,::, .;•::"Iri..,.:1:.:::'!:-..,:2,..,;t:::::::::;''T:::;, '4, ,e1 (T" II 0 :;:::1::.‘:',.:-,:,-.':',"•;:' '','.,,T".;,-..`;''..;,.:V-;';',.'""1, .--,1 1-- IC) 1 1/4 CZ 0 c?,`,f'::.,-:-.;=:4:!"-:::::,'7:::;:,-3.""..-‘•:-.--,.. 1 L.- co) -k-k co pi- 1.,,,.. nr,,, t ik ..,,,?",..I,;;-A,,:::::':',.,..,.;::,,,t1-":-,,:,,4,; i,...0?.;:i,„1,1:::,..;•E'.1:fi.r..,,,,.-,':, ,",-:,,f,;Pir,;,7b,r`f?::, PRESCRIPTIVE APPROACH— SIMPLE FORM For the Washington State Energy Code (2006 Edition) Climate Zone 1 Site Information: Building Department Use Only: Lot: 5 CAnt PR LsLL )F P/4 Permit lO Address: i&3 G. 1Q DIL d n R.., Notes: City: P -r -cAA State: W79- Zip: 8 Contact: Jo U O ji„ ,t Phone: (34 0 4'/7- 3/, s- Phone 2: FAX: 34 b y 3/0 74/ Table 6 -1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) Glazing Door w Wall z Wal s Wali a O tion Area %of Glazing U`Factor Vaulted Interior Exterior Slab on P Vertical Overhead tt lJ r'� Ceiling Ceiling; Grade, Grade Grade. ,t� Floor' Concrete Floor Factor Unlimited III Group R -3 0.40 0.58 0.20 R -38 R -30 R -21 R -21 R -10 R -30 R -10 Occupancy Only This Project complies with the following: The project is a single-family or duplex. The project is a wood frame OR all of the insulation is interior or exterior of the framing. All building components meet the requirements listed 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. 602.6 Exception 1. One door, that is 24 ft. or less, that does not meet the standards allowed. Location of the door taking this exception: 602.6 Exception 2. Doors with a U- Factor of 0.40 allowed without calculations, Option III only. Location of the door(s) taking exception: Type of Heat Source: \t T o `D v v„ ",p i c a. w .psi O.n�to_S Electrical Service Information Form oprs,L Public Works Engineering Department (360) 417 -4700 Please complete and return to Public Works Engineering Department AppIicantlnfonnatiorr 'AW4'.f***d ff.'.' #4 ;.T�, -,Z §:t" M0.00:001W: Permanent service: Name: C. �s Li sE53 1 C C_ Name and address of party Street: 1 0 responsible for permanent City State ZIP: P W I 3 service billing? Daytime Phone: (9 p 3 Home Phone: C Of7taCtil1fo17n7d1ol1MAirofherthal*lQVe) .40 ;*PM*140t 5 0:0*a Site contact: Name: �c�cl S Title: Daytime Phone: y 4 6 Contractor: Name n del 2 e-s Company: 14 e c g71 r7' Coro tit() Daytime Phone: r G f L-/, 9 3 4 4 Electrician: Name: I a r Company: j i 1 P Cy) Daytime Phone: r 1 G 0 L /S '/7G L Excavator: Name: 6 ezF Company: G2( n) C /Lo w Daytime Phone: G o v6-0 as-0o Proje l".ype� a c ^te fi tT-.'' 1h v a y- ro l'xniF w- sy.-? F h -w SY a �i- 1 z e^s fir^ S x,_ .s a. g taSingle- family residence ❑Multi family residence; of units ❑Commercial ❑Subdivision; of lots Overhead service ❑General service Underground service ❑Other: P et Information fi a a' s .f- {gi Street address lot number: l 33 -/3pJL ►2 l o7 s I ReLI i.j Nearest cross street: yyf 20„7 T IA-ftG 67 is 20 v�d Desired connection date: /9 L 4 ,2.0 Electrical transformer serving property is: on a pole the ground r r rk r3 i 3 Ysrz Electrical Load �,�-�'�r<'^+,-� �s' >«t�'rZJ:?.. 5.;� }`Y �'.�t�Yi' y` F ��c�s� s�.s'�- m ��a Jro ix'T Total square footage: 3 sq. ft. Main disconnect size: o20p amps Voltage: N120/240 1 ph ❑120/208 3ph 0277/480 3ph, 0120/240 _3ph 0480 3W 3ph Other ®,Standard residential loads (Lighting, refrigerator, dishwasher, washer) Check all that a I A/C FLA) I Range /Oven El Hot Tub pp y Clothes Dryer y 2. Heating Pumps Hp) t3Water Heater Elevator Hp). Other S u IIocumentatiorr_WA VAtw,:�.*AOR*, Voi* r v 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 \ma Date: al- MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362 FAX TO: 360- 417 -4709 EMAIL: rlarson @cityofpa.us WS Information form N \PWKS\LIGHT.ENGR \'#Originals \Information form Revised 4 -17 -08 K 1 o j r F Nii t t l 111 1C` a i) g-L.,-,,_,,,,,,.,,,,,I.,:,„_:.,...-..,,,,,,:„.„-„,:.:-,„:,,,-.:,..„,„:„..„, 4 I 5 f c 1 1 c.,,-,,.:,:,..,-;.„-::„,,..,„:,-.....:,,-.,..„:„.„:„.:,„..„ (TT 1 3' 13'. N. fi,,, ,,,:y,-.:.... -,..-?:::.,-,-,:i.„:::::-;i,--;.-::-.:-.,,,,,,,,,,,,,,,,,,,,,,,,,,, f y r Q i F i Ul t i. i i rril r 0 D Z. N 7 �5 E` r f 1..r. i iI� E `N k1 `�1 G EC rr ELECTRICAL PERMIT 3 CITY OF PORT ANGELES 0 360-417-4735 0 Application Number 11- 00000518 Date 5/31/11 REPORT SALES TAX Application pin number 116770 Property Address 1336 ROOK DR on your excise tax form ASSESSOR PARCEL NUMBER: 06- 30- 14 -7 -2 -0050 -0000- to the City of Port Angeles eles Application type description ELECTRICAL ONLY y g Subdivision Name (Location Code 0502) Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc new home 2016 sqft 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 L f5 -2 tt_7 A Permit ELECTRICAL NEW RESIDENTIAL J I Additional desc Permit pin number 186478 Permit Fee 180.70 Plan Check Fes .00 Issue Date 5/31/11 Valuation 0 Expiration Date 11/27/11 Qty Unit Charge Per Extension y 1.00 110.3000 ECH EL -R -SQFT FIRST 1300 110.30 I -v\ 2.00 35.2000 ECH EL -R -SQFT ADDITIONAL 500 70.40 Fee summary Charged Paid Credited Due 0 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 Lk, i AV c i 4 SERVICE 711 ii 1 ROUGH -1N 1 i' i I FINAL Cr I l T:► ito COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING i*c�u r A CITY OF PORT ANGELES PERMIT APPLICATION Erirs--;,..ei•-: Building Division/Electrical Inspections v 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 `2 .y i 2011 Ph: (360) 417 -4735 Fax: (360) 417 -4711 ELECTRICAL D� e:3 6 INSPECTIONS 1 2 Single Family_ Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* *Plan Review May Be Require lease Com.plet Electrical Plan Review Information Sheet Job Address: j.— or9k> t IC Desc ti on of Square above Footage: nc� Description 2 0 F sripon of ao n 73 ,Q ,�n G� S v ti? ice. e Owner Inf rmation Contra mation l Name: ,y P_ vv l�t ?n 1, Name: )-c 6 c) Sz,vt) 6/e Mailing Address: Mailing Address: 9 S'n AI. yt >rkiive City: State: Zip: City: q State: 0M)) Zip: 9 L Phone: Fax: Phone Fax: License 4/ Exp. License 4 -xp. /S 5 R. 9 ,.2p Item Unit Charge Qt Total (Qty Multiplied by Unit Charge) Service /Feeder200Amp. 119.90 Service/Feeder 201-400 Amp. 145.50 Service /Feeder401 -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 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 1 3 0 Each Additional 500 Square Ft, or Portion of 35.20 Yd D Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 /667.5— 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, l hereby certify that I am the owner of the above named property or a .licensed :electrical.contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -468, The City of Port.. Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: Cash Check p4redit Card d 7/`" �1°j f: 267 f: 267-7 Dated: 011011 10