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* *
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BUILDING DIVISION
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.---
CITY OF PORT ANGELES
* *
Correction Notice
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thi~ jurisdiction: . )
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA983(12
,
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00000362 Date 12/21/06
326650
1318 ROOK DR
06-30-14-6-7-0090-0000-
LEE MINSHULL
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
155978
Owner
Contractor
MINSHULL, LEE
136 E. 8TH ST.
PMB 334
PORT ANGELES
(360) 477-2143
Other struct info
SPIRES HANDYMAN
1120 E 3RD ST
PORT ANGELES WA
WA 983620315 PORT ANGELES
(360) 452-1356
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
.TOTAL LOT COVERAGE
NUMBER OF UNITS
SERVICE
WA 98362
16.40
1. 00
16471.69
2702.00
1. 00
'-
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"'"
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
EXTRA MILE/ 2440 SQ FT SFR
92403
EXTRA MILE
143.20
12/21/06
6/19/07
0)
TECH & ELECT., LLC
Plan Check Fee
Valuation
.00
o
~
()
C
1l
Qty
1. 00
3.00
Unit Charge Per
73.0000 ECH
23.4000 SC
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
73.00
70.20
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.
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.
05/01/2006 03:29 PM SROBERDS -- The proposal will result
in a new sfr w/attached garage for total lot coverage of
12%. No land use issues anticipated.
Electrical load calculations and elctrical permits are
required.
Connection f~e of $713.00 required
04/26/2006 08:41 AM GMCLAIN ----------------------------
Ditches & 8" culverts will be installed to City Stanards.
See Public Works Engineering for Standards.
05/01/2006 10:51 AM RVESS ------------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is reqliired. ~
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
tJ
JtJ
-
'"
rt
COMMENTS/ ACTION NEEDED
~r ':'n~"
.
CI
ELECfRICAL PERMIT INSPECfION .RECORD
eALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS I
. I YES I NO
III IH
Kill 11TH_IN I CUV.ER .
~~K V l~~
...IIIJAI I I
GENERAL COMMENTS:
PW.II02.J~ (41961
~
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~
___ 'CJT~pr~(tT A.NQ_EL~
PUBLIC WORKS . ELECTRICAL DIVISION
:\21 EAST 5TH STREET. PORT ANqEI;-ES. WA 98362
~
Application Number . . . . . 06-00000362
Application pin number. 326650
Page 2
Date 12/21/06
Special Notes and Comments
Engineering is required prior to prouring c?n~rete.
----------------------------------------------------------------------------
Other Fees
SEWER SYSTEMDELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
870.00
4.50
1200.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
Plan Check Total,
Other Fee Total
Grand Total
143.20
.00
2074.50
2217.70
143.20 .00
.00 .00
2074.50, .00
2217.70 .00
.00
.00
.00
.00
. ..........\"I""~.2
J....;l:"c..
- .j.
11 ~ .,'t
J!'Q
.~~-
COMMENTSI ACTION NEEDED
ELECTRICAL PERMIT INSPECfION.RECORD
,
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DAn:
COMMENl'S
NO
GENERAL COMMENTS:
PW.II02.., (4'96)
N\O
0
.....
eo
0
.....
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:121 EAST STH STREET. PORT ANGELES. WA 98J('2
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00000362 Date 11/27/06
326650 ., .
1318 ROOK .'oR .::.-~..,-;;.:..;,:~..... I"~
06-30-14-6-7-0090-0000-
LEE MINSHULL
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
155978
Owner
Contractor
MINSHULL, LEE
136 E. 8TH ST.
PMB 334
PORT ANGELES
(360) 477-2143
Other struct info
SPIRES HANDYMAN
1120 E'-3RD ST'-'-
PORT ANGELES WA
WA 983620315 PORT ANGELES
(360) 452-1356
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
XOTAL LOT COVERAGE
NUMBER OF UNITS
SERVICE
WA 98362
16.40
1. 00
16471.69
2702.00
1. 00
"
~
-...
~
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
ALL WEATHER/ T-STAT '
80549
ALL WEATHER
36.40
6/28/06
3/24/07
HTG & COOLING INC
Plan Check Fee
Valuation
.00
o
Qty
1. 00
Unit Charge Per
36.4000 ECH EL-LVT-FIRST THERMOSTAT
Extension
36.40
~
~
7t
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~ Sl~ha ~~.k~
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.
05/01/2006 03:29 PM SROBERDS -- The proposal will result
in a new sfr w/attached garage for total lot coverage of
12%. No land us~ issues anticipated.
Electrical load calculations and elctrical permits are
required.
Connection fee of $713.00 required
04/26/2006 08~41 AM GMCLAIN ----------------------------
Ditches & 8" culverts will be installed' to' City Stanards.
See Public Works Engineering for: Standards. . ....... ...J
05/01/2006 10:51 AM RVESS --------------:~--------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct dri~eway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
~
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ELECTRICAL PERMIT INSPECTION -RECORD
,
GALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPEC110N TYPIt DATE ACCEPTED COMMENf$
YES I NO
I UT( :H
lUll I( -r~-IN Il,;UV~K
ShK VICh
FINAl f
GENERAL COMMENTS:
PW.II02.1' (4196)
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
J21 EAST 5TH STREET. PORT ANGELES. WA 98J()2
,
~
Application Number . . . . .
Application pin number. '. :. .
Other Fees
Page 2
06-000.003.62 ,..,_;,' _'."" Date 11/27/06
3266':;0,,,. ~;~!:J\4~i;;~~:~'r'>"~:" -:.
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
870.00
4.50
1200.00
Fee summary Charged Paid Credited Due
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
36.40
.00
2074.50
2110.90
'-'let,
COMMENTS/ ACTION NEEDED
36.40
.00
2074.50
2110.90
.00
.00
.00
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ELECTRICAL PERMIT INSPECTION.RECORD
'CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE rr IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMItNTS
GENERAL COMMENTS:
PW.II02.I' (06)
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST"SmSTIrnET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
Owner
MINSHTTT.T. _T .F.F.1
~f 3~ ~~Th .IPM83ill
PORT ANGELES WA
(360) 477-2143
Other struct info
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
6/28/06
06-00000362 Date
326650
1318 ROOK DR
06-30-14-6-7-0090-0000-
LEE MINSHULL
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
155978
Contractor
SPIRES HANDYMAN
1120 E 3RD ST
PORT ANGELES WA
PORT ANGELES
(360) 452-1356
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
SERVICE
983620315
WA 98362
16.40
1. 00
16471.69
2702.00
1. 00
PUBLIC WORKS RES WATER SERV
5/8" DROP IN WATER METER
75960
175.00 Plan Check Fee
6/28/06 Valuation
12/25/06
.00
209000
Qty Unit Charge Per
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BASE FEE
Extension
. 175.00
RIGHT OF WAY
75952
50.00
6/28/06
12/25/06
Plan Check Fee
Valuation
.00
209000
Qty Unit Charge Per
1.00 50.0000 ECH RIGHT OF WAY PERMIT
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
Extension
50.00
SANITARY SEWER HOOK UP
75945
110.00
6/28/06
12/25/06
Plan Check Fee
Valuation
.00
209000
Qty Unit Charge Per
1.00 110.0000 EA SAN SEWER HOOKUP
,Extension
110.00
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.
Address numbers shall be plainly visible from the street.
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 2iOl te or cancel the provisions of any state or local law regulating construction or the performance of
cons . 'on. (J
\.--~'(( ~ ~ -
Signature of Contractor or Authorized Agent Oate Signature ofQwner~if owner is-builder)' . -Date
T:\Policies\1102.ISR [1/05]
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
I INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH I
BACK-FLOW DEVICE I I .
,
. .
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R W./ PW/ CONSTRUCTION - RW.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-46S3 FIRE DEPT.
PLANNING DEPT. 417-47SO PLANNING DEPT.
BUILDING 417-48IS BUILDING
T:\Policics\II02.ISR [1105]
s
~~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST SnfSTREET, PORT ANGELES, W A 98362
Application Number . . . . . 06-00000362
Application pin number 326650
Page
Date
2
6/28/06
Special Notes and Comments
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
05/01/2006 03: 29 PM BROBERDS -- The proposal will result
in a new sfr w/attached garage for total lot coverage of
12%. No land use issues anticipated.
Electrical load calculations and elctrical permits are
required.
Connection fee of $713.00 required
04/26/2006 08:41 AM GMCLAIN ----------------------------
Ditches & 8" culverts will be installed to City Stanards.
See Public Works Engineering for Standards.
05/01/2006 10:51 AM RVESS ------------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
870.00
4.50
1200.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 335.00 335.00 .00 .00
Plan Check Total .00 .00 .00 .00'
Other Fee Total 2074.50 2074.50 .00 .00.
Grand Total 2409.50 2409.50 .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 <:omplied 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\II02.1SR [1I0S]
. .
PERMIT INSPECTION RECORD
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.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECfION TYPE DATE ACCEPTED COMMENTS
I YES I NO
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKJNG
SIDEWALK
CURB & GUTTER
DRlVEW A Y APPROACH
BACK-FLOW DEVICE I I
I I
FINAL INSPECfIONS REQUIRED PRIOR TO OCCU,PANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W.
ENGINEERlNG 417-4807 PW / ENGINEERlNG
FIRE 417-46S3 FIRE DEPT.
PLANNING DEPT. 417-47S0 PLANNING DEPT.
BUILDING 417-481S BUILDING
T:\Policics\11 02.1 SR [1I0S]
:f \,ORT ~
ti
~ --
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00000362 Date
326650
1318 ROOK DR
06-30-14-6-7-0090-0000-
LEE MINSHULL
RES NEW SFR
6/28/06
RS7 RESDNTL SINGLE FAMILY
155978
Owner
Contractor
MINSHULL......J.,EE
\.!; j .. '1'Ih PM8"4 7'"
.K~-AN~E~~ WA
(360) 477-2143
983620315
SPIRES HANDYMAN
1120 E 3RD ST
PORT ANGELES WA
PORT ANGELES
(360) 452-1356
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
SERVICE
WA 98362
Other struct info
16.40
1. 00
16471.69
2702.00
1. 00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
1065 SF SFR, W/595 SF ATT GAR
75069
1630.65 Plan Check Fee
6/28/06 Valuation
12/25/06'
652.26
209000
e:~J
Qty Unit Charge Per
Extension
1020.25
610.40
BASE FEE
109.00 5.6000 THOU BL-100,001-500K (5.60 PER K)
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit pin number 80549
Permit Fee 36.40 Plan Check Fee
Issue Date 6/28/06 Valuation
Expiration Date 12/25/06
.00
o
Qty Unit Charge Per
1.00 36.4000 ECH EL-LVT-FIRST THERMOSTAT
Extension
36.40
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
80531
154.35 Plan Check Fee
6/28/06 Valuation
12/25/06
.00
o
0?
'2
0' -.? 9 L"
, ~
/y
"'
~
Qty Unit Charge Per
BASE FEE
1. 00 14.7000 ECH ME- INSTALL 100- FAU
4.00 7.2500 ECH ME-VENT FAN
1. 00 10.6500 ECH ME-VENT SYSTEM OTHER
1. 00 50.0000 ECH ME-WOOD BURNING APPL.
Extension
50.00
14.70
29.00
10.65
50.00
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
co.:" ss;trurucctulouJn. /J . / ~
~ 06""'2-y-- ()L,
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\Policies\1102_15 building permit inspection record05.wpd [1/412005]
BUILDING PERMIT INSPECTION RECORD
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:
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLOG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING ........., -~, I
FRAMING \ ,... ~
JOISTS 1 GIRDERs -
SHEAR W ALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKlNG/LlGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R. W. 1 PW 1 CONSTRUCTION - R.W.
ENGINEERJNG 417-4807 PW 1 ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Po1icies\1102_15 building permit inspection record05.wpd [1/4/2005]
~
I!o. --
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . .
Application pin number
Permit . . . .. PLUMBING
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
06-00000362
326650
PERMIT
Page
Date
2
6/28/06
80556
149.00
6/28/06
12/25/06
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
BASE FEE
10.00 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
Extension
50.00
70.00
7.00
15.00
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.
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.
05/01/2006 03:29 PM SROBERDS -- The proposal will result
in a new sfr w/attached garage for total lot coverage of
12%. No land use issues anticipated.
Electrical load calculations and elctrical permits are
required.
Connection fee of $713.00 required
04/26/2006 08:41 AM GMCLAIN ----------------------------
Ditches & 8" culverts will be installed to City Stanards.
See Public Works Engineering for Standards.
05/01/2006 10:51 AM RVESS ------------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
870.00
4.50
1200.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1970.40 1970.40 .00 .00
Plan Check Total 652.26 652.26 .00 .00
Other Fee Total 2074.50 2074.50 .00 .00
Grand Total 4697.16 4697.16 .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 Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
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 I NO
FOUNDATION: I
FOOTINGS Pi
SHEAR WALLS 1 WALLS I~ 'I'lljOh .;fW
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB .
ROUGH-IN I-Uf/ge, l~
WATER LINE (METER TO BLDG) I '
GAS LINE FINAL 63-I/-MDATE -:TLL ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL I
WALLS l/l/^ .10 G J J.l..
CEILING I I f I
FRAMING
JOISTS 1 GIRDERS I
SHEAR WALLlHOLD DOWNS IIL, 'n.. / /JG 0./3
WALLS 1 ROOF 1 CEILING r~ .ZL IJA
DRYWALL (INTERlOR BRACED PANEL ONLY) I "' fT
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING J /;.J/,(Jl1 Jj...V
MECHANICAL I '
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL 63-11-D8 DATE "JU-- ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W.
ENGINEERlNG 417-4807 PW 1 ENGINEERlNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 03-1l.l-f))r -p-g BUILDING
~
\
~
~
~
..........
~
~~
~~
~}?
T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005]
'--
JUN-06-2006 08:46 AM
E.JANSSEN
(pO &'11
.
368 452 2982 P.81
ELECTRICAL WORK PERM.IT APPLICA no\.
,
...- -(1
Q Anmllll Perm" QAlarm QCarnlval QComml!rc:lal
Q Request Inspection 22 3 30 46
~'Id'ntlal Q Huld,ntl.1 ~Iolnt. Q Sian. Thormon..t Q Tel...m.
, Job ",trod by
Eleerrlcll contractor
Q Own.r
InlItall.otion dCllcriptiun
,
Ellx:triClll contmClnr U!llne
; f:.llkA M,u.. _._______
Prrcbuer'~ mailing address
~' ~ t\l. l<~
C I ,StBt~ ZII)
I of t v.c.\- A->\l ~~. \-t..~ \J A
I T~lephone nunlbc:r' '.AX n\J"'bc.~
""'5 . _ --);1.;1. 7.
License n.umber
I~
S~rz..\h~
,,~~z..
~"
J .
1...-..
,
ddrlU of Inlpedlan
illS
It.
~.J...t.A"tI.;;'
:R..2~~_ "\)fL
U C"h Check 1/
;1.0
Premlnl owner', lIam(l
1..\........
County
Department of Labor & Industries ute only
Become. permit wben properly v.lId.bod.
Expire. on. (1) ye.r from d.te of lut .ctlvlty.
I~hcreby certify thai I am the owner of the above named propeny or a
~' cens.ed electricHI contractor (Of tht! fiml's authorized agent) and am
laking the electrical im<l.allatinn or a1reral1on in complianl'e with the:
lectricallaw1 Chapter 19.28 RCW.
Char e m contractor's account.
Slpatun of 0 er, I.'J.l!ctrtcal ~nt"~efnr or elr:(''tr ,I admlnl""'lfor
/
f(
0J
f--lKV to
0/1/0
-,
J
IK
. ....sfO
Electrical inspection5 a.re for safe wiring method9.
!f711. oa C'<JtJ,JF~-r r~
T~SSist us in providing better RCI'Vicc [0 you.
pi SC' till out the appliL.'3tion paying
p ;icular attention tt) the fnllowing ilcms;
/"
Pl.... Draw Map Below fJ"Om the Neare.f Main Street Qr Highway
I, <;ompleu; all appropriate blankR.
2. ~ovidc detailed description of ilHaalla.lion.
J. !rO"idC detAiled map to jobRite.
4_ I no home phont:! numbl:T;s )tvltilablc. 1')lcAse
rovidc mCllsage number.
5. Make ch.ck payable to \he Dept, or Labor &
Industries_
,
6. ['YOU are mailing tbis in, plclllte remMe hard
opy to post on the j obsite and send the lOp 3
opil2's to the appropriate service location.
7_ ;- igner iR ow"er only ifnl)t wired by an
electrical contractor.
s. 1fwired by an electrical contrnctof. must be
~iBned hy ndminllltl'al:C'lt nr authori7.ed de~igne(.!.
If1'OU have questions. please feel free to .sk liS! "-
;bizOOI.f~~~rk 1'0m,;, 'pplie.thm rev 5.()]
Depllrtm('nt of Labor &, Induscrtes
Electrical Section
Il\.i~Or:-''''''''r"'1I::J
11/20/06 MON 14:42 F~< 360 683 39i1
AIR FLO HEATING
I4J 002 ,
"
.
~
~
......
ELECTRICAL WORK PERMIT APPLICATION
Job wired by
izj Electrical Conlr3ctor 0 Owner
lnsu,lbtion de,eriprlonJ
a Commercial .eJ Res.idmtial
Elcrnicll.l c:ontt':'1ClOT Tlilme ( "-
Aile. F- Lo H- M_ -n ()&,
PUrCh:L~f 's mOliling address
g~, W' UdfJ.Jl.-
~
rim IJ I vYl
Tele hone number
)
Lic=nse number Date ExpiTe.!:
A-I ItrLAi{Iff({(' ~
"New
o AlteJ:edJAdditiOD
"
l~';'"ZIP c.-
L1iH:: q !\ ~!?";?
FAX flumbt':r
If!\i~: 7\;;i1'-fr-7ifl);i nCj / ~CJ~ 11
Address of hlsp~tion "
11710 DOV_ Dn Vv/
~~L
~ f,e"
P e rUllnbcr t iSch dulc ins J!:.ctiuu:
-.1l1.tnV1D~ -ft1 t- LOll'!l V1t)
(CJV
,6r:F
Owner as dc../ifl.6d by RC~y:!9.28.26J:(J) Owl/~" will occupy the ..lnl'l:tur('" flJT f'wo
.vears (Jfru this c1ccrrical permit is fWJ.!i;:d. P) OwnIT is reqllirei( ra hin an eI<<tric.t'J.1
CfifUl'actOr' if ab"w: said property iI' frJT .",ll,. relIT or Ie-ou.
A~r rending the above Sl:!l.lCI'lent,. I hereby certify that { inu t.1lt: uwner of lhe above
Dllmed property or a li';:~l~tal ::h:ctrical contractor. I am making lhe electrical instal_
lotion or alteration in compliance with the electrical Ja.....$. N.h.C.. RCW. Chapter
19.28, WAC, Chapter 296-46B, 'rhc Cuy of Port Angclcs Municipal Code, and.
Utility S eClflcCllions.
. "- I~~O
o Cash 0 Check #
Credit Card XVisa Mastercard Discover
Cw#flNE~___~__~___~
Date:
Expiration Date
of earn
Electrical Load d sad or sub
o NO LOAD CHANGES
CJ Baseboard KW
o Furnace KW
1iI Heat Pump ~ Ton "'" LAR
o Fan-Walt KW
"D
Servlcelnfor'mation
o Overhead SeNice
o Temp Service
CI Undergrounc:f Service
Vottaga
PhaseO,C1s
Servic~ SiLe:
Feeder SizQ:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4i35
~rD
i\l'provc<lB,.
D"~O:::",., J
C Dmli J
'-- 0", ^P~o'"'' / .
SERVICE
l d/..,Ro;7IN M
/u.'c ~ ^PP"~"~ By
a.le i\Pl'fllvell By
FINAL
-~<!.7.L. 7
t'
FEEDER
D~lc AIIpn;lVe~ By
ITl~pect;Ol1
Dale
Area, Duildin!: or Equipment l.il.~ected
Action Tal,l:m
Electrical
1l1SIH~ctof
//-l,'3 :~f"
~A",pil
"e/.,x
i1iKZ-///2 ~L
/ ,
DEC-19-20a6 09:45 AM
E.JANSSEN
3613 452 2982
p.a1......
C-6'
~
(,~'i.clrlcMI Conlraclor ~ IJ Owner "':":;~)' CJ Request Inspection
CJ Ai-DUa.l Penuh 1:1 Alarm Q Carnlvlll 0 COlultuH"dol ~ClldentiDI 0 Residential Maaiot. 0 Sie;ns Q Thermo'lllt r:J TelecoDI.
~
ELECTRICAL WORK PERMIT APPLlCATI0N
J(~b "'ired by
IB ElcclrlcMI ('oolroelor 0 Owner
InSll.lllillion dCllcriplion
1'J '"J
("
- .~
I ,
__ ! :;,;.. _ &,,~ t.;.
(,t'
clc=clr;CII contractor nllltle
_ i CI(J.~h wI,l"
11urcbl!iCT'1I nluilin~ l'u,ldrclIlI
-"LLL_~ IC.<!-('E
c;7>.,J ~'-<-tL~
J.h:cm,c number I
7<-<A ~ E/~C-h-fC~
,L
_ SI:.t!;" ZlIl
viI\-
F^.X IlUm!)CI
PrenllllU oWlIer's aanlt-
. iEA!'~ ?<f~ SOO
Add~ell5 .r Inspl:ctlon
" " ~ _.ot /J-t:iI/J
City: JJ
~~tC.t h1f,l,c:tl
"Ir7-
/8</0
6vo
.:J- /f~o .sa t4- s",,~
---'--
,
o C"h (] Check #
l her~by cCrlify thnt I am the ownel' (If Ih~ above named prOf'cny ur u lic~~ll:.:~d
c1ccn,cal colltrllctor (or thc=_finn':o; authorized u~cnT) amI <1m I1li\J...ing lh~, clel.:lrIl.::tl
insral'alion or allernrinn in complinnce with lh(' elecfricat hlw. rh;\ptl.:f J 9.2R RCW.
o Credit Card Vis.,
Card #
Mastercard Discover
~i.~Rt..rc IIr Owner. elOdrJCfll contractor or Cle((rlcal adminisfTil10r
____u .______
X'
Expiration Date
of C'ird
$/
l1upCC11tm fee
$ Ji f r"
.. .
WALLS
Insuhllioll Only
CEILIN(;
In~lll"lion Only
THERMOSTAT .,~
u,,~_, ^"m""~~[i:;)
IlITO~ )
11/:!:!![ n e, .. _ ^"",.., "'j
,J J~: Leo", 171'
~ ^1''''I('''clllt)
U.\!t -- A,j'I'l\',.cd 11:--
1?-'1/Db" LCI
01)01,', -~
f'EF.D1!R
. ,
ell.~!$JtLLQJ!d Additions Bod.Otllllllr8i:ILon.
CJ NO lOAD CHANGES
[J 8as9board KW
a F=un!BC9 KW
[J H..i Pump Ton LAR
CJ F.n-~alt KW
f),,~ AI "'~~d Dr ./
Service Informmion
U Uverhaad ServlcA
D 'T'emp ServIce
o UrJdElrground Service
Vollage ____
Phase tJ , tJ 3
Stlrvico Size:
Feeder Size:
InspeClioll
. DalC
ArCll. Building or Equipmenl In$pcctcd
^~'Iion Taken
I?lcctrical
In!lpector
12-1'6 -0(;,
~ ()~
-----._--
M..?~"F1!.
gC-L
r-/7 -07
~
-'------. --
~ /;2~9~b
~
~lc..-~ up pl~ ~
4W~ .
+=""M-
".
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Phone: ~ 'f-- $" 141
Phone: 4 "f J - z, I '15
V-: u-\ Zip:~ CZS 3 b L
TVPEOFWORK: SIZENALUATION: 4 ()Gp
~ Residential rNewConstr. 0 Re-roof M' Stove~SF.@: i(,.~ /sF.=$.l Q! ~-h
o Multi-family 0 Addition 0 MoveD Garage _ (POO _ SF. @ $."2-(.,~ F. = $_ \1-:r61..p _
o Commercial D Remodel 0 Demolition {J Deck 7.1e 7- SF. @ $-l1...rro ~. = $~( 44-
o Repair D Sign 0 Other TOTAL VALUATION $_ l ?5.tJri~.:7 .
BRIEF DESCRIPTION OF THE PROJECT: (ULu.J "')\~lL- fc..lM#'t~ 'O'JV.t..-'\\ 'j lOJ7../l.-/
SP
COMMERCIALIRESIDENTIAL: 9ccuP~2Y Group:
No. of Stories: l 1.ot Size:" J w; t.~~ fisting Sq. Ft.
Total lot coverage_ L~~. _ - J .
Ik
Occupant Load: Construction Type:
? & Proposed Sq. Ft._ ~1t?~ TOT.^!JSq. Ft._I.QO'J,
.. if
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes D No Other:
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 Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPrnATlON OF PLAN REVIEW: lfno permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
RI05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to
apply for this permit and understand that iUs my res{2onsi i1ity to determine what permits are required ,not the City's, and that I
must obtain such permits prior to work.
I
Date: 0'-1 -I <g r- 0 (~
~;~t1 Als.o ~
~
T:\FORMS\BldgPennitform.wpd Applicant: \
4J7.q~ EM<;
~p
/')t--
FROM :ADVANTAGE ESCROW
~
FAX NO. :3604579222
Apr. 20 2006 04:06PM Pi
:,~(O fOIl RlCO~'~. i,', '1.'Jot:.:
OLYMPIC PENINSULA TlTlF GO
:~~~7:"" ;:.... :i'..: :~i'"::-;!t~~
2006 MAR -8 PI1 2: 59
AFTER RECORDING MAIL TO:
Lee Mln8hull
27620 Hawthome Blvd., #125
Palos Verdes, Ca. 90274
1~~I~III~'~II~~II~I~~~~i'~
2006 1176199 Cl""""
CO"'''I)'
o
()30~L.\qoj Rf
STATUTORY WARRANTY DEED ... 1'5(,. I/)
.:a..ALLAM COUNTY
TRANSACTION EXCIse TAX
/a '13.~)...,
2U06
Escrow N~~
Title Order No.: 03084963
DATE
~'AID
M;\~l
THE GRANTOR(S)
,\MOUNT 7{,. 9()Q. to
Green Crow Propertlea, Ine., a Waehlngton corporation ~c;>u~~~~:~; defJ
for and In eonlllderatlon d len dollars and oll1er good and valuable eonaidellltlon in hand paid, conveys,
and warrants to
Lee Minshull. as his separate eatate
the following described real estate, altuated In the County of Clallam, State of Washington:
LOT 9 OF RIEDEL II SUBDIVISION, PHASE II, AS PER PLAT THEREOF RECORDED IN
VOLUME 14 OF PLATS, PAGE e6, RECORDS OF CLALLAM COUNTY, WASHINGTON.
SITUATE IN CLALLAM COUNTY, STATE OF WASHINGTON.
Asseesor'a Property Tax Parcel/Account Number: 063014670090
SUbJect to: Covenants, condlllons, restrictions, reservations. easements or other eervlll.ldeS disclosed by
the rllcordBd Plat at Riedel II Subdivision, PhaBe II. CovenenlB, condlllons, restrictions, reservations.
1I0011Bments or other servitudes disclosed by Survey recorded under Auditor's No. 2002 1096103.
Covenants, eondltlone. reetl1ctlone, reservations, easements or other servltude$ dlselosed by Survey
recorded under Auditor's No. 2002 1077707. Covenants, conditions, res~ictions, reservations,
essementa or other eervitudee dleblQeed by Survey recorded under Audltor'a No. 2001 1069430.
RellBrvallonl recorded under Audltor'a No. 518253. Liability for asse98menlll recorded under Auditor',
No. 2006 1166367. Agreement recorded uncler Auditor'. No. 2005 1156367. Covenants, conditions
and reetrlcllons recorded under Auditor's No. 2006 1166368. Easements recorded under Auditor's NOB.
349678. 2002 1096319, 2002 1096320 end 2002 1096611. Zoning Lot COI/enllnt recorded under
Auditor'! No. 2001 1074543, which IS a re-recordlng of Auditor's No. 2001 1072928. Zoning Lot
Covenant recorded under Auditor's No. 2001 1074544, Which is 8 re-recordlng of Auditor'S No. 2001
1072929. Development Agreement recorded under Auditor's No. 2004 1140199.
Dated: ~~ID~
STATE OF WASHINGTON
)
)8S
)
\",11 ""'//11
,\" OUAL( "'I.
,,'-1 +-;........d' '~
.,:.. """'. '. ~
I certify that I know or have sallsteoiory evldenee that DENNIS VAKOV'~'~"'~1i
appeared before me, end laid perllon(ll) ecknowtedged that he 81gn8d lilti'li1~tiPi~I' leth
atated that hell/are lIuthorlz8d to 8x.cute the Instrument and lIcknowl~~ ~~f i e the
~. and voluntary aot of such party for the ulIellend purpollea mentlon~~ " 1"dti~'''8..1
'J )1.1 f'r/ "" .s>1'..........~'r' !:'
Qated: '-...:'l It UtA "'''II,-4TE Of \\\+"
11///111111\1
) KIMBERLY K. QUALlF-
COUNTY OF CLALLAM
in and for the Stl'it.e of Hasmngton
Residing at: Port Ang~le9
~~ appointment expires: 1/20/06
LPB-10 7/97
RIII€!OJEIL 1111 SI!J~jgllf'll/SII@N (P/#/fJJSE 11/1)
(B/bI41 @1/=@5I41c@REENI ~R@~ W@!II 51/ @/F ~I!JRWEJr$, /fJ~ 1/3
WI @/r THE HE 11/4 @/r if/#/E ~W 11/~ ~E~ 1/4 if" 3@ /#1,,6 /fi ($ ~6 MP;M,
(cUlLUM (C@(!jJ/N/i!Jf, fYfIl41$/#///w/@7(@N
FOR: BREEN CROW PIIOPER71ES, INC.
0.02
0.0
N 87"27'44" W 273.7B'
35 ?---~~..9L_________ ----_______1)8,67 III
"I 0 ----------1 25
'{9 FENCELNf f
: 0.878 AC
i ( 1324 )
35
35 rL_~_-~_-_-~-_-_--_-_~~~~;~~;;~~~~_-~~~_-~~_-~~_~_-; 25
!@1!25
, , .
; .- ORHAAlf'NTAL ~ b'
: 0.373 AC 1Rfl: AT CORHER~::;
i (1322) SET :o';::'2S~27"~! "
l~_-------_-___--- __ 5.00' ! ~
lID N 86"25'27" W--- ----------~./ 25 :::i
of5 r------____ 21.9 ..,
1 --@-;-~ ----l 25~ .~
I ! ~ ~ g
: 0.373 AC : 0, ~
f : ~ ~
45: -( 1320) 16.49' : 25 ~
of5 ;L;~~~-_-_~-_ _~ _ _ ;~~~:~-~~~w- - - -- -- -- -- _ _ _ ~J
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For the Washington State Energy Code ( 2003 Edition)
Climate Zone 1
Site Infol111ation
Lot:----.3.
Address: f).,ooK D'f\'vL / ((.;cdc..l " 5o~o.tJ
City:~ rri1 ~tc:s ('
State: Lt ~ C\ Zip: ~ L-
Contact: 4,,~~ HOL'.jcrveJ<
I
Phone: 4 r 1- - S 1- ~ I
Phone 2: '-I fi- - 2-( LfS
Building Department Vse Only:
Pennit # fJ!/, ? (p *)'
~
Notes:
FAX:
Table 6-1
PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY
CLIMATE ZONE I
Option Glazing Glazing V-Factor I Door Wall Wall Wall Slab
Area % V- Vaulted Above Interior Exterior on
of Floor Vel1ical Overheac Factor Ceiling Ceiling Grade Below Below Floor Grade
Grade Grade
Vnlinnted
III Group R-3 0.40 0.58 0.20 R-38 R-30 R21 R-21 R-lO R-30 R-IO
Occupancy
Only
( Unlimited Glazing Option Only)
This Project complies with the following:
./' The Project is a single fanlliy residence or duplex.
./' The Project is 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 VlAQ.
The Project will take advantage of the following exceptions to the prescriptive option.
o 602.6 Exception 1. One door, that is 24ft. Or less, that does not meet the standards allowed.
Location of the door taking this exception
o 602.6 Exception 2. Doors with a V-Factor of 0.40 allowed without calculations, Option III only.
Location of the Door (s) taking exception
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Appl~cation pin number
Property Address
ASSESSOR PARCEL NUMBER.
Application type description
Subdiv~sion Name
Property Use
Property Zoning
Application valuation
Owner
GREEN CROW CORPORATION
PO BOX 2469
PORT ANGELES WA 983620315
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
06-00000611 Date
121211
1318 ROOK DR
06-30-14-6-7-0090-0000-
ELECTRICAL ONLY
6/16/06
RS7 RESDNTL SINGLE FAMILY
o
Contractor
OWNER
ELECTRICAL TEMPORARY SERVICE
EXTRA MILE/ 60 A TEMP
79905
EXTRA MILE
42.20
6/12/06
12/09/06
TECH & ELECT , LLC
Plan Check Fee
Valuation
.00
o
Qty Un~t Charge Per
1 00 42 2000 ECH EL-TEMP SRV - 0-60 SRV FDR
Extension
42 20
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 42 20 42 20 00 00
Plan Check Total 00 .00 .00 .00
Grand Total 42.20 42 20 .00 .00
COMMENTS/ACTION NEEDED
/.~s.'
c~%ed
~
%
~
~
~
ELECTRICAL PERMIT INSPECTION RECORD
,
:
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
I
, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I
I ,
! YES NO
:
I
I JI 'I 'H I
- I
IU II 'I -i-H-IN' 'I. .v to< K
_ ,"''"' r ...........
ShK V 1(;,b I
:
:
,
I
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,
\
:
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GENERAL COMMENTS:
I
PW-1I02.l514I96J
~
~;;o>
CITY OF PORT ANGELES
PUBLiC WORKS - UTILITIES DIVISION
321 EASTS1HSTREET, PORT ANGELES, WA98362
0& ~5~2.
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
property Zoning
Application valuation
06-00000362 Date
326650
1318 ROOK DR
06-30-14-6-7-~090-0000-
LEE MINSHULL
RES NEW SFR
6/28/06
I ~I 3 eoo!::tJ,
,
RS7 RESDNTL SINGLE FAMILY
155978
Owner
Contractor
rn I h~
MINSHULL, LEE
1318 ROOK DR
PORT ANGELES
(360) 477-2143
SPIRES HANDYMAN
1120 E 3RD ST
WA 983620315 PORT ANGELES WA
PORT ANGELES
(360) 452-1356
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
SERVICE
WA 98362
Other struct info
16.40
1. 00
16471.69
2702.00
1. 00
Permit PUBLIC WORKS RES WATER SERV
Additional desc 5/8" DROP IN WATER METER
Permit pin number 75960
Permit Fee 175.00 Plan Check Fee .00
Issue Date 6/28/06 valuation 209000
Expiration Date 12/25/06
Qty Unit Charge Per ~lOl~ \
BASE FEE '175.V
---------------------------------------------------------------- ---- --.
Permit . . . .. RIGHT OF WAY
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date .
75952
50.00
6/28/06
12/25/06
Plan Check Fee
valuation
.00
209000
. -r:~fJJ D CO
~~jl
Qty Unit Charge Per E~
1.00 50.0000 ECH RIGHT OF WAY PERMIT ~
-----;~~~~~---------------~~~;~~-;;~;;-~~~;-~~------------------- --------
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
75945
110.00
6/28/06
12/25/06
plan Check Fee
Valuation
.00
209000
Qty Unit Charge Per Ecyt .
1.00 110.0000 EA SAN SEWER HOOKUP .. 110.00
-------------------------------------------------~---------------- -------
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.
Address. numbers shall be plainly visible from the street.
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 goveming 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\1102.15R (IIOS]
,~"'7~
t,~~
,.~
~
~~
CITY OF PORT A:l'l"GELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST5THSTREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Page
Date
2
6/28(06
06-00000362
326650
Special Notes and Comments
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
05/01/2006 03:29 PM .SROBERDS -- The proposal will result
in a new sfr w/attached garage for total lot coverage of
12%. No land use issues anticipated.
Electrical load calculations and elctrical permits are
required.
Connection fee of $713.00 required
04(26/2006 08:41 AM GMCLAIN -----------~----------------
Ditches & 8" culverts will be installed to City Stanards.
See Public Works Engineering for Standards.
05/01/2006 10:51 AM RVESS ------------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
Fee surrunary charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 335.00 335.00 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 2074.50 2074.50 .00 .00. .
Grand Total 2409.50 2409.50 .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 orwork 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 pelformance of
construction.
Signature of Owner (if owner is builder)
I
Signature of Contractor or Authorized Agent
Date
T:\Policies\1102.15R [1105]
Date
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
\
REQUESTl
Date 12- ,'''- C>~
Time
Received by
RI/
(phone, person)
Location of Work to be inspected
Name of person requesting inspection ~ I.-. r: ~
Address of person requesting inspection
Type of Inspection (circle appropriate one):
\'3,\ ~
R..o\<
Df"
<!.......,4<!."-t "D....vl.
Phone No.
Permit No.
~er E:~ Other
010 -;3", ~
Sewer Foundation Framing Chimney Plumbing Final
INSPECTION NOTES: ;_~~.
v..-:J .1"
Inspected: Date f2... - I q - 0 (" /
Remarks: tJ ~vJ '-I" f>V<:' +~'" ~
Time
, 1 \
e. )0 So r . """j
By
Rv
"," ;>Ve..,
RESTORATION REQUIRED. . . . .. YES
NO >(
f.oo Ie r
,
>,,^-o.,
'00'
, &'
',_ :'>'M \
'""IIf.( '':\
~ 'tV
~O-'~') ""
\ S\Q.\(.1Y
~
'i'de~~'
"'''''''l''pvt ""
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. .. fY'~f.: "/
I "p
-X. _ _ _' v~ __\
12.'
PI /...-
"et'l~"'dl
I
(
Pit...
flIt..
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date
~/{J7 .-- ofS
Time
Received by
Tr
(phone, person)
Location of Work to be inspected 13' 3 ""Roo I::: bv-
Name of person requesting inspection _4r/~A< f (:01"1 'iT
Address of person requesting inspection Phone No. 4t,t-qsc,y
Type of Inspection (circle appropriate one): . Permit No. 0& - ~t,Z
Sewer Foundation Framing Chimney Plumbin@ewer Excav. Other dOr
INSPECTION NOTES:
1/1//()B
Time
By
)?V
Inspected: Date
Remarks: S.ewer
.Dr" ",euJe..
Dow"s
3-0,-0'0
o
RESTORATION REQUIRED. . . . .. YES
NO ><-
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
IDATEI
'A
360-417-4735
Application Number.
15-00000848 Date
7/14/15
Application pin number
108800
DITCH
Property Address . �.
1318 ROOK DR
ASSESSOR PARCEL NUMBER:
06 -30 -14 -6 -7 -0090 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . .
FINAL
Property Use
COMMENTS:
Property Zoning
RS7 RESDNTL SINGLE FAMILY
Application valuation . . .
0
Application desc
Ditch to garage
Owner
Contractor
BETH A WELANDER
SIMPSON ELECTRIC
2.31.8 ROOK DR
243036 W HWY 1.01
PORT ANGELES WA 983620315
PORT ANGELES
WA 98363
(360) 457 9270
Permit ELECTRICAL
ALTER RESIDENTIAL
Additional. desc
Permit Fee 74.00
Plan Check Fee
.00
Issue Date 7/14/1.5
Valuation . . . .
0
Expiration Date 1/10/16
Qty Unit Charge Per
Extension
1.00 74.0000 ECH EL-R-OUTBD/DTCH
GAR IN/SEP
74.00
Fee summary Charged
Paid Credited
D�je
Permit Fee Total. 74.00
74.00 .00
00
Plan Check Total. .00
. 00 ,00
.00
Grand Total. 74,00
74.00 .00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
Aq �r-
SERVICE
ROUGH -IN
FINAL
COMMENTS:
v
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEWUILDfNG
Cffy OF PORT ANGELESP MIMIT APPLICATION
BlAilding ll ivisionlElectrical bspvctions
A
'30
321 East Fifth Street — P.O. Box 1.150 / Port Attgelilms Washingtolit, 98J
Ph. (360) 417-4735 Fax.- (360) 4.1.7-4711
Date:
101 A 4 2(11�
I & 2 Single Family Dwelling — m'f'PJ'c
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* Plan Review May 6e Require PI i 291plete Electric Plan Review Information Sheet
Job Address:
Building Squam Footage: '
Description of above
Owner Info,ation L) al
Name: le
Mailing A
City, State: Zp:
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ServIce/Feeder 200 Amp. $120.00
Service/Feeder 201.400 Amp, $146.00
Service/Feeder 401-600 Amp $205.00
.Servlce/Feeder 601-1000 Amp. $262.00
sorvice/Feeder over 1000 Amp. $373.00
Branch Circuit W/ Service Feeder $ 5.00
Branch Circuit W/o Service Feeder $ 63.00
Each Additional Branch Circuit $ 5.00
Branch C4rcults 1.4 $ 75.00
Temp. Servicel Feeder 200 Amp. $ 93.00
Temp, Service/Feeder 201-400 Amp. $ 110.00
Temp. Serviceffiel 401-600 Amp. $149-00
Temp. Servlce/Feeder 601-1000 Amp . $168.00
Portal to Portal Hourly $ 96,00
Signal Circuill Unrifted Energy -1 & 2 Family Dwelling $ 64,00
Manufactured Home Connection $120.00
Renewal Electrical Energy - 5KVA System or Less $ '102.00
Thermostat $ 56.00
Note; $5.00 for each additional T -Slat
qQN S T R U229 K Q–N —LY,
First 1300 Square 111 $120,00
Each Additional 500 Square Ft or Portion of $ 40.00
Each Outbuilding or Detached Garage $ 74.00
Each Swimming Pool or Hot Tub $110.00
Contra or Info tion
L Ltfl
Name;
Mailing Ad
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License I'ExP.
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Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit Is fnfllized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, tent or lease. Permit expires after six months of last mi
After reading the above statement, I hereby oo* that I am the owner of the above named property or a licensed electrical ol. I am making
The electrical Installation or alteration in compliance with the electrical laws, NE,G,, RCK Chapter 19.28, WAC, Chapter 296 4611, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications.
Sign, u of owner, electrical contractor or electrical administrator: 0 Cash 0 ClInk
X Credit Card #Oatnda ---&ZLI
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