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H "'''' ...:IZ ~r-r- m~oo -<-<00 (9~NN\.O o ....:l ~ ...\.0 0 -<OMMOZ U H I H H~~~...;Ol ZO:::QJQ)\.OH ~~.Q.Q..:;2'0l :>: :> 0 0 UO,w,w....:lC/) ~ "" ~ <( :Eo 000t:> [fJ f-< Z ~ :E Z:E 00 HU f-<...... 0..[fJ Hf-< 1>:...:1 U::> [fJ[fJ ~~ 01>: I-< ..... ~o..~ 1><[fJ::> Z[fJ t:>H~ :z: I>: I-< ~oo ~~~ I><f-<f-< [fJ~ O~...:I 0::>1>< O:E ~O I>:U ~ I>< I-< ~ I>< ~ t:> <( 0.. f-< >< ~ Z o f-< Z o o ~ ::> ~ f-< Z o U o [fJ ...... '" >< f-< CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, W A 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 07-00001087 Date 10/03/07 624237 1208 ROOK DR 06-30-14-3-1-9130-0POO- CRAFTSMAN FINE HOMES FIRE SPRINKLER SYSTEM RS9 RESDNTL SINGLE FAMILY 4000 Owner Contractor STEVEN P. & KATHLEEN M. KROLL 5733 PASTORAL DRIVE PORT ANGELES WA 98362 (360) 452-1320 Structure Information 000 000 INNOVATED FIRE SPRINKLERS 81 NEW HAVEN LANE PORT ANGELES WA 98362 (360) 452-7583 INSTALL FIRE SPRINKLER SYSTEM Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . FIRE SPRINKLER RESID FIRE SPRINKLER SYSTEM 111369 50.00 Plan Check Fee 10/03/07 Valuation 3/31/08 .00 o Qty Unit Charge Per BASE FEE Extension 50.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50..00 50.00 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 1l- ?<?L <gy / ~- ~6: , O~ This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have 110t been requested with 180 days from the last inspection. I hereby certify that I have read and examine:! this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compied with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the rovisions of any state or local law regulating the work specified in the permit. ~ - ----- - IJ ? Signature of Owner (if Owner is builder) Date -.:-..~ !WI _ ............ 4.-.N:<._'_ FIRE PERMIT INSPECTION RECORD 0. ---1 I Call 360-417-4655 for fire 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. -J KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final Iz~2(,-07 1>j'l FIRE ALARM Rough-in inspection Alann final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test # 1 Above ground piping inspection/pressure test Piping pressure test pSI Time initiated Tank (container) inspection Test #2 Appliance inspection Piping pressure test pSI Time initiated LP-gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT . Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) (t'- permit final v:; , ? ~ \f) ~ Inspection Type I Date Passed I Comments \'J o CO 7:J d ~ Cl 1" N 1J 2/15/00 ,.. -..- ::5 ;C ~. V\ GENERAL COMMENTS: \ r--- PORT ANGELES FIRE DEPARTMENT :7 102 East Fifth Street, Port Angeles, Washington 98362 ~.....- 01/' \ 07J (360) 417-4650 FAX (360) 417-4659 -1\ Fire Sprinkler System Plan Review Project Name: Private Residence Address: 1208 Rook Drive Installer: Innovated Fire Installer Telephone: 452-7583 Type of System: Open 130 13RO 13 D~ Date: 9.21.2007 PAFD Permit #: 07-30 We have checked this plan and find that it conforms to the requirements of the code. Additional Comments: All systems, including underground mains, shall be installed by a state licensed and certified company. Systems shall be installed per the applicable NFP A Standard. All electrical components shall be compatible with the fire alarm system. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush of the underground piping is required. A design sprinkler flow test and alarm test are required for all13D systems. Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFP A Standard. This 13D system will require a measured flow test. Contractor Reviewed by: ~ OQ ..Jd.O Date: q .z.\. () 7 o ~ o Building Department Fire Department BUILDING PERMIT - APPLICATION FO): OFFICIAL USE ONLY: Dale )(ec.:-1"' "ZD - 61 Pennit/!: 0"1- 107>] Dale i'.pprClved: Dale Issued: Fill out COMl'LETEL Y and in IJ\'K. Your application and site plan MUST BE COMPLETE to he accepted for ,'eview. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Owner: Applicant or Agent: ; V\.C..e. ~f- Q... Phone: L,/ .s-'.2. - "/~ 8:J c.... ~+.J L--.-" 0... .......... I'- " ~ 0 VvL e. S"e>J~ork: Ef, K.o. ~ I e.Bvl f'\. I< n> 11) R o. ~ex' / '? '/ ~ City: P or} l).~j..el~.J" Zip:? G J rD 2- Phone: Address: Architect/En gineer: Contractor.Jll/-^/iJl//:J-TE/J J=- / R&tt License #:I/Y/V()lJ.s~O y"Pi!f:p: ~/n/~~hone: YS.2 -7SB . Address: 81 Ne<.-> )JC\.t!-f!.. ~ L a-" City: Pc. ,r7 lJ'-:j.JJ/Lw Zip: Cj.t5:3f, 2- PROJECT ADDRESS: I <-CJE R.oo k 0 v-:. V e- ZONING: LEGAL DESCRJPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: TI'PE OF WORK: }CResidential D New Constr. D Re-roof 0 Stove o Multi-family D Addition D MoveD Garage o Commercial D Remodel D Demolition D Deck o Repair D Sign D Other . BRIEF DESCRIPTIQN OF THE PROJECT: r~)A II SIZE/V ALUATION: SF. @$ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTf'l VALUATIO~ ir $ 7'000" ~O FI.re. S'r?v-< 14. I R - S '7 s ~c t--., COMMERCIAL/RESIDEl'i"TIAL: Occupancy Group: No. of Stories: Lot Size: Total lot coverage Existing Sq. Ft. Occupant Load: & Proposed Sq. PI. % Construction Type: = TOT..<\L Sq. PI. PLANNlNG USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTEER:_ ESAlWetland(s): DYesDNo SEPAChecklistrequired?D YesD No Other: VALUATION OF CONSTRUCTION: In aU 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 CRECK 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. EXPffiA TION OF PLAN REVIEW: If no 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 His my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to worr~ nFORMSIB"'gPami"~wpd Apph"",', J~ ~.1L,- Did" '1/.1//0 7 I / S "'l,,;:;;." CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DrvISION :m 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 07-00000737 Date 411262 1208 ROOK DR 06-30-14-3-1-9130-0000- STEVE & KATHY KROLL RES NEW SFR 9/14/07 RS9 RESDNTL SINGLE FAMILY 300000 Owner Contractor STEVEN P. & KATHLEEN M. 5733 PASTORAL DRIVE PORT ANGELES (360) 452-1320 Structure Information 000 Other struct info . . KROLL CRAFTSMAN FINE HOMES LLC PO BOX 1779 PORT ANGELES (360) 461-0606 000 3219 SF SFR WITH ATTACHED GARAGE TOTAL % LOT COVERAGE 8.41 CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 WA 98362 V-N 2.00 38268.00 3219.00 3219.00 1. 00 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL SIMPSONI 2400 SQ. FT. SFR+ REM 110072 SIMPSON ELECTRIC 146.00 9/14/07 3/12/08 Plan Check Fee valuation .00 o .-- ,~ o c;<:) Qty 1. 00 3.00 1. 00 Unit Charge 69.0000 22.0000 11.0000 Per ECH 5C ECH EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 EL-METERS REMOTE INSTALL Extension 69.00 66.00 11.00 -p d r:: Q' -<) 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. This project wfll, require seperate permit and fire sprinkler plans for review. Call for cover inspection for all sprinkler installations. A full acceptance test will be required for all fire alarm systems. 06/29/2007 05:14 PM SROBERDS ---The proposal will result in a new sfr wlattached garage in the RS-9 zone for total lot coverage of 8%. A 10' sewer easement along the east side of the lot to serve lots to the south will be requested. Electrical load calculations and elctrical 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. COMMENTS/ACTION NEEDED ELECfRlCAL 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 DATE ACCEPTED COMMENTS YES NO 1JITCH ROTTGH-IN / COVER -SERVICE FIN AT ( 'il::z) / () ';> I GENERAL COMMENTS: pW.IJD2.1, 14'961 '~ ~ .. CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION J21 EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pin number 07-00000737 411262 Page Date 2 9/14/07 Special Notes and Comments 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 pouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 146.00 146.00 .00 .00 Plan Check Total .00' .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 2380.50 2380.50 .00 .00 COMMENTS/ACTION NEEDED " ELECfRICAL 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 DATE ACCEPTED COMMENTS . I YES I NO )I O( '1-4 .-...... ............ 1) lU(~H-lN / CUVhK ShRVICE l<TN !J. T l2lz//A "? I ~ I GENERAL COMMENTS: PW-II02.1'14'961 ~ 08/15/2007 G--t:,9 00:59 4579270 SIMPSON ELECTRIC PAGE 01 ,- . . ELECTRICAL WORKPERMJT APPLICATION . ,~ Job ..ired by ?Electrlca. Contractor Q Owner mectricol contrnelor nnme Lice~~ number Date Expires iQ:!::l G led-"f1.-e.. S~tI1 PS"rE-L '1"]3 12,9- Pureh '5 mailing address I ~ '-130131.:. J~':J Cily P _ p... T!:lephonc:: nlJmbCIr 1-9:J-"10 'Premlges owner's R\-D J I Addf'CSI Dr InsptCtlDR /J I ~'1 O!r n ODic I'Jt-. City p . In.'!:tallalion dcscripticm C Commereisl ~ Residential 'J11New Cl AlreredlAdditinD , Id I State ZIP v I D fA) A- q 6 3 (C>..7 FA~ tt. ;(, 'I ~ sp'-fi g y. ~ '\1 1< ~-e... rl1 €..--+---- J f. t;t1!. /,- C(tAF75 rfrJ/f?'-; ~/ /v t:- Ifoff! o Owner D.': drtfltll'!d 1))' RCW,/9.18.26/:(I) OwMr will occup)' tlle SIf*Ucltm:/Qr two yea,." tifle,. litis elcct,.ir..JJ1 p~liI ;s jinalizr::d, (1) o...,nc" is rcqui~ 10 hi.,., D" elt!ctrical cmt.lTtJC(OI' If above soid property is for sale. ren, or fease. After rr:ading the above S,",,"U1"Icnl, I hereby certify thl\t , ;ntl !.he (tWtl'eT of'ltc "hove namoo property Of :t licensed electrical contmetOT. I am nmkil\~ t!,e electrical instal- lation or :t.lter:uion in compliance wilh the electrical 1:-'*$. N.E.C.. R.CW. ChBpt~r 19.28. WAC. Chapter 296-461J. The Ciry of PorI ^"geles Mun;cir"] Code, and Utility Spe . lcatian!l. Sigutll e t (I ur, el~etrlul Q Cash Q Check # ontraetol'" or tlettrleal edml ltrato,- - Date: ~ 'Ir;./o 7 ~:i:a: ~~ ~~~:o~er_~ Expiration Dalo of oard s"''''tLf& -~ Service Informattllll ~\tlcAllied Additions end or subtractIons D NO LOAD CHANGeS D Basaboard KW CJ Furnace _ KW o Heat Pump _ Ton _ LAR D Fan-Wen KW CJ Overhead Sel'Yiee o Temp Service ..... Underground Service VOltage PhaseD 1 [] 3 Servie<> SIZe: ~n-rr-p F88deT Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGR,IN rnERMOSTAT SERVICE U.tt ""llf'lIYC" J3y DRIll A""",,,ed ar f'IJI'AL. DITCH. .. -....~tf'l D~le ^ror_f'dD, D.lt AllP"'''e.18)' FEEDER u.. A~Br Inspection Datt: Area, Building or Equipment Jnspecmd Action Takm Electrical Inspector q -Lf -07 7/ 3,. 00 ~/'J,.)C/.-"- x UQHT 1It:t'f. 08/14/2007 18:38 4579270 (',. -f.. ~ ~ ~ Job ...ired by )ll.klectrl<al Contractor 0 Owner ElcclnClll contrllctor name L1Cetlse "umber Date Expires r-<)l~ F~ S..IJ7J4PS6L973, Purch.s~ef'O:: m~li"g t\ddres9 W ,.1t!303k f~'J 101 C"Y f~+- f#v;tV/~5 W~ 1tf'3/,3 TelCt'hone number t::;;. ..., . FAX number S- -, __~ " Prtmlses 01iit"i/,A.meKi1 oj I Addreu or h"puUnn y () -&()~ 11001.:::. yr. Ch. Fof(j- IJ"Aele$, td/! Pb... ."'"11bli~'~dUI7~.'1 , . LSlIhh..5d1'l e.,.,...frr..J..v" Ol'lf,,~r 05 Dt!jined by RCW TP.28,26/:(J) Owner ....,ill occupy the .~trlJ.clfJrefor two YCQrS <1flcr tMs. electr-ical permi, is finalized. (2) Own~ is reqllired 10 h;re tm ~lt!clJica1 cnf/'raclor if above .taid properly is /Or sale. rent or least!.... After reading the above Bt3.tcJ:nent, I heft.by ecrtiry thlll I 8m the owner 01 the above nmned property or 8 licl!flSed electrical contractor. I am makina tbe electrical instal.. lation Of alteration in compliance with the dectric:>>.1 lawlt, N.S.C., RCW. Chaptet 19.28. WAC. Chapter 296..46D. The City of Port Angelc~ MunicipAl Code, Br)d Utility Spccificatinn!'l. StRnlt I!; , owner. electrJral Eloctrlcal Loud 6.ll! i '0 o NO LOAD CHANGES o Baseboard _ KW [J Fumace _ K.W 1:1 Heat Pump _ Ton _ LAR Q Fan.Wall ---.. KW "11$ SIMPSON ELECTRIC PAGE B1 .... ELECTRICAT_ WORKPERMlT APl'LICATIOrf "'slallation description o Comm.rdol ;d R..ld.Dtlal New D A1'.ndIAddllloD ft"'~ ~ero,'~e.- ~ hJ..J ~ t, 0 ..(-D '07:> ft? \ ,- Q Cash Q Check # Q Credit Card ~ Mastercard Discover Card# ___~_~_________ Expiration Date '0 trO of card ee Service InformatlRo. Q "pverhead Service 6"'Temp Service CJ UndergrOUr'ld Service vOnlllle PhaseD 1 D3 ServIce Size: _ Feeder Size: SAME DAY INSPECTION CALL BEFORE 7:00 AM 360-417-4735 . ROUGH-IN J mERMOSTAT , SERVICE D.la ^"l'f'('1"e~ Dy DJ\le Act9mYI:!ll By "- D..e ^I'\'l",...r:o,l ay../ 1l!jb~~~ r OTfCH /' FEEDER I)~\ ^1Il"'<'....1;l1 Uy "- D~le l\ppn.oYe'lI By O.lt A~ Dy___ InfPcction Area, Building or EqUipment Jn$peCled Acti<tn Taken ElcctriC3.1 Dale: lns.pec:tor g.??..,) NI'.20.,r,n Jli~ .. Il".!III:: : I \J I=n D AUG 1 7 2l 117 . UGHT DEPT. '~ w CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000955 Date 858285 1208 ROOK DR 06-30-14-3-1-9130-0000- ELECTRICAL ONLY 8/29/07 RS9 RESDNTL SINGLE FAMILY o Owner Contractor KNOLL 1208 ROOK DR PORT ANGELES (360) 461-0276 WA 983635728 SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457-9270 WA 98363 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE SIMPSONI TEMP SVC 109132 SIMPSON ELECTRIC 40.00 Plan Check Fee 8/29/07 Valuation 2/25/08 .00 o ~ "C) Oa Qty Unit Charge Per 1.00 40.0000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 40.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.00 40.00 .00 .00 Plan Check Total .00 .00 .00 :00 Grand Total 40.00 40.00 .00 .00 ~ ~ ~ COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfIONRECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. 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Ul ~ <.OJ ~ 12 o :E <( Ul 01 f-< o Z o :i! ~ ~ Ul f-< Z C>l :E :E o U ~ Of ,ORT ~ "l~~'" ~~ ~ -- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 o --J , --J VJ -J Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation STEVEN P. & KATHLEEN M. 5733 PASTORAL DRIVE PORT ANGELES (360) 452-1320 Structure Information 000 Other struct info . . Owner Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 7/1B/07 07-00000737 Date 411262 120B ROOK DR 06-30-14-3-1-9130-0000- STEVE & KATHY KROLL RES NEW SFR RS9 RESDNTL SINGLE FAMILY 300000 Contractor KROLL CRAFTSMAN FINE HOMES LLC PO BOX 1779 PORT ANGELES (360) 461-0606 000 3219 SF SFR WITH ATTACHED GARAGE TOTAL % LOT COVERAGE B.41 CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 9B362 WA 9B362 V-N 2.00 3B26B.00 3219.00 3219.00 1. 00 PUBLIC WORKS RES WATER SERV 5/B" DROP IN WATER METER 10665B 200.00 Plan Check Fee 7/16/07 Valuation 1/12/0B .00 300000 ~ G 0() Qty Unit Charge Per Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BASE FEE Extension 200.00 7J g 7'- \7 ~ ~ RIGHT OF WAY 106641 50.00 7/16/07 1/12/08 Plan Check Fee Valuation .00 300000 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 106633 120.00 7/16/07 1/12/08 Plan Check Fee Valuation .00 300000 Qty Unit Charge Per 1.00 120.0000 EA SAN SEWER HOOKUP Extension 120.00 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 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 Clays 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. on. 8\e (1Ig/o7 Date Date Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:\Policies\1102.1SR (l/OSJ PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRlVEW A Y APPROACH BACK-FLOW DEVICE I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R W./ PW/ CONSTRUCTION - R W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1105] f ,ORT ~ .t,O~~"t. ." ~-- . ~,,~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 07-00000737 Application pin number 411262 Page Date 2 7/18/07 Special Notes and Comments of contrasting color from the background. This project will require seperate permit and fire sprinkler plans for review. Call for cover inspection for all sprinkler installations. A full acceptance test will be required for all fire alarm systems. 06/29/2007 05:14 PM SROBERDS ---The proposal will result in a new sfr w/attached garage in the RS-9 zone for total lot coverage of 8\. A 10' sewer easement along the east side of the lot to serve lots to the south will be requested. Electrical load calculations and elctrical 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. 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 pouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 370.00 370.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 2604.50 2604.50 .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 180aays 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\II02.15R [1/051 PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1/05] f~ORT ""'" ~~O~~'" fO~tl' if 'EiI "--~ ~ '\.OllC~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 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 STEVEN P. & KATHLEEN M. 5733 PASTORAL DRIVE PORT ANGELES (360) 452-1320 Structure Information 000 Other struct info . . Owner Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 7/18/07 07-00000737 Date 411262 1208 ROOK DR 06-30-14-3-1-9130-0000- STEVE & KATHY KROLL RES NEW SFR RS9 RESDNTL SINGLE FAMILY 300000 Contractor KROLL CRAFTSMAN FINE HOMES LLC PO BOX 1779 PORT ANGELES (360) 461-0606 000 3219 SF SFR WITH ATTACHED GARAGE TOTAL t LOT COVERAGE 8.41 CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 WA 98362 V-N 2.00 38268.00 3219.00 3219.00 1. 00 BUILDING PERMIT -RESIDENTIAL 3219 SF SFR & ATT GRG 105254 2140.25 Plan Check Fee 7/16/07 Valuation 1/12/08 856.10 300000 Qty Unit Charge Per Extension 1020.25 1120.00 BASE FEE 200.00 5.6000 THOU BL-100,001-500K (5.60 PER K) Permit . . . . . Additional desc . Permit pin number Permi t Fee' Issue Date Expiration Date MECHANICAL PERMIT 106294 140.15 Plan Check Fee 7/16/07 valuation 1/12/08 .00 o ~ /jq~ /~ ~if <) " 0-.> Qty Unit Charge Per BASE FEE 1.00 14.7000 ECH ME- INSTALL 100- FAU 6.00 7.2500 ECH ME-VENT FAN 2.00 10.6500 ECH ME-OTHER APPL. N/R 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 Permit . . . . . Additional desc . Permit pin number Permi t Fee Issue Date Expiration Date Extension 50.00 14.70 43.50 21. 30 10.65 PLUMBING PERMIT 106286 184.00 7/16/07 1/12/08 Plan Check Fee Valuation .00 o Qty Unit Charge Per Extension Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. o Y\ S' l e. '1':llo7 Date Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building pennit inspection rccord05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL417-48]5 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS. CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANJ' WORK BEFOR1: INSPECTED AiVD ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCA TJON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSI'ECTlON TYPE DATE ACCEI'TED COMMENTS YES NO FOUNDA TlON: FOOTINGS SHEAR WALLS I WALLS FOUNDA TION DRAn,AGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMIlING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LmE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CElLING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CElLING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL ROUGH-IN I HEAT PUMP/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE / PELLET / ClllMNEY MANUFACTURED HOMES FOOTn-iG / SLAB BLOCKING & HOLD DOWNS SKJRTn-iG PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 4 \ 7-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNmG DEPT. 417-4750 PLANNmG DEPT. BUlLDn-iG 417-4815 BUILDmG T:IPoliciesll102 15 bUlldmg penmt mspectJon record05.wpd [1/4/2005] :f~ORT~ ~"'O~~"" ,(j~<Jl if~ L~ :-=- "l.il;,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 . Page 2 Application Number 07-00000737 Date 7/18/07 Application pin number 411262 Qty Unit Charge Per Extension BASE FEE 50.00 15.00 7.0000 ECH PL- EA. FIXTURE ON ONE TRAP 105.00 1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00 1. 00 7.0000 ECH PL- EA.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. This project will require seperate permit and fire sprinkler plans for review. Call for cover inspection for all sprinkler installations. A full acceptance test will be required for all fire alarm systems. 06/29/2007 05:14 PM SROBERDS ---The proposal will result in a new sfr w/attached garage in the RS-9 zone for total lot coverage of 8%. A 10' sewer easement along the east side of the lot to serve lots to the south will be requested. Electrical load calculations and elctrical 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. 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 pouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 2464.40 2464.40 .00 .00 Plan Check Total 856.10 856.10 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 5555.00 5555.00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and pUblic improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction 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 performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) 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 UNLA WFUL TO COVER, INSULATE OR CONCEAL ANJ' WORE BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCAT10N. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. o -J j \jJ -J INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: . FOOTINGS '/31/cn 3LL S~Wtl\\ o 7s/Ciof 07 Jl..<'-' SHEAR WALLS 1 WALLS . Footinj5 O'3( 1'-\ (Of 'J'L.L. FOUNDATION DRAINAGE 1 DOWN SPOUTS '31l4 J Of ALL. PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN \ () -3-0"7 -XLL WATER LINE (METER TO BLDG) ~ lzolol ~U- GAS LINE FINAd L -'2..7-01 DATE PB ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL IO-li-07 rf> WALLS CEILING FRAMING }O-li-01 Pl? JOISTS I GIRDERS /'SHEAR W AL1}lOLD DOWNS I ()- ~-/f1 -:ILL WALLS 1 ROOF 1 CEILING DRYWALL (rNTERJOR BRACED PANEL ONLY) T-BAR INSULATION \ f'\ -. I Q. -Of "3l,.,L- SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL ROUGH-IN \f'I-IQ-Ot :ru..... HEATPUMY/FURNACE/DUCTS GAS LINE 10-3-07 :JL-(......-- FINAd2-27.-b7 DATE PB ACCEPTED BY: WOOD STOVE 1 PELLET 1 CHIMNEY MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS . SKJRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: \ ~ FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL- LlGHTDEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 4J7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 \ "2..-2 T-at fa BUILDING ~ o ~ /tJ g 7'- C1 ") ~ T:\Policies\1102 15 bUlldmg penTIl1 mspecllon record05.wpd [1/4/2005] ~ E. \f) ~~ Owner Contractor 7/16/07 5 \ -1 \)J -J f ,ORT ~ lO~~"r. ~ I!.c-- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES 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 07-00000737 Date 411262 1208 ROOK DR 06-30-14-3-1-9130-0000- STEVE "& KATHY KROLL RES NEW SFR RS9 RESDNTL SINGLE FAMILY 300000 see ihe correckJ f~tt- ~~ 011 t<6107 (OJlth ~e JVP'l'~ n o+e S re.kY)OVBo(J STEVEN P. & KATHLEEN M. 5733 PASTORAL DRIVE PORT ANGELES (360) 452-1320 Structure Information 000 Other struct info . . KROLL CRAFTSMAN FINE HOMES LLC PO BOX 1779 PORT ANGELES (360) 461-0606 000 3219 SF SFR WITH ATTACHED TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 5/8" DROP IN WATER METER 106658 200.00 7/16/07 1/12/08 .00 300000 '- Qty Unit Charge Per "Extension BASE FEE 200.00 r:;J o oQ Permit RIGHT OF WAY Additional desc Permit pin number 106641 Permit Fee 50.00 Plan Check Fee Issue Date 7/16/07 Valuation Expiration Date 1/12/08 Qty Unit Charge Per 1. 00 50.0000 ECH OF WAY PERMIT Qty 1. 00 .00 300000 ~ 8 7'. Extension 50.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date Plan Check Fee Valuation .00 300000 CJ ~ SAN SEWER HOOKUP Extension 120.00 Special Notes and Comments . Address numbers shall be plainly visible from the street. Address number shall be a minimum of six inches high and be required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if w or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 18 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I reby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordi ances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to ive authority to violate or cancel the provisions of any state or local law regulating construction or the performance of co c 7~;;7 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\II02.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 r INSPECTION TYPE DATE ACCEPTED / COMMENTS YES NO PW UTILITIES (Engineering Division) / WATERLINE I METER SEWER CONNECTION SANlT AR Y STORM / SITE DRAINAGE / / SITE EROSION CONTROL / PARKING SIDEWALK / CURB & GUTTER / / DRlVEW A Y APPROACH / BACK-FLOW DEVICE / I / / / / / / / I / I / II / / / / / / / / / / j FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R W. I PWI CONSTRUCTION - R W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1/05] Of ,ORT ~ ,I,~~~"" ~,.~ 1!:: -- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Page Date 2 7/16/07 Application Number . . . . . 07-00000737 Application pin number 411262 Special Notes and Comments of contrasting color from the background. This project will require seperate permit and fire sprinkler plans for review. Call for cover inspection for all sprinkler installations. A full acceptance test will be required for all fire alarm systems. 06/29/2007 05:14 PM SROBERDS ---The proposal in a new sfr w/attached garage in the RS-9 zone lot coverage of 8%. A 10' sewer easement along side of the lot to serve lots to the south will requested. Electrical load calculations and elctrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Ditches & 12" culverts will be installed to City Stanards. Construct driveway and Sidewalks to City Standards. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the No concrete with exposed aggregate allowed in the road right of way. An inspection by Public Works road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. Engineering is required prior to prouring concret . Construct driveway and Sidewalks to City Standar Sanitary sewer connection inspection is require Sanitary sewer connection inspection is requir d See public Works Engineering for Standards. See Public works Engineering for Standards. Public Works prior to back fill of ditch. Public Works prior to back fill of ditch. notice is required. notice is required. Sanitary sewer connection inspection i required by Construct driveway and Sidewalks to ty Standards. Ditches & 12" culverts will be inst led to City Stanards. No concrete with exposed aggregate llowed in the City No concrete with exposed aggregat allowed in the City road right of way. An inspectio by Public Works road right of way. An inspecti by Public Works Engineering is required prior 0 prouring concrete. Engineering is required prio to prouring concrete. Sanitary sewer connection i spection is required by Ditches & 12" culverts wil be installed to City Stanards. Ditches & 12" culverts w. 1 be installed to City Stanards. See Public Works Engine ing for Standards. Public Works prior to ck fill of ditch. 24 hour advance Public Works prior to ack fill of ditch. 24 hour advance notice is required. See Public Works E notice is require . Ditches & 8" culv. rts will be installed to City Stanards. See Public Work Engineering for Standards. Sanitary sewer connection inspection is required by will result for total the east be advance advance Separate Permits ar. required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if wo or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 18 daYs after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I reby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordi nces governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to Ive authority to violate or cancel the provisions of any state or local law regulating construction or the performance of constructio . Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102.15R [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 PERM~ONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SI INSPECTION TYPE DATE ACCEPTED / COMMENTS YES NO PW UTILITIES (Engineering Division) / WATERLINE / METER SEWER CONNECTION SANITARY STORM . / SITE DRAINAGE / / SITE EROSION CONTROL / PARKING 1/ SIDEWALK J CURB & GUTTER / / DRIVEWAY APPROACH j BACK-FLOW DEVICE / I 'j / J / j / j / / / / / / I J / / / / / / / FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL / DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W. / PW/ / CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE / 4 17-4653 FIRE DEPT. PLANNING DEPT. L. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1 I02.15R [1105] d ,ORT ~G l~~'" ,.~ !l..-- ~,,~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Page 3 Date 7/16/07 Application Number . . . . . 07-00000737 Application pin number 411262 Special Notes and Comments 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 summary Charged Paid Credited ----------------- ---------- ---------- Permit Fee Total 370.00 370.00 .00 Plan Check Total .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 Grand Total 2604.50 2604.50 .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 cayS 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\ 11 02.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) / WATERLINE / METER SEWER CONNECTION SANITARY STORM 7 SITE DRAINAGE / SITE EROSION CONTROL I PARKING / SIDEWALK / CURB & GUTTER / I DRIVEWAY APPROACH j BACK-FLOW DEVICE / 'j 1/ J / / / / / / / I / / / / / / / / / / / FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RES7NTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION #1PW' CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1/05] ~"'ORT I'\+. tO~~~ ,. "-~ ...-- "to\,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 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 STEVEN P. & KATHLEEN M. 5733 PASTORAL DRIVE PORT ANGELES (360) 452-1320 Structure Information 000 Other struct info . . WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 07-00000737 Date 411262 1208 ROOK DR 06-30-14-3-1-9130-0000- STEVE & KATHY KROLL RES NEW SFR RS9 RESDNTL SINGLE FAMILY 300000 Contractor KROLL CRAFTSMAN FINE HOMES LLC PO BOX 1779 PORT ANGELES (360) 461-0606 000 3219 SF SFR WITH ATTACHED G TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDING PERMIT -RESIDENT 3219 SF SFR & ATT GRG 105254 2140.25 7/16/07 1/12/08 Qty Unit Charge Per 200.00 5.6000 THOU Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date Qty 1. 00 6.00 2.00 1. 00 Permit Additional Permit pin Permit Fee Issue Date Expiration Fee (5.60 PERK) Plan Check Fee Valuation BASE FEE ME- INSTALL 100- FAU ME-VENT FAN ME-OTHER APPL. N/R ME-GAS PIPE 1 TO 5 PLUMBING PERMIT 106286 184.00 7/16/07 1/12/08 Qty Plan Check Fee Valuation Per 7/16/07 2.00 38268.00 3219.00 3219.00 1. 00 856.10 300000 Extension 1020.25 1120.00 .00 o Extension 50.00 14.70 43.50 21.30 10.65 .00 o Extension see +he 0>\"~ perh\lf- Ja.,ieJ 01(18/07 (-WIth The duD/' ho'-les tr.D,~ _ I I c~ . =TY)oV~ /% '-!'"/J .J'tb (f' ~~ -1'1 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 c ction 7A~ Date Signature of Owner (if owner is builder) Date T:\PoliciesIl102 _15 building pennit inspection record05. wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL417-4815 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 UNLA WFUL TO COVER, INSULATE OR CONCEAL ANJ' WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA T10N. KEEP PERMlT CARD AND APPROVED PLANS AT .lOB SITE. INSI'ECTION TYPE DATE ACCEPTED .COMMENTS YES NO FOUNDA nON: FOOTINGS SHEAR WALLS / WALLS / FOUNDA TJON DRAINAGE / DOWN SPOUTS PIERS V POST HOLES (POLE BLDGS.J / PLUMBING / UNDER FLOOR / SLAB / ROUGH-IN WATER LINE (METER TO BLDG) / GAS LINE / FINAL DATE ACCEPTED BY: BACK FLOW / WATER 7 AIR SEAL / WALLS 1/ CEILING /I FRAMING / JOISTS / GIRDERS / SHEAR WALL/HOLD DOWNS / WALLS / ROOF / CEILING / DRYWALL (INTERJOR BRACED PANEL ONLY) / T-BAR / INSULA nON / SLAB X WALL / FLOOR / CEILING / I MECHANICAL / ROUGH-IN / HEATPUMY/FURNACE/DUCTS / GAS LINE / FINAL DATE ACCEPTED BY: WOOD STOVE / PELLET I CHlMNEY / / MANUFACTURED HOMES / FOOTING / SLAB / BLOCKING & HOLD DOWNS/ SKJRTING / PLANNING DEPT. SEP*^TE PERMIT#'s SEPA: PARKING/LIGHTING 7 ESA: LANDSCAPING / SHORELINE: / FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE /SIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL fLIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. /PW/ CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW / ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. Bl/TLDING 417-4815 BUILDING T:\Policies\1102 15 building pennit inspection record05.wpd [1/4/2005] f~ORT "'-\0: J-.s,O~~~ ,. L~ ~ " 'tr1i:lC~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Page 2 Application Number 07-00000737 Date 7/16/07 Application pin number 411262 Qty Unit Charge Per Extension BASE FEE 50.00 15.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 105.00 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 1.00 15.0000 ECH PL- EA. BLDG SEWER 15.00 1. 00 7.0000 ECH PL- EA.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. This project will require seperate permit and fire sprinkler plans for review. Call for cover inspection for all sprinkler installations. A full acceptance test will be required for all fire alarm systems. 06/29/2007 05:14 PM SROBERDS ---The proposal will result in a new sfr w/attached garage in the RS-9 zone for total lot coverage of 8%. A 10' sewer easement along the east side of the lot to serve lots to the south will be requested. Electrical load calculations and elctrical permits required. Any modifications to the City's electrical be at the customer's expense. Ditches & 12" culverts will be installed Construct driveway and Sidewalks to City Construct driveway and Sidewalks to City Sta tlards. No concrete with exposed aggregate allowed City No concrete with exposed aggregate allowe City road right of way. An inspection by Pub c road right of way. An inspection by ic Works Engineering is required prior to prou ing concrete. Engineering is required prior to pro ring concrete. Construct driveway and Sidewalks to City Standards. Sanitary sewer connection inspect' n is required by Sanitary sewer connection inspec on is required by See Public Works Engineering fo Standards. See Public Works Engineering f r Standards. Public Works prior to back fi 1 of ditch. 24 hour advance Public Works prior to back 11 of ditch. 24 hour advance notice is required. notice is required. Sanitary sewer connectio inspection is required by Construct driveway and idewalks to City Standards. Ditches & 12" culvert will be installed to City Stanards. No concrete with exp sed aggregate allowed in the City No concrete with ex osed aggregate allowed in the City road right of way. An inspection by Public Works road right of wa~. An inspection by Public Works Engineering is qui red prior to prouring concrete. Engineering is equired prior to prouring concrete. Sanitary sewe connection inspection is required by Ditches & 12 culverts will be installed to City Stanards. Ditches & "culverts will be installed to City Stanards. Separate Per . s are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void' work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspectio . 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 rdinances governing this type of work will be complied with whether specified herein or not. The granting ofa permit does not presum to give authority to violate or cancel the provisions of any state or local law regulating construction or the, performance of construe on. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102_l5 building pennit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 4]7-4815 FOR BUILDING INSPECTIONS. CALL 4]7-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBUC WORKS UTIUTIES ~~ _ PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CQ CEAL ANJ' WORK BEFORE I.NSPECTED AND ACCEPTED. POST PERMIT ]J\' A CONSPICUOUS LOCA lON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED / COMMENTS YES NO FOUNDATION: / FOOTINGS SHEAR WALLS 1 WALLS FOUNDA TJON DRAINAGE 1 DOWN SPOUTS PIERS I -; POST HOLES (POLE BLOGS.) PLUMBING / UNDER FLOOR 1 SLAB / ROUGH-fN / WATER LINE (METER TO BLOG) / GAS LINE / FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER / AIR SEAL / WALLS If CEILING I / FRAMING / JOISTS 1 GIRDERS / SHEAR WALL/HOLD DOWNS / WALLS 1 ROOF 1 CEILING / DRYWALL (INTERJOR BRACED PANEL ONLY) / T-BAR / INSULATION / SLAB / WALL 1 FLOOR 1 CEILING / MECHANICAL / ROUGH-fN / HEAT PUMP I FURNACE 1 DUCTS / GAS LINE I FINAL DATE ACCEPTED BY: WOOD STOVE 1 PELLET 1 CffiMNEY / / MANUFACTURED HOMES / FOOTfNG 1 SLAB / BLOCKING & HOLD DOWNS / SKJRTING / PLANNING DEPT. SEP ARA TE PERMIT #'s / SEPA: P ARKING/LIGHTING 7 ESA: LANDSCAPING 7 SHORELINE: / FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL / DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LlGHT DEPT. I 4 I 7-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W./PWI CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW / ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNfNG DEPT. BUlLDfNG 417.4815 BUILDING T:\Policies\1102 15 buildmg penTIlt mspectlon record05.wpd [1/4/2005] f~ORT~ ."-4.0~~<,,,: ~,.~ L~ ~ "l.O{,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 07-00000737 Application pin number 411262 Page Date 3 7/16/07 Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Special Notes and Comments See Public Works Engineering for Standards. Public Works prior to back fill of ditch. 24 hour advance Public Works prior to back fill of ditch. 24 hour advance notice is required. See Public Works Engineering for Standards. notice is required. Ditches & 8" culverts will be installed to City Stanards. See Public Works Engineering for Standards. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 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. Fee summary Charged Paid Due ----------------- ---------- ---------- ---------- Permit Fee Total 2464.40 2464.40 .00 Plan Check Total 856.10 856.10 .00 Other Fee Total 2234.50 2234.50 .00 Grand Total 5555.00 5555.00 .00 Separate Per, its are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and yo. if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a perlo of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspecti n. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws an 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:\PoliciesIlI02_15 building pennit inspection record05.wpd [1/4/2005] --- - - -- - -- ---- -- BUILDING PERMIT INSPECTION RECORD . CALL 4] 7-48]5 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTJO S. CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCE ANJ' WORK BEFORE Il'l'SPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TlO ' KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE. INSPECTION TYPE DATE ACCEPTED 7MMENTS YES I NO FOUNDA nON: / FOOTINGS SHEAR WALLS 1 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS / POST HOLES (POLE BLDGS.) PLUMIllNG / UNDER FLOOR 1 SLAB ROUGH-IN / WATER LINE (METER TO BLDG) / GAS LINE / FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER / AIR SEAL / WALLS / CEILING / FRAMING / JOISTS 1 GIRDERS / SHEAR W ALLlHOLD DOWNS I WALLS 1 ROOF 1 CEILING / DRYWALL (INTERJOR BRACED PANEL ONLY) / T-BAR / INSULATION / SLAB / WALL 1 FLOOR 1 CEILING f MECHANICAL / ROUGH-IN 7 HEAT PUMP I FURNACE 1 DUCTS V GAS LINE J FINAL DATE ACCEPTED BY: WOOD STOVE 1 PELLET 1 CillMNEY / / MANUFACTURED HOMES I FOOTING 1 SLAB I BLOCKING & HOLD DOWNS I SKJRTING / PLANNING DEPT. SEPARATE PERJyflT #'5 SEPA: P ARKING/LIGHTING I ESA: LANDSCAPING / SHORELINE: / FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAi DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT./ 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. 1 pi CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW 1 ENGINEERJNG FIRE / 417-4653 FIRE DEPT. PLANNING DEPT. 4..._ 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING o ,...j ) r--l \N -J --- ~ CO ~ g 7'- V j .....0 . z f&~ CCx~ ""'9 y 7.- E \fl ~ T:IPoliciesll102 15 buildmg pennll mspectlon record05.wpd [1/412005] BUILDING PERMIT - APPLICATION FOR OFF1ClAL USE ONLY: DateRec.:~-Zl- tD 7 " nn'" 0 ~~~ ate Approved: , ate Issued: - 1 \ Fill out COMPLETELY and in INK. Your application and site plan MUST B ; COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: {flHF7J'MJ{AI ,F>/V1'l #oMtt;[ L,/... f . 1 G 0-1('&/ -066'6 Owner: frf3.(/'%.:t::-f(~ 711/'-' ~OL<-. Ph011e:3~O - Lf ~2... -I ~ 20 Address:J.-7 f.7 f/f-.f7W'-'9( }:JA.IVI5 City: ft;/l..( ;J,v6/tLt{/ Zip: ;9'? J67- Architect/Engineer: t3;J-K A-..{JbC/trT,<...f Phone: 9t".s~L ContractorrJutr7J#A~.FfNJo~,tJ State License #: ClUfrT.FrI'lt>lJL Exp: L(j/?/v~ Phonel6a-461-tJGOC Address: f, tJ ~ox /77? City: fitL.r-/i#6~t...(J ttJA- Zip: %.?6"'L PROJECT ADDRESS: l7...o~ ~ok Ufl.. ()o T ~) ZONING: LEGAL DESCRIPTION: Lot: . D Block: Subdivision: CLALLAMCOUNTYPARCELNUMBER: q)bPO /7':7~' 7'/..50 TYPE OF WORK: SIZE/VALUATlON: 111 G\ ~ /ltJ/tlCl-o I-' Residential. D New Constr. D Re-roof 0 Stove SF. \g;$ /SF. = $ .7 o Multi-family D Addition D MoveD Garage SF. @ $ /SF. = $ o Commercial D Remodel D Demolition 0 Deck SF. @ $ /SF. = $ o Repair D Sign 0 Other TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: S; AI (pt.Ji F~AA / LY fi. b..P/'p hAr C~ to.l7ij;lf 7"n4-U/1r,-? (;7'/ Itjl<o~ I~~~(l)a.\n {'oar livthJ a.YtW-. '/117 S F / (1 Ffer 1:.1 OC>'" ),'V\'Ylj aru,.. G~R sF Co\l~PO~ ? sF .t Ga~~J I}0t12SF COMMERClAL/RESIDENTIAL: Occupancy Group: Occupant Load: Coru;truction Type: No. of Stories: ~ Lot Size: "3~ )'l(Q~ Existing Sq. Ft. 0 & Proposed Sq. Ft. '3) 2.19 = TOTAL Sq. #~ Totallot coverage 15 ' L/, % 1'1 O~ ~ Th e se p \ 0. n S 0 h o..n ~ eJ.. m tn -e l ssuetl u mi. 07 '3>' ~r ~tl-\Ker e~~,\~~ ESAlWetland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes D APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNlNG USE ONLY: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the 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. . EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. Th/ Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section " R105.3.2 of the International Bui1ding/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 itis my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits pri~r to wOr.>-; /J/.-Il- J. // T,\FORMS\BldgPomrirl~wpd Applio'"'t: ~ ~ Dateo ,;5 It:! ~ 7 " J o v o o \ Ii , ! ~ i~ ~ ! -.---1 ! i-...- I I i i I I --....-...-,) o \ ,- 1 ,. ,- 0630 Lo1- D JY31 11(3c ~ proposed _ ..1 S lie 0 CJ EJ f~ 1t::J;;J )1 c ~ fIlIiONOW~ ~ ~ ~r ~ ~ ~ ~ ~ ~~ ~re ~~~ ~~~ ~~~~ ~ ~...~ ; Mn~~~ ~ ~ ~,I !~ ~~~ ~ il~ ~~~ ~ ~i ~~~ I ~~ ~~~ ~ ~i ~ (Qj ~ ~ :~ ~~~ ~~ ~() ............. ~ ~~ ~~ h ~~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ . .. @-__~OOI ~~ ~1JOlJ:i: '81 30Vd ~~ J 3 -IO.ociO;-:r-J~~N-lZ CDdlf'(lS "",,' SS\( ONJ I.lNilOO IWT1Y1:> . ! ll' lL~ ......... .,. ~~~,~UM l~ .g ~~ I ~" 10 HfJ :oHf'KJJ ., . II') ~2U~.,I.:a..u.~ ~~a ii' ..: ~"'''ll ~ ! ili~i! is . 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I I , o l:: ....J as ....J ~ E ui ui jg Q) B Q)~ ~Q)E c ~ 5> "'l:: CD 0 C OL...- 0 =32 o~ c( u.:c ~l8 08 1:: a: .....Ia: f1.. en w !;( I.. w 0 J~;; ..O"'..~ Men"',!!!'" :: en ;t~ 1M <( ~~~ _a.", a:: o o I <> U a:: W ~ ~ ~ i ~ ~ en ~ ~ ~ ~ ~ 2t;it;i8a.Q< o a:: a:: 8 t;i t;i C ~ ~ ~ 5 5 >-u805z a> U U 0 ~eeeee ,\i...r: \ \ \ \ \ ~~ O~ '6:'5 \ \ ~ \ \ \ s- ~ ciZ;;~ ~t;:;:: \ II II II .. \ a::--,c .9-.lfl o " li1 I: I~ I~ I I I I I I I I U' : --- ' .. ----.J ... ... 0 ~ 0 N ~ I C\I ~d ;!: ~'Z Z <~ m ~~ Iii <( ~ o 0 ~~ w .., o J: (1) ~~ . 1Ila:: "- :-g~ vi ~<<> ~ It co"'" N ..,. ncq,.-) rei a> Ol co ..... a> > o is o ~ +-' I- o 9 .....J "- o o 0: 0: W <> z 2- ~ ,;; !Ii ~ ~ ~ '3 U 5 I- ID 9 e c:: ro o..y Q)Y ~ - enl c:: g Cll ...J .. E vi ~ .lB (J) 1l ,," 1ii(J)E is i: 11 O.E 0 0;: 0'; ~ u.J: ~&! 3& ~ ~ , ~ ~ ~ i ~ ~ gj ~ ~ i ~ ~ cq~B~~ ~u~~~~ ~8eeee or- Iii C\i ~!i ffi <( I> o ill C. ;~: . ~~ ~ . Q) OJ ro Qi > o ~ o ~ S 9 i ! ~ . ~ ~ ~ ~ ~ 9 e \ \ \ \ '. \ \ ~~ 0'Z. ~t ~~ c \ OJ \ C:y (J)t \ 1[; +-' - '. (/)1 \ ~!:t:: \ 111111 \ a::...lC .Il-,lrl DRAFT After Recording Return To: City of Port Angeles, P.O. Box 1150 Port Angeles, W A 98362 For and in consideration of mutual benefits, the Grantors, Steven P and Kathy Kroll, h band and wife, do hereby grant unto the Grantee, the City of Port Angeles, a municipal corporation the' ashington, and its successors in interest, a permanent sanitary sewer utility and right of way access easement to allow ingress and egress over the easterly 10' (feet) of the Grantor's property (Lot D, Green Crow SHP 02-01), more commonly known as 1208 Rook Drive. The land referred to is in Section 14 Township 30 N, Range 6 WWM, Clallam County, Washington, and the easement is more specifically described as follows: An easement 10' (feet) in width and 361.05' ( feet) in length, located on the east property line of Lot D, contained in Green Crow Short Plat (SHP 02-01) per V30 P30, Port Angeles, Clallam County, Washington. This easement shall be subject to the following reservations, terms and conditions, with which the Grantee and its successors in interest hereby agree to comply: 1. Grantee's use of this easement will be in conjunction with the construction and maintenance of a sanitary sewer main. 2. Grantee's use of this easement will in no way hinder the Grantor's the right to include the easterly 10' (feet) in building setback requirements per the City's zoning regulations. 3. Grantee's use of this easement will in no way hinder the Grantor's the right to include the easterly 10' (feet) in the percent oflot coverage allowed per the City's zoning regulations. 4. Grantee and its successors in interest will, at all times, protect, indemnify, and hold hannless Grantor's from and against any and all damages, claims, liens, costs, or liabilities which may, in any way, be asserted against Grantor's, his employees, agents, successors or assigns, by reason of injury or damage to any persons or property caused by or growing out of the use by Grantee and its successors in interest of the easement described herein. 5. Ifthe City of Port Angeles does not install a sanitary sewer main in said easement, and takes use thereof, within 20 years of the date of recording of this easement, then the easement shall revert to the Grantor's. 6. Ifthe City of Port Angeles ceases to require the use ofthe easement as described, either by abandonment or by relocation, then the easement shall revert to the Grantor's. This easement shall be filed with the Clallam County Auditor and shall be attached to and run with the real estate described herein. ~ o ,--J 1 ~ \jJ ~ - rJ o l)a A) D a 7' t7 70 This conveyance is subject to all existing rights-of-way, easements, encumbrance, exceptions, and reservations, whether or not of record. IN WITNESS WHEREOF, said pa1jf.ie~ave causecy is i trument to be executed by their proper officers and their seals to be hereunto affixed this / 0- day of A ~007. GRANTOR: CITY OF PORT ANGELES, GRANTEE: SWven Pl~~ L Kathy Kroll Karen A. Rogers, Mayor ATTEST: , ,n I - ' /l rkf} Becky J. Upton, City Clerk ~ Q _ )UlrufJ-kM <lJ::jUl-tf<--/ . U~;;~< ~ ~;{~{L :d ~~ ~o ].s r::~'c- 'a;~ .~ .~~ ~~~ ~~~ -;~~ a~~ ]~g "0..::: ~'o-~ s.s- ~ ~~.~ ~l~ .~] ~ .~ ~.~ ~E"S ~.;;~ .~ bO ~ ~.~ t; ""S ~~ ~~ ~ ~ , ~ Prescriptive Approach-Simple F0TI11 For the Washington State Energy Code (2003 Edition) Climate Zone 1 Site Information Lot: 1> Address: \ 2-0 9; Roo \<. t> V'" Building Department Use Only: Pemnt# Of - 73-7 Notes: City: State: Zip: Contact: Phone: Phone 2: FAX: Table 6-1 PRESCRIPTNE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 ( Unlimited Glazing Ootion Only) Option Glazing Glazing U-Factor Door Wall Wall Wall Slab Area % .U- Vaulted Above Interior Exterior on of Floor Vertical Overheac Factor Ceiling Ceiling Grade Below Below Floor Grade Grade Grade Unlin1ited III Group R-3 0.40 0.58 0.20 R-38 R-30 R21 R-2l R-10 R-30 R-10 Occupancy Only This Project complies with the following: .I The Project is a single fanUly residence or duplex. .I The Project is wood frame OR all of the insulation is interior or exterior of the framing. .I All building components meet the requirements listed in Table 6-1, Option III. .I 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. D 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 D 602.6 Exception 2. Doors with aU-Factor of 0.40 allowed without calculations, Option III only. Location of the Door (s) taking exception Type of Heat Source: r\ e O~-\' fU"~p EXHIBIT A <}lr When recorded return to: OLYMPIC PENINSULA TITLE COMPANY .~O. G '..ALLAM COUNTY T. .ANSACTION EXCISE TAX 2007-1205159 P.ge 1 or 3 W.rrant y Deed Olympic PenJnsuh. Ti t Je Company CI.ll.~ County Washington 07/13/200704'01'57 P" 111I m.l'tr.llM ,~Hlj I~U~U..,r.lf(j, 1~~liI, ~IY 11111 ~~~E JUL 1 3 2007 AMOUNT COUNTY TREASURER ,:,y File Number 01088744DS LPB 10-05 STATUTORY WARRANTY DEED THE GRANTOR(S) LANCE W. DOYLE AND DACIA DOYLE, HUSBAND AND WIFE for 8Ild in consideration of TEN DOLLARS AND OTHER GOOD AND VALUABLE CONSIDERATION In hand paid, conveys, and warr8llts to STEVEN P. KROLL AND KATHLEEN M. KROLL, HUSBAND AND WIFE the following described real estate, situated in the County of CLALLAM , State of Washington: SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF: SUBJECT TO: SEE EXHIBIT "B" ATTACHED HERETO AND MADE A PART HEREOF: Abbreviated Legal: (Required If full legal not inserted above.1 LT D GREEN CROW SP V30 P30 Tax Parcel Number(s): 063014 319130 Dated: July 03, 2007 ~ ~J~.9~ LrJ&;:;n DACIA DOYLE ~ State of ~~~\~~~ 55. County of ~ I certify that I know '- ~~ the person(s) who appeared before me, and said person (s) acknowledged that ~'r--' L ~ signed this instrument and acknowledged it to be~T- free and voluntary act for the uses and purposes mentioned in this instrument. .Da ted: .., _~'1:.I)\- .........".. C>~, "o.\~ \... "'"Ir- '1, .;:- ~... ...""'''\11\ v~/ " :: ~ ":.~S$ION ~~II ,-^''t - <J':", "L ','A-./. :: ~~ -,,-01 >\~ ~'~,." -; ;0 '" ). 1)~ ". .... :() fT\~ , ~ :; (J)~ ~ ~ (/J~.() ; : ~ '-\, UBL\U _.ff<.: ~" ..,.", "',;;"09-' \.__-,,0: 1'1 ~ 0 llh.\\".."",'~" .... ," f: WAS~'........'- 111\\\\\,,,,,'" "3 I-- I 2007.1205159 071131200704:01:57 PM 2013 Clallam County, WA WD KR . . o' . File Number 01 DS EXHIBIT A LOT D OF GREEN CROW SHORT PLAT, RECORDED DECEMBER 6, 2002 IN VOLUME 30 OF SHORT PLATS, PAGE 30, UNDER CLALLAM COUNTY RECORDING NO. 2002 1096933, BEING A SHORT PLAT OF LOT B OF BOUNDARY LINE ADJUSTMENT SURVEY RECORDED IN VOLUME 51 OF SURVEYS, PAGE 13, BEING A PORTION OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 14, TOWNSHIP 30 NORTH, RANGE 6 WEST, W.M., CLALLAM COUNTY, WASHINGTON. SITUATE IN CLALLAM COUNTY, STATE OF WASHINGTON. 2007-1205159 07/131200704:01:57PM 3013 ClallamCounly,WAWD KR . . . . File Number 01088744DS EXHIBIT B ALL COVENANTS, CONDITIONS, RESTRICTIONS, RESERVATIONS, EASEMENT OR OTHER SERVITUDES, IF ANY, DISCLOSED BY GREEN CROW SHORT PLAT RECORDED UNDER CLALLAM COUNTY RECORDING NO. 2002 1096933. MATTERS SET FORTH BY SURVEY: RECORDED UNDER CLALLAM COUNTY RECORDING O. 2002 1096103 RESERVATIONS CONTAINED IN DOCUMENT RECORDED UNDER CLALLAM COUNT RECORDING NO. 518253. ZONING LOT COVENANT, IMPOSED BY DOCUMENTS RECORDED UNDER CLALLAM COUNTY RECORDING NOS. 2001 1074543 AND 2001 1074544. COVENANTS, CONDITIONS AND RESTRICTIONS IMPOSED BY DOCUMENT RECORDED UNDER CLALLAM COUNTY RECORDING NO. 2002 1097456. AGREEMENT RECORDED UNDER CLALLAM COUNTY RECORDING NO. 2002 1096318. EASEMENT RECORDED UNDER CLALLAM COUNTY RECORDING NO. 2002 1096609. EASEMENT RECORDED UNDER CLALLAM COUNTY RECORDING NO. 2002 1096321. CITY OF PoWr ANGELES PERMT APPLWATION Building Division/Elvetrical Insimetin;js 321 Enst Fifth Strett – P.O. Box 1150 / Port Angeles Wasbington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 - I & 2 Single Family Dwelling f U� lia il 'Plan Review May Be Required, Please Complete Electrical Plan Review Ififormation—o'hat ,}; Ad&fts: I�GgRookDr_ Buildrnq squwe Fw"13e: — —.— -- . . ....... . ........ . . 0%"ar information Name: Kathy Kroll SWO. Z : 46240 Mz'Ug A' $; 1206 Rook ok Dr__ _LN _F&,. 317-564-2547 City- Poft Angeles _ &at& &A Vp: 993672774 ftft3Gq.4519878____faj� ___ UCCAW # f UP, Item Unit —Ch a 10- rvllFaecier 200 Ate. S 120,OD SeMceffeader 201400 Amp, $ 146,M ServiedFeedor 401,600 AMP S205,00 gerviceIFWer 601-M Amp, 6 262,1 1 SaryicefFeWer over 1000 Aap, S 373,W Branch Circuit INN SeMce Feeder 5.00 Branch Giftuil WJ0 Service Feeder S 630 Each AddNcoat Branch Clf j 5 5,00 Branch Circuits 14 S 75,1;O Temp, Servicel Fierier 200 Amp, $ 0,00 TQmP, GoViCOFeeckr 201400 Amp, 5110.00 comp. Urviceffieeder401.600 Amp, $ 14&00 Ternp. SerkslFeWot 601A060 Amp, $ MOD pma; to Paid Houdy, $ 96,06 Signal CRQ)IV umiwd Energy - I a 2 Family owgirlo $ x,00 Monufachired hmie Conneclico $120,00 Renewath Electrical EnarDy - SIVA Syajem or Lem $ MUD Thamstal $ 56.00 Note: $6,0D lot vch aIt ional T-Slat NEW C0NSTRUQtMQfiLY- First 1300 Square FL $120,00 Each Addifonal 500 Square FL (w Portion of S 40,W Each WbujUrig cr Detached Gwaga S 74,00 Each S%imminq NO or Hot Tub S 1102 Contractor Information Naas.. Protect Your Horne w4rl Addra% 2Z52&,1.ntXay S..th Dr QY L Ll-a SWO. Z : 46240 PIVAO_�66-502-3539 _LN _F&,. 317-564-2547 qn Lke7'4o#/EAP,IRCTEYH934RSeXP12/10/2013_ _,,_ htql (gly Multiplied. by Una Char e $___64 00 I Total Owner as defined by RC ,19.211 -269; (1) Owner Wit occupy the sirs ture for Wo years after this elai*ical pefmit is rmalized. (2) Owner is required to him an elimria contradar if above saO property is for sale, tent or leasa Permit expires after Sax MWths of last inspection. After reading the above staternant, I hereby cerWy that I OM LM OW110t of the at*ve named property or a licensed electrical conitdor. I arn majqing theefectkal 1nsW aWn or alteration in compli-ince with t1w eleciftal laws, N.E.C., RCW, Cbepler 19,28, WAC, Chapter 296.46B, The City of Port Arles Kmidpal Code, end Wily Speoificajicans and PAMC 14,05.050 regarding Fledtal Permit Applications. Signature of owner, electrical contractor or electrical administrator. 0 cuh 0 chnk 155 X V-4N;eete Ued! 10/31/2014 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 14- 00001343 Date 11/05/14 Application pin number . , , 8759.51 Property Address . . . . . . 1208 ROOK DR ASSESSOR PARCEL NUMHI�R: 06-30-14-3-1- 9130 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . , . . . . . RS9 RESONTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Security system Owner Contractor STEVEN P AND KATHLEEN M KROLL PROTECT YOUR HOME 1208 ROOK DR 3750 PRIQRITY WAY SOUTH DRIVE PORT ANGELES WA 98362 {#200 TNETNAPOLTS IN 46240 (3175 810 -4720 ---------------------------------------------------------------------------- Permit . . . -. . . ELECTRICAL ALTER RESIDENTIAL Additional desc . , Permit Fee 64,00 Plan Check Fee 00 Issue. Date 11/05/14 Valuation , . . , 0 Expiration Date 5/04/15 Qty Unzt Charge Per. Extension 1,00 64,0000 ECH EL- SINGLE CIR LIMITED RES 64.00 Fee summary Charged Paid Credited Due Permit Fee Total 64.00 64.00 ,00 .00 Plan Check Total 00 00 .00 .00 Grand Total 64.00 64.00 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 SERVICE ROUGH -INN � 2 FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:1$XCHANGGIBUIL[)ING t W