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HomeMy WebLinkAbout1332 Rook Dr - Building ELECTRICAL PERMIT e 1 CITY OF PORT ANGELES 360-417-4735 Application Number 11- 00000713 Date 7/13/11 Application pin number 499955 REPORT SALES TAX Property Address 1332 ROOK DR on our excise tax form ASSESSOR PARCEL NUMBER: 06- 30- 14 -7 -2- 0060 -0000- y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Lower meter base Owner Contractor GREEN CROW PROPERTIES INC BOTERO SON ELECTRICAL PO BOX 2439 940 TAMARACK WAY PORT ANGELES WA 983620312 PORT ANGELES WA 98362 (360) 452-4766 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 189019 Permit Fee 119.90 Plan Check Fee .00 Issue Date 7/13/11 Valuation 0 Expiration Date 1/09/12 c\Q Qty Unit Charge Per Extension 1.00 119.9000 ECH EL -0 -200 SRV FEEDER 119.90 Fee summary Charged Paid Credited Due Permit Fee Total 119.90 119.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 119.90 119.90 .00 .00 V INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE 7)13 /IJ 44 ROUGH -IN FINAL 7 1 ti31 i Q ..7 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:AEXCHANGE \BUILDING �'URT 1 F *ECEIV 1 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections JUL 1 3 2011_ x- 321 East Fifth Street P.Q. Box 1150 Port Angeles Washington, 98362 t Ph: (360) 417 -4735 Fax: (360) 417 -4711 ELECTRICAL INSPECTIONS Date: '7 1. fi 1 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, P ase Co plete Electrical Plan Review Information Sheet .Job Address: Ca Building Square Footage: Description of above A-J e s-7 J Owner info tion Contract. nfo .tion Name: C' Lam.) Name: 4 Mailing Addr. Mailing)res c. t� 4 ..A„ U rJ City: State: Zip: City: 1 f i j State: OA Zip: 9 k$&� Phone Fax: Phone: 'G7 7/.1 Fax: 4 -75 I ?G License 4 Exp. License 4 Exp. rc') 1 n s 1 f 0 Item .Unit Charge Qty Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. 119.90 1 L? `20 Service /Feeder 201 -400 Amp. 145.50 Service /Feeder 401 -600 Amp 204.60 Service /Feeder 601-1000-Amp. 262.20 Service /Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service/Feeder 201-400 Amp. 110.30 Temp. Service /Feeder 401 -600 Amp. 148.70 Temp. Service /Feeder 601 -1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy /First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuitl.Limited Energy -1 &..2 Family Dwelling 63:90 Signal Circuit/ Limited`Energy Multi Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square Ft. 110.30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub $110.30. 1` t0 Total Owner as defined by RCW.19.28.261: •(1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. 1 am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical.administrator: Cash Check l C Credit Card Cam. x l 0110 2010 Dated: r CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 10- 00000484 Date 5/25/10 Application pin number 487656 Property Address 1332 ROOK DR ASSESSOR PARCEL NUMBER: 06-30-14-7-2- 0060 -0000- Tenant nbr, name GREEN CROW PROPERTIES INC Application type description RES NEW SFR Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 147132 Application desc 1,572 SF SFR, 440 SF GARAGE, 26 SF CVRD PORCH Owner Contractor GREEN CROW PROPERTIES INC GREEN CROW CONSTRUCTION LLC PO BOX 2439 PO BOX 2439 PORT ANGELES WA 983620312 PORT ANGELES WA 98362 (360) 452 -3325 (360) 452 -3325 Structure Information 000 000 1,572 SF SFR, 440 SF GARAGE, 26 CVR PRCH Other struct info TOTAL LOT COVERAGE 30.70 CONSTRUCTION TYPE VB FIRE SPRINKLERS REQUIRED NO NUMBER OF STORIES 1.00 LOT SIZE 6638.00 PROPOSED LOT COVERAGE 2038.00 TOTAL LOT COVERAGE 2038.00 NUMBER OF UNITS 1.00 Permit BUILDING PERMIT RESIDENTIAL Additional desc 1,572 SF SFR, 440 SF GARAGE Permit pin number 165399 Permit Fee 1289.05 Plan Check Fee 837.88 r ah Issue Date 5/25/10 Valuation 147132 �v Expiration Date 11/21/10 Qty Unit Charge Per Extension BASE FEE 1020.25 6D 48.00 5.6000 THOU BL- 100,001 -500K (5.60 PER K) 268.80 Permit MECHANICAL PERMIT Additional desc Permit pin number 165407 Permit Fee 215.30 Plan Check Fee .00 Issue Date 5/25/10 Valuation 0 Expiration Date 11/21/10 Qty Unit Charge Per Extension BASE FEE 50.00 5.00 7.2500 EA ME -VENT FAN (SINGLE DUCT) 36.25 1.00 10.6500 EA ME- STOVE /FIREPLACE /MISC. APP. 10.65 8.00 14.8000 EA ME- HEATER(SUSP /WALL /FLOOR -MTD) 118.40 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. acau Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FonnsBuilding Division/Building Pennit BUILDING PERMIT, INSPECTION RECORD .o PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL.: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parkin Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T: Forms /Building Division /Building Permit CITY OF PORT ANGELES ��1 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 10- 00000484 Date 5/25/10 Application pin number 487656 Permit PLUMBING PERMIT Additional desc Permit pin number 165415 Permit Fee 156.00 Plan Check Fee .00 Issue Date 5/25/10 Valuation 0 Expiration Date 11/21/10 Qty Unit Charge Per Extension BASE FEE 50.00 11.00 7.0000 EA PL- PLUMBING TRAP 77.00 1.00 7.0000 EA PL -WATER LINE 7.00 1.00 15.0000 EA PL -SEWER LINE 15.00 1.00 7.0000 EA PL -WATER HEATER 7.00 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. May 25, 2010 8:38:24 AM sroberds. The proposal will result in a new sfr in the RS -9. No land use issues are anticipated with the proposal that will result in 30% lot coverage and 40% site coverage. Electrical load calculations and electrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Ditches 8" culverts will be installed to City Stanards. See Public Works Engineering for Standards. "Any and all contractor(s) and subcontractor(s) doing work under this permit in the City Right of Way is required to provide written documentation that the City has been named as an additional insured" Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway to City Standards. Concrete with exposed aggregate or other non standard finishes(including colors or dyes)are not allowed in the City road right of way. Broom finish only. An inspection by Public Works Engineering is required prior to pouring concrete. Other Fees RES UNDERGRND SERVICE FEE 770.00 SEWER SYSTEM DELV CHARGE 1980.00 STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 1980.00 Fee summary Charged Paid Credited Due Permit Fee Total 1660.35 1660.35 .00 .00 Plan Check Total 837.88 837.88 .00 .00 Other Fee Total 4734.50 4734.50 .00 .00 Grand Total 7232.73 7232.73 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FormsBuilding Division/Building Permit BUILDING PERMIT INSPECTION RECORD r� PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 1 Public Works Utilities 417 4831 Backflow Prevention Inspections 4174886 --C 00 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: V i F(2 50 5 104 Footings 7 5 L.L Stemw 1_3o_ 10 Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: \l" Under Floor/Slab W Rough -In i0 It-- 10 3" [./I Water Line (Meter to Bldg) 1 Gas Line Back Flow 1 Water FINAL Date Accepted by 3 1 1-- AIR SEAL: 1 Q Z$, 0 (-L.. Walls �-r Ceiling 8 FRAMING: 10 _fig- O -31.-(-- 7 Joists Girders Under Floor Shear Wal9Hold Downs I_'; 0 -10 5 Cy Walls Roof Brag Drywall all (Interior for ior Braced Panel Only) 11 10-- T) (5 '3'(,4L- T -Bar INSULATION: I i 0 "SL t Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney -1,0 -ILL, Commercial Hood Ducts FINAL Date J Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: (c\ Parkin Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 k f Planning 417 -4750 Building 417 -4815 5--20 11 -ILL_ T:Forms /Building Division /Building Permit i• °Rr"" CITY OF PORT ANGELES i PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 —4 Application Number 10- 00000484 Date 5/25/10 Application pin number 487656 Property Address 1332 ROOK DR ASSESSOR PARCEL NUMBER: 06-30-14-7-2- 0060 -0000- Tenant nbr, name GREEN CROW PROPERTIES INC Application type description RES NEW SFR Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 147132 Application desc 1,572 SF SFR, 440 SF GARAGE, 26 SF CVRD PORCH Owner Contractor GREEN CROW PROPERTIES INC GREEN CROW CONSTRUCTION LLC PO BOX 2439 PO BOX 2439 PORT ANGELES WA 983620312 PORT ANGELES WA 98362 (360) 452 -3325 (360) 452 -3325 Structure Information 000 000 1,572 SF SFR, 440 SF GARAGE, 26 CVR PRCH Other struct info TOTAL LOT COVERAGE 30.70 CONSTRUCTION TYPE VB FIRE SPRINKLERS REQUIRED NO NUMBER OF STORIES 1.00 LOT SIZE 6638.00 PROPOSED LOT COVERAGE 2038.00 TOTAL LOT COVERAGE 2038.00 NUMBER OF UNITS 1.00 QS.) Permit DRIVEWAY INSTALLATION (N Additional desc Permit pin number 165910 Permit Fee 180.00 Plan Check Fee .00 Issue Date 5/25/10 Valuation 0 Expiration Date 11/21/10 Qty Unit Charge Per Extension BASE FEE 180.00 Permit PUBLIC WORKS RES WATER SERV Additional desc 3/4" DROP IN Permit pin number 165936 Permit Fee 420.00 Plan Check Fee .00 Issue Date 5/25/10 Valuation 147132 Expiration Date 11/21/10 Qty Unit Charge Per Extension 1.00 420.0000 EA PW WATER METER DROP IN 420.00 Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 165951 Permit Fee 150.00 Plan Check Fee .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T: \Policies \1 102.15 10/08] PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPE',CTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. PW/ CONSTRUCTION R.W. ENGINEERING 417 -4831 PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING T: \Policies \1102.15 [10/08] °R ""Q CITY OF PORT ANGELES 7 F� PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 14 4c v.00 x Page 2 Application Number 10- 00000484 Date 5/25/10 Application pin number 487656 Issue Date 5/25/10 Valuation 147132 Expiration Date 11/21/10 Qty Unit Charge Per Extension 1.00 150.0000 EA SAN SEWER HOOKUP 150.00 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. May 25, 2010 8:38:24 AM sroberds. The proposal will result in a new sfr in the RS -9. No land use issues are anticipated with the proposal that will result in 30% lot coverage and 406 site coverage. Electrical load calculations and electrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Ditches 8" culverts will be installed to City Stanards. See Public Works Engineering for Standards. "Any and all contractor(s) and subcontractor(s) doing work under this permit in the City Right of Way is required to provide written documentation that the City has been named as an additional insured" Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway to City Standards. Concrete with exposed aggregate or other non standard finishes(including colors or dyes)are not allowed in the City road right of way. Broom finish only. An inspection by Public Works Engineering is required prior to pouring concrete. Other Fees RES UNDERGRND SERVICE FEE 770.00 SEWER SYSTEM DELV CHARGE 1980.00 STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 1980.00 Fee summary Charged Paid Credited Due Permit Fee Total 750.00 750.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4734.50 4734.50 .00 .00 Grand Total 5484.50 5484.50 .00 .00 a Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T: \Policies \1102.15 [10/08] PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. PW/ CONSTRUCTION R.W. 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'0 C 0 "(I r. p) M (1 m 1) ro C i w r 10 0 ti w w .G .1 "1 r m m H tD 00 tD 0 0 0101 N N L. IN IN lJ MN MW 0 ro q 0 H O M M -.1 w 0 0 N W H t Y ro O 0 3 n ro O M roMzz yM x rn MH ,T1 4 [n H MMMZM o 0 y G z r H m o M 3 H O CO W 02 ro ro M• M W• o n SO m ,b z J --.1 OM H� o c p o o roio H0000,- r- r M o o m ;v X1 .ro w z 1 H M W o i M M M w O H H Hybl o w M MMM o o M M C o o z z z r- C7C7 H oHnnn0 0 H °,000x° c z N ro n ro ZJ rroM Moo z o m H cno ro W 3 O M H M H CI H C H o H n H n o W M U i o M H M O XG 0 MM woWH!n H0�� rz Z Z Z a1 HH H nrn 00- o m r n m r H n O H w z n H H H 00 A 0o H 3 O Z WW LT roro CI LIM �wz 0 H■ o U) O H 00 M O o z O m H 4 H Z 010 roro m z n H 00 O 0x [r] 00 X /1 (1) H ()0 H 0 T1 H W C 111 rc 00 ,-C H m m V m o 00 A4 4.-- 1, N N 1,0 00 NM q 1 H O M M o V 0 J H H BUILDING Y� PERMIT APPLICATION Print in ink 0 1 f I•-- CITY OF PORT ANGELES 4 For City Use Only: -••+3 Attn: Building Permit Technician Date Received Vii- k 3- ti0 321 E. Fifth St., Port Angeles, WA 98362 Permit 10 494 (360) 417 -4815 fax (360) 417 -4711 ate Approved Sit QJ ��x /7t Applicant rn Crs e ,c.�1 Ca-A a •tom c_�-k l ,1, C- Ph e 4 /.a- Property Owner C; e. rL �r� r e,� T t c Phone `7 ?,(P S Property Owner's Address f,h &W 3, 14 1r3 c' Q c� s-1 uJeA2v t g Contractor C- C,(7:3 C�c�r� r1, L LC. Phone 4/ 5- Contractor's Address Q 10 ,z cs /�t q K,3 a License G Kt; e rr GL 9 3:2, C� Expires 0t E -mail PROJECT ADDRESS j<3A a /2l uutr Parcel Number 30 I 472_ Zonin Proiect Type Brief Description: residential Multi- family Commercial Industrial Check all that apply IgNew Construction /3 ,S l( r .0 1 7k ri-�- 77+ --et\ Addition Remodel Repair Demolition Re -roof p..House garage other tear off re -roof lay over one layer Heat System Heat pump wood burning stove ❑'gas fireplace pellet stove other Other Pic a Wo i-- v-rah he44 Floor Areas Existing (sa. ft.) Proposed (sa. ft.) Basement per sq. ft. 1St Floor IS _153 (2-0 2nd Floor 3rd Floor Garage iT IA o Carport Covered Porch �(1 t� 3t Deck Shed Other c) x.`..) a.I 4 3 Le w-t-Lk' `1L1 t 1a 3 g TOTAL VALUATION j Total footprint of structures 2Q31? sq. ft. Lot size 626 SS sq. ft. Lot coverage 1 30..7 Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage 3`1,7_ 2bJp 1 O "k 6 3 Max. height of proposed s rRi i;tures 19. ft. Occupancy group of bedrooms 3 Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? ua Construction type of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date( /t f o Print Name ne.v�v■LI L. v t✓L. Signature 1 n.N. l_w t A T:Forms/Building Division /Bldg Permit.doc PRESCRIPTIVE APPROACH SIMPLE FORM For the Washington State Energy Code (2006 Edition) Climate Zone 1 CITY GOVERNMENT Site Information: Building Department Use Only: Lot: jo 0 J- nti96 14 Piz. Permit Address: 3 0.0 U 6 Notes: City: Pm2.. A4-713-c,1 �S State: w Zip: 9 Contact: C o c 0 Phone: '360 Yl 7- 3 /0SLi Phone 2: FAX: c..5 U Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) Glazing Glazing U- Factor Door Wall Wall Wall Option Area of U- Ceiling Vaulted Above- i nterior Exterior Floor Slab on Floor Vertical Overhead Factor Ceiling Grade_ Below Below Concrete Grade Grade Unlimited Group R -3 IV and R -4 0.35 0.58 0.20 R -38 R -30 R -21 R -21 R -10 R -30 R -10 Occupancies Only This Project complies with the following: J The project is a single family residence or duplex. J The project is a wood frame OR all of the insulation is interior or exterior of the framing. J All building components meet the requirements listed above. J The project will meet all other provisions of the WSEC and VIAQ. The Project will take advantage of the following exceptions to the prescriptive option. 602.6 Exception 2. One unlabeled or untested exterior swinging door, 24 sq.ft. or less, may be installed per unit for ornamental, security, or architectural purposes. Location of the door taking this exception: 602.6 Exception 2. If a door is mostly glass, it should meet the requirement of the vertical glazing U- factor listed above. Location of the door(s) taking exception: Type of Heat Source: P \,,5 W a. �L \e a►. 7 T:Forms /Building Division /Prescriptive Approach Simple Form 1 I I I i i 2 ,"I 1 1 i I i I I I I i i 1 1 I !III1I-4.II,,Iivl i. I I 1 g 1 i I F„...`; I 1 1'1- 1•,•• 1 '1'1," 111/ I '4..,i P1 I 1 1 1111;111'1111i114114,,11-41 t 1 i i .11-11111,411',1k11.01!1 l 1 1 C i i 0 1 I 1 '•:.1,:li,,,,,,;.'`.'„).1, all ;11 ptfiiikvit i --.1 44:: •/„...i,::,,,,.:4,,i;;;;■,4•;;;;;.i ez I ..',4',44).'17,,,V,:,11'.',:7.,' t I 1 I i t 1 i 1414 i 1 i I I I I 1 I I I I i I 1 ....0 tik V\ ';f0a.:.' 1 I --A I; I I i i •-.1.,113'1/0061 -.1 1 1 01,i1t 1 1 1 441.`„Iti,10141 I 11 11 1.' C" ..&1:C.,,,' 1,,,g,-,,,,,, 3• 1 I ag 1 4. i 1 i f 1 L... 1.,.., i i 1 1 1 �D. 7D 9 Q%- b o k; o ,`b T •1:17 �J Electrical Information Form Public Works Utilities Department (360) 417 -4700 y .0* City Electrical Inspector (360) 417 -4735 ac Please complete and return to Public Works Utilities Department Applicant Information Permanent service: Name: Q k r C r t o c-7 L c' LA-C. Name and address of party Street: P C) "A 39 responsible for permanent City State ZIP: 9 '4 e c_ \AYR, 9 IC 5 L service billing? Daytime Phone: t/ 1 Home Phone: Contact Information (if other than above) Site contact: Name: a oQ dC S t( Title: Daytime Phone: L{,( <1s b Contractor: Name: y 5 Company: y- Daytime Phone: L{ Electrician: Name: QoL 11 4 f r o Company: S b+ti Daytime Phone: Excavator Name: 5�L Company: e. e_,._ (''r Daytime Phone: t4 6 0 Z S o O Project Type Existing `New Single- family residence ❑Multi family residence; of units Commercial ❑Subdivision; of lots Overhead service ❑General service Underground service DOther: Project Information Description of work: C nn Street address lot number 3 a. (Zen 11 L 07' Co y �97J7PJS�Z 41k RV\ Nearest cross street: AA tt Z-i O Desired connection date: Electrical transformer serving property is: on a pole on the ground Electrical Load Total square footage: b 2 3q. ft. Main disconnect size: ?d 0 amps In Voltage: 20/240 1ph 0120/208 3ph 0277/480 3ph 0120/240 3ph 0480 3W 3ph Other Standard residential loads (Lighting, refrigerator, dishwasher, washer) Check all that apply: NC ton) 1Range /Oven Hot Tub jSClothes Dryer Heating Pumps Hp) No Load Change -Water Heater Elevator Hp) Other Supporting Documentation Please provide a copy of the following: *Detailed plot plan (.dwg or .dxf format mandatory for subdivisions). *Electrical one -line drawing showing the service entrance panel and location. *Connected load data. *Size and locked rotor amps of all motors over 50hp. Applicant's Signature: v J Date: 5 l L3 Lt V MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362 FAX TO: 360- 417 -4711 WS WF Information form.xls N: \PWKS \LIGHT\ENGR\ #Originals \Information form Revised 1 -15 -09 Clallam County Assessor Treasurer Property Details 67580 GREEN CROW PROP... Page 1 of 3 CIallam County Assessor Treasurer Property Search Results 67580 GREEN CROW PROPERTIES INC for Year 2010 2011 Property Account Property ID: 67580 Legal Description: BEACON HILL ADDITION CAMPBELL AVE PRD PH I LOT6.15A Geographic ID: 0630147200600000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 91 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Location Address: 1332 ROOK DR Mapsco: PORT ANGELES, WA 98362 Neighborhood: Cycle 4 Res Map ID: Neighborhood CD: 10952130 Owner Name: GREEN CROW PROPERTIES INC Owner ID: 27618 Mailing Address: PO BOX 2439 Ownership: 100.0000000000% PORT ANGELES, WA 98362 -0312 Exemptions: Taxes and Assessments Due Property Tax Information as of 05/13/2010 Amount Due if Paid on: A- First Second Half Half Statements Base Base Base Amoui Year ID Taxing Jurisdiction Due Due Penalty Interest Paid Due 1 2010 49410 ST SCH STATE SCHOOL $50.78 $50.78 $0.00 $0.00 $50.78 $50. 2010 49410 CC -GEN COUNTY $27.03 $27.02 $0.00 $0.00 $27.03 $27.0 2010 49410 PORT PORT $3.80 $3.80 $0.00 $0.00 $3.80 $3.€ 2010 49410 PORT ANG PORT ANGELES $62.56 $62.57 $0.00 $0.00 $62.56 $62.'. 2010 49410 SD #121 SCHOOL DISTRICT #121 $65.76 $65.78 $0.00 $0.00 $65.76 $65. 2010 49410 NTH OLY LIB NORTH OLYMPIC LIBRARY $7.85 $7.85 $0.00 $0.00 $7.85 $7.E 2010 49410 HOSP #2 HOSPITAL #2 $11.08 $11.09 $0.00 $0.00 $11.08 $1 1.0 2010 49410 WSMET PK DIST WILLIAM SHORE MET PARK DIST $3.52 $3 53 $0 00 $0.00 $3.52 $3.E 2010 49410 WEED CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $0.82 $0.E 2010 49410 TOTAL: $233.20 $233.23 $0.00 $0.00 $233.20 $233.; NOTE: If you plan to submit payment on a future date, make sure you enter the date and RECALCULATE to obtain the correct total amount due. Values Improvement Homesite Value: N/A Improvement Non Homesite Value: N/A Land Homesite Value: N/A Land Non Homesite Value: N/A Ag Timber Use Value http: /vpn.clallam. net: 8084/ propertyaccess /Property.aspx ?cid =0 &year 2010 &prop_id =67... 5/13/2010 Application Number 10 00000941 Application pin number 522778 Property Address 1332 ROOK DR ASSESSOR PARCEL NUMBER 06 30 14 7 2 0060 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc new home Owner GREEN CROW PROPERTIES INC PO BOX 2439 PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 1 00 2 00 Fee summary Permit Fee Total Plan Check Total Grand Total Unit Charge Per 110 3000 ECH 35 2000 ECH WA 983620312 ELECTRICAL NEW RESIDENTIAL 172452 180 70 9/01/10 2/28/11 Charged 180 70 00 180 '0 Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Contractor BOTERO SON ELECTRICAL 940 TAMARACK WAY PORT ANGELES Plan Check Fee Valuation EL R SQFT FIRST 1300 EL R SQFT ADDITIONAL 500 Paid Credited 180 70 00 180 70 INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION 00 00 00 RESULTS 91taloo mR `o /{L (lip v/2-7 !s Li, Date 9/01/10 WA 98362 452. 6'76(2 00 0 Extension 110 30 70 40 Due 00 00 00 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date: >IP DAT l 2 `I g) OWNER CONTRACTOR ADDRESS 52_ APPROVED 0 0 0 0 CORRECTIONS NEEDED: ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT it) 1 NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL 2 )32IN,..., C t DO NOT REMOVE INSPECTOR TV 1 �5 r"c.L 61 11# r uA f ti r- Gr >6 K) NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P.O Box 1150 Port Angeles Washington, 98362 Ph (360) 417 -4735 Fax. (360) 417 -4711 Date. )r• 3 0 1 2 Single Family Dwelling Plan Review May Be Required, Please Com Ito Electrical Plan Review Information Sheet Job Address: 7 .1 a.. )c Building Square Footage: i st IV 2 ■r') Description of above 47 7. -,.n .l 0 .,.I 1 e 0 1A-A.) f:' Owner Information Name: Mailing ress: City Phone: V� License 47 Exp. State: Zip: rs 5 Item Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 1000 Amp Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy First 1500 sf Commercial Note. $5:00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat NEW CONSTRUCTION ONLY. First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Signature of owner electrical contractor or electrical administrator x Unit Charae 119.90 $145.50 204.60 262.20 372.50 2.60 73.50 2.60 92.70 110.30 $148.70 $167.90 95.90 88.20 95.90 63.90 63.90 $119.90 $102.30 56.00 $110.30 35.20 73.50 $110.30 Dated: I/'') ELECTRICAL IAISPECTIONS Multi- Family or Commercial* Commercial Addition Alteration I Remodel I Repair* Contractorjtlf ormation Name: <ANA Mailing Address: ADO 7 7 4 City 7 .r State:12 4 Zip: 9V F Phone: 4, z Fax: r-) y Ga •76,6„, License /Exp. 1anrer�.c i n C0 Total (Qtv Multiplied by Unit Charnel bash Check Lld‘edit Card /J 24.1 7i /FJ 01/01/2010 Owner as defined by RCW 19.28 :261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above. statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14 05 050 regarding Electrical Permit Applications. a