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1340 Rook Dr - Building
CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 12-00000271 Date 3/13/12 Application pin number . . . 392018 Property Address . . . 1340 ROOK DR ASSESSOR PARCEL NUMBER: 06-30-14-7-2-0040-0000- REPORT SALES TAX Application type description MECHANICAL APPL. PERMIT Subdivision Name . . . . on your state excise tax form Property Use to the City of Port Angeles Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 3050 ---------- ------------------------------------------------ Application desc HEAT PUMP-DUCTLESS MINI ----- - --------- -------------------------------- Owner Contractor GREEN CROW PROPERTIES INC PENINSULA HEAT INC PO BOX 2439 782 KITCHEN-DICK RD PORT ANGELES WA 983620312 SEQUIM WA 98382 (360) 681-3333 ------------------------- Permit MECHANICAL PERMIT Additional desc HEAT PUMP-DUCTLESS MINI Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . . 3/13/12 Valuation . . . . 0 Expiration Date 9/09/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.80 64.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .00 .00 Q parate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes ulI and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned or a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the st 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 of presume to give authority to violate or cancel the provisions o ny state or local w gu ting construction or the performance of construction. / Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS-- Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. -T 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 Bid Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Onl ) T-Bar o INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney2 D T�� Commercial Hood/Ducts FINAL Datel. 8 ccepted by CJ 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 PREPARED 7/18/12, 10:05:41 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/18/12 ------------------------------------------------------------------------------------------------ ADDRESS . : 1340 ROOK DR SUBDIV: CONTRACTOR PENINSULA HEAT INC PHONE (360) 681-3333 OWNER GREEN CROW PROPERTIES INC PHONE PARCEL 06-30-14-7-2-0040-0000- APPL NUMBER: 12-00000271 MECHANICAL APPL. PERMIT PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RES RESULTS/COMMENTS ----------—--------- -- -- -----------------------------—--------------------------------- ME99 01 7/18/12 MECHANICAL FINAL _ July 18, 2012 10:04:33 AM hcatuzo. TODD W/ACCENT 461-9566 -------------------------- --------- COMMENTS AND NOTES -------------------------------------- MAR-9-2012 11:43A FROM:PENINSULA HEAT COMPA 3606812086 TO:CITY PA PERMITS P.2/3 BUILDING/PLUMBING/MECHANICAL PERMIT APPLICATION- SHORT FORM (To be used for projects that do not require plan review.) Date Receivgd Permit# 2 City of Port Angeles Please print In Ink. Date Approved Attn: Building Permit Technician Approved by 321 E. 6"St., Port Angeles,WA 98362 360.417.4815 fax: 360-4174711 Credit card payments are accepted Mon-Fri 8-5 pm(no American Express) Hours: Mon through Fri 8—5 pm Cash&checka are accepted Mon Thurs 8:304 pm&Fri 8:30-12:30 pm Contact per&onPhone: �r,✓�e Ale- de r;!ow ✓k/-3 3 3 3 Property owner re& GW r�7 S Phone: L152 �— Prol3arty War's mgjlin _Jd ase: Contractor's business name: may/ y L`�� ��-- Phone: or roe owner's name If he/she is doin overseeln e work )-33 Contractors mailing ad c� Contractor's I Ilcen a nu ber• , 01ratio date Project Address: 13/-/0 Roo k- Dr;kel Project Type: AResidentfaT o Commercial o Industrial o Multi-family Project Business Name: (for commercial, Industrial, or multi-family projects) The following permits are usually Issyed over-the-counter Immediately,without the need for plan review. Complete only the portions of this permit that are relevant to your project. R_y2of; a house o-garage a other c tear off&re-roof a lay over one layer (✓) Licensed contractor:Submit a copy of your re-roof bid. Project Valuation $ '(labor&materials, not Including sales tax) Re-side: o house a garage a other Project Valuation $ •(labor&materials, not including sales tax) Repair,, (explain the project) Project Valuation $ • *Homeowner: If you will be doing/overseeing the work,then the project valuation will be determined by doubling the cost of materials,to reflect the y"the repair adds to your property. Cost of materials x 2=Project Valuation$ T;Forms/Bullding Olvielon/Bullding/Plumbing/Mechanlcal Permit Application—Short Form(Revised 2011) Page I of 2 RECEIVED'C IV MAR - 9 2012 CITY OF PORT ANGELES BUILDING DIVISION MAR-9-2012 11:44A FROM:PENINSULA HEAT COMPA 3606812086 TO:CITY PA PERMITS P.3'3 Swimming Pool or Sn*(8 24"deep• Foriorefabricated sw/mmino goo/gr spa projects that do not regulre clan review, (✓) Obtain the City of PA handout entitled"Pools&Spea"&follow the requirements. Project Valuation $ DeMolltign: A demolition permit Is needed when an entire building gets demolished. What will be demolished? a house o garage a other jam: some demolitlon permit applications need to be reviewed by various City departments,and may take approximately two weeks to obtain, (✓) Agree to ensure that all utilities are/will be properly turned off(and capped off If needed) prior to demoiltlon. {✓) Obtain(from the City of PA)an&Offal view map of the parcel and put an "x"over the structure(s)to be demolished.Submit the map with this eppllcstion. V) Obtain(from the City of PA)a copy of the Olympic Region Clean Air Agency(ORCAA) Demolltlon Permit Appllcatlon, Contact ORCAA at 380417-1468 to diSOU3e whether or not an ORCAA Demolition Permit will also be needed. yes a no Will the debris be going to the Regional Transfer Station in Port Angeles? o yes o No If yes,will a llcer►asd contractor be taking It there? (✓) If yes,obtain (from the City of PA)a copy of the Waste Disposal Appllcatlon, Complete and submft the waste disposal application to the Building Permit Technician, now (or Fater If asbestos testing Is needed). Plumbing Permit: (explain the project) Protect Valuation Lt. the proigct) C' s Project Valuation 1 have reed 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 responslbllt o determine whatrr working on projects. "its are mqulred, and to obtain permits prior to Oats 3 Signature 1 Print Name aaLr'�o 71'e/e!" Page 2 of 2 N ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 (�( Application Number . . . . . 12-00000070 Date 1/30/12 v Application pin number . . . 608050 Property Address . . . . . . 1340 ROOK DR REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-14-7-2-0040-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ----- -----------------------------------------;----------------------- Application desc New home and temp ---------------------------------------------------------------------------- Owner Contractor GREEN CROW PROPERTIES INC BOTERO & SON ELECTRICAL —� PO BOX 2439 940 TAMARACK WAY ( 1 PORT ANGELES WA 983620312 PORT ANGELES WA 98362 W (360) 452-4766 ----------------------------------------- ---- ---- Permit . . . . ELECTRICAL NEW RESIDENTIAL Additional desc Permit Fee . . . . 253.00 Plan Check Fee .00 Issue Date . . . . 1/26/12 Valuation . . . . 0 Expiration Date 7/24/12 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL-R-SQFT FIRST 1300 120.00 1.00 40.0000 ECH EL-R-SQFT ADDITIONAL 500 40.00 - 1.00 93.0000 ECH EL=TEMP SRV 0-200 SRV FDR 93.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- --------- ---------- Permit Fee Total 253.00 253.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 253.00 253.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH 3 Z SERVICE 1'2z ROUGH-IN 3 ZD FINAL Z 2 COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical.Contractor X Date: G:\EXCHANGE\BUILDING "A OF p0RT4,V, ELECTMICAL INSPECTION MRING REPORT RKS 417-4735 DATEPERMIT -,INSPECTOR --Z-7 1 �n OWNER/CONTRACTOR ADDRESS APPROVED NOT APPROVED 0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . 0 IPL— . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . ..0 ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . .❑ ..... . . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: Lf,>L- 0-4*--IF-'Dc- 7-6 S r, ft7���r Hr' r- 110 k-) "t-'f fp- cc)14T)Uc-"ro iZ 47%4 A)-L- xtr= A MQL;7cl cc't4jb CJcTZZ r\tr,c- zclp NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE OLYMPIC PRINTERS,INC.(360)452-1381 ELECTRICAL PERMIT t CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00000070 Date 1/26/12 Application pin number . . . 608050 Property Address . . . . . . 1340 ROOK DR REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-14-7-2-0040-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . . . . . . to the City of Port Angeles Property Use . (Location Code 0502) Property Zoning . . . . . . . RS9 RESDNTL ,SINGLE FAMILY Application valuation . . . 0 Application desc New home and temp ---------------------------------------------------------------------------- Owner Contractor GREEN CROW PROPERTIES INC BOTERO & SON ELECTRICAL PO BOX 2439 940 TAMARACK WAY I PORT ANGELES WA 983620312 PORT ANGELES WA 98362 ( \ (360) 452-4766 \vlr�! ---------------------------------------------------------------------------- Permit . . . . ELECTRICAL NEW RESIDENTIAL nL Additional desc Permit Fee 253.00 Plan Check Fee .00 1 Issue Date . . . . 1/26/12' Valuation . . . 0 v Expiration Date 7/24/12 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL-R-SQFT FIRST 1300 120.00 1.00 40.0000 ECH EL-R-SQFT ADDITIONAL 500 40.00 1.00 93-0000 ECH EL-TEMP SRV 0-200 SRV FDR 93.00 (� Fee summary Charged Paid Credited Due ------- - ---------- ---------- --- ----- ---------- Permit Fee Total 253.00 253.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 253.00 253.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE fo ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\13tJILDING j.. ir r • �`�`itoRr CITY OF PORT ANGELES PERMIT APPLICATION i Building Division/Electrical Inspections 7 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362JA I 2 f11 NSI Ph: (360)417-4735 Fax: (360)417-4711 ELECTRICAL Date/'-" '/ _1 &2 Single Family Dwelling INSPECTIONS " Plan Review May Be Required, Please Com let Electrical Plan Review Information Sheet Job Address: > 3 t/O eC ruc 1 Building Square Footage: Description of above Owner Information Contractor Ie) rmation Name: ,?_,e p A k e_&(. Name: Mailing Address: Mailing Address: •9QK �tt�} a City: State: Zip: City:St� _ State: Zip: Phone: Fax: Phone: %,e- Fax: License#/Exp. License#/Exp. 7; _Qy20jZ2 Item Unit Charge Qty Total(Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp $205.00 $_- Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 75.00 $ Temp.Service/Feeder 200 Amp. $ 93.00 _� $ Temp.Service/Feeder 201-400 Amp. $110.00 $ Temp.Service/Feeder 401-600 Amp. $149.00 $ Temp.Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit/Limited Energy-1 &2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy-5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: Oa First 1300 Square Ft. $120.00 $ � Each Additional 500 Square Ft.or Portion of $ 40.00 $ q0 Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $_�� $ Z otal 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. Signature of owner,electrical contractor or electrical administrator: ❑ cash ❑ Check lR Credit Card# 6 , / `e X Dated: 110112012 Building Permit 1340 Rook Dr 11 - 1050 PREPARED 12/17/12, 11:34:08 INSPECTION HISTORY REPORT PAGE 1 PROGRAM 3P521L 0/00/00 THRU 0/00/00 CITY OF PORT ANGELES `-- -- ----- ---------- - ------------------------------------------------------------------------ APPLICATION PROPERTY ADDRESS ASSESSOR PARCEL NUMBER ALTERNATE ID STRUCTR PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR ------------------------------------------------------------------------------------------------------------------------------------ 11 00001050 1340 ROOK DR 06-30-14-7-2-0040-0000- 063014720040 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BL1 0001 BLDG FOUNDATION FOOTING 10/04/11 APPROVED JLL REQ COMM: October 4, 2011 8:42:20 AM 1pangrle. REQ COMM: CHUCK 461-2717 REQ COMM: FOOTING REQ COMM: AFTERNOON RES COMM: October 4, 2011 4:37:33 PM jlierly. 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BL2 0001 BLDG FOUNDATION STEM WALL 10/12/11 APPROVED JLL REQ COMM: October 12, 2011 8:21:04 AM 1pangrle. REQ COMM: TODD 461-9566 REQ COMM: STEMWALL RES COMM: October 12, 2011 4:58:26 PM jlierly. 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BFF 0001 BLDG FLOOR FRAMING 1/27/12 APPROVED JLL REQ COMM: January 27, 2012 8:24:31 AM pbarthol. REQ COMM: Todd 461-9566 RES COMM: January 27, 2012 3:52:54 PM jlierly. 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BL9 0001 BLDG SHEARWALL 2/23/12 DISAPPROVED JLL REQ COMM: February 23, 2012 8:29:59 AM pbarthol. REQ COMM: Chuck 461-2717 RES COMM: February 23, 2012 4:13:39 PM jlierly. RES COMM: over driven nails/jll 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BL9 0002 BLDG SHEARWALL 3/16/12 APPROVED JLL REQ COMM: March 16, 2012 8:26:24 AM hcatuzo. REQ COMM: Todd w/Accent--461-9566 RES COMM: March 16, 2012 4:50:04 PM jlierly. 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BAIR 0001 BLDG AIR SEAL 3/21/12 APPROVED JLL REQ COMM: March 21, 2012 9:52:26 AM hcatuzo. REQ COMM: Todd with Accent. 461-9566 RES COMM: March 21, 2012 4:38:32 PM jlierly. 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BL3 0001 BLDG FRAMING 3/21/12 APPROVED JLL REQ COMM: March 21, 2012 9:52:44 AM hcatuzo, RES COMM: March 21, 2012 4:38:32 PM jlierly. 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BLI 0001 BLDG INSULATION 4/03/12 APPROVED JLL RES COMM: April 3, 2012 4:37:11 PM jlierly. 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BL99 0001 BLDG FINAL 7/18/12 DISAPPROVED JLL REQ COMM: - July 18, 2012 9:33:28 AM hcatuzo. REQ COMM: TODD W/ACCENT. 461-9566. PUBLIC WORKS FINALS REQUIRED PRIOR REQ COMM: TO STRUCTURAL FINAL. WALK THRU UNLESS PW IS ABLE TO SIGN OFF REQ COMM: THEIR PERMITS. RES COMM: July 18, 2012 4:28:07 PM jlierly. RES COMM: insulation cert/ landing at side door (garage)/ trim DWV RES COMM: cleanout and provide a screw cap/PW final required/jll 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL PW99 0001 PUBLIC WORKS FINAL 7/19/12 APPROVED RV PREPARED 12/17/12, 11:34:08 INSPECTION HISTORY REPORT PAGE 2 PROGRAM BP521L 0/00/00 THRU 0/00/00 CITY OF PORT ANGELES ---------------- ------------------ -------------------------------------------------------- APPLICATION PROPERTY ADDRESS ASSESSOR PARCEL NUMBER ALTERNATE ID STRUCTR PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR ----------------— ---—----------------------------------------—--------------------------------------------------------- 11 00001050 CONTINUED REQ COMM: July 20, 2012 9:13:07 AM rvess. RES COMM: July 20, 2012 9:13:36 AM rvess. 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BL99 0002 BLDG FINAL 10/23/12 APPROVED JLL REQ COMM: October 22, 2012 9:00:59 AM pbarthol. REQ COMM: Todd 461-9566 REQ COMM: front door is open/permit on counter RES COMM: October 23, 2012 8:18:34 AM permits. 000 000 DWY 00 DRIVEWAY INSTALLATION PW6 0001 PUBLIC WORKS DRIVEWAY 6/19/12 APPROVED RV REQ COMM: June 22, 2012 10:22:56 AM rvess. RES COMM: June 22, 2012 10:23:17 AM rvess. 000 000 ME 00 MECHANICAL PERMIT ME1 0001 MECHANICAL ROUGH-IN 7/18/12 APPROVED JLL RES COMM: July 18, 2012 4:26:37 PM jlierly. 000 000 ME 00 MECHANICAL PERMIT ME99 0001 MECHANICAL FINAL 7/18/12 APPROVED JLL RES COMM: July 18, 2012 4:26:47 PM jlierly. 000 000 PL 00 PLUMBING PERMIT PL2 0001 PLUMBING ROUGH-IN 3/20/12 APPROVED JLL REQ COMM: March 20, 2012 8:57:14 AM hcatuzo. REQ COMM: Todd with Accent. 461-9566 RES COMM: March 20, 2012 5:02:02 PM jlierly. 000 000 PL 00 PLUMBING PERMIT PL6 0001 PLUMBING WATER SUPPLY 4/03/12 DISAPPROVED JLL REQ COMM: April 3, 2012 9:27:07 AM hcatuzo. REQ COMM: Todd w/Accent 461-9566 RES COMM: April 3, 2012 4:36:47 PM jlierly. RES COMM: trench full of water unable to inspect connection/jll 000 000 PL 00 PLUMBING PERMIT PL6 0002 PLUMBING WATER SUPPLY 4/04/12 APPROVED JLL REQ COMM: April 4, 2012 8:29:38 AM hcatuzo. REQ COMM: Todd w/Accent 461-9566 RES COMM: April 4, 2012 4:47:25 PM jlierly. 000 000 PL 00 PLUMBING PERMIT PL99 0001 PLUMBING FINAL 7/18/12 APPROVED JLL RES COMM: July 18, 2012 4:26:47 PM jlierly. 000 000 SSHU 00 SANITARY SEWER HOOK UP PW2 0001 PUBLIC WORKS SEWER CONNEC 11/10/11 APPROVED RV REQ COMM: November 14, 2011 9:01:00 AM rvess. RES COMM: November 14, 2011 9:01:20 AM rvess. Rm 11 ✓' 4ai�{r 'S ` V11�1 TI/ MUM Y (�( j y (_ TRACY'S INSULATION INC. "Insulating your Community" PO. BOX 567 PORT ANGELES; WA 98362 sy �► INSULATION CERTIFICATE �r THE INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT THERMAL PERFORMANCE STANDARDS(WASHINGTON i,�,� ;•� STATE ENERGY CODE) OR PER APPROVED PLANS,AT THE ADDRESS • � jJ LOCATED BELOW. J,1 m /11+*it ADDRESS 00� SUB-CONTRACTOR: TRACY'S INSULATION INC. CONTRACTOR'S REG.NO. TRACYII917BT � O MANUFACTURER THICKNESS R-VALUES EXTERIOR WALLS � ��{� I� � Type of material: FiberglassYA1 ATTIC BATTS t� Type of material: Fiberglass SLOPENAULTED CEILINGS Type of material: Fiberglass { ATTIC BLOWit Type of material: Fiberglass { FLOORS . Type of material: FiberglassId VAI (A PIPE WRAPS Type of material: Fiberglass YES NO VAPOR BARRIERS CEILING N }� WALLS FLOORS AUTHORIZED SIGNATURE TITLE DATEi;;Si f CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 J Application Number . . . . . 11-00001050 Date 9/29/11 Application pin number . . . 574350 Property Address . . . . . . 1340 ROOK DR REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-14-7-2-0040-0000- Tenant nbr, name . . . . . . GREEN CROW PROPERTIES on your state excise tax form Application type description RES NEW SFR Subdivision Name . . . . to the City of Port Angeles , Property Use . . . . (Location Code 0502) Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . 150675 ---------------------------------------------------------------------------- Application desc 1,587 SF SFR, 462 SF ATT GAR, 160 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) 460-2500 (360) 417-3661 --- Structure Information 000 000 1,587 SF SFR, 462 SF ATT GAR, 160 PORCH --- Other struct info . . . . . TOTAL W LOT COVERAGE 29.00 CONSTRUCTION TYPE VB FIRE SPRINKLERS REQUIRED NO NUMBER OF STORIES 1.00 LOT SIZE 7549.00 PROPOSED LOT COVERAGE 2209.00 TOTAL LOT COVERAGE 2209.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . 1,587 SF SFR, 462 SF ATT GAR Permit pin number . 193110 Permit Fee . . . . 1305.85 Plan Check Fee 848.80 Issue Date . . . . 9/29/11 Valuation . . . . 150675 Expiration Date . . 3/27/12 Qty Unit Charge Per Extension BASE FEE 1020,25 51.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 285.60 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit pin number . 193128 Permit Fee . . . . 181.85 Plan Check Fee .00 Issue Date . . . . 9/29/11 Valuation . . . . 0 Expiration Date . . 3/27/12 Qty Unit Charge Per Extension BASE FEE 50.00 3.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 21.75 1.00 10.6500 EA ME-HOOD/DUCT-MECH. EXHAUST 10.65 1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65 6.00 14.8000 EA ME-HEATER(SUSP/WALL/FLOOR-MTD) 88.80 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 o uthorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS-- Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS 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 b 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 Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW /Engineering 417-4831 Fire 417-4653 Planning_ 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 R Page 2 Application Number . . . . . 11-00001050 Date 9/29/11 Application pin number . . . 574350 ----------------------- --------------------------------- REPORT SALES TAX Permit . . . . . . PLUMBING PERMIT on your state excise tax form Additional desc . . Permit pin number . 193136 to the City of Port Angeles Permit Fee . . . . 149.00 Plan Check Fee .00 (Location Code 0502) Issue Date . . . . 9/29/11 Valuation . . . . 0 Expiration Date . . 3/27/12 Qty Unit Charge Per Extension BASE FEE 50.00 10.00 7.0000 EA PL-PLUMBING TRAP 70.00 1.00 7.0000 EA PL-WATER LINE 7.00 1.00 15.0000 EA PL-SEWER LINE 15.00 1.00 7.0000 EA PL-WATER HEATER 7.00 ---------------------------------------------------------------------------- Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. September 26, 2011 3:59:54 PM tamiot. Separate electrical permit will be required. 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" All construction work within the City right of way requires a separate Right of Way Construction application to be completed by the contractor and approved by Public Works Engineering prior to the start of work. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . RES UNDERGRND SERVICE FEE 770.00 SEWER SYSTEM DELV CHARGE 2260.00 STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 2260.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1636.70 1636.70 .00 .00 Plan Check Total 848.80 848.80 .00 .00 Other Fee Total 5294.50 5294.50 .00 .00 Grand Total 7780.00 7780.00 .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 or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD � 4 PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 0 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings C. Stemwall - Z- Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In 13 7 r> 1-2- Water Water Line(Meter to Bldg) Gas Line Q Back Flow/Water FINAL Date? I U I Accepted b AIR SEAL: Walls Ceiling FRAMING: 3•ZO. 1?, VL• Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling --q•� Drywall Interior Braced Panel Onl T-Bar INSULATION: �- Slab Wall/Floor/Ceiling f� MECHANICAL: O Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimneyn / 'l Commercial Hood/Ducts FINAL Date a ccepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEP& Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE 4X Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW /Engineering 417-4831 Fire 417-4653 p n Planning 417-4750 V,- Building 417-4815 T:Forms/Buildinq Division/Building Permit 0, '0"11- 0F1 CITY OF PORT ANGELES UC�v� PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 r Application Number . .. . . . 11-00001050 Date 9/29/11 Application pin number . . . 574350 Property Address . . . . . 1340 ROOK DR REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-14-7-2-0040-0000- on your state excise tax form Tenant nbr, name . . . . . . GREEN CROW PROPERTIES Application type description RES NEW SFR to the City of Port Angeles Subdivi.sion Name Property Use . . . . . . (Location Code 0502) Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 150675 ---------------------------------------------------------------------------- Application desc 1,587 SF SFR, 462 SF ATT GAR, 160 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) 460-2500 (360) 417-3661 --- Structure Information 000 000 1,587 SF SFR, 462 SF ATT GAR, 160 PORCH --- Other struct info . . . . . TOTAL W LOT COVERAGE 29.00 CONSTRUCTION TYPE VB FIRE SPRINKLERS REQUIRED NO NUMBER OF STORIES 1.00 LOT SIZE 7549.00 PROPOSED LOT COVERAGE 2209.00 TOTAL LOT COVERAGE 2209.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- Permit . . . . . DRIVEWAY INSTALLATION Additional desc . . Permit pin number . 193383 Permit Fee . . . . 180.00 Plan Check Fee .00 Issue Date . . . . 9/29/11 Valuation . . . . 0 Expiration Date . . 3/27/12 Qty Unit Charge Per Extension BASE FEE 180.00 ---------------------------------------------------------------------------- Permit . . . . . . PUBLIC WORKS RES WATER SERV Additional desc . . 5/8" DROP IN METER Permit pin number . 193391 Permit Fee . . . . 420.00 Plan Check Fee .00 Issue Date . . . . 9/29/11 Valuation . . . . 150675 Expiration Date . . 3/27/12 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 193409 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. aj Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:Forms/Building Division/Public Works Permit PERMIT INSPECTION RECORD CALL 417-4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE ` INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES ,`"(Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE; SITE EROSION.CONTROL PARKING SIDEWALK CURB DRIVEWAY,APPROACH, , BACK FLOW DEVICE;, r y. 2 7 v 1 ` FINAL INSPECTIONS,REOUIRED PRIOR TO OCCUPANCY/,USE RESIDENTIAL' DATE YES NO COMMERCIAL UATE,<' ACCEPTED ,. _, ... tea: «;, :......:.....: .. . : CONSTRUCTION R W /,•PW/ CONSTRUCTION,W W ENGINEERING`;.,... . . 4174807 PW/ENGINEERING FIRE 417-4653 FIRE.DEPT.- PLANNING DEPT. 417.4750 PLANNING,,DEPT. BUILDING LL, 417 :., tBU1LDING 4815 i e p t,.�,�_ + "-, .fit:-.•- ! - T Forms/Bwldmg'Drv�sion/Public Works Perrrvt '} CITY OF PORT ANGELES �w PUBLIC WORKS & UTILITIES �< a 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number . . . . . 11-00001050 Date 9/29/11 REPORT SALES TAX Application pin number . . . 574350 Issue Date . . . . 9/29/11 Valuation . . . . 150675 on your state excise tax form Expiration Date 3/27/12 to the City of Port Angeles Qty Unit Charge Per Extension (Location Code 0502) 1.00 150.0000 EA SAN SEWER HOOKUP 150.00 ---------------------------------------------------------------------------- Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. September 26, 2011 3:59:54 PM tamict. Separate electrical permit will be required. 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" All construction work within the City right of way requires a separate Right of Way Construction application to be completed by the contractor and approved by Public Works Engineering prior to the start of work. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . RES UNDERGRND SERVICE FEE 770.00 SEWER SYSTEM DELV CHARGE 2260.00 STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 2260.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 750.00 750.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 5294.50 5294.50 .00 .00 Grand Total 6044.50 6044.50 .00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:Forms/Building Division/Public Works Permit PERMIT INSPECTION RECORD , CALL 417-4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. i KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTEll COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE./METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK DR I VE W AY•APPROACH " BACK FLO'W.DEVICE [ 't° 3 � a taxa fi". � ,s':. r7'k xfi s�a� FINAL INSPECTION S.REOUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL.:- DATE YES','-., NO COMMERCIAL DATE' ACCEPTED YES, NO4 CONSTRUCTION R W /PW/ - ` CONSTRUCTION-.R W ENGINEERING;. , 417-4861 PW/ENGINEERING FIRE 4174653 FIRE DEPT.. PLANNING DEPT. 417.4750 . PLANNING DEPT. BUILDING Q7 BUILDING R.•„ 4815 . '+' .... , ] .. . ;" .::•. �:�. t ...'. ."! ,r �:<, h��,,-fit, r.;,t � �x - s. T Forms/Building Division/P&i.Works Pemui 5" s - BUILDING/PLUMBING/MECHANICAL PERMIT APPLICATION - LONG FORM (To be used for projects that require plan review.) Date Received J&V �7OOR Permit# II— D City of Port Angeles �( �' Please print in ink. Date Approv d Attn: Building Permit Technician Approved b 321 E. 51h St., Port Angeles, WA 98362 360-417-4815 fax: 360-417-4711 Credit card payments are accepted Mon-Fri 8-5 pm (no Aeri n Express) Hours: Mon through Fri 8—5 pm Cash & checks are accepted Mon-Thurs 8:30-4 pm & Fri 8:30-12:30 pm Contact person: S �lZKOV�•��� Phone: 46)) `lhC Property owner: 6Y_e.-_A ( �% i,�rry l i�S - L. Phone: -�cY1'+� Pro rty Qwner's mailing address: P.-o. Ror aK39 T__31 Y`X Bks WA 9 '36;?, l Contractor's business name:6.r- e L Lo_ Phone: or property owner's name if he/she is doing/overseeing the.work ontr tor's mailin ad s' Contractor's L&I license number: Expiration date: R Cf-A)CC 33 C-A 7 �3 Project Address: 1.3gO Rook. �e .001�-Avjek V1 36 2 Project Type: esiden ial m Commercial m Industrial o, Multi-family Project Business Name: Zoning: for commercial, industrial, or multi-family projects) ll Parcel# � ��/ Lot# Completeonlythe portions of this permit that are relevant to your project. (✓) j° Pay the plan check fee (based on the valuation of the project) at the time of submittal Residential Pro'ects submit: (✓) Two sets of plans* (including engineering calcs, geotech reports, etc. if applicable) V) Prescriptive Approach—Simple Form (confirming conformance to the Energy Code) Commercial Projects submit: (✓) Three sets of plans* (including engineering calcs, geotech reports, etc. if applicable) (✓) Paperwork confirming conformance to the Energy Code (✓) For large projects, a pre-construction meeting with various City department personnel is highly recommended. To schedule a pre-construction meeting, contact the Planning Manager at(360)417-4750. (✓) Additional information may need to be submitted including: landscape plan, parking plan (including ADA spaces, ramps, etc.), utilities (existing & proposed), curbs, sidewalks, storm water plan, etc. For Additions & New Structures also submit: (✓) Site plan (8 1/2" x 11") showing all structures (existing & proposed), setbacks, & new driveways . * If an architect or engineer drew the plans or calculations, include at least one"wet-stamped" set of plans and/or calculations. T:Forms/Building Division/Building/Plumbing/Mechanical Permit Application—Long Form (Revised 2011) Page 1 of 4 Repair/Solar Panels/ Miscellaneous: (explain the project) a Project Valuation $ •' Remodel: (explain the prosect including how the building space is currently being used and what the new, femodeled use will be) s Project Valuation $ (✓) If the space.will change from commercial to residential, submit: "Checklist—Converting Commercial Space into Residential Space" Addition: (explain the project and complete & submit page 3) Maximum height of the new addition ° feet Project Valuation $ New Structure: (ex Iain the ro'ect and complete & submit page 3 terns ✓Y,�'1" Gz ;J S 7 6E Re5P -,e, Al2 Maximum height of the new structure /5" feet Project Valuation L1310,(,076. _ PLUMBING PERMIT: Will there be ANY plumbing changes (items moved, added, replaced, or altered) Check one: No Yes (✓) If yes, complete & submit page 4"Plumbing Changes" MECHANICAL PERMIT: Will there be ANY mechanical changes (items moved, added, replaced, or altered) Check one: No Yes -If yes, complete & submit page 4 "Mechanical Changes" Occupancy group V--3 #of bedrooms 3 Will a lawn sprinkler system be installed? N0 Occupant load #of full baths Will afire sprinkler system be installed? A2 0 Construction type #of half baths "Homeowner: If you will be doing/overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 = Project Valuation $ 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. r Date Signature _Q2A� Print Name Page 2 of 4 Floor Areas Existinq square New square Price per new foota a foota a square foot Basement X = $ ILL 1St Floor 2nd Floor 3rd Floor _ Garage 3D 3 0 60 Carport Covered Porch Deck (> 30" high)* Coir Shed Other Other Remodel project valuation - - TOTAL VALUATION Walking surface of the deck above ground For residential building projects the minimum square foot valuation we accept is: Dwelling $85.00 per sq. ft. garage/utility/misc.structure$30.00 per sq. ft. porch/deck/carport$12.00 per sq. ft. LOT COVERAGE & SITE COVERAGE Lot coverage is the amount or percent of ground area on which buildings are located. It includes: houses, garages, carports, covered patios, cantilevered portions of buildings, roof overhangs that are longer than 30-inches, uncovered decks or'porches having walking surfaces higher than 30-inches off the ground, etc.. Total footprint of structures o -07 sq. ft. = lot size 75 sq.ft. = Lot coverage Site Coverage is the amount of impervious surface on,a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see Port Angeles Municipal Code 17.94.135 for exemptions) Does the project include a new driveway? res ❑ no If yes, what will the driveway be made of? dement ❑ asphalt ❑ gravel ❑ other (NOTE: 18 feet is the recommended minimum driveway length for residential projects) Does this project include a new parking pad? ❑yes m no If yes, what will the parking pad be made of? gement ❑ asphalt ❑ gravel ❑ other a) Total footprint of structures 2 ZZ©'f sq. ft. (existing & new) b) . Total concrete, asphalt, & other impervious surfaces 90 sq. ft. (existing & new) c) Add lines "a" & "b"above to get the total impervious sq. ft. (existing & new) Total impervious 0/9 sq. ft. = .lot size y sq. ft. = Site coverage Page 3 of 4 PLUMBING CHANGES Check"No" or"Yes" (and enter quantities)for each line item. ° Type Plumbing Changes (Moved Added, Replaced, or Altered Sink (hand, mop, floor etc.) No Yes Quantity Toilet— No Yes 2 Quantity Bathtub No Yes t 'Quantity Shower No Yes 1 Quantity Washing Machine No Yes l Quantity Hot Water Heater No Yes _! Quantity Water Line (meter to structure) No , Yes I Quantity Re-plumb the structureNo Yes Quantity Sewer Line No Yes Quantity Backflow Prevention Device Types: Beverage Machine No Yes Quantity Landscape Watering System No Yes Quantity Fire Sprinkler Systems 2 inch line No Yes - .Quantity Fire Sprinkler System > 2 inch line No Yes Quantity Please list all other planned plumbing changes or additions that aren't listed above. MECHANICAL CHANGES Check"No" or"Yes" (and enter quantities)for each line item. Tvpe Mechanical Changes (Moved Added, Replaced, Furnace, heat pump, or or Altered forced air units 5 tons No Yes Quantity Furnace, heat pump, or Yes Quantity forced air unit> 5 tons No Ductless heat pump No YesQuantity Wall (recessed) heater No Yes Quantity Baseboard heater No Yes Quantity Steffes room heater No Yes Quantity Wood-burning stove No Yes Quantity Pellet stove , No Yes Quantity Radiant floor heat No Yes Quantity Gas fireplace or freestanding stove No Yes Quantity Gas cooking stove No Yes Quantity Propane tank set No Yes Quantity Gas line No Yes Quantity Boiler No Yes Quantity Clothes.Dryer No Yes l Quantity Ventilation fan (single duct) No Yes ?j Quantity Hood &duct mechanical exhaust No Yes / Quantity Ventilation system (not part of a heating or air conditioning system) No . Yes Quantity Air handler No Yes Quantity Evaporative cooler(non-portable) No Yes Quantity Please list all other planned mechanical changes or additions that aren't listed above. Page 4 of 4 7; 1411 §' = 1419 O C Eckard A ve Ale, '341 1 -..�....,._... ,...__.......�.._ � �°-mow... ,.F � ---.. 1336 � ' 3418, 344 r, U I • � 328 C x { ` f t Z f 1305 3510 XR F R 4 N Al egoa 1 r - 4 L e2T �' G M f Ll. ,AVE Fg-P LT���� A R C H I '%-L� C T S 319 s.peabody,suite b;port angeles,wa 98362 360.452.6116/fax 360.452.7064 Pto'ect: ' '�' Project No. S.ubiect 'f" ' t (,. BY: UPS Date: Sheet 1 of rAi- �c Pe 4�;U T2-� G-, DGS nom. � Stow - S�5- LA :-`-�`} LINDBER _^,;- ?gITH A R C H I -'r.� C T S. 319 S.Peabody,Suite B.,Port Angeles,WA 98362 360.452.6116/fax 360.452.7064 contact(@Iindarcircom/www.lindarch.com Proj ect: Proj ect No. Subject: .4419F-)IL. BY: 6 Date: �{ 7 '• 2b►) Sheet 2 of SHEAR WALL SUMNCARY W1 L I H I V I V/L I SW VH-WL/2 I POST HOLD DOWN 144 2_ 2 LSD"�� S 212 o 4-2 . (.a -,S 3Z 1,3 •`�n5'�' `� 4� 6/6/ '�'/yJ 2 t � �' 3351 31(0 � ��� � " � �•����� v 5 f` a 1 I S 2- 1 L5nrv.G0 l If I/ALL0FTT/FTRIv=0/F0RMS/SB EARWAL A) w 15 46 1�1,, Vj S2:2. 's w =6 -------- Vj 31 Vv vv P5) o 6 Ail 51