HomeMy WebLinkAbout912 E Park Ave - Building c CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000419 Date 5/03/11
Application pin number 242090
Property Address 912 E PARK AVE REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-15-1-1- 0350 -0000-
Tenant nbr, name LEON NANCY BOGUES on your state excise tax form
Application type description MECHANICAL APPL. PERMIT to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 5000
Application desc
INSTALL A STEFFES ROOM HEATER
Owner Contractor
LEON AND NANCY BOGUES ALL WEATHER HTG COOLING INC
6a
912 E PARK AVE 302 KEMP ST
PORT ANGELES WA 983626759 PORT ANGELES WA 98362
(360) 457 -6453 (360) 452 -9813
Permit MECHANICAL PERMIT
Additional desc STEFFES ROOM HEATER
Permit pin number 185017
Permit Fee 64.80 Plan Check Fee .00
Issue Date 5/03/11 Valuation 0
Expiration Date 10/30/11
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME- HEATER(SUSP /WALL /FLOOR -MTD) 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
6/fi rat 4. ?H'
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.
5/9)11 l o.tty∎ PA2Qwh 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 S.
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:s
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:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By d
Electrical 417-4735
Construction R.W. PW Engineering 417 -4831 5 4--
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 NfirP Iy
EX lily
T:Forms /Building Division /Building Permit
I T
1
CITY OF )f f 1
r. NGELE
W A S H I N G T O N U. S. A
COMMUNITY ECONOMIC DEVELOPMENT
April 24, 2012
Keith Nancy Bogus
912 East Park Ave.
Port Angeles, WA 98362
RE: Building Permit #11 -419
Dear Mr. and Mrs. Bogus:
This letter is to notify you of the status of the above permit. The permit expired on October 30,
2011. A one -time final inspection is possible, with fees. If you have any questions, please let us
know.
Sincerely,
NtaAlk,a ea)-14-PV
Heather Catuzo
Building Permit Technician
321 E 5 Street
Port Angeles, WA 98362
hcatuzo @cityofpa.us
360 -417 -4817
PROJECT STATUS UPDATE
Permit 1 1– 1 E Pa wv-
Date: 2• '2
I phoned the: Applicant Kck.- =1r1 Bo t i S at x 5-
Property Owner at
Contractor at
I (left a phone message, or discussed):
The permit (has expired, or will expire soon). What 1- of this project?
P -ase call and schedule a final inspection.
ef
Submit a "permit extension request" letter.
Or
Let me know if the project is abandoned.
V+rn PeOm rt e4cp 1 rlor I5 wo c orrec ortS
cvlQ.,"?
T:Forms /Building Division/Project Status Update
PROJECT STATUS UPDATE
Permit# I\ I 9 401
a
Date: 10- 12_-t. �r
1 phoned the: Applicant at
Property Owner L in Nah q At (04 53
J
Contractor at
I
C--D3(left phone m er discuss-
to-- 3c.) -1k
The permit (has expired, o will expire soon). at is the status of this project?
Please call and schedule a final inspection.
Or
Submit a "permit extension request" letter.
Or
Let me know if the project is abandoned.
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T:Forms /Building Division/Project Status Update
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ut..''0NT4,1'. BUILDING PERMIT APPLICATION Print in ink
CITY 'OF PORT ANGELES
Attn: Building Permit Technician �p For City Use Only:
W_... gSr "ytl, B ate Received t-4.-2-1-^ 11
‘11111111/ 32 E. Fifth St., Port A ng e les, WA 98 362 ,t 2
(360) 417 -4815 fax (360) 417 -4711 p M Permit l IT(
GOP' .i ny Date Approved
Applicant U.h�e(" /��'f1 P� Ph n °ti
Property Owner MTaliniffeitla Phone i_ ZA al1` Wl.
Property Owner's Address 0 10 aK
Contractor t, 4 k i lordliVIAIKIIIR Phone 01:5
Contractor's Address WiraireAgitlie
License j;F, .1 Expires x•111 t it E -mail alit pen, WW,
PROJECT ADDRESS 2- -k,r C
Parcel Number Lot Zoning
Project Type Brief Description; ?esidential o Multi- family Commercial Industrial
Check all that apply
n New Construction
Addition
o Remodel
o Repair
o Demolition
o Re -roof o House o garage o other o tear off re -roof lay over one layer
Heat System o Heat ump o wood- burning stove o gas fireplace pellet stove other
XOther Jr t'Qoyr, Ilea -Iet- w MIn A blc,ttwir
Floor Areas Existing (sq. ft) Proposed (sq, ft.)
Basement u per sq, ft.
1" Floor
2 Floor
3' Floor
Garage
Carport
Covered Porch iy,
Deck Vic'
Shed tpi
Other Q 41
I 1 C9a
TOTAL VALUATION SEW 4Arnell 4. I
AA L
Total footprint of structures sq, ft. T Lot size
Site Coverage the amount of impervious surface on a parcel, including structures, ay ft, Lot coverage
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Paved driveways, sidewalks, patios,
P Slte coverage
Max. height of proposed structures ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed? Occupant load of full baths
Will a fire sprinkler system be installed? Construction type of half baths
have read and completed this application and know it to be true and correct. am authorized to apply for this permit and understand
that it isII y i s to deterrnine what permits ar required, and to obtain permits prior t ng on projects.
Date‘'' 4 Print Name Signature
T;Forms /Building Division/Bldg Pormit.doc
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Clallam County Assessor Treasurer Property Details 67588 LEON AND NANCY B... Page 1 of 2
Clallam County Assessor Treasurer
Property Search Results 67588 LEON AND NANCY BOGUES for Year 2011 2012
Property I
Account
Property ID: 67588 mm~ Legal Description: 1.69A IN NE CORNER
OF NENE 1.69A
SURVEY V35 P19
Geographic ID: 0630151103500000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi Family Redevelopment: N
Township: Section:
Range: f(,.
Location t lJ I A
Address: 912 E PARK Mapsco:
PORT ANGELES, WA 98362
Neighborhood: Cycle 4 Res (City) Map ID: 2
A A iN e./
Neighborhood CD: 10953130 c\)-\ `Owner
Name: LEON AND NANCY BOGUES Owner ID: 14546
Mailing Address: 912 E PARK AVE Ownership: 100.0000000000%
PORT ANGELES, WA 98362 -6759
Exemptions:
Taxes and Assessment Details I
Property Tax Information as of 04/21/2011
Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and
click RECALCULATE to obtain the correct total amount due.
!,First Second i I
!Half i Half
I IBase Base i j
Year Statement ID I Taxing Jurisdiction !Amt Amt. Penalty l Interest Base Paid I Amount Due
2011 161124 ST SCH STATE SCHOOL $252.93 $252.92 $0.00 $0.00 $0.00 $505.85
'2011 161124 CC -GEN COUNTY CLALLAM $139.63 $139.63 $0.00 $0.00 $0.00 $279.26
2011 161124 SD #121 SCHOOL DISTRICT #121 $330.62 $330.62 $0.00 $0.00 $0.00 $661.24
2011 161124 CITY PORT ANG CITY OF PORT ANGELES $322.34 $322.32 $0.00 $0.00 $0.00 $644.66
2011 161124 PORT PORT OF PORT ANGELES $19.65 $19.65 $0.00 $0.00 $0.00 $39.30
2011 161124 NTH OLY LIB NORTH OLYMPIC LIBRARY $58.56 $58.55 $0.00 $0.00 $0.00 $117.11 i
2011 161124 HOSP #2 HOSPITAL #2 $57.32 $57.31 $0.00 $0.00 $0.00 $114.63 I
2011 161124 WSMET PK DIST WILLIAM SHORE MET PARK DIST $17.42 $17.42 $0.00 $0.00 $0.00 $34.84
2011 161124 CITY_STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $0.00 $72.00
2011 161124 FIRE_PATROL FIRE PATROL $8.70 $8.70 $0.00 $0.00 $0.00 $17.40
2011 161124 WEED_CONTROL WEED CONTROL $0.88 $0.88 $0.00 $0.00 $0.00 $1.76
2011 161124 FP Fee FIRE PATROL COUNTY FEE $0.25 $0.25 $0.00 $0.00 $0.00 $0.50
2011 161124 TOTAL: $1244.30 $1244.25 $0.00 $0.00 $0.00 $2488.55
2010 49414 ST SCH STATE SCHOOL $250.40 $250.39 $0.00 $0.00 $500.79 $0.00 i
12010 49414 CC -GEN COUNTY CLALLAM $133.25 $133.26 $0.00 $0.00 $266.51 $0.00
2010 49414 SD #121 SCHOOL DISTRICT #121 $324.33 $324.33 $0.00 $0.00 $648.66 $0.00
2010 49414 CITY PORT ANG CITY OF PORT ANGELES $308.52 $308.53 $0.00 $0 $617.05 $0.00
2010 49414 PORT PORT OF PORT ANGELES $18.73 $18.73 $0.00 $0.00 $37.46 $0.00
`2010 49414 NTH OLY LIB NORTH OLYMPIC LIBRARY $38.72 $38.72 $0.00 $0.00 $77.44 $0.00
2010 49414 HOSP #2 HOSPITAL #2 $54.66 $54.67 $0.00 $0.00 $109.33 $0.00
.2010 49414 WSMET PK DIST WILLIAM SHORE MET PARK DIST $17.40 $17.39 $0.00 $0.00 $34.79 $0.00
2010 49414 CITY_STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $72.00 $0.00
http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year= 2011 &prop_id =67588 4/21/2011
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
'Application Number 11- 00000271 Date 3/30/11 r B
Application pin number 961840 -,1
Property Address 912 E PARK AVE REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 15 -1 -1- 0350 -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 UNKNOWN
Application valuation 0
Application desc
Demand heater, Hot water mixer 2 circuits
Owner Contractor
BOGUES LEON /NANCY SIMPSON ELECTRIC
912 E PARK AVE 243036 W HWY 101
PORT ANGELES WA 983626759 PORT ANGELES WA 98363
(360) 457 -9270 7 W
Permit ELECTRICAL ALTER RESIDENTIAL ]J G
Additional desc SIMPSON
Permit pin number 183087
Permit Fee 76.10 Plan Check Fee .00
Issue Date 3/30/11 Valuation 0
Expiration Date 9/26/11
Qty Unit Charge Per Extension
1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50
1.00 2.6000 ECH EL-ECH ADDNT BRANCH CIRCUIT 2.60
O
Fee summary Charged Paid Credited Due
Permit Fee Total 76.10 76.10 .00 .00
S 6. 1 4
Plan Check Total .00 .00 .00 .00
Grand'Total 76.10 76.10 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN U> `1
FINAL LI f 13/11
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:AEXCHANGE \BUILDING•
v
F E C E E pORiA
CITY OF PORT ANGELES PERMIT APPLICATION
AR 2 2011 CVO"' N
B nilding'Division /EtectricalInspections ELECTRICAL
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98
Ph: (360) 417 -4735 Fax; (360) 417 -4711
Date 2S l
1 2 Single Family Dwelling Multi Family or Commercial" Commercial Addition Alteration Remodel I Repair"
Plan Review M Be Required,Elease Cog plete Electrical Plan Review Information Sheet
Job Address: r- CM- cif,
Building Square Footage: Tg 0 C p-r j
De scripli o a of me ...1 Pe 04/7 11 ...fir ce o A
i 3�8 c) 117• 'a
Owner Info soon Contractor Information
Name i Li I 0 Ue Name: 1 eI
Mailing A s• i i Meng A rasa: LDS
Cny, 5tete: 1,4)11 Zip: b 2 city- ale: (i 1 /i 77ip 1 6:-g.
Phone: i- Fax: Phone: 7„Q Fax, S l
LicenseitIExp. Lieenee /Exp, SQL...`,.V_I.J. 9
Item LAtSkalg 9ht Total (OW Mut �Iled 11v Unit Charnel
Servi�IFeeder 200 Amp. $119.90
Service/Feeder 201-400 Amp. 145.50
Sorvice/Feeder 401 -600 Amp 204,60
Service/Feeder 601 -1000 Amp. 26220
Service/Feeder over 1000 Amp, 372.50
Branch Circuit W/ Service Feeder 2.60
Branch Circuit W/O Service Feeder 73.50 __.--L-.7._ 3.! 0
Each Additional Branch Circuit 2.60 $__pZ, k L Q
Temp. Service! Feeder 200 Amp. 9270
Temp_ Service /Feeder 201.400 Amp, 110,30
Temp. Service/Feeder 401-600 Amp. 148.70
Temp. Senrlce/Feeder 601.1000 Amp $167.90
Portal to Portal Hourly 95.90 S
Sign/Outline Lighting 88.20 L
Signal Circuit/ Limited Energy I First 1500 sf Commercial 95.90
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90
Signal Circuit/ Limited Energy Multi Family Dwelling 63,90
Manufactured Home Connection 119.99
Renewable Electrical Energy 5KVA System or less $10230
Thermostat 56.00
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.. 3 110,30
Each Additional 500 Square Ft. or Portion of 35.20
Each Outbuilding or Detached Garage 7350
Each Swimming Pool or Hot Tub 110.30 w
$1i, L 0 Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years alter this electrical permit is finalizes 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 Inspects n
After reading the above statement; I hereby certify tall am the owner of the above named property or a licensed electrical x ft radon I are making
the electrical installation or alteration in compliance with the electrical Taws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 295 tI iB, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding ElecMcal.Permit Applcationr
Sign of owner, electrical con or electrical administrator: LI cash 0 Creek
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/Date* pZ'•+ Ml
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
subdivision Name
Property Use
Property zoning . . .
Application valuation
04-00000810 Date
.190260
912 E PARK AVE
06-30-15-1-1-0350-0000-
RES REMODEL
9/13/04
UNKNOWN
7390
Owner
Contractor
BOGUES LEON/NANCY
912 E PARK AVE
PORT ANGELES
OWNER
WA 983626759
----------------------------------------------------------------------------
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc
Permit Fee 176.75 plan Check Fee 70.70
Issue Date 9/13/04 Valuation 7390
Expiration Date 3/13/05
Qty Unit charge Per Extension
BASE FEE 92.75
6.00 14.0000 THOU BL-2001-25K (14 PER K) 84.00
----------------------------------------------------------------------------
Special Notes and Comments
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Other Fees
STATE SURCHARGE
4.50
-Q
.........
y
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S 1\ ,
~
'--
--------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 176.75 176.75 .00 .00
Plan Check Total 70.70 70.70 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 251.95 251.95 .00 .00
~-.....:
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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.
Date
9-13 :J(
Signature of Contractor or Authorized Agent
(if owner is builder)
Date
T:\PLANNING\FORMS\II02.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 4] 7-48]5 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAJNAGEIDOWNSPOUTS
ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING q -1J./-niJ IL-L
DRYWALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKlNGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
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 Cf-IIl-oi-J J i-L BUILDING
T:\PLANNING\FORMS\1102.15 [11114/2003]
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Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for revie.w. If you have any questions, call
PERMITS (360) 417-4815 FA.X(360)417-4711
FOR OFFIClAL USE ONLY:
Dale Rec.: 8 '-.b-o'"
Pelllli\ # () '-( - 8 i 0 ,
Dalt Approved: '/1/cc..f
Datt IS5ued:
BUILDING PERMIT.. APPLICATION
~G"rk if ~52..
lu chi tect/Engmeer:
~'CA '-t ~ ~ D~~~
t MQ."~ ~O~\. ~<,
E:. P~lL ~C; City:_?oA-1
(2f
,
Phone: 'i~ 1 - ~l{ 5.3
Phone: t.fS7 - !o'l51
t4-,.)'a-d 'Cc. Zip: q ~3 <'.:, "t
Phone:
Applicant or Agent:
Owner: \L..oc.... i ~
Address: q I L
Conu-actOT
i1
State License #:
Exp:
Phone:
Address: City: Zip:
PROJECT ADDRESS: q I 1-. ~. PA-LlL AJE ZONING:
LEGAL DESCRIPTION: Lot: An AcJ..eoi Block: Subdivision:
CLALL.A.M COUNTY PARCEL NUMBER: Din ~O, 5 II 0 ~ <; Do 0 C> D
1<. ~ 'i
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
Tl'1'E OF WORK:
o Residential 0 New Constr. p( Re-roof 0 Stove
o Multi-family 0 Addition 0 Move 0 Garage
o Commercial 0 Remodel 0 Demolition 0 Deck
o Repair 0 Sign 0 Other
BRIEF DESCEIPTION OF THE PRO.mCT: Ad-c:l
~tJVo\ ~ Lc Co T", ~ € Y\I\.~"T t'\ , ~o~
COMMERClALIRESIDENTIAL: Occupancy Group:
City:
Exp. Date:
SIZE/VALUATION:
.00
l So'" SF. @ $ "Z- - ISF. = $
G::.'1~ SF. @ $ -1- c>O ISF. = $
SF. @ $ ISF. = $
TOTAL VALUATION $
C-SA\..\€ O"EIl"'-~~~ L'2.t-t) €.
~~lolnlc.E Ii f~.It4~t=:"
Occupant Load: Construction Type:
IDO
'300"1 -
\ '3 ~<.:. ~
lt~<<=l \) eo.
RE R,oD.(\ WI
No. of Stories:
Lot Size:
Existing Sq. Ft.
Total lot coverage
& Proposed Sq. Ft.
= TOTAL Sq. Ft.
%
ESAfW etland(s): 0 Yes 0 No SEP A Checlc1ist required? 0 Yes 0 No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
BUILDING PERMIT APPLICATION SUJ3MITTAL: The Building Division can provide you with infOImation on the application and
plan submittal requirements if you have questions.
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 CUlTent 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 tinle the building permit application and constlUction plans are
submitted. All other peront fees are due at the time ofpermit issuance.
EXPIRATION OF PLAN REVIEW: Ifno peront is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the tinle for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, cun:ent edition). No application can be extended more than Ollce.
! hereby certify that / have read and examined this application and know the same to be true and correct. / am authorized to apply for this permjf and
understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work.
'r.\T:rmHC:\A'PPC:\Rllildinguennit.wpd Applicant: _~....a.frf2. 8~ Date: g. ':2) D - Dt{
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/ Case #: 95-10-10384
/"",
LEON/NANCY BOGUES .
jlddress . 912 E . PARK AVENUE
PORT ANGELES County CLALLAM
,,,nder FIRST FEDERAL SAVINGS & LOAN ASSN.
State
WA
Zip Code
98362
EXHIBIT 'A'
The North one'hal! of the !olloving described property, AS -easured ~long the Eaet
line thereot. to yit, that portion 01 the Hortheast quarter of the' Northeast quarter
of Section 15. Tovnship 30 Horth. Range 6 West, W'~'r CIQllam County, ~ashin9tonr
lying Easterly of the ~ount Angeles Road; sa no~ established, And North ot the North
line o! Grant Avenue produc~d Westward, said Grant Avenue being shown on the Plat of
Highland View Aqre Tracts, recorded .in Volume, 4 of Plats, Page 15, records of Clallalll
County, Washington, excepting, however. the Horth 30 feet conveyed to Clallam County.
by deed recorded under Auditor's File No. 182333.
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'. e,,'\- or- f'CiR:T ANGelES - Construction rlarts
111;-, i,.;l;d'ice 01 this Dermit based upon these plans. specifi.
caliO;" ',nJ wher dat3 shall not prevent the bu"c1ing official
thereafier reqUiring the correction of errors in said
"5,PBciflcations and other data, or from preventing
blilld)Jrgoperations bemg carried on thereunder when in
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vk1ifitwr. ot ail codes and ordinances of this jurisdiction.
-"((SECTION 3a~,{cJ . Unl rm B Idln Code~....:----
\pproval Date '. \. By ~
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt?
17445
Port Angeles, WlUlhlngton...ooo..J.~n.-=...~..g.....ooo.ooo...ooooooooo....., 19.~
In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec-
trical equipment In, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to dO electdcal work as listed below.
Address ..ooo..t'(~~ooo.n~..~g""-:n_nnoooooon.__m.n_________n OccupancYn_A~~~ooonn__.__nn__oooooon__
Owner nn.?i?~~tR.....ooo..',!?~oooooo_w TenanLn.nooo....n........___n.ooo_ooon_..___.ooo..n.....ooo..mooo.ooo
Wmng Contractt:. n7r;fri:.~~oooe{!!::~Ln~ooo By.....ooo...._...nn...ooooooooooooooon.ooo...n..oooooo..mooo.....
Ught Outlets.........._.__.__..............__._____ Service, volts ./..~.~:?~.~..__ Type ot Wiring:
R tacle Outlets "0. wires ...:?.._.........._.......~.... Armored Cable ............................-
ecep ............................... !"
</~ aU/
SIze wires....7Z....h..-.....h......._..
Main tuse ______i?:.e:.~_A_______.....
s
Enclosure ...........................0...........
Dryer, KW._..................nn.__.....__....n..
Rnnge, KW...__.n..................................
Water Heater:
KW..n_____n__n_____nn.___n...___.....___...
Hest: Kw.....#:.9...Lf!.!::.4!.<?..Cf.,
Type of wiring:
Entrance Cable ..h...mh.....h..........
Motors: size, volts and phase:
Rigid Conduit ................m..
Metalllc Tubing ..______.....__...
Current transformers:
No. & Size......_..h.......m__hm..
Ser. NO............h:....__n.......n_.............
Ser. No. .............................................
Ser. No. .........._.....0..........0..............0..
Total Load.............................
Ser. NO.................._....._..h.....hU.....__
Non-Metallic ................._.........__...
Knob & Tube................................_
RIgid Cooduit .....................__........
Metalllc Tubing ____............____.__...
Raceway _......................_.....___._
Circuits. Llght........._.._......h..........___..
UtlIlty..............._......_....___......__.....
lIeat ......................................._......
Range .........___.............................__._
Water Heater ...............................
Motor _._............_.....................___..
Dryer ..................nn.............__.....h..__
Furnace .........................._......_.._.......
Total................___....................
~.
Remarks : ..:.~....uu__n_:.__L_n_:u~_ul_~.__"~:!_._(!un.n._..n__d__n__n.__._..___.____u....___.n__.__u___nu___n__unnn_nnn__n...__....___
t"'~_. "-'"-- - -- -
mooo....ooo__._.ooo..oooooon_nooooooooo_oooooooooooooooooonooo.oooooo.ooo..ooo._....__ooom....n....7lJ'j.___..ooomoooooo..ooo.ooo._n_oooooo...ooo...m..-..m...
Permit Fee Treas. Receipt ~~- ~%~ L
$_000...__000....000.000.000...000.000. NO.....oooooon....ooo...._._ By r..___....'nooo~n~'..ooo"t~ooo.'~-d!..4n_nP-.'~'C.~.
NOTICE-Current must not be turned on untn Certificate of Inspection has been issued. It work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
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Addres.s.._....__....._.........................................................................__......_......_.......__......................
N?
17445
Owner ........__.....__.........._......_......_.._......_......_.._...........0.._....__..........____.....____....__........ Tenant....__..nn__..nn..__...._n....h_..hn._nh..__n.__n__.__..
Date..._...._.__._.._.._.........._.._.._......_..._..._
WlrlngContractor................__......................................_......................._..............................._.........By..............................................._..............
NQTICE-Current must not be turned on untll Certificate of Inspection has been issued. If work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
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