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Home My WebLink About2614 W 10th St - Building(9/1 Linda Pangrle Flores permit has refund Page 1 From. Kathy Emery To: Linda Pangrle Date: 9/17/2010 11 15 AM Subject: Flores permit has been refund I have completed the refund for Bernjie Flores, but it won't be credited until we balance today Kathy S Ap lic Inquiry- (13PN20OI001)` File Edit :Commands Help $OARD'PU3r.dC SECTOR NaviL[na Application 10- 00000116 Bonds Contractor escrow Fees El Global balance dui rij Inspection history 1 Miscellaneous into III Names Permits f P.lantrackind EZI Receipts s quare footage call CO Structure El valuation calcutatid 'eV Refresh Lend Inqurrr Docume .Property Address Location: ID• Owner name ,ASSESSOR PARCEL NUMBER•, ALTERNATE' I6. C !i_ Cont root or Information Contractor Name Contractor° Number• Type Status •contractor Requirements PLAN CHECK Totals 261414):10TH ST PORT ANGELES, WA 98362 98884 •BENJAMIN STACY KL 06.30- 004 -1 5820- 0060- 063000105820 MOORS CONSTRUCTION 2626 GENERAL ACTIVE Doc Number 396 '7 396.27 i1 LH 11 Application Information Application desc Application ^tatus Status' :Date Application type Application date Tenant name /number• Valuation Outstanding Inspections I'nsp Schedule Type IG Date Desert flan Transa0on, amount Amount due Amount billed Struct Permit Ins FEES 00 .00 No- otstanding inspections exist 00 Pr 1440 sq ft DETACHED GARAGE PERMIT ISSUED 3/16/2010. RES DETACHED GARAGE 2/26/2010 STACY KUNTZ B. FLORES 43206 1 Confirmation I Number 000000 00 mwi ;sh Adjustment 1 pplicatiori \04- \Ctb eceipt ae Type m Paid- G L t• k ov■ ount adjustment PoSted Fee Signature ,—vsmexi3 SEND TO L?\b- (4seiatk C(1496/ C‘9' koc) Refund Amo Now 4)'2. 1 \AI WI SA" 360-- gt 4512. cort Aen-a e,k,e,5 Pk- e_ worAK5 i A Wo-klre'r -4-srui,skineven+ 0a,v11-- w3 '31\6(1e) Caenier into payment Type .Check.# 4 L- '35 co v t3orr)-' -Y\r‘ex‘. NoAd, Me, ,C,o0-10(6-6A-vr 4f(00 cedni d Yi 5 t q,,eJry (4.e.o,sovl rre..von-\-- ZC■Ort,4 .kk 5 9yv, t4o ty‘4'pe,c,i-4 s d1/4One QL 61Rall 5 ef' v plan cine,64 t 39 7 24 2.4 4 16 0■, 3/4t4,9.ezttAl t cortincaY th>1 t) -415t S ApplirationinguirY-(SPtP001001)' File' Edit 'Gurriffiends H. Oqmokii:Ousi.ic.stt ,NiVrilJne Application.10-000001 Ed. Bonds 51-Contractt8t'scroii M.Fees 111 Global balance dui 3D:inspection hIstoiy 11). Miscellaneous info 2.Narnas —111 Permits 15 plan tracking V IRQ1153 I Square footage cal structures tio Valuation calculalic Exit Paid ',van credit 00 16/10 r P 0029950 IPBB04ITS OP 614':15 ;;,11 00 ,11 Total „ti- 1010 42 1 0a. 1:1„ ..I.. 1 ...".Lt -Print Capper. .tqf Refresh Land !notary At Property Information Address LocatiOn. ID: .Nner name ASSESSOR PARCEL 1‘1UMbER: ALTERNATE -ID 4 Contract or Information Q -Alpine moOsE coNsrRucTioN ceritractor NuMber '2,626. Type GENERAL Status ACTIVE. toirt'eatai.1 20,11419,TH PORTIGELGS 98362 98884. 'GENqANINt RLDREWSTACY Ki '66:30- 06-1 -.0.: sez97,0000, 063006105820 Dot; Number Outstanding Inspections Insp Type ID No outstanding inspections ;exist 141 Application IM ormatiOn- —3 PA Applicatioh 1440 ,s4 ft DETACHED GARA0E. 1 Wppl4eation, status '.PERMITISS0E0, StataSi /16/010 ApPlicatiOn type RES DETACHEIT.GARAGE Application date 2/26/2010 Tenant ‘nan STACY EL PLORES' :I/ablation '43206 Schedule Confirmation ij Date Number 1 1 1 Race' Pt date Recei rttme -Number 2/26/10 1 .0022353 Cashier ;KEMERY, Payment tv.e Rece Ned CK 396 27 Remai .1 From Benjie Flores To: Sue Roberds Date: 8/31/2010 3 31 PM Subject: Building permit August 31st, 2010 Dear Planning Department, I would like to request a refund for a building permit purchased earlier this year The permit was issued for a detached garage at my home the address is 2614 W 10th St. in Port Angeles. I am currently getting divorced and a refund would be much appreciated as our current plans for this project have been permanently canceled. Thank you for your consideration, Sincerely Benjie Flores 2614 W 10th Port Angeles WA 98363 AECEOVE AUG 3 12010 I CITY OF PORT ANGELES Dept. of Community Development CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 10 00000196 Date 3/16/10 Application pin number 311708 Property Address 2614 W 10TH ST ASSESSOR PARCEL NUMBER 06 30 00 1 0 5820 0000 Tenant nbr name STACY KUNTZ B FLORES Application type description RES DETACHED GARAGE Subdivision Name Property Use Property Zoning RS11 RESDNT SINGLE FAMILY Application valuation 43200 Application desc 1440 sq ft DETACHED GARAGE Owner Contractor BENJAMIN FLORES /STACY KUNTZ 2614 W 10TH ST PORT ANGELES Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T:Forms/Building Division/Building Permit WA 983631202 MOORE CONSTRUCTION 1385 E ELLIOTT CREEK RD PORT ANGELES WA 98362 (360) 460 4561 HARD SURFACE AREA BUILDING PERMIT RESIDENTIAL DETACHED GARAGE 161562 609 65 3/16/10 Valuation 9/12/10 Plan Check Fee 396 27 43200 Qty Unit Charge Per Extension BASE FEE 417 75 19 00 10 1000 THOU BL -25 001 50K (10 10 PER K) 191 90 Special Notes and Comments The Fire Department has reviewed the project application and has no comments March 15 2010 9 32 01 AM sroberds The proposal will result in a detached accessory structure on the rear third of the lot in the RS 11 Lot coverage is 19W and site coverage is 24% No land use issues are anticipated March 4 2010 8 17 22 AM Brian 417 4708 OK Public Works Utility Engineering has no requirements for this plan review STATE SURCHARGE 4 50 Charged Paid Credited 609 65 609 65 00 396 27 396 27 00 4 50 4 50 00 1010 42 1010 42 00 A I'll b�•r -e_ Due 00 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 true and c All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. T gr ting o "a ie nit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the per o ancerf c �ri:tr :don. Date Print Name Sknature of Contractor or Authorized Agent Signature of Owner (if owner is builder) PLANNING DEPT Separate Permit #s Parking Lighting Landscaping 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. Inspection Type I 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 Fumace 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 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type SEPA. ESA. SHORELINE. Date Electrical 417 -4735 I I Construction R.W PW Engineering 417 -4831 1 I Fire 417 -4653 I .1 Planning 417 -4750 I t e 1 I Building 417 -4815 I( 1 �v i ).)V I Accepted By Applicant Property Property Contractor Contractor's License PROJECT ADDRESS Parcel Number Floor Areas BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360)417 -4711 mod, PlAtro &n/t. Owner I', pC.e,.P.-e,S O,"rter's Address _21 t( L,9 1,b-t", Address 13g‹.- W 02. P v sc P.Si t.71 Expires un /ftl. Existing (sq. ft.) Proposed (g. ft) Basement 1 Floor ____KV 2nd Floor IlaO 3rd Floor Garage 4$'o .1) .36 Carport Covered Porch ric Deck Shed Other (,k, l 113° For City Use. Only 1 Date Received 1 D Permit f Date Approved Phc ie tko j Phone 3G 0— So 6- y 5a2 Phone E -mail Lot l 96 a 50 1/01-ti-NO TOTAL. VALUATION (-11 0 per sq ft. Zoning R5- R ,Project Type Brief Description. ''e-Residential Multi- family Check all that apply New Construction El Addition Remodel Repair Demolition 30 i x'4 R Re roof Housed garage other tear off re -roof lay over one layer Heat. System Heat pump wood burning stove gas fireplace pellet stove C] other Other Commercial Industrial 1-t' 1-t' ZOO X1,3., 200 sq ft. Lot coverage �y .r to paved driveways sidewalks atios Site coverage •247 otal footprint of structures) 4'0 6 q ft. T Lot size Z /5 Site Coverage the amount of irpeniious surface on! a parcel including structures and other impervious surfaces (see PAMC 17 94-135-for exemptions) Il130'Sif-4- +-41056= i1g6- 2(i-/5 -2 Max height of proposed struct rtes /5 ft. Occupancy group of bedrooms Will a lawn sprinkler system be l stalled? 0 Occupant load of full baths Will a fire sprinkler system be ins':alled? /Vo Construction type of hal baths I have read and completed this app) and know it to be true arid correct. l am autho zr� ed to a ply f» t s permit and understand that it is my responsibility to deterrin what permits are required, and to ;htain permits prix 1(o wo Ong I Jr I oJj cts Date 24 I Print Name 41A i L r Signature_ T Forms /Building Division /B .wing permit application OtaVP MO ,a l l' At:o Clallam County Assessor Treasurer Property Details 60953 /STACY KUNTZ BENJ Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 60953 /STACY KUNTZ BENJAMIN FLORES for Year 2010 2011 Property Account Property ID 60953 Legal Description W2 TX #1696 SUB LOT 58 Geographic ID' 0630001058200000 Agent Code Type Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space: N DFL N Historic Property' N Remodel Property' N Multi Family Redevelopment: N Location Address: 2614 W TENTH ST Mapsco PORT ANGELES Neighborhood: Cycle 5 Res Map ID Neighborhood CD 10955130 Owner Name: /STACY KUNTZ BENJAMIN FLORES Owner ID 24805 Mailing Address: 2614 W 10TH ST Ownership 100 0000000000% PORT ANGELES WA 98363 -1202 Taxes and Assessments Due Property Tax Information as of 03/03/2010 Amount Due if Paid on. 3. Exemptions: First Second Half Half Statement Base Base Base Air Year ID Taxing Jurisdiction Due Due Penalty Interest Paid Du 2010 43764 ST SCH STATE SCHOOL $302.34 $302.35 $0 00 $0 00 $0 00 $E 2010 43764 CC -GEN COUNTY $160 90 $160 90 $0 00 $0 00 $0 00 2010 43764 PORT PORT $22 62 $22.61 $0 00 $0 00 $0 00 2010 43764 PORT ANG PORT ANGELES $372.53 $372 53 $0 00 $0 00 $0 00 $i 2010 43764 SD #121 SCHOOL DISTRICT #121 $391 62 $391 62 $0 00 $0 00 $0 00 $i 2010 43764 NTH OLY LIB NORTH OLYMPIC LIBRARY $46 76 $46 75 $0 00 $0 00 $0 00 2010 43764 HOSP #2 HOSPITAL #2 $66 00 $66 01 $0 00 $0 00 $0 00 2010 43764 WSMET PK DIST WILLIAM SHORE MET PARK DIST $21 00 $21 00 $0 00 $0 00 $0 00 2010 43764 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $0 00 2010 43764 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $0 00 2010 43764 TOTAL. $1420.59 $1420.58 $0.00 $0.00 $0.00 $2/ 2009 609532008 ST SCH STATE SCHOOL $346 61 $346 61 $0 00 $0 00 $693.22 2009 609532008 CC -GEN COUNTY $175 43 $175 40 $0 00 $0 00 $350 83 2009 609532008 PORT PORT $24 85 $24 84 $0 00 $0 00 $49 69 2009 609532008 PORT ANG PORT ANGELES $384 77 $384 75 $0 00 $0 00 $769 52 2009 609532008 SD #121 SCHOOL DISTRICT #121 $428.64 $428 62 $0 00 $0 00 $857.26 2009 609532008 NTH OLY LIB NORTH OLYMPIC LIBRARY $50 97 $50 97 $0 00 $0 00 $101 94 2009 609532008 HOSP #2 HOSPITAL #2 $71 94 $71 94 $0 00 $0 00 $143 88 2009 609532008 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72.00 http. /vpn.clallam. net. 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =60953 3/3/2010 r 1 ,:., ~~. ~,i"~, '-,:'5:,"<:h '" ". "j' CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT- BUILDING DIVISION' 321 BAST 5TRSTREBT, PORTANGBLBS, WA 98362 13585 OWNER/APPLICANT 'BEIQJAMIN & STACY FLORES 2614 W'10TH STREET PortAng~les, WA 98363 360/457-5995 T: ISSUED: 8/12/2002 PROPERTY LOCATION 2614 10TH STW Lot: . Block: Subdivision: f Parcel No: PERMIT NO: CONTRACTOR OWNER VARIOUS Port Angeles, W A 99360 206/000-0000 PRQJECTINFO Project Value: $50,000.00 Project Type: ADDN/REMODEL Occupanc~ Type: RESIDENTIAL . Occupancy Group: Construction Type: Zoning Use; - ITl~,rL'OQ,g Ue~al, W 1/2 SUBLT 58 063000105820000' i 'ARCH ITECT N/A , , 983E)O-oOQO 360/000-0000 SFD Units: SFD sa FT: o 0' Commercial: ,1"'0 . IndListrlal:"# 0 Garag~:,O MFD Units: " MFD sa FT: o o }.S' 6'" - .J:.. PROJECT NOTES , ADD .SECOND STORY TO EXISTING SFR,eONNECTi:XISTING GARAGE-TO HOUS.E AND 'CONVERT TO L1VINGSPACE,PONSTRUCT N EV,rATTACH ED GARAGE. PERMIT INCLUDES PLUMBING,MECH., & GAS LINES:, RECEIPT# 9535 FEES ASSESSMENT Building Permit: Plan Check: State Surchcifge: House Moving: Manufactured, tiome: Sign: P1lJITIPil')g: Mechanical: Radon: $644.25 $257.70 $4.50 $0.00 $0.00 $0.00 $119.00 $52.50 $0.00 E':" , ',,_;,<f~ .~:' ~ Mise Fee 1: 'Mise Fee 2: Mise Fee 3: . $0.00 $0.00 $0.00 t_'k:;,;,! c;.\ .{.". ,s Separate Permits are required for el~ctncal wOrk,SEPA. ShO[~11~~:t:~8.4ljlltjeS; private an,d p'ub/lcJmprovements'~9~s,pe.;n,ltkJlcomes null andvold If wo~ or construction authorized is not cornrn~nced wlthln,180 days, ifconstructiCln orwork issusPfWif.~:qi,abai1ctoned fora periodof 180 days after the work as commenced. or. if reql,llr~dlnspectlonshave not been requested within J80 d",>'f.fJ:om.the last Inspection. .' hereby certify that I, have read~nd ~~~t~~,dthls~p'pIiCation' ~nd kn~'vV the same to D~ true~and ~if~9(1!~~ s,lR'rlS of laws and ordmances goveming thIS type of wor'k Will bEl compli~d With ,whether speCified herein or not The grantingdf IicPel ". : !:foes not . presume to give authority to violate or cancel the provisions of1aflY state or local law regulating construction orthEf'PEW9n:mmce of ! construction. . ' , ,,'-',,;c,__~ TOTAL FEE: AMOUNT PAID: '.~ALAN'CE DUE: $1,074.95 $1,07 4.95 ~ $0.00" Signature of Contractor or Authoriz~d Agent DEI!e T:\PLANNING\FORMS\1102.IS [412(02) c:::':I\ "'P'\T~)):, -,r -';.~~t.f;,'rt,:__,,-.,;, ,:+r' ," ~ ;'1''''-':'-, ->.~,~ '-~,{~'~0*?: .:~ :::~'" """;;C"""1 ~:;;":;",> '~...:_, ',;,,:~;; t,' _ , ,_ _' _, , ,_,_ ' _~'~i" -i' CALL 417-48 IS FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24.HOUR NOTICE.ITISUNLAWFULTO'CdkER, ~ INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST, PERMIT IN A CONSPICUOUS LOCATION. ., .~,. ;'~". ,-- :-;;'>. :-~t',,;:":::t::j;;;.,:" ..-\' ~:;it/::; ;:':., ';:. BUILDING 'PERMIT INSPECTION RECORD INSPECTION TYPIi: I .. -, DATE /t ',,:- '.\"''''~' "-"0 '1 ACCEPTED I ,0 YES NO COMMtiNTs, ;,'" 8-:~" ,.~;J,~,.;,:/ ,KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE FOUNDATION: FOOTINGS WALLS " .' ,-;'j " ";,.,, .', , ,,:" ", '. FOUNDATION EUCTRICAL ',' ROUGH~IN PLUMBING UNDER FLOOR] SLAB ROUGH-IN . 6ft~,h/~n.~ g"'/froz. Lf: It . " .", ',-,--,...oz, ,1.,;.Ett DRAINAGe "> "J'r " (LIGHT PEPl)' SEPARATEPERMIT:'# '. '" I , 'i,:,.b-: . ' . "t,) " , ',^ .~,--, .~ WATER. LINE GAS LIm: ' BACK FLOW , WATER AIR SEAL WALLS CEILING ' FRAMING JOISTS' GIRDERS SHEAR WALL . . , 71""'. ,-"Ic, If'! J~. \4 ", , "', )"u' I", '. .. .. ~ .", " " ...' ':A.I, ,,', " .At ':,,: " ",b," ,,,\, ': " 'J, " '-'~/-Q"Z..., teA I , I ';, ,'t', , , .', '., 3' , '" " f c.( ," ,:, ", , . -. ',' WALLS' ~ooF' CElLING DRYWALL . I' '":"'3I-o~ 1l-1t1f ..... T.BAR INSULATION SLAB WALL' FLOOR] CEILING Mli:CHANICAL . , .,' ".', J ,~, ," '. " ~_<,f .. , " ", "I 'I';,' < '.. , ,'- ~-~7' I fJ-fp -0 ~ 11-&71 "" :"" ". '. HEATPUMl' WOOD STOVE' PELLET' CHIMNEY!' HOOD.!. DUCTS i\i . <i.. ,.' (Engilfllering Division) SEPARATE PERMIT #'s: . , ,\'1" PW UTILITIES', SITE WORK WATERLINE'METER' SEWER CONNECTION SANITARY . , "~.' '-,', 'p,,, ;, " . , ': ;, .:;", ., 1- if' -,,' ~' , '" . ," '. ',;, '," "" , . ,;,0' ! ."J'j, \, ," " , -, ,.~,~.,..,,/,''''" PLAN~I~G DEn SEPAAAWeERMIT #'s , STO~ , ,," '.' . : ,,' . .,0 ' . " PARKlNGlLIGHTING '. .' SEPA: ESA: LAND~PING '." " SHORELINe:' ..... ,; .'. ""~: +,,., ,,'.-He' ;""";i'1""Jl,~~~~gN,S.~W~ PR!()RTO~~~h,;Hh':: '/ .; '.;".; RESlI)~~I#.t,{VtkJ, ",.:p,DATE .,,' ,t :,'YES' NO" "COM~ctAIiY , DATE" \l\C~D ., I "'" . .'". ,. '. ',>c"",', ". '::," .,..'"..'...,;,'..",....,'".",...,'.._, """"'''.''YE$''''''-''':'' '~.'.'N"O.':"r,'.! ,'. ".:1':..; ,_ ':~"ij';-;.';"-,;",; ._~~" , '~}' t~;.;<;l,fj-O;'~; '~-::::'t: -.. -: .. ... ..., . ,:_: .....> , ',',';ny",," ":',p~" '" _,I "" ,;, ". ,',"i;,'i.':: " .. ',,(,' <.~;"r.., '..' . ~';,;7',' ,,- "t ELEcpuC4t1~R~tJ;)E"'.' .. 4P;4135 '~f#;' '. ,':, ~~J;,,>.);'i'" CE'NOGN~~,cnn.fON.,R.W.'lpvh"'" COpwN,STREN'GU.f.!I,',"ERlNON-.GR;W.:T, ( m~.,G ';,:417;:48~7' ""... " ." FlREI-",,\'\ , ~r46S3{' t J'" " FlREO:EPT~ ....,.. : . ,'. . PLANNINGPEPT.";i:::. ;1417~7S0 ""~~:~~~:';I, ",~,PLANNINqQ~~,\~< ". ..... ...... ,<. BUILDING' 417-4$15 Zl'l'tLtAo<J ". BUILDING'" '. " ,,. T:\PLANN1NG\FORMS\1102.15 [4120(2) .. ' . BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLX; Date Rec.: 7 .... ~2 - dL Permit #: .s: 8 ~ Date Approved: Date Issued: The Building Permit Application must befilled out completely. Please type or print in ink. If you have any questions, please call 417-4815 Applicant or Agent: Owner: Address: "2 \a \ ~ ~jClrn\V\~~LA '"f\()"'P~ Phone: y.Sl-~qq 5 " ) Phone: \I\l \ D~ City:r>CIY+ \C\ ~ \e~ zip:-3B~o~ Architect/Engineer: Phone: Contractor -=f\~es C'()~t1\C>Jticense #: Exp: Phone: Address: 2. rs?xl \i\1 I rib City1'Ol:-t PMcJ \6 Zip:3'P, 5\..0;') PROJECT ADDRESS: 2.1.0\4 W \ D~. t> t\ 9~ ~lo ~ ZONING: . ' LEGAL DESCRIPTION: Lot: Block: Subdivision: W '1''7 S u.b Lt'. .5 g CLALLAM COUNTY PARCEL NUMBER:b~aaoIDSB2~redit Card Holder Name: Billing Address: City: Credit Card #: Exp. Date: VISA MC TYPE OF WORK: o Residential 0 .New Constr. o Multi-family ~ddition o Commercial l'iWR.emodel o Repair ORe-roof o Move o Demolition o Sign o Wood-stove o Garage o Deck o ~JY~UATION: ~ SF.@$ /SF.=$ SF.@$ /SF.=$ SF. @$ /SF. =$ TOTAL VALUATION $ ::>~ BRIEF DESCRIPTION OF THE PROJECT: <;t ex. I"\.d Occupant Load: Construction Type: % /sq. ft. = TOTAL LOT COVERAGE: APPROVALS: PLAN BLDG. DPW FIRE ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed infonnation on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. No. of Stories: Lot Size: Existing Lot Coverage: PLANNING USE ONLY: Notes: % Lot Coverage: /sq. ft. + Proposed Lot Coverage: /sq. ft. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, this application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant~\' responsibility to determine what permits are required and to obtain s -7- 2.'2- O~ T:\FORMS\APPS\Buildingpermit --~ " IN (o-t~ s-t, --- ! 'f' . # ~ . - )< w ho<<)Se. . I ..... -- - - - - .. .....'" '^ ,f-q ! .::. ~z j ~ ~ 2 ~S' . . 20~.S \ ( . ,'f'. I ::t . ~ {( 1 ~ttrt\.ae Q) IoU \oJ .J < I I "- ~ <11 .. ~ \ Ehe~ i I~ ( - '0 &.\ t 15 I ---- --" -. - ~ I -------..- l I ( I J. ':1 I / / CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQU~T: ~~ Date 8'."./ :!:=O'Z- Time Received by C7). (phone, person) location of Work to be inspected ;;?(; / r. t<.J /eJ ~ Name of person requesting inspection Address of person requesting inspection Type of Iris . n (circle appropriate one): Sewer. Fo ndatio Framing himney Plumbing Final Sewer Excav. Other ,f4(). tA6 ./ Phone No. Permit No. .13<S~S- '- ...L) ~.. INSPECTION NO~S: . Inspected: . Date-/ ~ -tJ'2-- Remarks: Time By CJ..k RESTORATION REQUIRED . . . . .. YES NO 3ro 7 1v'/Ej)o SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 pcc o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ] CITY Of PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . .. . . :~~,E~T~ Z~-" 2.- Time Received by ~~ (phone. person) Location of Work to be inspected "'2-~ ~ .. tfL-J I CJ ~ Name of person requesting inspection ~ Address of person requesting inspection Type of Inspection (circle appropriate one): Phone No. Permit No. , ~.. Sewer Founda~7.i~himn INSPECTION N61 ES: Inspected: Date J L - ..~, ~ () 'Z,.. Time Remarks: ~ (9,~ -. inal Sewer Excav. Other By ~ RESTORATION REQUIRED .. . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: D Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee D No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) . ST.. REET SUPERINTENDENT , "- '."-,'" -.-.. (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date 9-/7-02- Time Received by RV (phone, person) Location of Work to be inspected 2fo 1 '-I Name of person requesting inspection J.Q...v'\.. Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer ~~ Framing Chimney Plumbing w to...f.tA Phone No. ~//? -~8.SS' Permit No. 13S~~ Final Sewer Excav. Other ',/2, fl INSPECTION N?tES: Inspected: Date -11 ..,t)~ Time' Remarks: g, .~ By RESTORATION REQUIRED . . . . .. YES NO . SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE /0' (Continue on reverse side ifnecessary) STREET SUPERINTENDENT (D~TE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date 11'1los ~ Time I () ',51 . Received by (phone, person) Phone No. tfS1 -s,q 5 Permit No. 1'5 5e~ Final Sewer Excav. Other Time By ~ ~k , . RESTORATION REQUIRED . . . . .. YES NO 7 h ~'f S Af-f-ev- 3 ~(:SC,P~ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side.if necessary) STREET SUPERINTENDENT (DATE) 1- CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date ~ - &, - (!) 3 / Time Received by Location of Work to be inspected 2t; I t/ t<.J / () ~ Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Phone No. Permit No. J ~5i'S- Final Sewer Excav. Other~A.2S::JL INSPECTION NOTES: Inspected: Date;:L... ~ - 0 C; Remarks: Time By 0< o~~ RESTORATION REQUIRED . . . . .. YES NO I SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue onreverse side if necessary) STREET SUPERINTENDENT (D4 TE) CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 11/19/2002 PERMIT NO 7912 OWNER/APPLICANT PROPERTY LOCATION BENJAMIN & STACY FLORES 2614 10TH ST W 2614 W 10TH STREET Lot: Port Angeles, WA 98363 Block: Long Legal 360/457-5995 Subdivision: W 1/2 SUB LT 58 T: ' S: ' Parcel No: 063000105820000 CONTRACTOR ARCHITECT ELECTRIC COMPANY N/A P.O. BOX 1471 PORT ANGELES, WA 98362 , 98360-0000 360/457-7120 360/000-0000 PROJECT INFO Project Type: RES. MISC. Project Value: $0.00 Occupancy Type: Construction Type: NEW S.F.R. Occupancy Group: Zoning Use: Electrical Heat: ? ! Baseboard 0 KW : Riser ~ Underground Service ~ Furnace 15 KW Overhead Service Voltage: 120,240 ~ Heat Pump 5 KW TempService Phase: ~ 1 ~ I Fan Wall 0 KW Service Size: 200 Feeder Size: 0 PROJECT NOTES WIRING NEW ADDITION TO EXISTING HOUSE. ADDING 2 BEDROOMS & GARAGE. RECEIPT # 9922 FEES ASSESSMENT Service: $87.40 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $87.40 AMOUNT PAID: $87.40 BALANCE DUE $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH ROUGH-IN / cOVER SERVICE FINAL l y/o~ ~r~9 I / GENERAL COMMENTS: ELECTRICAL PERMIT APPLICATION FOR OffiCIAL USE ONLY ~Ie/R.a:: Pennil': Dal~ AppruvW: Dat~b5ut,J: The Electrical Permit Application must be filled out comDletelv. Please type or reprint In Ink. If you have any questions, please call (360. 417-4735 Fax number: (360) 417-4711 OwnerorElec. Contractor Agent: {u (t 0 \';0" (T~ S:\ec,ly, c COMf) Phone: Property Owner: Be~C~M\V\ Flu y-.e. S Address: "J-fc I '-/ w, ( 0-;-"-- 5-\. Electrical Contractor: fA.> (t 01 s c '" Fax: City: H ,-1- A-vt S~. k.5 License #: Phone: 3':'0 '1') 7 - .>9 '15 iNk Zip: '1~ 3':' 3 Exp: Phone: INSTALLATION WIRED BY: DOWNER City: ~ELECTRICAL CONTRACTOR Zip: Address: Credit Card Holder Name: Credit Card Number: Exp. Date: Zip: VISA:_MC:_ Billing Address: City: PROJECT ADDRESS: '.j-(p l't .1\.' \,'I, \0 :) t, TYPE OF WORK: Check all that apply: 0 New o Alteration/Addition 'lx:[ Residental 0 Multi-family o Commercial 0 Mobile Home . Sq. Ft. d.-Z' OD lf9-Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Voltage 0 Telecon). 0 Sigl Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: W \" \ V\ ~ N ~ oJ Ad d \ +t 0 V\ 1o.,e.x \ S +. "'~ k {) ':'i .s e . ti de! I ~ 2- l?e.) 106 Me, -r- 30".....C' ~ G ,;J-tffJ,4 Electrical Heat Load Addltions'/7h", 30 ;tJrf.<m p /~ -rj- f// ,JO' In~ /$Asc' ti>h Service Information z= 0"/ ,7'0 _J dO Ie; '-I 0 Voltage: 2' _., P , Phase:)i:(.:1 0 3 Service Size: ~O Feeder Size: o Baseboard o Furnace .21 Heat Pump o Fan-Wall KW di~ _KW o Overhead Service o Temp Service "7 ,gUnderground ServicJ!_ . PAMC 14.05.060(B): For industrial, commercial, & residential projects larger than a duplex, a one -line drawing of the Electrical Service & Feeders, building size (sq. fl.), load calculations, and the type & of conductors andlor raceway is required and shall accompany the Electrical Permil application, I hereby certify that I have read and examined this application and know that same to be true and correct. and I an authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Date: Datelf/I~/~ 7_ PW-9019 Credit Card Holder's Signature: Owner or Elec. Cont., Signat~~ ~.rrJ- J/J(lr2r'ioe XFYiJiG (J.) 5 "153'7 t:k.c 62.- /lfl5~2- /;/ JJ !I/iq /119- ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . . . 14- 00001535 Pate 12/29/14 Application pin number . . . 274715 Property Address . , . . , . 2614 W 10TH ST ASSESSOR PARCEL NUMBER: 06-30-00-1-0- 5820 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use, Property Zoning . . . . . . . RS11 RESDNT SINGLE FAMILY ,Application valuation . .. , . 0 Application desc security system Owner Contractor RESULTS: aENJAMIN FLORES /STAGY KUNTZ PROTECT YOUR HOME 2614 W 10TH ST 3750 PRIORITY WAY SOUTH DRIVE PORT ANGELES WA 983631202 #200 ROUGH -IN INDINAPOLIS IN 46240. ]FINAL (317) 810 -4720 Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . , Permit Fee 64,00 Plan Check Fee 00 Issue Date 12/29/14 Valuation . . . . 0 Expiration Date 6/27/15 Qty Unit Charge Per . Extension 1.00 64.0000 EC14 EL- SINGLE CIR LIMITED RES . 64,00 Fee summary Charged Paid Credited Due Permit Fee Total 64.00 64.00 .00 100 Plan Check Total .00 .00 .00 •00 Grand Total 64.00 64.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN ]FINAL COMMENTS:] - PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:1EXCHANGEWILDING c,1y `n1 4. CITY or, PmT AN(Iruxs Prmmrr Atli' Ll CkTION 9 13WIding Divislon/Electi-le.11 321 East Fifth SOTO — P O. Box 1150 / Pod AngOes Wasidngton, 99362 Pl;,, (AO) 417 -47351 aN; (36 0) 417.4711 IONS 2L �1�2014 Data� ' _ -- I & 2 Single Family Dwelling ' Plan RtMraw May Be Req0iod, PInase Complete Elettriccii Plan Review Informo[ion Sheet 8U11djAg Sqkfaire F004jgq: 2636 Descriplon al above O�mr Inlonnation NMO: Berjamin Flores fitajg: I NL.�_ Zf 46240 ma f" A& S; 2614 W 10th St O11f _Port 1191111 _ _SjatQ:,WA N4nO: 3608084-992 _FaX; �Jw Son-tcOFeader 200 An v, $ 120M Setvico/Foedtr 2014W AMP, S 44640 SaMcOeoder 401.600 Amp $205,00 601-10M Amp. 3 262,W rsic der oVor 10011 APP, $373.00 8;anch Chcuk W1 S� a Fonder 5,00 Otanch Ckult W10 SoMw Femder 6100 Each AddillOO Rta;-Wi Oragi HO Ownch Circuits 1.4 7500 romp. Servical Feeder 20 Amp, S 03,00 TOMP, SUVICOOder 201.4W AMP, $110,00 TOMP, SOMWIFeWof 401 -RIO Amr, S MAO Temp, Saw! WFeeder OWOOD Amp, $ I MOO POW io pma$ Itudy S 96,00 619001 CkWV LJOW Eaer6y - i & 2 Family Oweliq $ 64,00 Wnofadurcd Home Goa=Aion $120,00 Reriewft I!*1*0 Degy • 5KVA System or LM S WAG Thoms(Ot $ 56,OG NOW WO 1w oath %165onW T-31al N EW 20—N SAMML091 UL. Ffr* t 1300 Square R $ 120,OG 1540 Mftnal UO Squws N, or Farfiw of S 40,00 Each OWbOdto or DOWr hers Gera( 10 S 700 Each DiOmmIng Pool or Hot Tt�h $410,00 Contractor Information NMq. Protect Yourftme MaWP4 Addfess: 17_5()Priory CAY: LndIiM.ols __ fitajg: I NL.�_ Zf 46240 L &A$O tfi I F.Xp,"jROTEYH 934L �n XE'12/10/2013 — �Jw CAY: LndIiM.ols __ fitajg: I NL.�_ Zf 46240 L &A$O tfi I F.Xp,"jROTEYH 934L �n XE'12/10/2013 — 011 I sAa Total Omer as defiW by RM19.28,26 1: (1) O%vnqr �Mll occupy the strorAure for Nvo years after ihis elf)tldcol Permit Is finafizA (2) Ownet is required to hire an electric* contractor If above said property is fbr sale, rent or lease. Permit expires otter six mcfiths of last inspection, After feading the above statement, I hereby cerVl`y that I = the owner of the aWve named property or a licem4d electrical wintractor, I am making M oleckal fristallalJort or afteraWn In compliance wilJ1i the elect6a lays, KEL., RCW, Chapter 19,28, WAC. Chapter 296468, The City of Port Angeles Mu*ipall Code, and Willy Specificatioiis and PA MC 14,05,0 50 regarding ter al Permit Apolcations. Signature of owner, electrical Contractor or elactrical administrator, 0 Cash 0 Check 0 CrWRCAW0— E ted; 12/22/2014