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Home My WebLink About2128 W 6th St - BuildingPREPARED 10/22/10 8 12 24 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/22/10 ADDRESS 2128 W 6TH ST SUBDIV TENANT NBR LOUISE A CHURCHILL TRUST CONTRACTOR WOOD CONSTRUCTION CO PHONE (360) 460 0453 OWNER LOUISE A CHURCHILL TRUST PHONE PARCEL 06 30 00 9 8 0010 0000 APPL NUMBER 10 00001180 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 10/22/10 BLDG FINAL October 20 2010 8 38 47 AM 1pangrle SHAWNA 460 9744 BUILDING FINAL RE ROOFED THE HOUSE GARAGE COMMENTS AND NOTES Owner Structure Information Permit Fee Total Plan Check Total Other Fee Total Grand Total 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 Application Number 10 00001180 Application pin number 122900 Property Address 2128 W 6TH ST ASSESSOR PARCEL NUMBER 06 30 00 9 8 0010 0000 Tenant nbr name LOUISE A CHURCHILL TRUST Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 7111 Application desc TEAR OFF RE ROOF THE HOUSE GARAGE LOUISE A CHURCHILL TRUST LOUISE SCHINDLER 300 E FIRST ST #7 ABERDEEN WA 98520 Qty Unit Charge Per 6 00 14 0000 THOU Other Fees Fee summary Charged 179 75 00 4 50 184 25 179 75 00 4 50 184 25 Contractor 000 000 RE ROOF THE HOUSE GARAGE Permit BUILDING PERMIT NO PR FEE Additional desc RE ROOF THE HOUSE GARAGE Permit pin number 175406 Permit Fee 179 75 Issue Date 10/12/10 Expiration Date 4/10/11 WOOD CONSTRUCTION CO 334 SUTTER RD PORT ANGELES (360) 460 0453 BASE FEE BL 2001 25K (14 PER K) it .duzve Plan Check Fee 00 Valuation 7111 STATE SURCHARGE 4 50 Paid Credited Due 00 00 00 00 Date 10/12/10 WA 98362 Extension 95 75 84 00 00 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) F k n ;el 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. 424 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES. Footing Slab Blocking Hold Downs Skirting 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 Date Accepted By Comments PLANNING DEPT Separate Permit #s Parking Lighting I I Landscaping I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type FINAL Date Accepted by FINAL Date SEPA. ESA. SHORELINE. Accepted bV Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Lfi— OCT /01 /2010 /FRI 03 54 PM GRAYS HARBOR EQUIP FAX No 3605328646 P 001 6w`vr• owlet st-tei Louise- Iv GlAarca -i tiru $Lv�ise- 5ch.iv∎dker L,v�F PARrm,c. BUILDING PERMIT APPLICATION Print in ink 1�1 Floor Areas Basement 1 a Floor 2 Floor 3` Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures Will a lawn sprinkler system be install Will a fire sprinkler system be install CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant 444, 1, /,4, ,tfp Property Owner L(441, Property Owner's Address 3 oo G, Contractor 4A4tal 1v1701i Contractor's Address License PROJECT ADDRESS a Tr Parcel Number Lot Zoning Pro /ect Type Brief Description. Residential Multi- family o Commercial Industrial Check all that apply o New Construction Addition o Remodel o Repair o Demolition e -roof mouse i (garage o other Xkt ear off re -roof lay over one layer Heat System o Heat pump o wood- burning stove o gas fireplace a pellet stove o other o Other Existing (sq. ft.) Proposed (sci. ft.) Total footprint of structures ft Lot size Site Coverage the amount of impervious u ce on a parcel, including structures, pave and other impervious surfaces. (see PAM 17 94 135 for exemptions) ,7 f�3te Phone 1s i Si 43 '7 .4bpr ,(AIA-A 8 -2,o cz,Phone Exoires E -mail Occupancy group Occupant load Construction type per sq. ft TOTAL VALUATION t t 00 For City Use Only Date Received 10 I� Permit# to— (lem) Date Approved n G 7 Li 6131.9 '.age ri ways, sidewalks, patios, Site coverage 'f bedrooms o full baths #of ':If baths t have read and completed this application and know it to be tnie and correct. I am authdnzed to apply for this -rmit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date l0.` /r 0 Print Name t S 1 1„, iignaturc T:Forms/Building Division/Building permit application C. (?44,G f Clallam County Assessor Treasurer Property Details 62864 LOUISE A CHURCHIL Page 1 of 5 Clallam County Assessor Treasurer Property Search Results 62864 LOUISE A CHURCHILL TRUST for Year 2010 2011 Property Account Property ID 62864 Legal Description. SEAMOUNT ESTATES #2 Geographic ID 0630009800100000 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 Township Section. Range. Location Address: 2128 W SIXTH ST Mapsco PORT ANGELES WA 98363 Neighborhood Cycle 5 Res Map ID 3 Neighborhood CD 10955130 Owner Name LOUISE A CHURCHILL TRUST Owner ID 18189 Mailing Address. LOUISE SCHINDLER 300 E FIRST ST #7 ABERDEEN WA 98520 Taxes and Assessment Details Property Tax Information as of 10/12/2010 Amount Due if Paid on. S. Exemptions. Year Statement ID Taxing Jurisdiction 2010 45424 ST SCH STATE SCHOOL 2010 45424 CC -GEN COUNTY 2010 45424 PORT PORT 2010 45424 PORT ANG PORT ANGELES 2010 45424 SD #121 SCHOOL DISTRICT #121 2010 45424 NTH OLY LIB NORTH OLYMPIC LIBRARY 2010 45424 HOSP #2 HOSPITAL #2 2010 45424 WSMET PK DIST WILLIAM SHORE MET PARK DIST 2010 45424 CITY_STORMWATER CITY STORMWATER 2010 45424 WEED CONTROL WEED CONTROL 2010 45424 TOTAL. 2009 628642008 ST SCH STATE SCHOOL 2009 628642008 CC -GEN COUNTY 2009 628642008 PORT PORT 2009 628642008 PORT ANG PORT ANGELES LT2 Ownership 100 0000000000% NOTE If you plan to submit payment on a future date make sure you enter the click RECALCULATE to obtain the correct total amount due First Second Half Half Base Base Amt. Amt. Penalty Interest Base Paid $217.26 $217.26 $0 00 $0 00 $217.26 $115 62 $115 62 $0 00 $0 00 $115 62 $16.25 $16.25 $0 00 $0 00 $16.25 $267 70 $267 69 $0 00 $0 00 $267 70 $281 40 $281 42 $0 00 $0 00 $281 40 $33 60 $33 59 $0 00 $0 00 $33 60 $47 43 $47 43 $0 00 $0 00 $47 43 $15 09 $15 09 $0 00 $0 00 $15 09 $36 00 $36 00 $0 00 $0 00 $36 00 $0 82 $0 81 $0 00 $0 00 $0 82 $1031 17 $1031 16 $0.00 $0.00 $1031 17 $248 87 $248 87 $0 00 $0 00 $497 74 $125 96 $125 94 $0 00 $0 00 $251 90 $17 84 $17 84 $0 00 $0 00 $35 68 $276.27 $276.26 $0 00 $0 00 $552.53 http. /vpn. clallam.net: 8084 /propertyaccess /Property. aspx ?cid =0 &year= 2010 &prop_id =6 10/12/2010 CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16618 Port Angeles. washlngtonm...._..m.r:..:.~...___..___.............m.m. 19.P...f-. In accordance with the City Ordinance to regulate the installation. extension, or repair of elec- trical equipment in. 01)., or about any building or other structure In the City of Port Angeles, per- :::s: i:_~i!.~~.;_~:.~:;':~?~I.~:.:::~_~~__::IO:~cupancY___...~~,_~_~~.____.............. Owner ..._..".:'..&.!~n_.C'b,'''~.m~. Tenant....................._.........._.............m.m........____.___.. Wiring Contrac~~ mf/ld_!.6!n_.c.~n~n___. Byn__.._._.____.._.___._.___._____..n_...n_..n_____....__..____.... LIght outlets._.._.$__Q.__________.__..... Service, volts n/4-9L-P::.1t..v. Type 01 Wiring: Receptacle OUtlets.mCn9............. No. wires m..::~.....m..................... Armored Cable ..mn..m..n............_ Dryer, KW........____G____.__n___u____________ Size Wlresn$-(!'.f!,,/.!:<___ Non.Metallic --------................----..... /:> ~-C> A::. Knob & Tube..................n...m....... ::::'r :~~~;;______~;un___n___ ::~::::: ::::~:_::_-:::::::m:-:-:_:::: (/5' Kw_______nI_(__c________________nuuun Heal: Kw__/C/J.li........__nmm Rigid Conduit .___________.....__...__...... Metalllc Tubing ....................m.... Type of wiring: Entrance Cable ......m.............. Motors: s~e. .volts and phase: /&~ !::-d.--:t::::~::.:::::::.::::::::::::::: Rigid Conduit Raceway ..............................._._..._ CIrcuits, LlghtJ--------...--...---......--- Utility ___.t!.__..__.................mmm__m_ La. Heat n. .......0000.00...................._...... ~:t:: ~~:~--:~::::::::::::::::::::::: MetalUc Tubing ................ Current transformers: No. & Size.......:.....m.nmn.n Ser. NO.............................nnn.......n... Motor ..._........................................ Dryernn_~..-------......m-m--...-m..n... Ser. No. 00....0000................................... . Y Total Loadnn....nn....n........... Ser. No. ................._............nn.....n... Total .3................................ Remarks: . .:...--......--.7'1-4..t2~;.=...-n-~.~t-,-1Z.~'--t.::......m....----.--..--n-........................................... Ser. N 0..00......00................................00. Furnace . ........................'~n.n._n......... ..__.._.n......................_.......................n...................................._..__.................._...........n..................................._......... -;~::;~..;~~------------------m-----...;~:~~:-~:~:;~~--...m....m------------------.mO/....?~.~....I-...--m--;1... $:_....1f..J?.t?...._._............ No............................. By ...~......_..:~..v.......Cd.:.A......~ ( NOTICE-Current must not; be turned on until Certificate of Inspection has been Issued. It work is to be eon. c~led 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 .I"""--;-N-.~ . ...../ ELECTRICAL PERMIT N? .--,.".., "-,, 1~618 --- Address....................._..........................................................................._....:...._..:........................Date..._......_.._.._.._.........._......_......_......... /---- Owner..................................._......_.._......_......_.._.................:.........................................Tenant.................................................................... \ WiringContractor__................................._.....................................................................................By.............................................................. NOTICE--Current must not be turned on unt11 Certitlcate 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. 1M Olympic Printers. Inc. Application Number . . . . . 22-00000962 Date 8/04/22 Application pin number . . . 642972 Property Address . . . . . . 2128 W 6TH ST ASSESSOR PARCEL NUMBER: 06-30-00-9-8-0010-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc DHP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FREDERICK CLEMENS/SHANA BRITTA BLACK DIAMOND ELECTRICAL CONTR 2128 W 6TH ST 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 797-3658 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 8/04/22 Valuation . . . . 0 Expiration Date . . 1/31/23 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Pub! ic \Yorks and ULili ties Department 32 l E. 5th Street. Port ;\ngeles. WJ\ 98362 300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _ OWNER JNFORMATtON Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRfCAL CONTRACTOR fNFORMATION Name: ___________________________ License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x 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 CircuiULimited Energy - 1 &2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Ren ewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Sql;Jare Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool/ Hot Tub $110.00 $ TOTAL $ Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] '"'CJ CD PREPARED 8/01/22,13:25:47 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00000962 2128 W 6TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 63.00 TOTAL DUE 63.00 Please present reciept to the cashier with full payment