HomeMy WebLinkAbout1106 W 10th St - Building !n CITY OF PORT ANGELES
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1 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
'IOW
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000858 Date 7/09/12
Application pin number 020030
Property Address 1106 W 10TH ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3- 1705 -0000- REPORT SALES TAX
Application type description RE -ROOF
on your state excise tax form
Subdivision Name
e' Property Use to the City of Port Angeles
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 6000
c Application desc
TEAR OFF REROOF
Owner Contractor
AUBIN, CHAD SARAH JONES CUSTOM CONTRACTING
1106 W 10TH ST 2315 E 6TH AVE
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 477 -3760 (360) 775 -0759
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF REROOF
Permit Fee 151.75 Plan Check Fee .00
Issue Date 7/09/12 Valuation 6000
Expiration Date 1/05/13
Qty Unit Charge Per Extension I ri' (2'
BASE FEE 95.75
4.00 14.0000 THOU BL- 2001 -25K (14 PER K) 56.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 151.75 151.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 156.25 156.25 .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
t.., not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
7/9 b 2 tre vi;.t )(--e_s
P'
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
is.
T:Forms /Building Division /Building Permit
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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
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SERA:
Parking 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 f-. ig 1
T.rnrmc /Rnilriinn nivicinn /Ruitriina Permit
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Permit V
W A S H I N G T O N U.S. o z
Date Received: Q' —J a LL
321 East 5th Street 1 m
CC Port Angeles, WA 98362 Date Approved: I'q ii
P: 360- 417 -4817 F: 360-417-4711
hcatuzo @cityofpa.us
Building Permit Application
Project Address:
1(U !v W tS+ 1
Main Contact: Phone
ve_Aiv( („„...„3 c-5,-,-,) 9--?-s- o-?_3---
Property Name Ph ne
Owner t'� (P3�) 477 37(ob
Mailing Address mail
GO
City r -f' State Zip 8 3 3
FO. �--e. CAS A
Contractor Name y' Phone
0r) S l;i l S`-o a-c, 14.1 3 6 775 0 5 7
Mailing Address 1 Email
i s E. ke r E 61 s Q e I-1 c
C' State Zi
.s l,U r9 �1 3 Z
Contractor License Expiration: 4
Project Value: Zoning: Tax Parcel Lot
Ce C,0 c)- R 7 a)3bvao 3f'1() S al- b/k 3 (7
Type of Residential Commercial Industrial Public
Permit Demolition Fire Repair Reroof .ear oft/)ay over) ay
For the following, fill out both pages of permit application:
New Construction Remodel Addition Tenant Improvement
Mechanical Plumbing Other
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes No
Project r ;ti k�
r /t-e —t
Description s 62�c
tr J
I have read and completed the 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. I understand the plan review fee is not refundable after review has
occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before
plan review has occurred. I understand that if the permit is not issued within 180 days of receipt, the
application will be considered abandoned, and the fees forfeit.
Date Print Name ture
7 9
r t
2012 1280807
Page 1 of 2 Deed
Olympic Peninsula Title Company
Clallam County Washington 06129!2012 12:11.49 PM
1111 El% V11..Plimlfh'!eV, rJi714 A+IIA W111111
When recorded return to:
Chad Joseph Aubin and Sarah Ann Aubin 0
1106 W 10th Street
Port Angeles, WA 98363 0
No50?-6
MAUNA COON
TRANSACTION EX S TAX
ft z
DATE
Filed for record at the request of PAID JUN -2 -9 3
0 Fidelity National Title OU nu
Title'
AMNT'
16703 SE McGillivray Blvd., STE 235 COU T THE
Vancouver, WA 98683 gy d
A
Escrow No.: 612816958
1ZR1
BARGAIN AND SALE DEE
THE GRANTOR(S)
Bank of America N.A.
for and in consideration of Ten And No /100 Dollars .11.00) and other luable consideration in hand
paid, bargains, sells, and conveys to
Chad Jam Aubin and Sarah Arm -Aubin hush n. and wife
the following described estate, situated in the County o 'C allam Stat o Washington:
LOT 2, BLOCK 317 OF THE TOWNS TE OF PORT ANGELES, AS PER PLAT THEREOF
RECORDED IN
VOLUME 1 OF PLATS, PAGE 27, RECOR OF CLALLAM COUNTY, WASHINGTON.
SITUATE IN CLALLAM COUNTY, STATEOF A H INGTON.
Abbreviated Legal: (Required if full le I inse rte Qove.)
Tax Parcel Number(s): 06- 30 -00- 1
0
Dated: 51 I c 1 0---
11111111
Bank o merica N.A.
BY: 1�114ki
`V,
NAME: Veronica C: illas�ssistant Vice President
TITLE: \I
III
4116
argain and Sale Deed (LPB 15 -05 rev. 4/2009)
W 0000008.doc /Updated: 05.17.11 Page 1 of 2 WA- FT- FVAN 01530.611007-612816958
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1
i a 2012- 1280807 06/29/2012 12:11:49 PM 2 of 2 Clallam County, WADEED
OLYMPIC PENINSULA TITLE COMPANY /BOA
CALIFORNIA ALL PURPOSE
I�
.CERTIFICATE OF ACKNOWLEDGMENT
State of California
Ventura
County of
1 I
Christine Lucie, Notary Public
On May 1� 2012 before me, j
(1lere msen name and title of Ott officer j
personally appeared Veronica Casillas
who proved to me on the basis of satisfactory evidence to he the persors(x) w ost n i_ se subscribed to
the within instrument and acknowledged to me that h /thiy executed i sa in s1hc�j en• authorized
capaclty(j and that by his1her /thzir signatureK on the instrument the r on(s), or h enti (pon behalf of
which the perso acted, executed the instrument. 1
1 certify under PENALTY OF PERJURY under the laws of tofC iffgrnta that the foregoing paragraph
is true and correct.
I
CHRISTINE LUCIE
Commission 1899790 I
WITNESS my hand and official seal. Z< m r.J`9 Notary Public California i I
j 7 Los Angeles County s
Y i _Ei j... Com
T My m Expires Aug 15_2014 l
Sigrwmrc of Notary Public (Notary Seel)
I I AIDDITIONA. O P N1
I RTJSTRUCTIONS FOR COMPLETING THIS FORM
t Any k nnwledgmant completed in California mart contain verbiage a exa:ti as
l DESCRIPTION OF THE ATTACHED DOC t�
pe nbava !n alit Horan• seerion or a separate acknowledgment farm nun be
perly completed and attached to that document. The only exception is if a
/-------7 document u' to be retorted outside of Ca(fornia. In null instances. any alternative
(Title or description of attached dncµme>{) acknowledgment verbiage as tarry be printed on such u document so long as the
r rerniage does not require the nanny to de .something that is illegal fora ;many in
C California (i.e. certifying the. authorised capacity of the signer). Please check the
('title or description of a dnr�•ducamenl iordh ird) document carefully far proper notarial wording and attach Ibis form (lregvired
Number of Pages DbcuFT a ura 'State and Coun y in(onnntiun must be U e State and County where the document
signers) personally appeared before the watery public for acknowledgment
Date of notarization roust be the date than the signer(s) personally appeared which
must also be the same date the acknowledgment is completed
(Akdiito 7bmii on The noun,, atblic must print his or her name as it appears within his or her
commission followed by a comma and then your title I now
Prnl the name(s) of document sitars who `public)
I g (I personally appear et the time of
notarization.
CAPACITY CLAIMED I Y 1 1;� 1(i NER Indicate the con:u. singular or plasm (alms by trussing off incorrect incorrect forms (leer
iro; 9hd
1
In divi ua} S they, is We or circling the correct forms. Failure m correctly indicate this
Co Le Officer information may lead a rejection of document recording,
The notary seal impression must be clear and photographically reproducible.
.I Impression must not cover text or lines. If seal :mpressinn smudges, re seal if a
it sufficient area permits, otherwise complete a different ecknowledgmen; form.
i F t m P iti'kner(� 's Signature of the notarq public most match the signature on file with the ofEce of i
m t' -Fact the coun clerk. II
r a Additional information no: squired but could help m ensure the
Trust .t\ ecknowledgmrar. is no: misused or attached to a different dorumen!.
Other vv G Indicate Otte or type of attached num0r of pages and date
Indicate the capacity claimed by the signet. If the claimed capacity o
1
N. \N/ corporate officer, indicate the title (lc. CEO, CFO. Secretary).
Securely attach this duasment to the signed document
2008 Verr www.NoloryClasses.com APA 012.10.07 800- 873.98GS www.NolaryClaes.com
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.
Site Address:
Installed By:
Owner/Business:
Owner/Business Address:
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
o FAN/WALL KW
DetailslDescription:
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. -;/J>f';;2."
DATE I 2..~ <-~,y
,
ELECTRICAL PERMIT
sI:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
cu,
Phone:
Sq. Ft.
lfRESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
IS<I' REMODEL
ro ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
1'1 OVERHEAD SERVICE
o UNDERGRO%D SERVICE
VOLTAGE/a? z.c/D
~1 rf; 03 rf;
SERVICE SIZE 2&0 AMPS
FEEDER SIZE AMPS
UJr'RL
~ j I'L1 ,VJ{/
(
fMi1lt ~
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
~
\
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
.A4Jv-'l1J;.. Rough-in/cover O.K.
o O.K. to connect service
o Final O.K.
t{),
Installer:
ItJ{f..
~
New Meters
--
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the BuildinQEermit. PHONE 457-0411, EXT. 224. .It
'i ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ f1 ~ C)
Eleclricallnspector Permit Fee
.
WHITE - File by address
OLYMPIC PRINTERS INC
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
~
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
Site Add ress:
ELECTRICAL PERMIT
(!J~
PERMIT NO. 1/1'.3/
leJ/;27ff,/
~ v
DATE
Installed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
o FAN/WALL KW _
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
j4 TEMPORARY SERVICE
o RISER
'% OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
oq\ 0316
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
DetailslDescription:
/(~.
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
. ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
~r5f-O.K.to connect service
o Final O.K.
Installer:
permitlRll~ J /
New Meters
-
.
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing 07ei her the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ~ 0
Electrical Inspector Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom. Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC
,
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
,
f
N? 15553
/6 - S . >s--
Port Angeles, wasb1ngtonm.....__....._.__.............~.._m__.m__m______..._, 19m.m_
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-
:~:::: i~_~~::~::-;;~~::::._~_~.~~__:~_::~~_~~._~.~_IO:~cupancy____...__....____..__.________..__.__._._____..
Owner mmiZLP.~"d~-----.--..------ Tenantm.m__mmmm___..____.___._____..__._m__m....______..m_m
Wiring Contractor ______..___....__mm_mmm_m__m____._____..__.__m_m By..____mmm__m__m__m___m______m_________m______m.___
Light Outlets__.____.________._______________......_..
Servi~e. volts ..................._-.................
No. wires ...n.n___n__..__________________....
Receptacle Outlets..............__..__...........
Dryer, KW...n.............n..._....__._.._.______
Size wires...._..___._m.__nmn....__...._..
Range, KW h.d_.h.n...._.___...___."
Main fuse ._..m.....__.._____.......____.......
Water Heater:
Enclosure ........._.........._._._...._.........
KW n------------.....r_h__.~ _
Hea', Kw___/f.:...J.____..C.__...
Type of wiring:
Entrance Cable ......__m._m.......
Motors: size, volts and phase:
Rigid Conduit __,.....___mm...um
MetaIllc Tubing .._________...
Current transformers:
No. & Size.......................................
Ser. No..............................u..............
Ser. No..............................................
Ser. NO.......n.............................,.......
Total Load.............................
Ser. No. ................._.........._..............
Type of Wiring:
Armored Cable ..............n..............
Non-Metallic .................................
Knob & Tube............nn..............n_
Rigid Conduit ...............................
Metallic Tubing ...n......................
Raceway ..................................__..._
Circuits. Light..............................._.......
Utility .....................__......______..........
II eat ......................._....n................
Range ..................................._.........
Water Heater .......n......................
Motor .............................................
Dryer..................................................
Furnace ..............................................
Total.......................................
Remarks: ...______m___r4d?---;::L,_________~--___________._______._____________m___mm__mm__.____________mm_____m____mmm.m
__._______..nn_nnnn.nn.nnn.__.uu____.nn.n_..nnn_.n.nnnnnn.u...n.u..nu........uu.u.nuu__._____._h__.?~..nnn.n-n-nnn.n-nunnn.
Permit Fee Treas. Receipt c.:"J/' ~ %:a /f
$____m__________m___________mm. NO....._m____._______._______ By ../!..-.~.-.---m--------i.~...._.?:_(.,~"'-'-~-<--J
NOTICE-Current must not be turned on until 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
N?
15553
Address..................................................._....................................................................................Date..._......_.._.._.._.........._._...._......_.........
Owner..................................._......_.._......_......__._...........................................................Tenant....................................................................
Wiring Contractor........................................ ..................................................._..............................By..............................................................
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work f~ to be con.
cealed due notlcei must he given the Inspector so that work may be inspected before concealment.
~lM. Olympic Printers. Inc.
"
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
14976
/-:' r' . 7Ll
Port Angeles, Washlngtonuuum~_:'!___.____::___:(._____d_______________________, 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 electrical work as listed below.
Address iIf)uL<uu_____j;J._______La____luj{~\uu____um_____ Occupancy___n___n__"-Jl~__,__n____nnu____n
Owner _.1~_j}:1_____Lu__u_i..---jLl..-j:fe.___ TenanL_____u___________u___n_______n________u____uu_______________.m
Wiring Contractor uuQ____Wu_NnE.__C___:___________u______________ Byn____________________u___nmd_m________________________m___n
Light Outlet"---_______________n______________nn___.
Service, volts __mm_.____..___............_mh.
No. wires nn.___n.............._______._______
Receptacle Outlets........_______________._______
Dryer, K\V] _n..___..__......_.____u..._
Size wires____________________............._____
Range, KW _____OUm......____
Main fuse .....".__.mm_mmmn_.........
Water Heater:
Enclosure ____......__.______________.________.._
Type of wIring:
Entrance Cable __h__hu__mnn__________
KW._____________________ n__nn___n_
Heat: RW_./;J..!l..i/LnnBnB..
Rigid Conduit ____Om____m___m__________
Meta1l1c Tubing .......__....___.____.____.
Motors: size, volts and phase:
Current transformers:
No. & Size________.................__.......__...
Ser. No............____....__....................__..
Ser. No.___......__...__......................______..
Ser. No.-.............................................
Total Load___.__....._____.............
Ser. No.....__..__....__...____.______..............__
Type of Wiring:
Armored Cable ......__.................,...
Non-Metallic ..m_____m_____....______.____
Knob & Tube.
Rigid Conduit ________________....n......___
Metallic Tubing .____________...___.__..___
Raceway __.n..__.....______.....__.__.._____.__..
Circuits, Light....___...._..._....................-..
Utility .........__.__________........___......___.__
Heat
Range ..............._........_................_...
Water Heater ...............___________.....
Motor _..._._........._........._._........_......_
Dryer___.....,.____..........._......................_
Furnace .........................__...__.mm.....
Total ......_..______._..____.h..h...._..__
::~:j~JjfB.:~"5z:~.j:===-.==:-.=
Permit Fee
$--------------------------------------
Treas. Receipt
No..__________________________
By _______________________{.-{.l_~---:-------.-----__________
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed due noUce must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
f).~"1 :J- 0--0 J ~.
~ I;;. YW.{3 f? ELECTRICAL PERMIT
N?
14976
Date canl rIr iD..Pfe.ion..._if/n~U.'nn-...n..m....---.........mmn..-......-n---~..~l.----aZnO"nn._/.n'9.
prelimina~smion~....a..~...........:..~.-..-~.............._..................._........................_..................__..__.....___................_
,
Inspectioncompleted.......~__:..__........_................._......................................__............._.._.......~..~_...___._..........._
1M 3.72 Olympic Printers, Inc.
Total Load ___________._____.______________h_.___..______.h..______...__.____..................___ ..n__...._...._____.__....__...........n__n.__...__.....__..____................___.____........._._..._