HomeMy WebLinkAbout4005 Fairmount Ave - Building 2013 1295655
Page 1 of 2 Dui! Claim Deed
Port Angeles Cato OF
Clallam County Washington 05/03/2013 03 PM
VIII NI�1A9�J,! i h�'I��Ll� +i4'��KlL'�lad: f ���'�IIIi��Mlvd 11 H I
No `'8049
C ALLAM COUNTY
AFTER RECORDING RETURN TO: TRANSACTION EXCISE TAX
Legal Department DATE
City of Port Angeles PAID JUN 3 2013
P.O. Box 1150, 321 E 5th St AMOUNT
Port Angeles, WA 98362 CoUMMMM EA,SURER
BY V TU (,;(1 4 .47a
QUIT C LAIM DEED and ZONING LOT COVENANT UUU
GRANTOR: City of Port Angeles
GRANTEE(S): Sharon L. Smith, a single woman
LEGAL Lots 9 and 10, Block 8, Pennsylvania Park Addition, and that portion
DESCRIPTION. of vacated alley abutting said Lots 9 and 10, Townsite of Port Angeles,
Clallam County, Washington.
ASSESSOR'S
PARCEL NO.: 063008580830
QUIT CLAIM DEED and ZONING LOT COVENANT
The GRANTOR, CITY OF PORT ANGELES, a municipal corporation, for adequate
consideration, receipt of which is acknowledged, and pursuant to Port Angeles City Ordinance 3475,
does convey and quit claim to the GRANTEE Sharon L. Smith, the following described real estate
situated in the County of Clallam, State of Washington:
That portion of the vacated alley adjoining Lots 9 and 10, Block 8,
Pennsylvania Park Addition, Townsite of Port Angeles, Clallam County,
Washington.
The GRANTEE hereby accepts the quit claim conveyance of the above described property.
Additionally, GRANTEE hereby covenants that the property described above along with the
following property described as follows
Lots 9 and 10, Block 8, Pennsylvania Park Addition, Townsite of Port
Angeles, Clallam County, Washington.
shall be designated as one zoning lot as defined in Section 17.08.130 "Z" of the Port Angeles
Municipal Code. This covenant creates one inseparable building lot which may be divided only
through compliance with the City of Port Angeles subdivision regulations as outlined in Chapter 16
-1-
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
SMITH SHARON L
4005 FAIRMOUNT AVE
PORT ANGELES
Other struct info
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Other Fees
Fee summary Charged
Permit Fee Total 232 75
Plan Check Total 93 10
Other Fee Total 4 50
Grand Total 330 35
\Policies \1102_15 building permit inspection record05 wpd [1/4/2005]
05- 00000554
406424
4005 FAIRMOUNT AVE
06 30 08 5 8 0830 0000
RES DETACHED GARAGE
RS7 RESDNTL SINGLE FAMILY
12000
Contractor
PENINSULA PRIDE CONSTRUCTION
90 THOMPSON RD
WA 98363 PORT ANGELES
(360) 417 6990
TOTAL LOT COVERAGE 10 00
NUMBER OF STORIES 1 00
EXISTING LOT COVERAGE 1264 00
LOT SIZE 12500 00
PROPOSED LOT COVERAGE 400 00
TOTAL LOT COVERAGE 1664 00
NUMBER OF UNITS 1 00
BUILDING PERMIT RESIDENTIAL
NEW 20 X 20 GARAGE
54379
232 75 Plan Check Fee
7/13/05 Valuation
2/25/06
Qty Unit Charge Per
BASE FEE
10 00 14 0000 THOU BL -2001 25K (14 PER K)
Special Notes and Comments
07/12/2005 04 10 PM SROBERDS The proposal will result
in a detached garage in the RS 7 zone for total lot
coverage of 13% Spruce Street is designated as a side
yard and must remain so No land use issues are noted
Electrical load calculations and elctrical permits are
required
Will the electric service be underground or overhead from
the house
07/06/2005 03 31 PM GMCLAIN
Construct asphalt driveway to City Standards
No concrete with exposed aggregate allowed in the City
road right of way An inspection by Public Works
Engineering is required prior to paving
STATE SURCHARGE 4 50
Paid Credited
232 75
93 10
4 50
330 35
00
00
00
00
Date 8/31/05
WA 98363
Due
Extension
92 75
140 00
00
00
00
00
93 10
12000
<e`
/3
Q V
Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last
inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
FOUNDATION-
FOOTINGS
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
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
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -480 "i
FIRE 417-4651 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -481 I
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
T \Policies \I 102_15 building permit inspection record05.wpd [1/4/2005)
7-?i- asr
I J L
F3
YES NO
SEPA.
ESA.
SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -473. ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
I I I
I I I
I I
PREPARED 8/29/05 13 29 06 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE' 8/29/05
ADDRESS 4005 FAIRMOUNT AVE SUBDIV
CONTRACTOR PENINSULA PRIDE CONSTRUCTION PHONE (360) 417 6990
OWNER SMITH SHARON L PHONE
PARCEL 05 30 18 5 6 0000 0000
APPL NUMBER 05 00000554 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 7/26/05 JLL BUILDING FOUNDATION FOOTING
7/26/05 DA 07/26/2005 02 00 PM DYASUMUR
477 0778
07/26/2005 04 09 PM JLIERLY
foundation grade beam too shallow clear out and recall/j11
BL1 02 7/27/05 JLL BUILDING FOUNDATION FOOTING
7/27/05 AP INSPECT REBAR
07/27/2005 01 18 PM DYASUMUR
07/27/2005 01 19 PM DYASUMUR
07/27/2005 04 17 PM JLIERLY
BI2 01 8/01/05 JLL BUILDING FOUNDATION WALL
8/01/05 AP 08/01/2005 08 40 AM DYASUMUR
08/01/2005 03 23 PM JLIERLY
BL99 01 8/22/05 JLL BUILDING FINAL TIME 17 00
8/22/05 DA 08/22/2005 08 41 AM PBARTHOL
BEN 477 9240
08/22/2005 04 46 PM JLIERLY
electrical final reqd backfill trench including around
foundation slope grade 6 in 10 0 away from foundation
BL99 02 8/ 9 JLL BUILDING FINAL
1
08/29/2005 10 45 AM PBARTHOL
1777 BEN 477 9240
COMMENTS AND NOTES
DiA/
5 13,;
g,
ate(
se),14--A
BUILDING DIVISION
-C.
CITY OF PORT ANGELES
Correction Notice
Job Located at 1/4 17- 4N/L-kt-41.4
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdictio
,,P
i3 -ki 41. c
P o i L O 1 9 1.f/fr i
e2 f, a r
i OP-L-6 t) 1\16(/' IPx
1 s &2 .94 10" 1)24
These corrections must be made and are not to be
covered until reinspection is made. When corrections
have been made, please call Lit 1 L/ k OLS
for inspection
Date o/ S
Inspector for Building Division
DO NOT REMOVE THIS TAG
PREPARED 8/22/05 13 56 04 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES
ADDRESS 4005 FAIRMOUNT AVE SUBDIV
CONTRACTOR PENINSULA PRIDE CONSTRUCTION PHONE (360) 417 6990
OWNER SMITH SHARON L PHONE
PARCEL 05 30 18 5 6 0000 0000
APPL NUMBER 05 00000554 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
INSPECTOR JAMES L LIERLY DATE 8/22/05
BL1 01 7/26/05 JLL BUILDING FOUNDATION FOOTING
7/26/05 DA 07/26/2005 02 00 PM DYASUMUR
477 0778
07/26/2005 04 09 PM JLIERLY
foundation grade beam too shallow clear out and recall /ill
BL1 02 7/27/05 JLL BUILDING FOUNDATION FOOTING
7/27/05 AP INSPECT REBAR
07/27/2005 01 18 PM DYASUMUR
07/27/2005 01 19 PM DYASUMUR
07/27/2005 04 17 PM JLIERLY
BI2 01 8/01/05 JLL BUILDING FOUNDATION WALL
8/01/05 AP 08/01/2005 08 40 AM DYASUMUR
08/01/2005 03 23 PM JLIERLY
BL99 01 '/22 0 JLL BUILDING FINAL TIME 17 00
08/22/2005 08 41 AM PBARTHOL
BEN 477 9240
COMMENTS AND NOTES
PREPARED 8/01/05 13 04 25 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/01/05
ADDRESS 4005 FAIRMOUNT AVE SUBDIV
CONTRACTOR PENINSULA PRIDE. CONSTRUCTION PHONE (360) 417 6990
OWNER SMITH SHARON L PHONE
PARCEL 05 30 18 5 6 0000 0000
APPL NUMBER 05 00000554 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 7/26/05 JLL BUILDING FOUNDATION FOOTING
7/26/05 DA 07/26/2005 02 00 PM DYASUMUR
477 0778
07/26/2005 04 09 PM JLIERLY
foundation grade beam too shallow clear out and recall/j11
BL1 02 7/27/05 JLL BUILDING FOUNDATION FOOTING
7/27/05 AP INSPECT REBAR
07/27/2005 01 18 PM DYASUMUR
07/27/2005 01 19 PM DYASUMUR
07/27/2005 04 17 PM JLIERLY
O
BI2 01 8 01 /0 L 0UI0DING 5OUN8A4ION WALL
08/01/2005 08 40 AM DYASUMUR
COMMENTS AND NOTES
PREPARED 7/27/05 13 44 05 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/27/05
ADDRESS 4005 FAIRMOUNT AVE SUBDIV
CONTRACTOR PENINSULA PRIDE CONSTRUCTION PHONE (360) 417 6990
OWNER SMITH SHARON L PHONE
PARCEL 05 30 18 5 6 0000 0000
APPL NUMBER 05 00000554 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 7/26/05 JLL BUILDING FOUNDATION FOOTING
7/26/05 DA 07/26/2005 02 00 PM DYASUMUR
477 0778
07/26/2005 04 09 PM JLIERLY
foundation grade beam too shallow clear out and recall /ill
BL1 02 7 27/05 JLL BUILDING FOUNDATION FOOTING
INSPECT REBAR
07/27/2005 01 18 PM DYASUMUR
07/27/2005 01 19 PM DYASUMUR
COMMENTS AND NOTES
PREPARED 7/26/05 14 03 31 INSPECTION TICKET
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY
ADDRESS 4005 FAIRMOUNT AVE SUBDIV
CONTRACTOR PENINSULA PRIDE CONSTRUCTION PHONE (360) 417 6990
OWNER SMITH SHARON L PHONE
PARCEL 05 30 18 5 6 0000 0000
APPL NUMBER 05 00000554 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 7 26/5 J BUILDING FOUNDATION FOOTING
A 07/26/2005 02 00 PM DYASUMUR
r 477 0778
COMMENTS AND NOTES
kit
PAGE 5
DATE 7/26/05
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
SMITH SHARON L
4005 FAIRMOUNT AVE
PORT ANGELES
Other struct info
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 98362
Charged
232 75
93 10
4 50
330 35
05 00000554
406424
4005 FAIRMOUNT AVE
05 30 18 5 6 0000 0000
RES DETACHED GARAGE
RS7 RESDNTL SINGLE FAMILY
12000
ENINSULA PRIDE
0 THOMPSON RD
9320 PART ANGELES
60) 417 6990
TOTAL Lii COVERAGE
NUMBER OF S ORIES
EXISTING Li' COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT CO RAGE
NUMBER OF UNI S
underground
232 75
93 10
4 50
330 35
T Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
Contractor
g
BUILDING PERMIT RESID'NTIAL
NEW 20 X 20 GARAGE
54379
232 75
7/13/05
1/09/06
Plan heck Fee
Valuation
BASE FEE
10 00 14 0000 THOU BL -2001 25K (14 PER
Special Notes and Comments
07/12/2005 04 10 PM SROBERDS The proposal
in a detached garage in the RS 7 zone for total
coverage of 13% Spruce Street is designated a
yard and must remain so No land use issues a
Electrical load calculations
required
Will the electric service be
the house
07/06/2005 03 31 PM GMCLAIN
Construct asphalt driveway to City Stand
No concrete with exposed aggregate allo
road right of way An inspection by P
Engineering is required prior to pavi
and elctrical pe
CONSTRUCTION
w' 1 result
ide
e no
its a e
or overhead om
rds
ed in the City
lic Works
00
00
00
00
Date 7/13/05
WA 98363
10
1
1264
12500
400
1664
1
STATE SURCHARGE 4 50
aid Credited Due
00
00
00
00
00
00
00
00
00
00
00
93 10
12000
Extension
92 75
140 00
Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last
inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction
46
7 3
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
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 s s ial
JOISTS GIRDERS
SHEAR WALL /HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T \Policies \l 102_15 building permit inspection record05 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
1 11-71—eg C1.---Tus---
I -`c,c—
ACCEPTED
I YES NO
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION LW PW/ CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
COMMENTS
DATE
ACCEPTED
YES I NO
I I I
1 1 I I
I I
Applicant or Agent: 1' l' lo, v' c us Pcae hn c o
Owner 5 1
Address. 4 0 0 5 Fnan�w..o- �n.�71. V e City P A
CLALLAM COUNTY PARCEL NUMBER. 00 30 G9DO
COMMERCIAL/RESIDENTIAL. Occupancy Group
PLANNING USE ONLY
FOR OFFICL L USE ONLY
BUILDING PERMIT APPLICATION i DateRec.
Permit OI7 5,5¢
Fill out COMPLETELY and in INK. Your application and site plan MUST BEL ^Date
pproved:9
COMPLETE to be accepted for review If you have any questions, call 1
PERMITS (360) 417 -4815 FAX(360)417 -4711 Date Issued.
ESA/Wetland(s). Yes No SEPA Checklist required? Yes No Other
360 '117 (oggU
Phone
Phone. 310 4 S 3 9 S 5?
Zip q 3
Architect/Engineer Phone.
Contractor Penlv\S LI t o. `ir i, 0 111/1/4 k State License Nim r‘PoWW Phone "I/ 7 10 q q 0
Address: 0 v City P A Zip 9 s 3 (0 3
PROJECT ADDRESS .O U S Fa r vino AVE ZONING !z S'7
LEGAL DESCRIPTION Lot: Block: Subdivision.
Credit Card Holder Name.
Billing Address: City
Credit Card Type VISA MC Exp. Date.
TYPE OF WORK. ST7R/VALUATION
Residential New Constr Re -roof Stove SF /SF
Multi- family Addition Move ET' Garage SF /SF
Commercial Remodel Demolition Deck SF /SF
Repair Sign Other TOTAL VALUATION $4 /2 o0 c p n
BRIEF DESCRIPTION OF THE PROJECT 8A ),J.-cA cr. 0 n' )(2_0' .si
Occupant Load. Construction Type:
No of Stories: Lot Size: f 0o X 12 S Existing Sq. Ft. /2 Le W Proposed Sq Ft. 1 1VO TOTAL Sq Ft. (24 e f
Total lot coverage 3
APPROVALS.
PLAN
BLDG
DPWU
FIRE
OTHER
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 IF a plan check fee is due it must be submitted at the time the building permit apphcation and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the 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 R105.3.2
of the International Building/Residential Code, 2003) 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. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the City's, and that 1 must obtain such permits prior to work.
T'�Policies\BL 1102_13 wpd Applicant: i'V 1 c911�C.�1 s Date: S 1 uMQ C9 S
50
Feet
4102
1205
3918
4006
Vertical Datum NA VD 88
Horizontal Datum NAD 83/91
Area Map
3921
4005
1137
1
I
I
1132
12.7
1133
,M5,801,7757SYOZZ ,M6980#9.0.041
Spruce St
Hazel =St
Xf> Mtn.
This map is ot ntended to be used as a legal de ipti
This map/drawing is produced by the City of Port Angeles for its own use and pi rposes.
A other use of this map/drawing shall not be the respon ibility of the City
d''''''~
(i
""'.. ..ptf'
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
l21 EAST 5TH STREET. PORT ANClELES. WA 911:162
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000554 Date
406424
4005 FAIRMOUNT AVE
06-30-08-5-8-0830-0000-
RES DETACHED GARAGE
9/07/05
RS7 RESDNTL SINGLE FAMILY
12000
Owner
Contractor
SMITH, SHARON L
4005 FAIRMOUNT AVE
PORT ANGELES
PENINSULA PRIDE
90 THOMPSON RD.
WA 98363 PORT ANGELES
(360) 417-6990
TOTAL % LOT COVERAGE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
CONSTRUCTION
WA 98363
Other struct info .
10.00
1. 00
1264.00
12500.00
400.00
1664.00
1. 00
----~-----------------------------------------------------------------------
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
EL-DETACHED GARAGE
CIRCUIT TO GAR.
58594
COLEMAN ELECTRIC
48.10
9/07/05
3/06/06
Plan Check Fee
Valuation
.00
o
~".
~>
~
l\
Qty
1. 00
Unit Charge Per
48.1000 ECH EL-R-OUTBD/DTCH GAR SEP
Extension
48.10
......
~
'"
t\
~
~
t
"
<.
"'\
-------------------------------------------------------------------------
Special Notes and Comments
07/12/2005 04:10 PM SROBERDS -- The proposal will result
in a detached garage in the RS-7 zone for total lot
coverage of 13%. Spruce Street is designated as a side
yard and must remain so. No land use issues are noted.
Electrical load calculations and elctrical permits are
required.
will the electric service be underground or overhead from
the house??
07/06/2005 03:31 PM GMCLAIN ____________________________
Construct asphalt driveway to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to paving.
----------------------------------------------------------------------------
Other Fees
STATE SURCHARGE
4.50
~
~---------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 48.10 48.10 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 52.60 52.60 .00 .00
COMM!~l'n'sj ACTION NEEDED
ELEcrRlCAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW-II02.l5 (4196]
Detai IslDescription:
I
I
I
I
I
I
\
I
I
w.sl No. Service
Caplacity: 0 O.K. 0 Not O.K.
I
o Ditch inspection O.K.
I
o Rough-in/cover O.K.
,
o O.K. to connect service
~ R1'inal O.K.
1M,
SjtelAddres~
Installer:
I
.
.
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
.:?~.:?7
~
//, 1.,$;'
ELECTRICAL PERMIT
DATE
D WILL CALL FOR
INSPECTION
Phone:
Site Address:
I
Installed By:
I
Owner/Business:
I
Owner/Business Address:
I
I
~Residential
I Heat KW
o Baseboard 0 Furnace/Boiler
b Heatpump 0 Other
b Commercialllndustrial load
Total Connected ioad
(attach breakdown)
Total Motor load
(attach breakdown)
~EADY FOR
INSPECTION
License Number:
Phone:
Sq. Ft.
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o undergrOUn~~
Voltage ;;~
)((10 03.0
/Service size ~ Amps
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
c>>J ~ ~
/I/O f'~ (~;(
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pendi ng
-,
Permit/Receipt No.
;;2'/,;;
New Meters
o
,
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
mu~t not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the I~r in Writing on the Wiring Report or the Building Permit. PHONE 457.04~ EXT. 158 or EXT. 224.
I h NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT fl '712
I ,~ .
Inspector Amount paid
WHilE - tile by address YELLOW - file by number PINK - Top; Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLVMPIC PFtINTERS, INC.
I
lil'V
Rug 24 05 12:14p
Bobb~ O. Coleman
360-452-7594
p.l
~trical Contractor
j:LECTRICAL WORK PERMIT APPLICATION
8'ReQuest Inspection
,
DOwner
o Annual Permit Cl Alarm Q Carnival Q Commercial r:J Residential Q Residential Maint. 0 Signs lJ Thermostat 0 Telecom.
Job wired by
~rical Contractor
DOwner
l,st'lbli~.5p
~ 11f1/~ Ft~-J7
I
oj
Eleolncal c?fer~ ~ ~A:::e 'umb"
Purchaser's sJi.?CSS Lv) t 'Ii. '
CilY~ a~ SI"e ZIPVr-; 9r./61:--
Telephone nu.mber FAX number
17
5),. ,1/.
City
I hereby certify that I am the owner of the above named property or a licensed
electrical contractor (or the finn's authorized agent) and am making the electrical
instaUation Of alteration in compliance with the clcctricallaw, Chapter 19.28 RCW.
o Cash 0 Check #
CJ Credit Card Q Mastercard
Card #
Discover
x
Expiration Date
of card
Inspection fee
W ~';?J
a
~
l
----------------
Dale
Appro~t.d By
Dale
AppnHetl By
'"
~
-f.
WALLS
Insulation Only
CEIUNG
Insulation Only
THERMOSTAT
SERVICE
Dine
Apprond By
D~lc
Aoofoved By
DITCH
FEEDER
Cover
Cover
DAle
Approved tly
D~le
Approved By
O:lle
Appro""d By
Dale
Approved fiy
Electrical Load Additions and or subtractions
Cl NO LOAD CHANGES
o Baseboard KW
o Fumace KW
o Heat Pump _ Ton _lAR
o Fan-Wall KW
Service Information
o Overhead Service
o Temp Service
[J Underground Service
Voltage
PhaseD 1 03
Service Size:
Feeder Size:
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Dale . Inspector
93!U!cJ') {'),rC- . - A/J
5/2-(;,10.,- ;e." ;t'/'1c ~ Afib /-
, ,
A
~
ROM '
FAX NO. Oct. 14 2010 11 :5eRM P1
F
z,
CITY OF PORT ANGELES PERWT APPLICATION
Building Division/Electricsll Inspectiions
321 East Fifth Street — P.O. Box 11501 Fort Angeles Washington, 48362
ph: (360) 417 -4735 Fax. (360) 417• -47X1
Date: U 1✓ 1 & 2 Single Family Dwelling
* Plan Review May
Job Ad4ras -
Build" Square Footage
DewflPtbn of above.
JAN 2 0 201 4�
�.r
ELECTRICAL.
PECTIONS
owner Inforntel �—
Name: ad r
Mon9 A
Phone_T*- _ !�5�ar
tkense # I
hm
$c /Fewer 200 Amp•
SenricelFeeder 2D1400 Arne.
servwFeeder 401-00 Amp
5eMu, Feeder 601 -1000 Amp,
Sere M Feeder aver 1000 Amp.
Branch Circuit w/ seNka Feeder
Drench Clrcu t Wl0 SWce Feeder
Each Additional Branch Cfrcul
Citcub 1-4
Temp, service! Feeder 200 Amp,
T(np. Servl WOOder 2D1400 Amp.
Temp. 8eMC0ff9ede1-401.600 p.
Temp. S~MW 601-'Nj Amp .
Porw to Portal liwi
84rto Circuit! Limited Ene W -1 & 2.Rff* DwOU*
Manufactured Hone Connect �A system or Less
Renewd* M9y -
Thsrnmstat '
Note; $5.00 for each addiuo'nat T-5W
11 ccaNMU -7lsN� ,
First 1300 Square Ft
Square FL or
Each A0013nal S00 s?ortian d
Each oumull ft or. DeWCW Garage
Each Swhink 9 Pool or Not Tub
UUMM
$120.00
$14$.00
$ 205.00
$ 2$2.00
$ 373.00
$ 5.00
$ 63A0
$ 5.00
$ 75.00
3 93.00
$110.00
$149A0
$1 moo
$ 64 -00
$ 120.00
$102.00
$ 56.00
$120.00
$ 40.00
$ m0
$110.00
Contractoro+�t
� "
EM
a " �y
We
-
UC8f N
YX
I r
$
S
$
$
•
$��l'otal
Ownv ss deTned by RM19.28.261: (1) Owner vAl oauFy the strudare for two YMS alter ft eie&jcaii Wo ls Waliza (2) owner is required
to hire an Bled (ow oontra*r if above said Woperty is for sale, rent or leas®. Permit W1s MW slx MWft of last insp dw
that 1 am t * owner of the above named property of a licensed d contractor• 1 am rnaitir>9
After reading the above antarnent, I herabf► oertity vvidr the dedrW law% N.E C., RCW. Chapter 19.28, WAC Chapter 296455, The City of Pod
the electrical installation or aMrahm in rompl''k'VM
Angeles Municipal Code, and LAIRY 5pecmcawns and RAMC 105.060 regarding Eleofr d PemitAPpl +s.
tectrical dministrator• 0 �' O Cho&
Signature of owm , el I rmntractor or e a
CndIA Card i
p1lp1R1r12
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number 15-- 00000054 Date 1/22/15
Application pin number 040874
Property Address . . . , . . 4005 FAIRMOUNT AVE
ASSESSOR PARCEL NUMBER, 06-30-08-5-8- 4830 -0000-
Applicatio2i type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use
Property Zoning , . . . . . . R57 RESDNTL SINGLE FAMTLY
Application valuation , , . 0
Application desc
Ductless heat pump
Owner Contractor
SMITH, SHARON L ELECTRIC SERVICE
4005 FAIRMOUNT AVE 62 DRAPER RA
PORT ,ANGELES WA 98363 PORT ANGELES WA 98362
{360} 452 -6424
Permit . , , . , I ELECTRICAL ALTER RESIDENTIAL
Additional desc , , 1 -4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee 00
Issue Date 1/22/15 Valuation . , , . 0
Expiration Date 7/21/15
Qty Unit Charge Per Extension
HASH FEE 75.00
Fee summary Charged Paid Credited Due
Permit Pee Total 75.00 75.00 .00 ,00
Plan Check Total 00 .00 .00 00
Grand Total 75.00 75.00 ,00 .00
o.
V aA'
s°
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
11,23 4
FINAL
1
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contra_ ctor X Date:
G:IEXCHANGEI$UILI?ING