HomeMy WebLinkAbout521 S Liberty St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
its►
A Application Number 12- 00001035 Date 8/09/12
Application pin number 579525
Property Address 521 S LIBERTY ST
ASSESSOR PARCEL NUMBER: 06-30-11-5-5- 0560 -0000-
Application type description RE -ROOF REPORT SALES TAX
Subdivision Name on your state excise tax form
Property Use y,
Property Zoning RS7 RESDNTL SINGLE FAMILY tO the City of Port Angeles
✓r i Application valuation 9141 (Location Code 0502)
Application desc
TEAR OFF REROOF
Owner Contractor
BREEN, CAROL EMERALD ROOFING INC
521 S LIBERTY ST P. O. BOX 879
PORT ANGELES WA 983626649 PORT ANGELES WA 98362
(360) 452 -4681 �y
Permit BUILDING PERMIT NO PR FEE 7h
Additional desc TEAR OFF REROOF w U
Permit Fee 207.75 Plan Check Fee .00
Issue Date 8/09/12 Valuation 9141
Expiration' Date 2/05/13
Qty Unit Charge Per Extension
BASE FEE 95.75
8.00 14.0000 THOU BL- 2001 -25K (14 PER K) 112.00
Other Fees -STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 207.75 207.75 .00 .00.
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 212.25 212.25 .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
f. n ot presume to give authority to violate or cancel the provisions of any state or local law regulating co. tion or the performance of
construction.
Date Print Name Signature of Contractor or Aut rized Agent Signature of Owner (if owner is builder)
t
T:Forms /Buliding 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 c
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 r Date Accepted By Comments
FOUNDATION:
Footings 2
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 L Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceilin9
D all (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
Parking Lighting
SEPA:
ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE
Inspection Type Date Accepted By
Electrical 417 -4735 1'
Construction R.W. PW Engineering 417 -4831 0
Fire 417 -4653
Planning 417 -4750 w
Building 417 -4815 J 8 13° la' V
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CITY OF ORTANGELES For City Use c o
n 0
Permit v_: tQ GI
W W A S H I N G T O N U.S. 1
Date Received: 0 p
lq (le fi
321 East 5th Street m
Port Angeles, WA 98362 Date Approved: q lC1 1 12) i 04 0
P: 360- 417 -4817 F: 360 417 -4711
hcatuzo @cityofpa.us
Building Permit Application
Project Address:
Sz t s* c_ u 3-TY -T
Main Contact: Phone
��,s g60c-- 46/
Property Name QL 2 2 I Phone i 5' 7 7366
Owner Mailing Address Email
5: 1 Lt 3�Y
City State Zip
ktibi Contractor Name /Z COFi Phone eff-,
Mailing Address Email
P -0 x l2l
City State Zip
Contractor License Expiration:
Project Value: C�l L� Zoning: Tax Parcel Lot
l
Type of Residential El Commercial Industrial Public
Permit Demolition Fire Repair I Reroof ear off1ay over)
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
Description
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 ame Signa
-12- ‹.---.1
Clallam County Assessor Treasurer Property Details 65472 CAROL BREEN for Ye... Page 1 of 1
Clallam County Assessor Treasurer
Property Search Results 65472 CAROL BREEN for Year 2011 2012
Property
Account
Property ID: 65472 Legal Description: LOT HA
CRESTHAVEN
ALTERATION
Geographic ID: 0630115505600000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi Family Redevelopment: N
Township: Section:
Range:
Location
Address: 521 S LIBERTY ST Mapsco:
PORT ANGELES, WA 98362
Neighborhood: PA East Res Map ID: 2
Neighborhood CD: 5001000
Owner
Name: CAROL BREEN Owner ID: 15314
Mailing Address: 521 S LIBERTY ST Ownership: 100.0000000000%
PORT ANGELES, WA 98362 -6649
Exemptions: SNR /DSBL
Taxes and Assessment Details
Values j
Taxing Jurisdiction
Improvement Building 1
Sketch
Property Image
Land
Roll Value History
Deed and Sales History
Payout Agreement
Website version: 9.0.32.2200 Database last updated on: 8/9/2012 3:51 2012 True Automation, Inc. All Rights
AM Reserved. Privacy Notice
http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year 2011 &prop_id =65472 8/9/2012
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000087 Date
.534135
521 S LIBERTY ST
06-30-11-5-5-0560-0000-
ELECTRICAL ONLY
2/05/04
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
BREEN TONY
521 S LIBERTY ST
PORT ANGELES
WA 983626649
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457-9270
WA 98363
Permit
Additional desc
. Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
FURNACE/HP
SIMPSON ELECTRIC
46.70 Plan Check Fee
2/05/04 Valuation
8/03/04
~
"-
.00
o
Qty Unit Charge Per
1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
46.70
CA.
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.70 46.70 .00 .00
.-. Pla~.-Check Total .00 .00 .00 .00
Grand Total 46.70 46.70 .00 .00
"-
,
t;;
~
~
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:r
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 knoVl( 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
T:\PLANNING\FORMS\1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHJMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ~. {'. Ot/ kN ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNINGIFORMS\1102.15 [11/14/2003]
Clry OF PORT ANGELES
tIGHT DEPARTMENT
ELECTRICAL PERMIT
Nl!
16791
Port Angeles, washlngton...__________~___::::__;.~______._________________m_m, 19_Z7
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-
;::~ .h~:~'H;~;.;~_~_~~'=:::=,==::::::::::
-----d.m~------:;-,~-/";7;---- "-. .f' ~ 'I' (J
Wiring ContractoJ!.;:,l::''!!:._~.L~___::;-ddl':'''_~__<!::''"''''~nn.:::fl=d' By._dh___________________.m.m_..n._____._____n...n_hh__..____
Light ouuets......f.€....................... V ServIce, volts ../,1.~""-.~~."'-.~.;?jj). Type 01 Wiring,
R"ceptacle Outlets ,."L,( No wires .. '3 Armored Cable ..m___mmnhd_.........
o ;I- ..n..jV................... - . ~..~...:....i1.h..:;:..h:JQ. Non-Metallic .............._..................
D 'yer, KW.........__L-::.__.hmm.....m SIze Sm nnn..~'if'''''-''
1"'1 ,A.n Knob & Tubem.............._...............
R 'nge, KW .m..' nn~~n' MaIn fuse._ ..c.~.~..oI... nnh.....
1''' 1/::; RIgid ConduIt .h.h........................_
Enclosure nn......n....h.:.n~...............
V"ater Heater:
it:
KW.-.n.-.-..---~..:.:;......-.7....f.,-7;;;.:..f):;,.,
H at KW.....r;,?-.?.....f.--?.~:.~t14:rJ
'"'1 1/ o!J;"............-t.
l\.:'otors: siz:fvolts an~~hase: r
C~~~~=:::::::::::::::
....~,~"--'........................__.
je..,.~.___..:::e~~_..............
~~~~.....?........_-
Metallic Tubing h.............mn____h.
Type of wirIng:
Entrance Cable 00"00"_".
Raceway ........___.__._.___..........._....._
CIrcuits, Llght.../g............h.........
Utillty....../"....................................
Rigid Conduit u..___mm
Metallic Tubing ...nm.....h..
Current transformers:
I1eat ..............._.___._...__....................
Range ....~...........____...____....._.....
'"
Water Heater ..;;l...._.__mm.._.....
Motor ___.........___..........___........___......
~
~~r:~~~..~~-i?~~~~~-.~..~~~~~~~.~~~~--....~~~~:::~~.
No. & Size....___.n._..n...nmm_.
Ser. NO..._......................._........_n.._._..
Ser. NO.........n_...._nn_...nn...n_n.nn..h_
Ser. NO....nn....._.................................
'JJ b .
Total Load............hn........h... Ser. No. ..00__.00........_.......................... Total ._.__nnn____nn.nn...............
'" ,
Remarks, n'__h.__nm:__m.__m____."."'7,Le..:...-"""'__n._____~""-_~L-r.:_._m_mm_h._._____m___m_________m____m__
m'ndh__n__._mm__.___.,____.___m.____m__mm_m__m____m___m____.m.m____mm____m____m__m~--.----.--h----.-----.--.---m.--...--.--
;~-:-~~~-p------------ ::~.~-~:--~-~.~.~~~_~........ By -~41---~m-lLhei:c:-t~~'~,~~ ~."
\ ,.
NOTICE-Current must not be turned on until Certificate of Inspection bas been JSBued. It work Js to be con-
cealed due notice must be gIven the Inspector so that work may be Jnspected before concealment.
\
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ACdress
ELECTRICAL PERMIT
N?
16791
O".vner ......00_...00_._:_................_.........._......_......_.._...........00.......00_................._000000............ Tenant.........n......nnn....n___...hnnn_nnn..nn_nnnn___
Date__.__.________..____...__.___.___....____.__________..
\\ ViI" Iring Contractor ......-.___....._...................____......_._..._...__._.__.___..__._____.._..__...___._...._......................... Br.__..._____.__________'_____.._..__......_._____....__._.___..
. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
Oraled due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.
02/03/2004 19:51 4579270
SIMPSON ELECTRIC
PAGE 01 '
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