HomeMy WebLinkAbout134 Lopez Ave - BuildingPREPARED 1/04/11 8 37 51 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/04/11
ADDRESS 134 LOPEZ AVE SUBDIV
TENANT NBR LISA FREUNDLICH AND D J
CONTRACTOR HATHAWAY CONSTRUCTION INC PHONE (360) 457 5627
OWNER LISA FREUNDLICH AND D JOHNSON PHONE
PARCEL 06 30 10 5 0 1504 0000
APPL NUMBER 10 00001029 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 1/04/11 JLL BLDG FINAL
January 4 2011 8 35 26 AM 1pangrle
I V RON 457 5627
BUILDING FINAL RE ROOFED THE GARAGE
COMMENTS AND NOTES
Owner
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
TEAR OFF RE ROOF THE GARAGE
LISA FREUNDLICH AND D JOHNSON
1410 SANTA BARBARA ST
SAN DIEGO CA 921073931
Structure Information 000 000
Permit BUILDING PERMIT NO PR FEE
Additional desc RE ROOF THE GARAGE
Permit pin number 173476
Permit Fee 109 75
Issue Date 9/16/10
Expiration Date 3/15/11
Qty Unit Charge
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
7/«/" /j
Date Print Name
T:Forms/Building Division/Building Permit
Per
1 00 14 0000 THOU
Other Fees
Fee summary Charged
109 75
00
4 50
114 25
BASE FEE
BL 2001 25K (14 PER K)
Separate Permits are required for electrical work, SERA, 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 I 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.
10 00001029 Date 9/16/10
037787
134 LOPEZ AVE
06 30 10 5 0 1504 0000
LISA FREUNDLICH AND D J
RE ROOF
RS7 RESDNTL SINGLE FAMILY
2400
Contractor
HATHAWAY CONSTRUCTION INC
624 E 7TH ST
PORT ANGELES
(360) 457 5627
RE ROOF THE GARAGE
Paid Credited Due
WA 98362
Plan Check Fee 00
Valuation 2400
Extension
95 75
14 00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
STATE SURCHARGE 4 50
109 75 00 00 1
00 00 00 he, W
4 50 00 00
114 25 00 00
Si ature of Contractor or Authorized Agent ure of Owner (if owner is builder)
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
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
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T.Forms /Building Division /Building Permit
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
N
r -li P8
Floor Areas
PROJECT ADDRESS J.?
Parcel Number
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof
Heat System
Other
Basement
1st Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
Datef /h( f Print Name_lfa
BUILDING PERMIT
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant ,fo vz ffcer-A uvQ
Property Owner _Q jeA;,,r_op,
Property Owner's Address
Contractor
Contractor's Address
License
,ac .2c
.C; 7 )44 „r7 A
Expires
oP Ayr
Residential
El House it garage other tear off re -roof lay over one layer
Heat pump wood burning stove El gas fireplace pellet stove other
Existing (sq. ft.)
9
Proposed (sq. ft.)
Total footprint of structures sq ft. T Lot size
Site Coverage the amount of impervious surface on a parcel including
and other impervious surfaces (see PAMC 17 94 135 for exemptions)
riots*.
T.Forms/Building Division /Building permit application
APPLICATION Print in ink
Multi- family
ft. Occupancy group
Occupant load
Construction type
Signature
I
Lot
For City Use Only
Date Received 9.- 11,- 10
Permit# 11')_ 2-et
Date Approved
Phone fS7 -5(2
Phone
Phone f
E -mail
Zoning
Commercial Industrial
per sq ft.
TOTAL VALUATION a.
sq ft. Lot coverage
structures paved driveways sidewalks, patios
Site coverage
of bedrooms
of full baths
of half baths
I have read and completed this 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.
Clallam County Assessor Treasurer Property Details 65048 LISA FREUNDLICH A. Page 1 of 6
Clallam County Assessor Treasurer
Property Search Results 65048 LISA FREUNDLICH AND D JOHNSON for Year 2010 2011
[Property
Account
Property ID
Geographic ID
Type.
Tax Area:
Open Space.
Historic Property*
Multi Family Redevelopment: N
Township
Range.
Location
Taxes and Assessment Due
L
Property Tax Information as of 09/16/2( 10
Amount Due if Paid on. E.
Address. 134 E LOPEZ AVE Mapsco
PORT ANGEL ES WA 98362
Neighborhood: Cycle 5 Res
Neighborhood CD 10955130
Owner
Name LISA FREUNL.LICH AND D JOHNSON Owner ID
Mailing Address: 1410 SANTA BARBARA ST Ownership:
SAN DIEGO r',A 92107 -3931
Exemptions.
Year !Statement
!2010 47314
2010 47314
2010 47314
;2010 47314
2010 47314
2010 47314
2010 47314
2010 47314
2010 47314
2010 47314
2009 650482008
2009 650482008
'2_009 650482008
2009 650482008
20_09650482008
12009 650482008
0630105015010000
Real
0010 PA 12` PORT ST CNTY H2 L
N
N
ID Taxing Jurisdiction
ST SCH STATE SCHOOL
CC -GEN COUNTY
PORT PORT
PORT ANG PORT ANGELES
SD #121 SCHOOL DISTRICT #121
NTH OLY LIB NORTH OLYMPIC LIBRARY
Section
HOSP #2 HOSPITAL #2
W PK DIST WILLIAM SHORE MET PARK DIST $17 50
CITY_STORMWATER CITY STORMWATER $36 00
WEED_CONTROL WEED CONTROL $0 82
2010 47314 TOTAL. $1189.91
ST SCH STATE SCH DOL
CC -GEN COUNTY
PORT PORT
PORT ANG PORT ANGELES
SD #121 SCHOOL DIISTRICT #121
NTH OLY LIB NORTH OLYMPIC LIBRARY
65048 Legal Description PUGET SOUND CO -OP
COLONY 2 ADD LOT 2
BL 15
Agent Code
Land Use Code
DFL
Remodel Property*
Map ID
$20 75
$321 37
$358 02
$42.57
11
N
N
2
25533
100 0000000000%
First Half Second Half
$321 38 $0 00
$358 01 $0 00
$42.57 $0 00
.J
ir e'
I
Base Due Base Due i Penalty Interest I Base
$251 95 $251 95 $000 $0 00 $2E
$134 06 $134 09 $0 00 $0 00 $1
$18 84 $18 85 $0 00 $0 00 $1
$310 44 $310 44 $0 00 $0 00 $31
$326 34 $326 34 $0 00 $0 00 $32
$38.96 $38 96 $0 00 $0 00
$55 00 $55 00 $0 00 $0 00
$1750 $000 $000
$36 00 $0 00 $0 00
$0 81 $0 00 $0 00
$1189.94 M $0.00 $0.00
$289 51 $289 51 $0 00 $0 00
$146 51 $146 53 $0 00 $0 00
$20 76 $0 00 $0 00
$E
$1
$11P
$57
$2f
$4
$0 00 $64
$0 00 $71
$0 00 $E
http. /vpn.clallam. net. 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =65 9/16/2010
PORT ANbELES 4/4::9836
tkt 444 (460
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CUSTOMERS ORDER NO.
NAME
ADDRESS
SOLD BY
RECEIVED BY
agn
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CAS
4
HATHA WAY CON STRUCTI ON
1
PHONE DATE
C.O.D. CHARGE ON ACCT MDSE. RET'D. PAID OUT
fie e -c2??
kc C r
el 1
Lt .1 CC jr*it C ryie
k roc7c. fk, h/76
f
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g. Y _Ca irs
QTY. DESCRIPTION .PRICE AMOUNT
TAX 0 I _c()
TOTAL .9 roz_ 60_
erN u
k biAtopLicTrifin, Attlainip:and us T e ibyfthis,b116-10. I:
141k., 4 `°1 K: YOUi
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PREPARED 6/28/10 8 18 05 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/28/10
ADDRESS 134 LOPEZ AVE SUBDIV
TENANT NBR LISA FREUNDLICH /D JOHNSON
CONTRACTOR EMERALD ROOFING INC PHONE (360) 452 4681
OWNER LISA FREUNDLICH D JOHNSON PHONE
PARCEL 06 30 10 5 0 1504 0000
APPL NUMBER 10 00000644 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 6/28/10
BLDG FINAL TIME 01 00
June 25 2010 2 41 04 PM 1pangrle
TRAVIS 460 4471
BUILDING FINAL RE ROOFED THE HOUSE
AFTERNOON
THE PERMIT WILL BE ON THE GARAGE DOOR
COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 10 010000644 Date 6/23/10
Application pin number 5505132
Property Address 134 LOPEZ AVE
ASSESSOR PARCEL NUMBER 06 3I0 10 5 0 1504 0000
Tenant nbr name I LISA FREUNDLICH /D JOHNSON
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 5073
Application desc
TEAR OFF RE ROOF THE HOUSE
Owner
LISA FREUNDLICH D JOHNSON EMERALD ROOFING INC
1410 SANTA BARBARA ST P 0 BOX 879
SAN DIEGO CA 921073931 PORT ANGELES
(360) 452 4681
Structure Information 000 000 TEAR OFF RE ROOF THE HOUSE
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
4 00
Other Fees
Fee summary Charged
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
T:FornsBuilding DivisionBuilding Permit
BUILDING PERMIT NO PR FEE
RE ROOF THE HOUSE
168013
151 75
6/23/10
12/20/10
BASE FEE
14 0000 THOU BL-2001 25K
151 75
00
4 50
156 25
(2ii "/2640 5
vi
Contractor
WA 98362
Plan Check Fee 00
Valuation 5073
(14 PER K)
Extension
95 75
56 00
STATE SURCHARGE 4 50
Paid Credited Due
151 75 00 00
00 00 00
4 50 00 00
156 25 00 00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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 giv s 't to violate or cancel the provisions of any
state or local law regulating construction or the perfortnance of construction.
Date Print Name Signature of Contrac r 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
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 SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735 I
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 6-2_8-16
T.FormslBuilding Divis!on /Building Permit
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
Applicant 0S J/ ItJ) Phone
Property Wrier /.3 a s P, I; c,t p 1-r,t,In S v\ Phone
Property Owner's Address IR1 o Saki I?7o.v ocdca.,S aay.®te CA
Contractor 6 -2O-Lb iL�If r AZ7 N6, horde
Contractor's Address
License FMAL(A -(LI c' 7 (919 Expires )1-5 -21911 E -mail
PROJECT ADDRESS
Parcel Number
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
X Re roof
Heat System
Other
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
Date
1,00=2_
'House garage other
Floor Areas Existina (sq. ft.) Proposed (sa. ft.)
Basement per sq ft.
1St Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures sq ft. Lot size sq ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks patios
and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage
I have read and completed this application and knew it to
that it is my responsibility to determine what permits are r
esidential Multi family Commercial
tear off re -roof lay over one layer
Heat pump wood burning stove gas fireplace pellet stove other
Print Name
T Forms /Building Division /Building permit application
ft Occupancy group
Occupant load
Construction type
Lot
TOTAL VALUATION 40
be true and correct. 1 am authorized to apply for this permit a understand
red, and to obtain permits prior to workin project
't6,11T Signature
For City Use Only
Date Received (Q-2 10
Permit 10 -Co `H
Date Approved
1 7/6.0 1 -/q7/
92I67-3c13
L S 2-- 4 /45
Zoning
of bedrooms
of full baths
of half baths
Industrial
e a €d �04 Proposal
Post Office Box 879 Date Quote
Port Angeles, WA 98362 5/10/10 1552
PH. 360 452 -4681 FX. 360 4:;2 -4429
www.emeraldroofing.20m.com Job Name/Location
TO
Properties By Landmark
C \O JANET
Port Angeles, WA 98362 3301
#1)$4966.00 TAX 422.11 $5388.11
#2)$5073 00 TAX 426.13 $5499 13
PERMIT IS REQUIRED AND RUN APX $143.00
STAX LOC 0502
ACCEPTANCE OF PROPOSAL The above prices,
specifications and conditions are satisfactory and are hereby
accepted. You are authorized to do the work
as specified. Payment will be made as outlined above.
Date of Acceptance:
Authorized Signature
Signature
Signature
134 lopez
port angeles wa 98362
Description
REROOF HOUSE f
TEAR OFF EXISTING ROOFING TO SHEETING (1 LAYER OF COMPOSITION)
PREP DECKING FOR REROOF (POUND FLUSH A X117 OR PULL EXISTING FASTENERS)
INSTALL NEW METAL DRIP EDGE FLASHINGS TO ALL GABLE EDGES
INSTALL #30 ROOFERS FELT TO ROOF AREA
INSTALL COMPOSITION AS PER SPECS #1)30Y PABCO PREMIER
#2)30YR PABCC 1 PREMIER WITH ALGEA BLOCK
STEP FLASH WALLS WITH NEW METAL FLASHI AS NEEDED
REFLASH 1 CHIMNEY WITH NEW METAL FLASMNGS (NOTE NOT COUNTER FLASHING IN MORTOR)
REPLACE 3 EXISTING VENTS WITH NEW AF50 1 TENTS
INSTALL 2 ADDITIONAL VENTS TO EXISTING 10 VENT TO CODE (ALSO AF50 VENTS)
INSTALL NEW PLUMBING COVERS TO ALL PIPE VENTS (METAL AND NEOPREM)
INSTALL RIDGE CAP TO ALL RIDGES
CLEAN GUTTERS FREE FROM DEBRIS
CLEAN UP AND REMOVE ALL ROOFING DEBRIS FROM JOBSITE
ALL COMPOSITION TO BE WIND NAILED (6 NA [LS PER FULL SHINGLE AND 4 NAILS PER RIDGE PIECE)
ALL WORK NOT ABOVE TO BE A CHANGE ORE ER (TIME AND MATERIAL)
MANUFACTURERS WARRANTY ON MATERIAL 5YR LABOR WARRANTY
WE PROPOSE hereby to furnish n laterial and labor complete in accordance with the above specifications.
Please choose an item where required, sign return to the above address.
Payment is due upon completion unless other arrangements have been made.
All material is guaranteed to be as specified. All work to be completed in a p ofessional
manner according to standard Any alteration or deviation front above specifications
involving extra costs will be executed only upon written or verbal orders, and u ill become an
extra charge over and above the estimate. All contingent upon stril es, accidents
or delays beyond our control. Owner to carry fire; tornado, and other necessity insurance.
Our workers are fully covered by Worker's Con,..... insurancli.
JOB PHONE
452 1326
Vote This proposal may he withdrawn hr ors if not accepted within 60 days.
Clallam County Assessor Treasurer Property Details 65048 LISA FREUNDLICH Page 1 of 5
Clallam County Assessor Treasurer
Property Search Results 65048 LISA FREUNDLICH D JOHNSON for Year 2010 2011
Property
Account
Property ID
Geographic ID
Type
Tax Area.
Open Space.
Historic Property
Multi Family Redevelopment:
Township
Range
Location
Address.
Neighborhood:
Neighborhood CD
Owner
Name.
Mailing Address.
Taxes and Assessment Due
Property Tax Information as of 06/23/2010
Amount Due if Paid on.
Year Statement ID
2010
2010
2010
2010
2010
2010
2010
2010
2010
2010 47314
2009
2009
2009
2009
2009
2009
47314
47314
47314
47314
47314
47314
47314
47314
47314
650482008
650482008
650482008
650482008
650482008
650482008
65048 Legal Description
0630105015010000 Agent Code
Real
0010
N
N
N
PA 121 PORT ST CNTY H2 L Land Use Code
DFL
Remodel Property'
134 E LOPEZ AVE
PORT ANGEL ES WA
Cycle 5 Res
10955130
Section
Mapsco
Map ID
LISA FREUNDLICH D JOHNSON Owner ID
1410 SANTA BARBARA ST Ownership
SAN DIEGO CA 92107 3931
Exemptions:
Taxing Jurisdiction
ST SCH STATE SCI-OOL
CC -GEN COUNTY
PORT PORT
PORT ANG PORT A JGELES
SD #121 SCHOOL D STRICT #121
NTH OLY LIB NORTH OLYMPIC LIBRARY
HOSP #2 HOSPITAL #2
WSMET PK DIST WILLIAM SHORE MET PARK DIST
CITY STORMWATER CITY STORMWATER
WEED CONTROL WEED CONTROL
2010 47314 TOTAL.
ST SCH STATE SCHOOL
CC -GEN COUNTY
PORT PORT
PORT ANG PORT AIJGELES
SD #121 SCHOOL DISTRICT #121
NTH OLY LIB NORTI OLYMPIC LIBRARY
PUGET SOUND CO -OP
COLONY 2 ADD LOT 2 BL
15
11
N
N
$251 95 $251 95
$134 06 $134 09
$18 84 $18 85
$310 44 $310 44
$326 34 $326 34
$38 96 $38 96
$55 00 $55 00
$17 50 $17 50
$36 00 $36 00
$0 82 $0 81
$1189.91 $1189.94
$289 51 $289 51
$146 51 $146 53
$20 75 $20 76
$321 37 $321 38
$358 02 $358 01
$42.57 $42.57
25533
100 0000000000%
First Half Second Half
Base Due Base Due Penalty Interest Base
$0 00 $0 00 $2E
$0 00 $0 00 $1
$0 00 $0 00 $1
$0 00 $0 00 $31
$0 00 $0 00 $32
$0 00 $0 00
$0 00_ $0 00 $E
$0 00 $0 00 $1
$0 00 $0 00 $C
$0 00 $0 00 9
$0.00 $0.00 $11E
$0 00 $0 00 $57
$0 00 $0 00 $2C
$0 00 $0 00 $4
$0 00 $0 00 $64
$0 00 $0 00 $71
$0 00 $0 00 $E
http. /vpn.clallam. net. 8084 /propertyacress /Property.aspx ?cid =0 &year= 2010 &prop_id =65 6/23/2010
Application Number . . . . . 22-00000720 Date 6/13/22
Application pin number . . . 075360
Property Address . . . . . . 134 LOPEZ AVE
ASSESSOR PARCEL NUMBER: 06-30-10-5-0-1504-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HOLLY ZECH BLACK DIAMOND ELECTRICAL CONTR
134 LOPEZ AVE 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 200-0864 (360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 6/13/22 Valuation . . . . 0
Expiration Date . . 12/10/22
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
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
11/8/2023 22-720
TAP
OWNER
CONTRACTOR
Black Diamond Electric
PROJECT ADDRESS
134 Lopez Ave
Application Number . . . . . 22-00000785 Date 6/29/22
Application pin number . . . 351495
Property Address . . . . . . 134 LOPEZ AVE
ASSESSOR PARCEL NUMBER: 06-30-10-5-0-1504-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Service, feeder and car charger
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HOLLY ZECH JOHNSON ELECTRIC COMPANY
134 LOPEZ AVE 3129 S REGENT
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 200-0864 (360) 728-4327
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 125.00 Plan Check Fee . . .00
Issue Date . . . . 6/29/22 Valuation . . . . 0
Expiration Date . . 12/26/22
Qty Unit Charge Per Extension
1.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 5.00
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 125.00 125.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 125.00 125.00 .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 6/27/22, 8:20:20 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00000785 134 LOPEZ AVE
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 125.00
TOTAL DUE 125.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Service
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
7/12/2022 22-785 TAP
OWNER
CONTRACTOR
Johnson Electric
PROJECT ADDRESS
134 Lopez Ave