HomeMy WebLinkAbout229 Lopez Ave - Building O
ELECTRICAL PERMIT
CITY OF PORT ANGELES QC
360- 417 -4735
Application Number 10- 00001511 Date 12/29/10
Application pin number 509784 REPORT STATE SALES TAX
Property Address 229 LOPEZ AVE on your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-10-5-0- 1952 -0000-
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property Use
(Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
3 circuits garage and revoked permit
Owner Contractor
TERESA MARTIN OWNER
229 LOPEZ AVE
PORT ANGELES WA 983626527
N
Permit ELECTRICAL ALTER RESIDENTIAL t
Additional desc PERMIT FEE FROM 2009 J
Permit pin number 179663
Permit Fee 62.70 Plan Check Fee .00
Issue Date 12/29/10 Valuation 0
Expiration Date 6/27/11
Qty Unit Charge Per Extension
BASE FEE 57.50
2.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 5.20
Fee summary Charged Paid Credited Due
Permit Fee Total 62.70 62.70 .00 .00 ry
Plan Check Total .00 .00 .00 .00 V
Grand Total 62.70 62.70 .00 .00
p
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS: 41 1 s 14 c1=3*P
PERMIT WILL EXPIRE SIX 16) MONTHS FROM LAST INSPECTION c
Sit nature of owner or Electrical Contractor X Date:
U *po ELECTRICAL INSPECTION
y WIRING REPORT
S 417 -4735
�RKS 6
DATE PERMIT INSPECTOR
rfl2,9 /l f) ZrL�
OWNER/CONTRACTOR
ti Q1,- 1)- 0
ADDRESS
22,x t.oi Z m,
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED: 135 i,C2ri, V g.x.. C T trz_
6t)
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
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CITY OF PORT ANGELES PERMIT APPLICATION No"'ir
Building Division/Electrical Inspections
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 t1---
Ph: (360) 417 -4735 Fax: (360) 417 -4711 W
Date: 11 /0 /1
X1 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair*
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: �•2 Li (,o P E 2. /•,-1C
Building Square Footage:
Description of above
1: 4( ((-Cr 0WeLLINt. CT O(L V2 Butl.,Dina- EL(ccTN ,/i-L
Owner Information Contractor Information
Name: I V' h t 4' t V.4 iv Name:
Mailing Address: 20c, (.3Q2. Ay Mailing Address:
City: r /A State: Wit Zip: q t C. 2.. City: State: i Zip:
Phone: Zo 6 g 92rtFax: Phone: Fax:
License Exp. License xp.
Item Unit Charge Qty Total (Qty Multiplied by Unit Charge)
Service /Feeder 200 Amp. 119.90
Service /Feeder 201 -400 Amp. 145.50
Service /Feeder401 -600 Amp 204.60
Service /Feeder 601 -1000 Amp. 262.20
Service /Feeder over 1000 Amp. 372.50 Oct _g t r
Branch Circuit W/ Service Feeder 2.60
Branch Circuit W/O Service Feeder SZ'`2 5 7 Sc,
Each Additional Branch Circuit 2.60 2 5
Temp. Service/ Feeder 200 Amp. 92.70
Temp. Service /Feeder 201 -400 Amp. 110.30
Temp. Service /Feeder 401 -600 Amp. 148.70
Temp. Service /Feeder 601 -1000 Amp 167.90
Portal to Portal Hourly 95.90
Sign /Outline Lighting 88.20
Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90
Signal Circuit/ Limited Energy Multi Family Dwelling 63.90
Manufactured Home Connection 119.90
Renewable Electrical Energy 5KVA System or Less 102.30
Thermostat 56.00
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $110.30
Each Additional 500 Square Ft. or Portion of 35.20
Each Outbuilding or Detached Garage 73.50.
Each Swimming Pool or Hot Tub 110.30
-Total
02..'
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 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: Z Cash Check
p �1 Credit Card
X U�� V�.� r
V.:.�' Dated: 1 C.. Z q/ 1 O 01/01/2010
CITY OF PORT ANGELES
r `P l DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000037 Date 1/14/11
Application pin number 354455
Property Address 229 LOPEZ AVE REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-10-5-0- 1952 -0000-
Tenant nbr, name TERESA MARTIN on your state excise tax form
Application type description RES REMODEL
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 200
Application desc
ENCLOSE A CARPORT INTO A STORAGE ROOM
Owner Contractor
TERESA MARTIN OWNER
229 LOPEZ AVE
PORT ANGELES WA 98362
(360) 452 -3192
Structure Information 000 000 ENCLOSE A CARPORT
Permit BUILDING PERMIT RESIDENTIAL
Additional desc ENCLOSE A CARPORT
Permit pin number 180190
Permit Fee 50.00 Plan Check Fee 32.50
Issue Date 1/14/11 Valuation 200
Expiration Date 7/13/11
Qty Unit Charge Per Extension
BASE FEE 50.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
6,,a(eA
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total 32.50 32.50 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 87.00 87.00 .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
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
1 /WI! i vi G-
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
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
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 l
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling ...-0
Drywall (Interior Braced Panel Only) l
T Bar 'N
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Acce :1
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
O
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 7 I 1 L�
T:Forms /Building Division /Building Permit
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s-o»r BUILDING PERMIT APPLIC TION Print in ink
l0 CITY OF PORT ANGELES
For City Use Only:
M L-M Attn: Building Permit Technician Date Received t 1.0-• (t
321 E. Fifth St., Port Angeles, WA 98362 tcteT.e., Permit i ~I (360) 417 -4815 fax (360) 417 -47 ,1 v� r I r ate Approved
44A 1
Applicant A G- e rL r A) n y Pho e 360 (t c 2 31
Property Owner T E R v S A MA 1N Phone -3 6 D q 5 31 Q 1.
Property Owner's Address ?.'A Lo(' 9 /vt
Contractor 0 WN F 1, Phone
Contractor's Address
License Expires E -mail
PROJECT ADDRESS 12 q Le) p e 2 R V E.
Parcel Number Lot Zoning
Project Type Brief Description: Residential Multi- family Commercial Industrial
Check all that apply
New Construction God, h .,v► of Wulf F,,,z,k,� Ca v' r4-
Addition a'Y1CIOSi A. Carpori 4o lm Q. c- S
F- a olnx e- Sho f
Remodel No he� v
Repair
Demolition
Re -roof House garage other tear off re -roof lay over one layer
Heat System Heat pump wood- burning stove gas fireplace pellet stove other
Other No PIu1nb,r e 4-- me- chneor.a(
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq. ft.
1 Floor
4
2 Floor
3 Floor
Garage
Carport
Covered Porch M 1� I_�
Deck ma X 100
Shed 1-&b0r
Other
TOTAL VALUATION 2O
Total footprint of structures sq. ft, T 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
Max. height of proposed structures ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed? Occupant load of full baths
Will a fire sprinkler system be installed? Construction type of half baths
I have read and completed this application and know it to be true and correct. 1 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.
Date i /kV i I Print Name 1 v�'t' CT R f'►'�'r L N Signature
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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
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
FREE STANDING WOOD STOVE
Owner
TERESA MARTIN
2743 NE 140TH ST
SEATTLE
WA 98125
09 00001075
519650
229 LOPEZ AVE
06 30 10 5 0 1952 0000
MECHANICAL APPL PERMIT
RS7 RESDNTL SINGLE FAMILY
2000
Contractor
OWNER
Date 10/16/09
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 155234
Permit Fee 60 65 I Plan Check Fee 00
Issue Date 10/16/09 Valuation 0
Expiration Date 4/14/10
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 10 6500 EA ME STOVE /FIREPLACE /MISC APP 10 65
Fee summary Charged Paid Credited Due
Permit Fee Total 60 65 I60 65 00 00
Plan Check Total 00 00 00 00
Grand Total 60 65 60 65 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 not presume to give authority to violate or cancel the provisions of any
state or local law regulating construction or the perfortxiance of cggs action.
lohil09, cocroii Roddy
Date Print Name (Signature of Contractor or Autl zed Agent
T:Forms/Building Division/Building Permit
Signature of Owner (if owner is builder)
BUILDING PERMIT INSPECTION RECORD
eb
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
Inspection Type
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
I FINAL Date
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Accepted by
Accepted by
Date Accepted By
I��Cei1� l o 1 -I II
I
PREPARED 10/27/09 8 23 29 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/27/09
ADDRESS 229 LOPEZ AVE SUBDIV
TENANT NBR TERESA MARTIN
CONTRACTOR PHONE
OWNER TERESA MARTIN PHONE (206) 832 5728
PARCEL 06 30 10 5 0 1952 0000
APPL NUMBER 09 00001032 RES REPAIR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 10/26/09 JLL BLDG FRAMING
10/26/09 AP October 26 2009 9 01 41 AM 1pangrle
DIANE 206 832 5729
FRAMING
October 26 2009 4 08 17 PM jlierly
BLI 01 10/27/09 BLDG INSULATION TIME 01 00
October 27 2009 8 20 00 AM 1pangrle
DIAANE 206 832 5729
INSULATION
AFTERNOON
COMMENTS AND NOTES
PREPARED 10/26/09 9 32 48 INSPECTION TICKET PAGE 11
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/26/09
ADDRESS 229 LOPEZ AVE SUBDIV
TENANT NBR TERESA MARTIN
CONTRACTOR PHONE
OWNER TERESA MARTIN PHONE (206) 832 5728
PARCEL 06 30 10 5 0 1952 0000
APPL NUMBER 09 00001032 RES REPAIR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 10/26/09
BLDG FRAMING
October 26 2009 9 01 41 AM 1pangrle
DIANE 206 832 5729
FRAMING
COMMENTS AND NOTE
Ge(a/
CITY OF PORT ANGELES
Attn. Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant OD L q pOddY Phone
Property Owner 2 Marl 10 Phone
Property Owner's Address 4 1.--op.-e-2.-
Contractor COLT 0 VI c-Loly 0 0 d 'IT Phone 1 -1/70 V 31
Contractor's Address 590 .A 0 e.s $T Po 1 A-0 C.,°'8 -S kA-iii- 9 Pc.", 6
License 6$ EA T* 4. ,(i3PmExpires j//j, E-mail
PROJECT ADDRESS
Parcel Number
Project Type. Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof
*Heat System
Other
Floor Areas
Basement
1 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?
T Forms /Building Division /Bldg Pew doc
BUILDING PERMIT APPLICATION Print in ink
2-9 LOD z, Qo r T /i g-&L ltid9- `f a
House garage other tear off re -roof lay over one layer
Heat pump wood- burning stove gas fireplace pellet stove other
o Residential
Existing (sq. ft.) Proposed (sq. ft.)
ft
Multi- family
Occupancy group
Occupant load
Construction type
Date /O//6/0 7_ Print Name CO x.70 li! gOeICIY Signature
TOTAL VALUATION Or)
For City Use Only
Date Received Gt- G4"
Permit rl07►�
Date Approved/ A.- O
Lot Zoning
Commercial
per sq ft.
Industrial
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 1? 94 135 for exemptions) 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
tt,at it is my res,00nsibility to determine what permits are required, and to obtain permits prior to wo on proje is
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
09 00001032
049624
229 LOPEZ AVE
06 30 10 5 0 1952 0000
TERESA MARTIN
RES REPAIR
Application desc
REPAIR KITCHEN CEILING TO SUPPORT THE LOAD
TERESA MARTIN OWNER
2743 NE 140TH ST
SEATTLE WA 98125
(206) 832 5728
RS7 RESDNTL SINGLE FAMILY
750
Owner Contractor
Fee summary Charged Paid Credited Due
Date 10/09/09
Permit BUILDING PERMIT RESIDENTIAL
Additional desc KITCHEN CEILING SUPPORT
Permit pin number 154740
Permit Fee 59 15 Plan Check Fee 38 45
Issue Date 10/09/09 Valuation 750
Expiration Date 4/07/10
Qty Unit Charge Per Extension
BASE FEET 50 00
3 00 3 0500 HND BL -501 2K (3 05 PER C) 9 15
Other Fees STATE SURCHARGE 4 50
Permit Fee Total 59 15 59 15 00 00
Plan Check Total 38 45 38 45 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 102 10 102 10 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%ranting 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.
Date Print Name Signature of Contractor r Authorized Agent
T:FormsBuilding Division/Building Permit
Signature of Owner (if owner is builder)
T /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
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
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
i0 Z7 oW �L(i
i 0 -2G —o9 5u,
O 7
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
a4pitoj 01-112,-U
c
Pek
Applicant Vied G t R- M A
Property Owner Tere m 4H
Property Owner's Address 2.1 4 N
*Contractor Ter sin
Contractor's Address
License
PROJECT ADDRESS
Date
Parcel Number
Project Tvpe Brief Description.
Check all that apply
New Construction
Addition
Remodel
m Repair
Demolition
Re -roof
Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage.
Carport
Covered Porch
Deck
Shed
Other
T Forms /Building Division /Bldg Permit.doc
BUILDING PERMIT APPLICATION
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Part Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711 it (I`')
Kt rct.0
Sd PPoll T
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
Expires
22& Lo�'E2.
Residential
Su P Po ct I� F A tA
Lc) Atl
Existing (sq. ft.) Proposed (sq. ft.)
ft.
f,;zre
a1S 50 i' 5
y G.U9
Ave-
Multi family
Occupancy group
Occupant load
Construction type
Print Name Signature
Lot
per sq ft.
Print in ink
Fl. For City Use Only
Pate Received LO r 5-041
rmit p3.,
to pproved
D
D e m arlivi fib 832 572g
E -mail `f U>9 Atio
1 carp
Zoning R S-7
Commercial Industrial
�c L 1 0 C 5 I 7 0
m House garage other tear off re -roof lay over one layer
❑.Heat pump wood- burning stove gas fireplace pellet stove other
kte c
f t n a.I$ -376
TOTAL VALUATION 7 50
Total footprint of structures sq ft. T 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
of bedrooms
of full baths
of half baths
15
I have read and completed this application and kno it to be t,ue 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 p€, mits prior to working on projects
221
J.
Qpez A ve
306
k
J x
P
FILE
CITY OF PORT ANGELES Construction Plat s
The Issuance of this permit based upon these plans, spec fi-
cations and other data shall not prevent the building official
from thereafter requiring the correction of errors in s: id
plans, specifications and other data, or from prevent ng
building operations being carried on thereunder when in
violation of all codes and ordinances of this jurisdiction. ■ft
ildi 2,c049
Approval Date X 11 0 BY A
\V -k
1. 'L
i
4
Yoi EXERT Public Fax Services
5
Provided by: Pony Express Lake City
Seattle, WA
a i w .r.
Phone. 206 -367 -6245 Fax: 206- 363 -8271
ij 71i A Neighborhood Postal Center
Shipping Packing Mailbox Rentals
Copies Notary Service Packing Supplies
TO Fax Number 4O 4- 1( 4. /94 TO Phone
Attention 1wt o r L Ar.()� Pages including cover
From ou"c f a- My Phone (o6- 5 7`)-.8
Message
1/1(s f s f�-e. 1- -0 kta- a� 3.x.4 c Z
15 14 Giw Mined( 1 tor d -►r o aNt 4a Sf c�a rin ✓,p i k]lP 2 v C C{
'1` r u ..tt
�'P P€21 m Al -)421, rs✓� �C.. L I cdz,e, ee> Lice. /C/
100 d ILZ8 898 90Z 41 XYd
01 ssoJdxd Luod Id 88 Z I II1/600Z/90/100
When recorded return to:
Teresa Martin
2743 NE 140th St
Seattle, WA 98125 -8209
Filed for Record at Request of
Clallam Title Company
Escrow Number 1076235E
THE GRANTOR Autumn Ray tbo, as Personal Representative of the Estate of Ray Beaumariage for and in
consideration of TEN DOLLA tS AND OTHER GOOD AND VALUABLE CONSIDERATION in hand
paid, conveys and warrants to Teresa lylartin, an unmarried woman the following described real estate,
situated in the County of Clallam, State of Washington.
Abbreviated Legal: S2 Lots 18 -20 Blk 19, PSCC 2nd
Tax Parcel Number(s): 063010 501952
The South half of Lots 18, 19 and 20, Block 19 Puget Sound Cooperative Colony's Second
Addition to Port Angeles, according to Plat thereof recorded in Volume 1 of Plats, page 12, records
of Clallam County Washington.
Situate in the County of Clallam, State of Washington.
Subject to: Easement, including terms and provisions contained therein:
Recorded: Ray Beaumariage and Faye Beaumariage, husband and wife
Recording No 411848
In favor of: City of Port Angeles
For Rtghtl Way Street and ntitit rptirpaes
Affects: Said premises and other property
Dated August 25, 2009
Esta f Ray Beaum
AwittO
By'Autumn Rambo, Personp Representative
STATE OF Washington
2009 1242176
Page 1 of 1 Wa my Deed
Clella T'tle Co P
Clan la County Washy ngto 08128!2009 03 20 66 PM
■111MIMt9 I l ,L1/24 MR 1 l II III
COUNTY OF Clallam SS:
certify that I know or have satisfactory evidence that Autumn Rambo
is /are the person(s) who appeared before
me, and said person(s) acknowledge that signed this instrument, on oath stated
is /are authorized to execute the instrument and acknowledge that as the
Personal Representative ofEstate of Ray Beaumariage
to be the free and voluntary act of such party(ies) for the uses and purposes mentioned in this instrument.
Dated:
ZOO d
Statutory Warranty Deed
ILZ8 9E 90Z oN Xtld
NO. 6773'
CLA1J.AM COUNTY
TRANSACTION EXCISE TAX
a .54. e0
PA D AUG 2 8 MS
AMOUNT /32, coo cir''
sr
SASxgNb
11\1sUll ltl
4 g A:`. /,y Notary Public in d for the State of Washington
�k 0 tAA k tP 171 1 1 Residing at pi fbn
co 2 E. My appointment expires: L
08 -09.11 z
AupoG moo`
-?......-7,:-..
/ii op I W P s a�
I,PB 10 -051' -I)
Page I al
1
DI ssa.zdxd LUod Yid EE Z I HI /SOH/90/1,00
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
200 amp service change 8 circuits
Owner
Rambo Autumn
229 LOPEZ AVE
PORT ANGELES
WA 983626527
09 0)000921
917618
229 LOPEZ AVE
06 30 10 5 0 1952 0000
ELECTRICAL ONLY
RS7 ;tESDNTL SINGLE FAMILY
0
or kit Bath
Contractor
APS ELECTRIC
546 BENSON RD
PORT ANGELES
PORT ANGELES
(360) 452 6753
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 153114
Permit Fee 109 75
Issue Date 9/09/09 Valuation
Expiration Date 3/08/10
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Plan Check Fee
Qty Unit Charge Per
8 00 2 0000 ECH EL ECH 1,DDNT BRANCH CIRCUIT
1 00 93 7500 ECH EL 0 200 SRV FEEDER
Charged P Credited
1
109 75 109 75 00
00 00 00
109 75 709 75 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
4 4AV
601Z3 /.01
Date 9/09/09
WA 98363
00
0
Extension
16 00
93 75
Due
00
00
00
1 2, prod 0 1 z 2 l
f 7 I 2 C l 2D c-Ar[trz.C.- F0.,2 11 owN L j a rVU 4 c t.Cb d kit
INSPECTION TYPE DATE RESULTS INSPECTOR.
-crAtP
Signature of owner or Electrical Contractor XI Date
City of Port Angeles Permit Application Q
2�.>
Building OMvlston/EteetricalInspections �00 \'a
321 East Filth Street F.O. Box 1150 t',,-
Port Angeles Washington, 90362 ELECTRICAL 44 sir..
Ph: (36 4174x735 Fax: r� (33600)) 4174711 INSPECTIONS
Date: Z ..7,, r °'^'z' r
I 2 Single Family Dwelling
Multi-Family or Commercial*
Commercial Addition I Alteration I Remodel I Rtpair*
Plan Review May Bs,RequAed, Please Complete Electrical Plan Review Information Sheet
Job Address: C
Building Square Footage: I c.C5 ci i'
Decrlption o4 above A± 'P S e.1 U r e.,t 1 1( CT. ±i.,nC Ma
j r e i v P
Owner Information iNOTU 1'41 Qi:Nr�
Contractor information
Name e t I (L Name.. fl P S r� led' r* ;CA
Mailing Address -Gt 6) e. z Mailing Address'
City (J A State: .4 Zip: 6/136 City' State' zip:
Phone: o 6 .3 a ii:{L 5 `l a 4 Phone Fax: 1.
License /Exp Ar n License #1 E
xp.
Unit Charge
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
85.25
$116.25
$131.25
75.00
69.00
75.00
50.00
50.00
93,75
80.00
86.25
27.50
57.50
86,25
43.75
RECE VED
Total (Qtv Mulliolied btUnit Charall
5 ServFeeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401.600 Amp_
Service/Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit WI Service Feeder
Branch Circuit W/O Service Feeder
(0-_,_t_O O Each Additional Branch Circuit
Temp. Se vice/ Feeder 200 Amp.
Temp. ServiceiFeeder 201 -400 Amp.
Temp. Service/Feeder 401 -600 Amp.
Temp. Service/Feeder 601 -1000 Amp.
Portal to Portal Hourly
Sign/Outline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Elecfical Energy 5KVA System Or Less
First 1300 Square Ft.
Each Additional 500 Square Ft or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
IOCI."1 Total
Owner as defined by RC N! 19 2$.251: (1) Owner will occupy the structure for bra years der this electrical permit is Ifne&aed (2) Owner is required to hire an
electrical contractor if above said property is for sale, rant r r lease.
Atter reading the above statement, I hereby certify that I am the owner of the above awned property or a licensed electrical contractor. I am making the electrical
installation or alteration In oatripliance with the electrical laws, N.r:,C. RCW. Chapter 1t,2$, WAC, Chapter 2964613. The City or Port Angeles INunlcipar Code, and
Utility Specification.
Signature of owner, electrical contractor or electrical administrator U Cash
J c Check
X (.{.Y e Date: 2C
credo treed it
a
N
Td Wd90 60 600E 80 daS £SL9 ESP 09€ '0N Xdd i'IOIDkiaINOD lUDIi'IID319 'S d'd WOZId
Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
BEAUMARIAGE RAY
229 LOPEZ AVE
PORT ANGELES
Qty Unit Charge Per
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
05 00000173
841709
229 LOPEZ AVE
06 3'0 10 5 0 1952 0000
SIDING
WA 983626527
RS7 RESDNTL SINGLE FAMILY
5400
Contractor
I
Permit BUILDING PERMIT NO PR FEE
Additional desc RESIDE WITH VINYL
Permit Fee 148 75 Plan Check
Issue Date 3/11/05 I Valuation
Expiration Date 9/07/05
BASE FEE
4 00 14 0000 THOU BL -2001 25K (14 PER K)
Other Fees
Fee summary Charged
Date 3/11/05
G M VINYL SIDING GUTTER
4113 SOUTH C STREET
PORT ANGELES WA 98363
(360) 457 3949
Fee 00
5400
STATE SURCHARGE 4 50
Paid Credited Due
Permit Fee Total 148 75 148 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 153 25 153 25 00 00
Extension
92 75
56 00
\reA
cf 01/°(°
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
fora 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.
31// —mss
Signa ure of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T\Policies \1102_15 building permit inspection record05.wpd (1/4/20051
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
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 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T•\Policies \1102_15 building permit inspection record05.wpd [I/4/20051
BUILDING PERMIT INSPECTION RECORD
YES
I
I I
I I I
1 I I I
I I I
1 I
I I
I I I
1 I I
I I I
i I I
I I I
I I I
I I I
1 I I
I I I
I I I
I I I
I I I
I I I
I I I
NO
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
6 PLANNING DEPT
1 15 BUILDING
I I I
I I I
I I I