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Home My WebLink About517 Lopez Avenue Address: pez Avenue PREPARED 2/04/14, 9:54:23 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/04/14 ------------------------------------------------------------------------------------------------ ADDRESS . : 517 LOPEZ AVE SUDDIV: CONTRACTOR ANGELES PLUMBING PHONE (452) 8525 OWNER NORTH OLYMPIC REGIONAL VETERAN PHONE PARCEL 06-30-10-5-0-1606-0000- APPL NUMBER: 13-00001253 PLUMBING PERMIT ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUM13ING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL99 01 2/04/14 PLUMBING FINAL February 4, 2014 9:30:56 AM pbarthol. Kyle 461-0043 washer/dryer hookups in unit s A,B,C -------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 13-00001253 Date 11/12/13 Application pin number . . . 626003 Property Address . . . . . . 517 LOPEZ AVE ASSESSOR PARCEL NUMBER: 06-30-10-5-0-1606-0000- REPORT SALES TAX Application type description PLUMBING PERMIT Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . Property zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY to the City of Port Angeles Application valuation . . . . isoo (Location Code 0502) ---------------------------------------------------------------------------- Application desc INSTALL WASHER/DRYER HOOKUPS IN UNIT A,B,C ------- ------------ ------- -- ---- ----- Owner Contractor ------------------------ ------------------------ NORTH OLYMPIC REGIONAL VETERAN ANGELES PLUMBING PO BOX 1220 PO BOX 1151 FORKS WA 98331 PORT ANGELES WA 98362 (452) 8525 ------------------------------ --------------------------------- ---------- Permit . . . . . . PLUMBING PERMIT Additional desc WASHER/DRYER HOOKUP UNIT A,B,C Permit Fee . . . . 113.00 Plan Check Fee .00 Issue Date . . . . 11/12/13. Valuation . . . . 0 Expiration Date 5/11/14i Qty Unit Charge Per Extension BASE FEE 50.00 3.00 7.0000 EA PL-PLUMBING TRAP 21.00 3.00 7.0000 EA PL-WATER LINE 21.00 3.00 7.0000 EA PL-DRAIN VENT PIPING 21.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 113.00 113.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 113.00 113.00 .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 req'uired-'inspe ctidns 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. NOV, 1*2 j 70)3 01P)W&(A eD- "-i 7-P Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) TForms/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 INCONSPICUOUS 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 I Slab Rough-in Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls I Roof/Ceiling Drywall(interior Braced Panel Only) T-Bar INSULATION: Slab Wall I Floor/Ceiling MECHANICAL: Heat Pump/Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet I Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighting ESA: 'Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction-R.W. PW I Engineering 417-4831 Fire 417-4653 I Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit _7711t� THE W11 For City Use 0 L S JL G C[TY F E Permit# I N G T 0 N , U . S . Date Received: LO-2-5_� (3 321 E 51h Street Date Approved Port Angeles,WA 9836 P: 360-417-4817 F: 360-417-4711 Email: permits0cityofpa.us BUILDING PERMIT APPLICATION U IT-5 Project Address: L-L _,_ P Phone: Primary Contact: _�Lj rv, 171, 'i" r`tA T1_* f Email: 4:�,o Name Phone 0 L L, J, Property -Mailing Address Email Owner City State A Name Phone Address Contractor Email -7u CA �4 Information -city State Zip pn Contractor License# 'I Exp.Date: Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor) $ Residential El Commercial 'Q Industrial El Public El Permit Demolition El Fire El Repair El Reroof(tear off/lay over) El Classification For the following. fill out both pages of permit application: (check New Construction 1:1 Exterior Remodel '[] Addition El Tenant Improvement El appropriate) Mechanical El Plumbing-"& Other F1 Will a fire sprinlder system be instaHed Irrigation System? Proposed Bathrooms Proposed Bedrooms or modified? Yes 0 No b-,. Yes 0 N( Project Description 7� V p� �-p Is project in a Flood Zone: Yes El Noq Flood Zone Typ e: If in a Flood Zone, what is the value of the structure before proposed improvement? $ 1 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 pern-Lits are required and to obtain permits prior to work. I understand that plan review fees are not refundable after review has occurred. I understand that I will forfeit review fees if l,"rithdraw the application before the permit is issued. I understand that if the permit.is not picked up/issuedwithin 18o days of submittal, the application will be considered abandoned and the fees will be forfeited. Date Print Name FSiggnature qq 0 NIW RATIO GCPMM TYMCAL MR(2) V LOGATM 4"\ EQ m ma EQ eLt*a WNXw WMN AIR VEWO ts C4 C-4 MWMNIW 842MA-CUMPIO Po7wropm rfrICAL PM MWVt*NN WAUA A40 EA04 LW POM Now %M MOM WOM-D now lk N*M FQ APO L I ro- I Fa r0--, lu Ll I OU FROVOE NBO MM UAMR W.AMt UrW DRM -- ---- mxmrm 26" LE----Ao NM 30" EIRE T-:: Dam Wo PROVOE NOCK-UR AA� AO(;� FOR RIWW U4$Mt 00 DRM-TYW.&- i T I FMO)LMAV" 0 t MOEM.MD= MWV08 NO VA 8 b 4. 1 0 iollm-FMOVW NN T4WM4MO AT CK ;r 0 m I &OR k4PPAW AND PWR M4:L 96M WW MpArOO SLOM WMM WrM RON (r)L= AltVWM All FRNM NED ENIOCI.. M MD RAMP AT POOR IMIRIWOP X TOW14 MA NOTES: L WAVOMMOWWWOMM WC%K4= 1. H 0 FAt P MO"V*V rM�UPOW WMA A M ft "AU.LMMOM�MM ,C FWYM NOW VERWAL OLMS AT ALL WWDOA MV amwa Doom IBUILDING FLOOR PLAN WA W a P-M NMU PATIO WFIE" TYPICAL MR(2) L=rm PROVIDE NO IURD UPRED 840M AW CAMM DOTECTORS TYPICAL FOR DOOR BACH INT MGM now MDE MOM WCOM-15 RMIOW EK*rWi WALL *0 DOOR AS"M F__ LL �11 - 1— 11 74" 210" b 0 F01 r0_ rol r 140 IF WATER HEATER WITW DRAIN -- ------ U-loj L dQ-J I ! OEM Nam Warm. Lo i PROVIDE WMK-WG. FM PJIMRE U6MfR AND DRYER-'TYPrAL FOR(3)LAXATIOW i L Al"ll PRWM NO ADA EWNrs M(TERIOR DOOR 7411618HOLD AT TO FS'M-PROVIDE?M m0flft DOOR DOM WARIMARE AM sm PAD*0 RMlP 714RE&IOLD AT DOOR TO 12 VWMAX NOTES: t 1011OVE EXISTWs K"COWSOM ICLEM AM MWAIR EXM4 WINICRETE jjTlX.M=4"TA"M JW taW M WIDE AM 6TAIR fWlovg ExISTM MMCfMCAL cAeMOAM MATM AT ALL LOCAT06 PROVIDE�W WAMOARD WATERS ,C FWADE�ft VW BLINDS AT ALL WMM AND 8LIDM a.AM EBUILDING FLOOR PLAN Address: 517 Lopez Avenue D PREPARED 2/04/14, 9:54:23 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/04/14 ------------------------------------------------------------------------------------------------ ADDRESS . : 517 LOPEZ AVE D SUBDIV: CONTRACTOR : PHONE OWNER NORTH OLYMPIC REGIONAL VETERAN PHONE PARCEL 06-30-10-5-0-1606-0000- APPI, NUMBER: 13-00000449 COMM REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL3 01 11/0S/13 JLL BLDG FRAMING 11/05/13 AP November 5, 2013 9:24:15 AM pbarthol. Kyle 461-0043 Code to get in 5381 November 5, 2013 4:45:19 PM jlie�ly. BL99 01 2/04/14 JL(? BLDG FINAL February 4, 2014 9:31:59 AM pbarthol. Kyle 461-0043 Ramp/ADA bathroom/windows. ... ------------------------------------------------------------------------------------------------ PERMIT- PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL99 01 2/04/14 J;4r—% PLUMBING FINAL February 4, 2014 9:45:59 AM pbarthol. Kyle 461-0043 -------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 13-00000449 Date 8/30/13 Application pin number . . . 304190 Property Address . . . . . . 517 LOPEZ AVE D ASSESSOR PARCEL NUMBER: 06-30-10-5-0-1606-0000- Application type description COMM REMODEL REPORT SALES TAX Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY to the City of Port Angeles Application valuation . . . . 7050 (Location Code 0502) ------------------------------------------------------ --------------------- Application desc BATHROOM ADA COMP/REPLACE 2 WINDOW/ADD ADA RAMP ---------------------------------------------------------------------------- Owner Contractor ----- ------- -------- - ----- NORTH OLYMPIC REGIONAL VETERAN OWNER PO BOX 1220 FORKS WA 98331 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - COMMERCIAL Additional desc . . BATHROOM ADA/WINDOWS/RAMP Permit Fee . . . . 179.75 Plan Check Fee 116.84 Issue Date . . . . 8/30/13 Valuation . . . . 7050 Expiration Date 2/26/14 Qty Unit Charge Per Extension BASE FEE 95.75 6.00 14.0000 THOU BL-2001-25K (14 PER K) 84.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ------ --- ----- ------ ------ --- --- Permit Fee Total 179.75 179.75 00 00 Plan Check Total 116.84 116.84 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 301.09 301.09 '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 constructl . �% k umemkj) �'t-�Vn MAW I Date Prin ame Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) TForms/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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Sternwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(interior Braced Panel Only) 'f-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 SEPA: Parking/Lighting ESA: Landscaping jSHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction-R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit T�HE oft 0 71 CITY OP For City Use W' A S H I N 0 N, U . S. Permit# 43 Date Received: A-30_ I'a .30 321 East 51h Street Port Angeles, WA 98362 Date Approved 57M P: 360-417-4817 F: 360-417-4711 permits@)cityofpa.us Building Permit Applic tilon Project Address: �517 U/k�' /�- Main Contact: Phone # �w'4-7'L_ E-Mail: Property Name 1JoPt'J4 Phone Owner I P - 6,4D MailingAddress Kt2--61--7 UZT�_k_' Email 'Fb 6EK/ 17/2,(-) city State Lk_R_ Zip Contractor Name Phone Mailing Address Email city State Contractor License# Expiration: Project Value: Toning: I Tax Parcel# Lot# $ tJi0-1g;0 06-7 — 0&-'30-o Type of Residential Commercial El Industrial 0 Public E3 Permit Demolition E3 Fire E3 Repair E3 Reroof(tear off/lay over) For the following,fill out both page f ermit application: New Construction 0 Remodel Addition 11 Tenant Improvement Mechanical 11 Plumbing 0 Other E3 Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes E3 No 13 Project bf-pl- ra-d-0—6&4-4.- 4D abfee_�' Descriptip.? 4) �J F I have read and completed the application and know it to be true and correct.I am authorized to apply-for this permiL I understand that it is my responsibility to determine what permits are required and to obtain perm.I its prior to working on projects. I*understand that the plan review fee is not refundable after plan review has occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the permit is issued. I understand that if the permit is not issued within 180 days of receipt,the application will be considered abandoned and the fees forfeit Date Print Name Signature Residential Structures For Office Use Area Description(SQ FT) Existing Proposed $$value Basement 0 0 First Floor Second Fl6or 0 0 Covered D6ck/Porch/Entry 0 Deck Garage Carport 0 Other(describe) 0 Area Totals Commercial Structures For Office Use Area Descriptions(SQ FT) Existing Proposed $$Value Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) Area Totals Lot/Site Coverage Calculations Footprint(SQ FT)of all§tructures: Lot Size: %Lot Coverage 3?0Uq--1 ,�-C'D L� 1 5 7, SQ FT Site coverage(all impervious+ %Site Coverage structures) -1 11R'qVD � Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size- # Haz/Non-Haz Piping #of Outlets: Appliance Vent # Heater(Suspended,Floor,Recessed wall) # # Heating/Cooling appliance # Boiler/Compressor repair/alteration Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # portable) Fireplace/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # Furnace/Heat Pump/ Size: Ventilation System # Forced Air Unit Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Fuel gas piping #of Outlets: Water Heater # Medical gas piping #of Outlets: Water Line # Vent piping # Sewer Line # Industrial waste pretreatment # interceptor Other(describe): T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX ----------- -------------- BUILDM EXIOTWS PAWD4 LOT r----= r WE /T cg� C=M� C==� z Mul m F 4vp 0 �V.O. Ea W-O" 8'-0" 8'-0' Ea V-0- S'-O' V-0- W-0. V-0. MEN AFMA LOT"M *A* m". uyr cowstAm �PAW 6GLIrr. oiro&Dm .24 IQ". WfAL 410 @a ALLOW SM um 62 Fr. IMAM DAW= 4m San. FAVM 6w Ga WT& sa 51TE PLAN Ga Mir 524 510 506 4N, 2309 77 ",ry 503 507 517 511 437 I x 4� ti "W LopezAve 520 2013-1292838 Page I of 2 Warranty Deed O'YT.P."Cp-�'��ti",'"WllashlTingtIteon 111111121111 11:�,. F,, ci. co.pany 1-k CIO I I I I I OLYMPIC PENINSULA Title Company- NO 4 CLAL M C Escrow Number:99101-DS TRANSAC CISE x T � 201 Statutory Warranty Deed AM UNT . e 0 C.i C YTR REP y L44�,L.., ? THE GRANTOR Peni nsula Housing Authority, successor entity to "Sin!,-A ori f unty of onsiderat in Clallam,a Washington Special Service Government Agency for and d at) fTEN , LLARS s , AND OTHER GOOD AND VALUABLE CONSIDERATION in han s an, warrants to North Olympic Regional Veteran's Housing Network, a Washin t IVUL �-()17110 tion the following qr was tngt E on lf described real estate,situated in the County of Clallam,State ;hi Abbreviated Legal: LTAH0USrNGAlJTH.BLASVYV61P77&AM MENT For Full Legal See Attached Exhibit"A" Subject to exceptions to title also appearing on Exhibit"A" Tax Parcel Number(s):06-30-10-501606 65066 Dated March 26,2013 Peninsula Housing Authority,succe e ' to Housing Authority of County of Clal , hington S ecial Service Go ern 9 By:Pamela J.T tz, x cu tor STATE OF A COUNTY OF L AM SS: I certify that I kn or e s factory evidence that Pameig.J.Tietz i are the person(s)who appeared before me,and saiil p"n ac owledge that she signed this instrument,on oath stated she is/a Jt the instrument and acknowledge that as the Ex 1) ofPeninsula Housing Authority,successor entity to Housing to be the fre and-,y4DJJjwmea act of such party(ies)for the uses and purposes m ntion i this in !J3,7nt. D te Dawn L.Shi eller in CNotary�Publi in and for the State of Washington at Port e, at Port Angeles My appointment expires: 4/9/2015 LPB 10-05(i-]) Page I ol`2 2013-1292838 04/04/2013 11:38:51 AM' 2 of 2 Clallam County,WAWD OLYMPIC PENINSULA TITLE COMPANY EXHIBIT A LOT A OF HOUSING AUTHORITY BOUNDARY LINE ADJUSTMENT SURVEY, ED SEPTEMBER 05,2006 IN VOLUME 61 OF SURVEYS,PAGE 77,UNDER CLAL4A�mftk',� TY RECORDING NO.2006 1187208 AND AMENDMENT THERETO RECORDED IN \�ME 65 OF SURVEYS,PAGE 24,BEING A PORTION OF LOTS 6,7,8,9 AND IOINBL C -\,I I AND r NY S LOTS 11, 12, 13, 14, 15,AND 16 IN BLOCK 16 OF PUGET SOUND COOPERATIV — LO SECOND ADDITION TO PORT ANGELES,AS RECORDED IN VOLUME I OF S PAGE 12,RECORDS OF CLALLAM COUNTY,WASHINGTON. SITUATE IN CLALLAM COUNTY,STATE OF WASHINGTON. TOGETHER WITH AN EASEMENT FOR CONSTRUCTION AND MAINTENANCE WATER LINE WITH NECESSARY APPURTENANCES AS SET FROTH E S NT RECORDED APRIL 30,2008,UNDER RECORDING NO.2008-1220249. SUBJECT TO: I LIABILITY FOR FUTURE ASSESSMENTS AND/OR CHAR MPOS BY LOT OWNERS'ASSOCIATION,WHICH THE GRANTE �E�l A E ASSUME AND Uk� :---I-A- -EM ImPO s — A E PAY ACCORDING TO ITS TERMS AND C( 6c ND I 6U 2. ALL COVENANTS,CONDITIONS,RESTRIC I S,RESER4�\�ONS,EASEMENTS OR OTHER SERVITUDES,IF ANY,DISCLOSED HOUSING AqT- ORITY BOUNDARY R CLALL� A LINE ADJUSTMENT SURVEY RECORDED R CLALLA OUNTY RECORDING NO.2006 1187208, AMENDED SURVEY RECORDED DECEMBER 2 , 00 , R CLALLAM COUNTY RECORDING NO.2007-1213974. 3. ALL COVENANTS,CONDITIONS, ICTIONS,RESERVATIONS,EASEMENTS OR OTHER SERVITUDES,IF ANY,DISC S.E Y SURVEY RECORDED UNDER CLALLAM COUNTY RECORDING NO.59 1 4. COVENANTS,CONDITIONS AND R 10 S-1 POSED BY DOCUMENT RECORDED ON OCTOBER 26,20 LAM COUNTY RECORDING NO.2006 1190319, 5. EASEMENT RECORDE R L UNTY:RECORDING NO.: 333260 6. EASEMENT RECORDED COUNTY RECORDING NO.: 400161 7. EASEMENT RE RDE R C M COUNTY RECORDING NO.RECORDING NO.: 2008_1 Z2�0 204 8 Read,Accepted 0 North Olym i c eran's using Network By: Cheri Reck rest t LPB 10-05(i-1) Page 2 of 2 Address: 517 Lopez Avenue PREPARED 2/04/14, 9:54:2 3 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/04/14 ------------------------------------------------------------------------------------------------ ADDRESS . : 517 LOPEZ AVE SUBDIV: CONTRACTOR : PHONE OWNER NORTH OLYMPIC REGIONAL VETERAN PHONE PARCEL 06-30-10-5-0-1606-0000- APPI, NUMBER: 13-00000493 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------- BL99 01 2/04/14 BLDG FINAL ------ ----February-4,-2014-9:29:14-PM--pbarthol--------------------------- ..................... Kyle 461-0043 ---------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 13-00000493 Date 8/30/13 Application pin number . . . 833420 Property Address . . . . . . 517 LOPEZ AVE ASSESSOR PARCEL NUMBER: 06-30-10-5-0-1606-0000- Application type description RE-ROOF REPORT SALES TAX Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY to the City of Port Angeles -----Application-valuation----------------5000------- -------- -------------- (Location Code 0502) ----------- --------- - - - - ---- Application desc RE-ROOF ---------------------------------------------------------------------------- Owner Contractor -----f------------------ ------------------------ NORTH OLYMPIC REGIONAL VETERAN OWNER PO BOX 1220 FORKS WA 98331 ----------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc . . RE-ROOF Permit Fee . . . . 137.75 Plan Check Fee .00 Issue Date . . . . 8/30/13 Valuation . . . . 5000 Expiration Date 2/26/1 4 Qty Unit Charge Per Extension BASE FEE 95.75 3.00 14.0000 THOU BL-2001-25K' (14 PER K) 42.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . .� STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 137.75 137.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 142.25 142.25 .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 not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construe �jl*DDY,-VO(A GO IqN4 A)2ZA Date Print e 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 Backfiow Prevention Inspections 4174886 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump/Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighting ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW I Engineering 417-4831 Fire 417-4653 1 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit THE CITY OF RIF R For City Use Per 31 W A S H I lsl mit# 13 - zl ,3-- G;� 1" 0 N. U S. Date Received: 321 East Slh Street Port Angeles, WA 98362 Date Aprproved P: 360-417-4817 F: 360-417-4711 permits0cityofpa.us - Building Permit Applic tion Project Address: Main Contact: Phone # 0"41 ell E-Mail: 46Z-- (�"//O Property Name /Jotz-tv Phone Owner - (,4D MailingAddress KZ7"-b1T1t5 Email ' "V I?�2�,-) Fb 6�p -ii�— Cit3r State Zip q- Contractor Name Phone MailingAddress Email city State Contractor Licens # Expiration: Project Value: �Zo�ning:��Tax Parcel # Lot# $ -0 - mmprri'l n Type of Residential v Commercial D Industrial Public 0 Permit Demolition 1:1 Fire 13 Repair E3 Reroof(tear off/lay over) For the following, fill out both pages of permit application: New Construction El Remodel bl Addition 11 Tenant Improvement El Mechanical El Plumbing El Other 1:1 Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes 11 No Project DescriW I have read and�0—mpleted the application and know it to be true and correct.I am authorized to apply for this permiL I understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects. I understand that the plan review fee is not refundable after plan review has occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the permit is issued. 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 DPrint Name Signature