HomeMy WebLinkAbout827 E. 2nd Street Address:
827E 2nd Street
PREPARED 12/11/14, 10:07:10 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/11/14
-----------------------------------------------------------------------------------------------
ADDRESS . : 827 E 2ND ST SUBDIV:
CONTRACTOR : PHONE :
OWNER Steven Montgomery PHONE : (408) 593-8383
PARCEL 06-30-00-5-1-2460-0000-
APPL NUMBER: 14-00001392 RES REPAIR
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------
BL1 01 11/24/14 JLL BLDG FOUNDATION FOOTING
11/24/14 AP November 24, 2014 11:18:20 AM permits.
greg
bondy
November 24, 2014 4:30:37 PM jlierly.
BL99 01 12/11/14 JLL BLDG FINAL
December 11, 2014 8:38:08 AM pbarthol.
Kandu 775-9779 460-3617
----- - - COMMENTS AND NOTES --------------------
0 --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
® 321 EAST 5TH STREET, PORT ANGELES,WA 98362 V,
Application Number . . . . . 14-00001392 Date 11/24/14
Application pin number . . . 955728
Property Address . . . . . . 827 E 2ND ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-1-2460-0000- REPORT SALES TAX
Application type description RES REPAIR
Subdivision Name . . . . . . on your state excise fax form
Property Use . . . . . . . . to the Cit of Port Angeles
Property Zoning . . . . RESIDENTIAL HIGH DENSITY Y
Application valuation . . . . 7348 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
Foundation repair footing/stemwall
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
Steven Montgomery OWNER
11905 New Avenue
Gilroy CA
(408) 593-8383
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc . . FOUNDATION REPAIR
Permit Fee . . . . 179.75 Plan Check Fee 116.84
Issue Date . . . . 11/24/14 Valuation . . . . 7348
Expiration Date 5/23/15
Qty Unit Charge Per Extension p
BASE FEE 95.75 v,
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 canc7thepr ;sioTnio-Pany state or local law regulating construction or the performance of
construction.
�i Z4—14 fe_"AN I�Sl
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 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 b
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 Pum /Furnace/FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parkin /Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/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
2014-1314576
Page 1 of 2 Protct Covenant
Steven J Montgomery
Clallam County Washington 11/24/2014 04:15:47 PM
' when recorded return to: §111 MM IAa,4 aAeAIV,UIVU T�j��'U.11A 11111
64-e t,) li . mopi`��ome,
G,-)\ LR T jnc- gSo EEEIVE ®
ZONING LOT COVENANT ?014UWE the undersi ed owners of the followin described roe RT ANGELESgn ( ) g p p rty: DIVISION
(insert legal description, address if available, and Assessor's Parcel Number)
"Pot f- les WA q`213 G 2
Af- 15 a)Vd a I 1 0P LoT 1 (1,_ gof JN Tcxaas�+e.. ofI�s'� � e6es , 2 S Qe� �Wi.feo� 't�eer�rdn� Voluwte� r, o F Page L. feeords o� C�al1e w� C'bcN wA
do hereby covenant that said property s all be designate tas one zoning lot as defined in Section
17.08.130"Z"of the Port Angeles Municipal Code. This covenant creates one inseparable
building lot which may only be removed through compliance with Chapter 58.17 RCW
(subdivision regulations) and/or the City of Port Angeles short subdivision regulations
(Ordinance No. 2222, as amended). .�
This covenant shall be binding on the owner(s),heir(s), assign(s), and successor(s) in n
interest and shall be filed with the County Auditor's Office. This covenant is for the mutual
benefit of said owner(s), heir(s), assign(s), and successor(s)in interest and is for the further
purpose of compliance with state and local land use and building regulations. This covenant may u+
be enforced by injunction or other lawful procedure and covenant by the recovery of any
damages resulting from non compliance.
w
DATED this _2,1 day of , 2014 S
Print Name:
I���� 0f0ZOMM Print Name: N
9�
N .
(Owner Siigna e) j (Owner Signature) U1�
Phone:(qos��� �� v Phone: o
CL
STATE OF )C'ts f'f--N I R ^CL
COUNTY OF CLALLAM ) C
W
I, M 1 l" f fl t 1-4. 2l )15 ,Notary Public in and for the State of Washington,do hereby Oa
certify that on this��day of n JJ 10(,K ,201 personally appeared before me yw((�
known to me to be the individual{sjdescribed in and who
executed the within instrument and acknowledged that signed and sealed the same as free p�
C
and voluntary act and deed for the purposes herein mentioned. ( O
GIVEN UNDER MY HAND AND OFFICIAL SEAL this�day of l u 0�t ffi b r20_
a> O
U
NOTARY PUBLIC in and for the State of
Washington residing at Port Angeles.
i
i
CALIFORNIA ALL-PURPOSE
CERTIFICATE, OF ACKNOWLEDGMENT
i
State of California
County of 5aub ata
S'r
On 1 before me; N(6+12Y'll 'A101'10
(Here insert name and title of the officer) Jj
I
personally.appeared
who.proved to me on the basis of satisfactory evidence to be the persons)whose name(s) is/are subscribed to
the within instrument and acknowledged to me that he/she/they executed the same in his/her/t1wir authorized
capacity(ics), and that by his/her/gwir signature(44on the instrument the person(s), or the entity upon behalf of.
which the person(s)acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the.foregoing paragraph
is true and correct.
MICHELLE G.LEWIS
WITNESS my hand and official seal. Commission#2057489
Rotary Pone-California
-Santa Cfara county 1.
(Notary Seal Fab 10.261.1
Signature gr6lary Public
ADDITIONAL, OPTIONAL INFORMATION
INSTRUCTIONS FOR COMPLETING THIS FORM
Any acknowledgment completed in California must contain verbiage exactly as
DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary section or a separate acknowledgment form must be
n� properly completed and attached.to that document. The only exception is if a
6lV � Q document is to be recorded outside of California.In such instances,any alternative
(Title or description of attached document) acknowledgment verbiage as may be printed on such.a document so long as the
verbiage does not require the notary to do something that is illegal for a notary in
California(i.e. certifying the authorized capacity of the signer). Please check the
(Title or description ofattached.document continued) document carefully for proper notarial wording and attach this form if required..
�, j . State and County information must be the State and County where the document
Number of Pages Document Date t 1signer(s)personally appeared before the notary public for acknowledgment.
• Date of notarization must be the date that the signer(s)personally appeared which
must also be the same date the acknowledgment is completed.
(Additional information) • The notary public,must print his or her name as it appears within his or.her
commission followed by a comma and then your title(notary public).
• Print the name(s) of document signer(s) who personally appear at the time of
notarization.
CAPACITY CLAIMED BY THE SIGNER Indicate the correct singular or.plural forms by crossing off incorrect forms(i.e.
❑ Individual(S) he/sheldwy; is/are)or circling the correct forms.Failure to correctly indicate this
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❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible.
Impression must not cover text or lines.If seal impression smudges,re-seal if a
(Title) sufficient area permits,otherwise complete a different acknowledgment form.
• Signature of the notary public must match the signature on file with the office of
❑ Partner(s) the county clerk.
❑ Attorney-in-Fact ? Additional information is not required but could help to ensure this
❑ Trustee(s) acknowledgment is not misused or attached to a different document.
❑ Other 4- Indicate title or type of attached document,number of pages and date.
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corporate officer,indicate the title(i.e.CEO,CFO,Secretary).
• Securely attach this document to the signed document
2008 Version CAPA v12.10.07 800-873-9865 www.NotaryClasses.com
L
2014-1313983
Page 1 of 4 Warrant Deed
land Tltle & Escrow Co 0� Clallam Co Inc
Clallam County Washington 11/07/2014 12.39 31 PM
When recorded return to:
Steven J. Montgomery O
11905 New Ave
Gilroy Ca. 95020 CLALLAM COUNTY
TRANUCT
DATE
MID
T
eel 0
SPECIAL WARRANTY DEED R
,00$.Z4 (Not Statutory)
THE GRANTORS) Fannie Mae A/K/A Federal Natippat-M409a a ss on organized
and existing under the laws of the United States oi' menca, P o 0043 Dallas, TX
75265-0043
for and in consideration of Ten Dollars($1 and other go valuable consideration,
in hand paid, bargains, sells, and conve to n Montgomery, a married man, as
his separate property
the following described estatetp
t I th ounty of Clallam, State of Washington:
The Easterly 12 1/2 feet of Lot and all t 6,Block 24,Norman R.Smith's Subdivision of the
Townsite of Port An ,as at therfcorded in Volume"K"of Deeds,page 1,records of
Clallam County, s
Exhibit"B"a n i rpo ed herein
Parcel Number ): -5 460
Dated: 0 Ger 14
Fannie M a e eral National Mortgage Association
By ' e, Ltd., a Washington Corporation
I : t Fact
f
By:
erne. ricla LeVeck
t:\lice resident
1 LPB 16-09(r)
Page 1 of 2
v
2014-1313983 11/07/2014 12:39:31 PM 2 of 4 Clallam County, WAWD
LAND TITLE & ESCROW CO OF CLALLAM CO INC/FANNIE MAE
STATE OF O
COON OF �
I certify that ow or have satisfactory evidence that<.z
(is/a
the person(s) who appeared before me, and said person(s) acknow
signed this instrument, on oath,stated that av oriz
execute the instrument and acknowledge it as
the of
to be the free and voluntary act for the uses an"urposes mens ment..
Dated: �_../
Notary a e printed ped:
Notary u lic in and fo tate of
Residing t
My appoint n i s:
O
J
LPB 16-09(r)
Page 2 of 2
2014-1313983 11/07/2014 12:39:31 PM 3 of 4 Clallam County, WAWD
LAND TITLE & ESCROW CO OF CLALLAM CO INC/FANNIE MAE
STATE OF Washington, COUNTY OF King
0n this dayof l Veli - ,A.D. 20l f before me, the
undersigned, a Notary Public in and for the State of Washington O
Duly commissioned and sworn personally appeared
Patricia LeVeck Vice President of Old Re ublic Title Ltd. C\
To me known to be the individual who executed the foregoing inn as
Attorney in Fact of
Fannie Mae A/K/A Federal National Mort a e Associatio ,----
Therein described and acknowledged to me that h she4 y sign and sealed
the instrument as such Attorney in Factfoed r sai pal,`fre voluntarily,
for the uses and purposes therein mentiond on oa to ed that the Power
of Attorney authorizing the execution of this i trument ha of been revoked and
that the said Patricia LeVeck is now 'v
WITNESS my hand and official seal breto affixed he ay and year in this
certificate above written.
0
Printed Name: Cynthia Fra e
Notary Public in and for the to n ton
Residing at Seattle
My Commissio x �/2ois
CYNTHIA A.FRASER
NOTARY PUBLIC
STATE OF WASHINGTON
COMMISSION EXPIRES
/ AUGUST 19,2018
lea P, ce Notary Stamp/Seal Above This line
AR TAMP/SEAL MUST NOT BE PLACED IN THE MARGINS
2014-1313983 11/07/2014 12:39:31 PM 4 of 4 Clallam County, WAWD
LAND TITLE& ESCROW CO OF CLALLAM CO INC/FANNIE MAE
Exhibit B
Escrow holder is hereby instructed and authorized to cause the policy of title insura�
favor of the buyer herein subject to the following deed restriction:
GRANTEE HEREIN SHALL BE PROHIBITED FROM CONVEYING CAPTION
PROPERTY FOR A SALES PRICE OF GREATER THAN $
FOR A PERIOD OF 3 MONTH(S) FROM THE DATE OF THE RE C 1N'i
THIS DEED. GRANTEE SHALL ALSO BE PROHIBITED FROM E ING
SUBJECT PROPERTY WITH A SECURITY INTERESTFOR IAP PRfN I AL
�
AMOUNT OF GREATER THAN $ ESE
MONTH(S) FROM THE DATE OF THE RECORDING OF
RESTRICTIONS SHALL RUN WITH THEAND NAD AR T LY TO
GRANTEE. THIS RESTRICTION SHALL
ON
CONVEYANCE AT ANY FORECLOSURE SALE ED GAGE OR
DEED OF TRUST.
0
2014-1313884
Page 1 of 2 Q-t C1a1'n Deed
Cillael 1
1
ounwEWesnineior0if alait/07/2014 12:3Cnc 971 Ph
When recorded return to:
Stevan J.Montgomery and Jayne Montgomery
11905 New Ave
Gilroy,CA 95020
A6 /na
Ctxun
TRA06 C C*E TAX
DATE
QUIT CLAIM DEED 9
THE GRANTOR(S)3ayne Montgomery,a married woman J 1
for and In consideration o/to establish separate property
In hand paid, conveys and quit claims to Steven J. Montgomery, an, parate
property I
the following described real estate,situated in the County of Cla \�w hington together
with all after acquired tide of the Grantor(s)herein;��_�
See Exhibit A attached hereto and made a part he*
Abbreviated Legal:Pnt Lt.15,Lt 16,81k 24 Normanith Subdiv A 1
Tax Parcel Number(s): 063000512460 �
Detsd: October 31,2014
- t
e Montgomery ven J.Montgomery
State of California 0
County of 5.t
I certify that I know or ha dsfactory dente that
ri o rvlQ f
S'r 2
(is/"r pe w appear before me,and said person(s)acknowledge that(he/she/t i
signed In runt an ledged It to be(his/her/neir)free and voluntary act for the uses
and pur In this Instrument.
D / 0.AVU
Oat
Canm11s10n 0 2002539
Navy Puble•C2lnarala
nota cwo cu"
(� Comm. 21 2019
NotaIN
and for the State of Yt ► C•2
a ntment expires: a2t
��� ' LPB 12.05
FEE
THEORT NGE Ec For City Use
CITY OF '• _ _ lel 1. v f 1
Permit# /" S a
WAS HINGTO N. U . S.
Date Received: .-
321 E 51h Street Date Approved �-
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:9ermits0citvoffpa.us BUILDING PERMI A PLICATION
Project Address:
Phone:
Prim Contact: �1 Email: } Co\-A
Name c _ _ �n^�J Phone
Property Mailing Address 1' ` Email
Owner 1 V"
City��`L �� 5 20 StateCt-3 , 2pq5C,zo
Name Phone ,,1 565- 1;39-75
Contractor Address Email —\\ 3
Information City ?is. State Zip 9 6-56 S
Contractors License# �A1 -�: * �' Exp.Date: k` 1
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor) '
Residential Q'- Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
Classification For the following.fill out both pages of permit application:
(check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑
appropriate) Mechanical ❑ Plumbing ❑ Other ❑ lro�N 3i lc�� ,?
Fire Sprinkler System? Irrigation System? Proposed Bathrooms Proposed Bedrooms
Yes 0 No .R Yes M No -1!r
Project Description ' 3
A Co x 1 C
Is project in a Flood Zone: Yes ❑ NoMr Flood Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $
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 work. I understand that plan review fees are not refundable after review has
occurred. I understand that I will forfeit review fees if I withdraw the applica ' be re the permit is
issued. I understand that if the permit is not picked up/issued within i8o d s f mittal,the application
will be considered abandoned and the fees will be forfeited.
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed ss value
Basement
First Floor 9
Second Floor
Covered Deck/Porch/Entry 60
Deck(over 30"or i" floor)
Garage
Carport ��b
Other(describe)
Area Totals
Commercial Structures
For Office Use
Area Descriptions(SQ FT) Existing Proposed s$Value
Existing Structure(s) 9
Proposed Addition
Tenant Improvement?
Other work(describe) Fwn G VG)_ .36 LE -7 34�
Site Area Totals
Lot/Site Covera a Calculations
Lot Size(sq ft) Lot Coverage(sq ft) %Lot Coverage(Total lot coverage T lot size)
Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site coverage_lot size)
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 Outlets:
Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) #
Boiler/Compressor Size: # Heating/Cooling appliance #
repair/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fire lace/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 # Plumbing Vent piping #
Sewer Line # Industrial waste pretreatment
interceptor Grease Trap) Size
A�.L....l.i......wL..l.
Kandu Enterprise Estimate
714 west sixth street
Port Angeles, WA 98363 Date Estimate#
11/11/2014 453
Name/Address
Steve and Jayne Montgomery
11905 New Avenue
Gilroy,CA 95020
Project
Item Description Qty Rate Total
Lift Level addition 1 2,250.00 2,250.00T
Demo Remove all support structure 1 720.00 720.00T
Debris Haul and Dispose 850 0.15 127.50 '
Dump truck Day use and fuel 1 100.00 100.00T
Foundation Perimeter foundation 12"x 6" 1 1,500.00 1,500.00T
Pressure Treated PT stem wall 1 1,150.00 1,150.00T
Joist Install additional 2x6xl2' 12 OC 12 125.00 1,500.00T
t onst:r='inn r!:,-1,3
I�saanre of this per':`. a rr^nn these p!ans,4
c�'^ar>and other dat^ 'the building o`ficial
iran therea fer re i +112r..crrec':~a of errors in said
ficatic _ .,i?ri ...err dzta, .R't fron pre' Mint;
{it nK''3pErat OnS G GI:, Sri%2d %lit ._�reunder h:n in
,Iclation of A codes ,.,VJ' of this jurisdi ti�m. q
r:H;;resa!;ateQ*V-
6y
V-)D e
�-d Q�
I
Subtotal $7,347.50
Sales Tax (8.4%) $617.19
Total $7,964.69
k *� €
r R
4
I
I
OwnetAip History Parccl Number.
Dots Sala Rice £[ Legal Description:
CI6.i0Q0s L 2.4:iG ;•vub
Buyer. �?-SSCIYEI .. SMITH. NORMAN l:
Dale Sada Rsm. S -., LAT 16 BL 24
Buyer' T-T7.-,..
Dam Sales Rica: E TAY I
Deed VOLT&
IBuyer:_ -
Dale Sales Rice: t
-- o
Deed- Voypg:
Buyer. ..f
Date: Safra Rice: E
a
_ Js
Date Sales Pnm £
Deed VoLft. i
i
Buyer
Date Saks Pnce E_-
Deed. ..._ Vol.'Pg:
Bu+cr
Daps: Sales Rrm £
Deed —... \•oLPt; --._ _.
Bucrr —
Dam: - Swles Rim £
Deed ------ VOWS, -
Do— --
Date Sties Rice E
Deed: Voll% _
Buyer
Date Sales Rice S w
Deed Voupa:
ouver
COMMcuts: Bog:
___.
(CWw Cwq L'9pil
EXISTING ACCESS
- - - - - - - - - - - - - - - - -zi
if 11 If
ra I pa e
o 'co 3,- „ X
I 7'-3" T-3 . I
I IN NEW 4x6 DF#2 BEAhA
(V
N 4x4 DF#2 POST I
I I IN STEEL SADDLE ( I
ON 12x12 CONCRETE PIER BLOCK
IZp ON 18"x 3"CONCRETE PAD I I
� JI
- - - - - - - - - -- - -
12x6 CONCRETE FOOTING
W/(2)#4 BAR CONT.
1/2x10 A.B. @ 48" O.C.
14'-6"
2x6 FRAMED FOUNDATION WALL
J P.T.2x6 PLATES TOP&BOTTOM
P.T.3/4"COX PLYWOOD 5HEATHING
12 X 6 CONCRETE FOOTING
W/(2)#4 BAR CONT.
& 1/2x10 A.B.@ 48"O.G.
M
812 ` r�
826 i'� „ � � 'f'�►
't 826
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1 If
108
lip �
813
f 821 ; ' 1r
821 � .,.
�zk 4c�
827
! " 831 '
ss � 835
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836 = ti„
Address:
827 E 2nd Street
a
PREPARED 1/20/15, 12:21:50 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/20/15
----------------- ---
ADDRESS . : 827 E 2ND ST SUBDIV:
CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939
OWNER Steven Montgomery PHONE (408) 593-8383
PARCEL 06-30-00-5-1-2460-0000-
APPL NUMBER: 14-00001437 RES MECHANICAL PERMIT
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------ ----------------------------------------------------------------
ME99 01 1/20/15 AL MECHANICAL FINAL
January 20, 2015 10:16:44 AM pbarthol.
Jeanne 452-0939
DHP
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
®� 321 EAST 5TH STREET, PORT ANGELES, WA 98362 w
V
Application Number . . . . . 14-00001437 Date 12/04/14
Application pin number . . . 861691
Property Address . . . . 827 E 2ND ST q
ASSESSOR PARCEL NUMBER: 06-30-00-5-1-2460-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 6540 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
Ductless HP
----------------------------------------------------------------------------
Owner Contractor
----------------- ---- ----- `
Steven Montgomery DAVE'S HTG & COOLING SRVC INC
11905 New Avenue PO BOX 413 �N
Gilroy CA PORT ANGELES WA 98362
(360) 452-0939
(408) 593-8383
----------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT f(',
Additional desc DUCTLESS HP
Permit Fee . . . . 64.80 Plan Check Fee .00 . n
Issue Date . . . . 12/04/14 Valuation . . . . 0 V)
Expiration Date 6/02/15 ^�
Qty Unit Charge Per Extension
BASE FEE 50.00
.1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
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Special Notes and Comments
Per Washington State Code 51-51-315,
installation of Carbon Monoxide
detector(s) is required if you are
installing or replacing a fuel burning
appliance (wood, pellet, gas)and must be
in place prior to the final inspection
of this permit. They are required to be
place directly outside of each sleeping
area and at least one on each floor of
the house.
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Fee summary Charged Paid Credited. Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .00 .00
Separate Permits are required forelectrical 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.
—/Z
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 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 Bidgs.)
PLUMBING:
Under Floor/Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted b
AIR SEAL:
L
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 Pum /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:
Parkin /Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
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
11/24/2014 2 : 15PM FAX 16000110001
ECITY OF NGE41dJ-.Jh1yFor City Use
Permit# /Z-/- /(-k;W A S H I N G T 0 N . U . S-P���A
Date Received:
321 East 5°i Street
Port Angeles, WA 98362 Date Approved
P: 360.417-4817 F: 360-417-4711 V f
perrnJitsVcityofpa.us
Building Permit Application
Project Address:
Main Contact: --.Phone #
E-Mail:
Property Name phone
0-y\,�C) Lf 0
Owner Mallinp Addrc-,o:
�9 0 5
cloy State A
Contractor
Mve'lPhone s Hea4l h R q- cob (�'Vxk VVI
Mail- Add
Trb ZOK Qn Email
city S-
Contractor License # K� Expiration:
ProjectValue: w Zo i g: Lot#
ax Parcel #
$
Type of Residential Commercial 13 Industrial C3 Public M
Permit
Demolition 13 Fire [3 Repair 13 Reroof(tear off/lay over) 11
For the following, fill out both pages of permit application:
New Construction C3 Remodel 13 Addition 0 Tenant Improvement ❑
Mechanical 1:3 Plumbing IJ Other 1:1
Existing Fire Sprinkler SysiMaximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes 13 No ❑0
Project-"
Description
I have read and completed the application and know it to he true and correct.I am authorized to apply for this
permit. 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 Print Name -Signature