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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 information may lead to rejection of document recording. ❑ 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. 6- Indicate the capacity claimed by the signer.If the claimed capacity is a 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 r szo 1 If 108 lip � 813 f 821 ; ' 1r 821 � .,. �zk 4c� 827 ! " 831 ' ss � 835 F. � V 7 x•+t ? ' 901 1 .tr a y r� 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 ---------------------------------------------------------------------------- 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. ---------------------------------------------------------------------------- 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