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HomeMy WebLinkAbout1727 E 4th St - Building PREPARED 3/07/11 9 25 52 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/07/11 ADDRESS 1727 E 4TH ST SUBDIV TENANT NBR LANE FONTAINE LLC CONTRACTOR HOCH CONSTRUCTION INC PHONE (360) 452 5381 OWNER LANE FONTAINE LLC PHONE (360) 797 1051 PARCEL 06 30 00 5 5 0145 0000 APPL NUMBER 10 00001303 RES REMODEL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS REMODELED THE HOME PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 1/05/11 PB PLUMBING ROUGH IN 1/05/11 AP January 5 2011 4 45 36 PM pbarthol January 5 2011 4 46 01 PM pbarthol PL99 01 3/07/11 LL PLUMBING FINAL March 4 2011 11 01 18 AM 1pangrle (• SCOTT 460 0946 PLUMBING FINAL CONVERTED THE CARPORT INTO A GARAGE & REMODELED THE HOME COMMENTS AND NOTES J PREPARED 3/07/11 9 25 52 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/07/11 ADDRESS 1727 E 4TH ST SUBDIV TENANT NBR LANE FONTAINE LLC CONTRACTOR HOCH CONSTRUCTION INC PHONE (360) 452 5381 OWNER LANE FONTAINE LLC PHONE (360) 797 1051 PARCEL 06 30 00 5 5 0145 0000 APPL NUMBER 10 00001303 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 12/29/10 JLL BLDG FRAMING TIME O1 00 12/30/10 AP December 28 2010 3 17 24 PM 1pangrle MARK 477 5409 ROUGH FRAMING AFTERNOON December 30 2010 8 53 59 AM jlierly BLI O1 1/03/11 JLL BLDG INSULATION 1/05/11 DA January 3 2011 10 02 13 AM 1pangrle MARK 477 5409 INSULATION & WEATHERSEAL January 5 2011 9 04 11 AM pbarthol ok to rock garage need to finish cavities in habitable space BLI 02 1/05/11 PB BLDG INSULATION TIME 09 00 1/05/11 AP January 4 2011 8 38 18 AM 1pangrle MARK 477 5409 INSULATION HE REQUESTED A MORNING INSPECTION January 5 2011 4 46 01 PM pbarthol BL99 01 3/07/11 L BLDG FINAL \S. March 4 2011 10 59 39 AM 1pangrle SCOTT 460 0946 BUILDING FINAL CONVERTED THE CARPORT INTO A GARAGE & REMODELED THE HOME PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 01 12/16/10 JLL MECHANICAL GAS LINE TIME O1 00 12/16/10 AP December 16 2010 8 19 46 AM 1pangrle MIKE 477 9395 GAS LINE AFTERNOON December 16 2010 3 54 41 PM jlierly ME6 02 12/29/10 JLL MECHANICAL GAS LINE TIME O1 00 12/30/10 AP December 28 2010 3 35 27 PM 1pangrle MARK 477 5409 'GAS LINE (ADDITION TO THE LINE THAT WAS INSPECTED BEFORE) AFTERNOON December 30 2010 8 53 59 AM jlierly ME99 01 3/07/11 JLL MECHANICAL FINAL March 4 2011 11 00 53 AM 1pangrle -rte SCOTT 460 0946 MECHANICAL FINAL CONVERTED THE CARPORT INTO A GARAGE & CONTINUED ONTO NEXT PAGE *VORTA",F ELECTRICAL INSPECTION WIRING REPORT KSs�v`� 417-4735 DATE: I PERMIT# INSPECTO v OWNER -T"o m I 11—riz— CONTRACTOR 5'1 ADDRESS Z-7 L7! '5 APPROVED NOT APPROVED ❑ DITCH ❑ ❑ ROUGH IN/COVER ❑ ❑ SERVICE ❑ ❑ FINAL ❑ CORRECTIONS NEEDED' l A0 TALL f-9,Tff--i-(0 1 L► Lk-T— N w-A-T� CflrZ A L ra— f)� t DLy- ar c. l Ll 6 17 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — PREPARED 1/05/11 8 54 56 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/05/11 ADDRESS 1727 E 4TH ST SUBDIV TENANT NBR LANE FONTAINE LLC CONTRACTOR HOCH CONSTRUCTION INC PHONE (360) 452 5381 OWNER LANE FONTAINE LLC PHONE (360) 797 1051 PARCEL 06 30 00 5 5 0145 0000 APPL NUMBER 10 00001303 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 12/29/10 JLL BLDG FRAMING TIME 01 00 12/30/10 AP December 28 2010 3 17 24 PM 1pangrle MARK 477 5409 ROUGH FRAMING AFTERNOON December 30 2010 8 53 59 AM jlierly BLI 01 1/03/11 JLL BLDG INSULATION January 3 2011 10 02 13 AM 1pangrle MARK 477 5409 INSULATION & WEATHERSEAL BLI 02 1/05/11 JLL BLDG BLDG INSULATION TIME 09 00 January 4 2011 8 38 18 AM 1pangrle fit MARK 477 5409 INSULATION HE REQUESTED A MORNING INSPECTION COMMENTS AND NOTESAOL / !/✓` PREPARED 1/03/11 10 06 39 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/03/11 ADDRESS 1727 E 4TH ST SUBDIV TENANT NBR LANE FONTAINE LLC CONTRACTOR HOCH CONSTRUCTION INC PHONE (360) 452 5381 OWNER LANE FONTAINE LLC PHONE (360) 797 1051 PARCEL 06 30 00 5 5 0145 0000 APPL NUMBER 10 00001303 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 12/29/10 JLL BLDG FRAMING TIME O1 00 12/30/10 AP December 28 2010 3 17 24 PM 1pangrle MARK 477 5409 ROUGH FRAMING AFTERNOON December 30 2010 8 53 59 AM jlierly BLI O1 1/03/11 BLDGINSULATION 6( January 3 2011 10 02 13 AM 1pangrle MARK 477 5409 INSULATION & WEATHERSEAL COMMENTS AND NOTES i- °syw t "I c S fn-Grs PREPARED 12/29/10 8 05 10 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/29/10 ADDRESS 1727 E 4TH ST SUBDIV TENANT NBR LANE FONTAINE LLC CONTRACTOR HOCH CONSTRUCTION INC PHONE (360) 452 5381 OWNER LANE FONTAINE LLC PHONE (360) 797 1051 PARCEL 06 30 00 5 5 0145 0000 APPL NUMBER 10 00001303 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESUL RESULTS/COMMENTS BL3 01 12/29/10 L BLDG FRAMING TIME O1 00 / December 28 2010 3 17 24 PM 1pangrle MARK 477 5409 ROUGH FRAMING AFTERNOON PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 01 12/16/10 JLL MECHANICAL GAS LINE TIME 01 00 12/16/10 AP December 16 2010 8 19 46 AM 1pangrle MIKE 477 9395 GAS LINE AFTERNOON December 16 2010 3 54 41 PM jlierly ME6 02 12/29/10 J MECHANICAL GAS LINE TIME 01 00 December 28 2010 3 35 27 PM 1pangrle MARK 477 5409 GAS LINE (ADDITION TO THE LINE THAT WAS INSPECTED BEFORE) AFTERNOON COMMENTS AND NOTES ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 ' Application Number 10 00001486 Date 12/22/10 Application pin number 227088 REPORT STATE SALES TAX Property Address 1727 E 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 5 5 0145 0000 on your excise tax form 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 7 circuits remodel lights outlets smoke Owner Contractor LANE FONTAINE LLC SIMPSON ELECTRIC 109 ARTILLERY POST ROAD 243036 W HWY 101 SAN ANTONIO TX 78234 PORT ANGELES WA 98363 (360) 797 1051 (360) 457 9270 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 179333 Permit Fee 89 10 Plan Check Fee 00 t� Issue Date 12/22/10 Valuation 0 1\ 1 Expiration Date 6/20/11 J v Qty Unit Charge Per Extension -J 1 00 73 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 73 50 6 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 15 60 Fee summary Charged Paid Credited Due Permit Fee Total 89 10 89 10 00 00 Plan Check Total 00 00 00 00 Grand Total 89 10 89 10 00 00 INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN J� 2$ t) FINAL F7[a Ilk COMMENTS PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X '� Date. CITY OF PORT ANGELES i DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION a� 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 10 00001303 Date 12/22/10 Application pin number 717108 Property Address 1727 E 4TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER 06 30 00 5 5 0145 0000 Tenant nbr name LANE FONTAINE LLC 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 30000 Application desc CONVERT CARPORT TO GARAGE & REMODEL HOME Owner Contractor LANE FONTAINE LLC HOCH CONSTRUCTION INC 109 ARTILLERY POST ROAD 4201 TUMWATER TRUCK RT SAN ANTONIO TX 78234 PORT ANGELES WA 98363 (360) 797 1051 (360) 452 5381 -lot"o Structure Information 000 U Permit PLUMBING PEt r(� Additional desc RM oP W` Permit pin number 178996 5u ` Permit Fee 86 00 Plan Check Fee 001 ' Issue Date 12/22/10 Valuation 0 Expiration Date 6/20/11 �O� Qty Unit Charge Per Extension A0 `SS BASE FEE 50 00 2 00 7 0000 EA PL-PLUMBING TRAP 14 00 � 1 00 7 0000 EA PL-WATER LINE 7 00 �� L 1 00 15 0000 EA PL-SEWER LINE 15 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 86 00 86 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 90 50 90 50 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if o ner is builder) T:Forms/Building Division/Building Permit f 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 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 -' -. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION �1�, 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 10 00001303 Date 11/29/10 Application pin number 717108 Property Address 1727 E 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 5 5 0145 0000 r, Tenant nbr name LANE FONTAINE LLC REPORT SALES TAX Application type description RES REMODEL Subdivision Name on your state excase tax form Property Use to the Cityof Port Angeles Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 30000 (Location Code 0502) Application desc CONVERT CARPORT TO GARAGE & REMODEL HOME Owner Contractor LANE FONTAINE LLC HOCH CONSTRUCTION INC 109 ARTILLERY POST ROAD 4201 TUMWATER TRUCK RT SAN ANTONIO TX 78234 PORT ANGELES WA 98363 (360) 797 1051 (360) 452 5381 Structure Information 000 000 R Permit BUILDING PERMIT RESIDENTIAL Additional desc CNVRT CARPORT TO GARAGE ETC +� Permit pin number 176974 /�^e Permit Fee 468 25 Plan Check Fee 304 36 �YY�` l• Issue Date 11/29/10 Valuation 30000 Expiration Date 5/28/115 Qty Unit Charge PerExtension SW BASE FEE 417 75 5 00 10 1000 THOU BL-25 001 50K (10 10 PER K) 50 50 / Permit MECHANICAL PERMIT h ((��'' Additional desc Permit pin number 176966 C/�^7 � !• Permit Fee 96 75 Plan Check Fee 00 Issue Date 11/29/10 Valuation 0 Expiration Date 5/28/11 Qty Unit Charge Per Extension BASE FEE 50 00 2 00 10 6500 EA ME STOVE/FIREPLACE/MISC APP 21 30 1 00 10 6500 EA ME FUEL GAS PIPING 1 5 OUTLETS 10 65 �`w 1 00 14 8000 EA ME HEATER(SUSP/WALL/FLOOR MTD) 14 80 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 565 00 565 00 00 00 Plan Check Total 304 36 304 36 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 873 86 873 86 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 Date Print Name Signature of Contractor or Authorized Agent Signature of Ow Ver(if owner is builder) T Forms/Building Division/Building Permit I BUILDING PERMIT INSPECTION RECORD �J PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS Building Inspections 417-4815 Electrical Inspections 417-4735 �v 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 FibRough-In (9 — Q Water Line Meter to Bldg) Gas Line ' 9 Back Flow/Water FINAL Date I I Accepted b w AIR SEAL. Walls Ceiling N 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 - IZ-29-10 Gasline Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date 3—1 1 Accepted b L� MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permill#s SEPA. v� Parkin /Lighting ESA, Landscaping SHORELINE. c Koc�FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USEInspection Type Date Accepted By Electrical 417-4735 Construction R.W PW /Engineering 417-4831 Fire 417-4653 (p Planning 417-4750 Building 417-4815 T-Forms/Building Division/Building Permit L� PREPARED 12/16/10 8 23 36 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/16/10 ADDRESS 1727 E 4TH ST SUBDIV TENANT NBR LANE FONTAINE LLC CONTRACTOR HOCH CONSTRUCTION INC PHONE (360) 452 5381 OWNER LANE FONTAINE LLC PHONE (360) 797 1051 PARCEL 06 30 00 5 5 0145 0000 APPL NUMBER 10 00001303 RES REMODEL PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 01 12/16/10L MECHANICAL GAS LINE TIME 01 00 December 16 2010 8 19 46 AM 1pangrle MIKE 477 9395 GAS LINE AFTERNOON COMMENTS AND NOTES ffvo V lb� �� Ga V'N 6 - �e, C V) \,\Co�t a �1- •. poarq DEC 21 2010 4!RECEIVED `0 d CITY OF PORT ANGELES PERMIT APPLICATION' aECT CAL Building Division/Electrical Inspections INSPECTIONS ITIONON S 321 East Fifth Strect—P.O. Box 1150/Port Angeles Washington,98362 Ph. (360)417-4735 Fax: (360)417-4711 CoCo Date: Q ,/\._1 &2 Single Family Dwelling Multi-Family or Commercial' Commercial Addition/Alteration Remodel/Repair* *Plan Review May Be Required, Please Coj�ete Electrical Plan Review Information Sheet Job Address: 17;2 `7 N 11`�o'-N Building Square Footage:�•� Description of above ti.,r •� 1 �S ql. l 9,145 reQll7� Owner Informa'on Contractor Information r Name: f �1�fi' Name: — '�Ys^ e LC. Mailing Ar es _ 'M Mailing Ad City;_F_, State: zip; Cfty: State'!�9 Ap ZIp: Phone: Fax: Phone: $ License#/Exp, License#/Exp. Item Unit Charge QtC Total 0 Multi plied by Unit Charge) Service/Feeder 200 Amp. $119,90 $ — Service/Feeder 201.400 Amp. $145.50 $ _ Service/Feeder 401-600 Amp $204.60 $ _ Service/Feeder 601-1000 Amp. $262.20 $ _ Service/Feeder over 1000 Amp. $372.50 $ Branch Circuli WI Service Feeder $ 2.60 $ Branch Clrcult W10 Service Feeder $ 73.50 $ _ Each Additional Branch Circuit $ 2.60 $�L2 Temp.Service/Feeder 200 Amp, $ 92.70 $ Temp.Service/Feeder 201400 Amp. $110.30 $ r 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 $ 88.7.0 $ 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 ClrculU Limited Energy Mul(l-Famlly 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 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 inspectlor After reading the above statement,I hereby certify that 1 am the owner of the above named property or a licensed electrical cc-ttractor I am making the electrical installation or alteration in compliance with the electrical laws,N.E.C. RCW Chapter 19.28,WAC.Chapter 296-16B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Appllcatlons. Signal of owner,electrical con c r or electrical administrator- 0 cash r_1 moo I cr�dlccard��p—_ �J oaecd: �� 0110112010 Corporatigns Section �g OF Phil Wilson P O.Box 13697 Secretary of State Austin,Texas 78711 3697 CID 0 Office of the Secretary of State QQ i I RECEIVED l May 02,2008 \Q Attn. A. Chris Heinrichs N 1 20 Hemrichs&De Gennaro, P C. \ p� CITY OF PORT ANGELES 100 NE Loop 410, Ste. 1075 BUILDING DIVISION (� San Antonio, TX 78216 USA p � U RE. Lane-'Fontaine LLC File Number- 8009.1 2857 It has been our pleasure to file the certificate of formation and issue the enclosed certificate of filing evidencing the existence of the newly created domestic limited liability company(Ile) Unless exempted, the entity formed is subject to state tax laws, including franchise tax laws. Shortly, the Comptroller of Public Accounts will be contacting the entity at its registered office for information that will assist the Comptroller in setting up the franchise tax account for the entity The initial franchise tax report will be due a year and 89 days after the effective date of formation. Thereafter, an annual franchise tax report is due each May 15 Information about franchise tax, and contact information for the Comptroller's office, is available on their web site at -� hILtp.//window.state.tx.us/taxinfo/franchise/index.html. The entity formed does not file annual reports with the Secretary of State. Documents will be filed with the Secretary of State if the entity needs to amend one of the provisions in its certificate of j formation. It is important for the entity to continuously maintain a registered agent and office in Texas. Failure to maintain an agent or office or file a change to the information in Texas may result in the involuntary termination of the entity If we can be of fiuther service at any time,please let us know I Sincerely, �I Corporations Section Business &Public Filings Division (512)463-5555 Enclosure i I Come visit us on the internet at http.//www.sos.state.U.us/ Phone:(512)463-5555 Fax:(512)463-5709 Dial.7 1 1 for Relay Services Prepared by Lisa Jones TID• 10285 Document:214118300002 Corporations Section TE 0� Phil Wilson P O.Box 13697 5 �� Secretary of State Austin,Texas 7871'1 3697 x I Office of the Secretary of State i CERTIFICATE OF FILING OF i Lane-Fontaine LLC File Number- 800972857 The undersigned, as Secretary of State of Texas, hereby certifies that a Certificate of Formation for the above named Domestic Limited Liability Company (LLC) has been received in this office and has been found to conform to the applicable provisions of law ACCORDINGLY, the undersigned, as Secretary of State, and by virtue of the authority vested in the secretary by law,hereby issues this certificate evidencing filing effective on the date shown below The issuance of this certificate does not authorize the use of a name in this state in violation of the rights of another under the federal Trademark Act of 1946,the Texas trademark law,the Assumed Business or Professional Name Act,or the common law Dated. 05/01/2008 Effective- 05/01/2008 i I x Phil Wilson Secretary of State I I i I i Come visit us on the internet at http.//Www.sos.state.tx.us/ Phone:(512)463-5555 Fax:(512)463-5709 Dial.7 1 1 for Relay Services Prepared by Lisa Jones TID• 10306 Document:214118300002 05/01/2008 17 02 2103660981 HEINRICHS DEGEN PAGE 06/07 FILE® In the Office of the Secretary of State of Texas Certificate of Formation MAY 012008 Limited Liability Company Urporations Section I Article Y —Entity Name and Type I The filing entity being formed is a limited liability company The name of the entity is j Lane Fontaine LLC �I Article 2—Registered Agent and Registered;Office i I The initial registered agent is an individual resident of the state whose name is set forth below- Sarah L Tozier The business address of the rcgistered agent and the registered office address are 109 Artillery Post Road Fort Sam Houston, Texas 78234 Article 3—Governing A,uuthor-xty The limited liability company will have managers The name and address of each initial manager are set forth below Nance of Governing Person. William L Tozier Address of the Governing Person 109 Artillery Post Road Fort Saxe Houston,Texas 78234 I Name of Governing Person Sarah L Tozier Address of the Governing Person 109 Artillery Post Road Fort Sam Houston, Texas 78234 i I Article 4—Purpose i The purpose for which the company is formed is for the transaction of any and all lawful purposes for which a limited liability company may be organized under the Texas Business Organizations Code I I 1 I • X5101/2008 17 02 2103660981 HEINRICHS DEGEN PAGE 07/07 I Organizer i The name and address of the organizer- Jane K. Dingivan 1 100 N.E. Loop 410, Suite 1075 I San Antonio Texas 78216 Effectiveness of Filing This document becomes effective when the document 1s filed by the Secretary of State i Execution The undersigned signs this document on the 15 day of 2008 subject j to the penalties imposed by law for the submission of a materially falA or fraudulent Instrument. Q6�� Jan'(5 Dtngivan, Organizer I I i i i i i 2 I ,At'e 1,2�a1 oWYter(�ex-r-ovh4y we0SLAe),s L qne- Fovfathe, LLCJ 0`1 Arra it" Post-Rd, SGtn,Antohio'T'X BUILDING PERMIT APPLICATION Print in ink�8Z�`� ��►'�- CITY OF PORT ANGELES For City Use Only, Attn Building Permit Technician- Date Received 321 E Fifth St. Port Angeles WA 98362 Permit# (360) 417-4815 fax (360) 417-4711 Date Approved (�t11�Sa>tol� axe +�e 9overr11i4n9 a9ev►+s of -AeLLC Applicant 44 C"Iryr4fi=a Ph n ¢SZ l�(� J� Property Owner eML 64/44H 7-eyZ2- Phone 4 1acl Property Owner's Address I7Z7 C. Contractor Phone ��3cCl Contractor's Address License # Expires E-mail PROJECT ADDRESS In7 C f� Parcel Number gP6 p pp Lo / Zoning /2S Project Type & Brief Description. residential ❑ Multi-family ❑ Commercial ❑ Industrial Check all that apply , �t Cei I�N5 ❑ New Construction-� �oj 11 1 1i� LQ t Yid_ w f 1\ baArooy+1 � -s ❑Addition RqIaCtn covey- Remodel-�y / 775 E �=-6- c ❑ Repair o 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 s ca)0. ` V1W Floor Areas Existinq (sq. ft.) Proposed(sq. ft.) a-l- "k, �t Basement /, 172- @ $ per sq ft. _ 5' 1Floor 2"d Floor 7Z 3`d Floor — Np}e_ 'w o Wney-j 6 ,11) Garage ed, "i'UJO 1_ Carport 3, 1 "ye OL Covered Porch Deck Shed Other TOTAL VALUATION $ Total footprint of structures !1e=6y sq ft. - Lot size l . 2g2�> 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 22 % Max. height of proposed structures - &' r/ v ft. Occupancy group Q #of bedrooms Will a lawn sprinkler system be installed? Occupant load —/ #of full baths 2 Will a fire sprinkler system be installed? (.k::) Construction type y is #of half baths /have read and completed this application and know it to be true and correct. lam authorized to apply for this pen-nit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects. Date // 2-Io Print Name eltz IOFZIA- Sin ature 0� T Forms/Building Division/Building permit application O 1714 1716 ,f 1701 � f 1707 e � 1713 apt 1727 1 104- ifs S 1'729 I 1710° ff 1733' 1716 _ . �` x'1720 Clallam County Assessor& Treasurer- Property Details - 61988 LANE-FONTAINE LL Page 1 of 6 Clallam County Assessor & Treasurer Property Search Results > 61988 LAN E-FONTAIN E LLC for Year 2010 2011 Property Account Property ID- 61988 Legal Description RICHARDS FG JR SUBD OF SBL14LT15&W2 LT 16 BL 100(.26A) Geographic ID- 0630005501450000 Agent Code Type Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space. N DFL N Historic Property, N Remodel Property- N Multi-Family Redevelopment: N Township Section. Range Location _ Address. 1727 E FOURTH ST Mapsco PORT ANGELES WA Neighborhood: Cycle 5 Res Map ID- 2 Neighborhood CD- 10955130 Owner Name LANE-FONTAINE LLC Owner ID- 36013 Mailing Address. 109 ARTILLERY POST ROAD %Ownership- 100 0000000000% SAN ANTONIO TX 78234 Exemptions. Taxes and Assessment Details Property Tax Information as of 11/05/2010 Amount Due if Paid on. NOTE If you plan to submit payment on a future date make sure you enter the click RECALCULATE to obtain the correct total amount due First Second Half Half Base Base Year,Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid 2010 44669 ST SCH STATE SCHOOL $248 09 $248.09 $000 $000 $49618 2010 44669 CC-GEN COUNTY $132.02 $132,03 $0 00 $000 $26405 2010 44669 PORT PORT $1856 $18.55 $000 $000 $37 11 2010 44669 PORT ANG PORT ANGELES $30569 $30568 $000 $000 $611 37 2010 44669 SD#121 SCHOOL DISTRICT#121 $321 35 $321 34 $000 $000 $642.69 2010 44669 NTH OLY LIB NORTH OLYMPIC LIBRARY _ $38 36 $3837 $000 $000 $7673 2010 44669 HOSP#2 HOSPITAL#2 $54 16 $5416 $000 $000 $10832 2010 44669 WSMET PK DIST WILLIAM SHORE MET PARK DIST $17.24 $17.23 $000 $000 $3447 2010 -44669 CITY STORMWATER CITY STORMWATER $3600 $3600 $000 $000 $72.00 2010 44669 WEED CONTROL WEED CONTROL $082 $081 $000 $000 $1 63 2010 44669 TOTAL. $1172.29 $1_172.26 $0.00 $0.00 $2344.55 2009 619882008 ST SCH STATE SCHOOL $282.17 $282.17 $000 $000 $56434 2009 619882008 CC-GEN COUNTY $142.81 $142.79 $000 $000 $28560 2009 619882008 PORT PORT $20.23 $20.23 $000 $0.00 $4046 12009 619882008 PORT ANG PORT.ANGELES $313.23 $313.22 $000 $000 $62645 http.//vpn.clallam.net.8084/propertyaccess/Property.aspx?cid=0&year=2010&prop_id=61 11/5/2010 CITY OFPORT ANGELES ELECTRICAL PERMIT LIGHTT DEPARTMENT ELECTRICAL . 14926 Port Angeles, Washington-------- - -_/------------------------------------------ 19 .... In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. Address o ----- T --- --------------- Occupancy... --------------------------------- Owner ..... --`------• . ..._e_n_� =�--� - Tenant-----'--------------------------------------------------------------- 7 Wiring Contractor-j-'�/ -=p ,;---r=1--�fir------------------ By------------------------------------------------------------------ Light Outlets-----------------------------------_----. Service, volts ....................................... Type of Wiring: Receptacle Outlets......................._...... No. wires ...................._...._............ Armored Cable ----------------------------- Dryer, K ...............-----`---------------.._. Size wires...._..........-.-_- ............._. Non-Metallic ....__......_..._........_..Knob & Tube--------------------------------- Range,KW.... Main fuse....................................... Rigid Conduit ............................... Water Heater: Enclosure ....................................... Metallic Tubing ........................... KW.---------------------.__------.....___---- Type of wiring: Raceway ......................................... / pp OO Entrance Cable----------------------------- Heat: RW..L._./.U..(,......................... Circuits, Light.............._........................ Rigid Conduit "-"""" Motors: size, volts and phase: Utility --------------............................... Metallic Tubing ........................... Heat """"" """'" Current tranaPormere: Range ..........................................._._..._..._._. No. & Size....................................... Water Heater ...__...... ..........................................._.............. Ser. No.............................................. Motor ---_........................................ ........................................................... Ser. No................................_............ Dryer................................................_ ................_........................................ Ser. No............................................. Furnace ......--_-----------_---_-------------. TotalLoad............................. Ser. No.............................................. Total ------------------------------------ Remarks --1. -" ' � � �7 _______________________________________________________________________________________—_._.__.__.__._-_._.____.._--._____-_._-______._..____....._.___.____________--_.____._ _______________________________________________________________________________________--._.___.____._________-_-_.-_____.__-._._-_.._-_____________.-__.____.__________--__-_- Permit Fee Treas. Receipt $---•-------------------------------- No--------------------------- By --------------------------------------------------------------------- NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. cealed due notice must be given the Inspector so that work may be Inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION , ELECTRICAL PERMIT 1V° 14926 Date called for inePe t on....................... ............................... Preliminaryi-inspect o'n�datee...'.:' ...C.� Inspection completed..........................................................._...._................................ TotalLoad ..................................._................................................... 1M 3-72 Olympic Printem, Inc. CITY OF PORT ANGELES PERMIT APPLICATI®N RECEIVED') Building Division/Electrical inspections 321 East Fifth Street--P.G.Box 1150 I Port Angeles Washington,98362 JUL 7 �y Ph. (360)417-4735 Fax: (360)417-4711 t7ELECTRICAL ate: - ! /` 21&2 Single Family dwelling INSPECTIONS *Pian Review May Be Required,Please Complete El�ectrieal Pian Review information Sheet JQbAddresa: ' Building Square Footage: Oescriptlonofabove(!1�. Owner information Contractor Information Name: o ma,.�, �3� � '� � Name: X-X41 P `i¢ 'I,, Mailing Address; . �d .� Malfln9 Address: state: -V 4; G 93-k1�.... City; Fri—State: v�rl Zip; Phone: rt1 Fax: Phone:�y 7-5��'ZFax, n- License 41 x^�k p'� License#1 Exp, Zr X z1j to 7— X17,� Item Un Cha e T to iti lied 6 Unit Char e SerAWFaeder 200 Amp. $12(1,04 Servlcell eerier 201.400 Amp. $146.00 �— Servlce/Feeder 401-500 Amp $205.00 g� ServicelFeeder 601-1000 Amp. $262.00 Service/Feeder over 1000 Amp. Branch Circuit W1 Service Feeder $$373.00 .00 Branch Circuit WIO Service Feeder $ 63.00 $— Each Additional Branch Circuit $ &00 Branch Circuits 14 $ 75,00 —T— Temp. "-""'"'Temp.Servicer Feeder 200 Amp. $ 90.00 $ Temp.Service/Feeder 201400 Amp. $110,00 $ T Temp.Service/Feeder40100 Amp, $149.00 "temp,Service/Feeder 601-1000 Amp. $166.00 Portal to Portal Hourly $ 96.00 $ Signal Circuit/Limited Energy-1&2 Famlly Dwelling $ 64.00 $ Manufactured Home Connection $120,04 � $� Renewable Electrical Energy-6KVA System or Less $142.00 T $_ Thermostat $ 56.00 Note:,$5.00 for each additional T-Stat NEW CONSTRUCTION_QNLY: First 1300 Square Ft. $124,00 $ Each Additional 500 Square Ft.or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.40 $� Each Wrnming Pool or Hct Tub $130,00 $ $�Total Owner as defined by RCVi1.19.28,261:(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 n amed property or a licensed electrical contractor,€am making the electrical installation or altemlion in compilance with tho electrical laws,N,E,C„RCW.Chapter 19.28,WAG.Chapter 2964613,The City of Port Angeles MunIcif al Code,and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: © cash EI Cheats ❑ Credit Card� _ _ _ X j —2:3—f 011012012 +y, ELECTRICAL PERMIT CITY OF PORT ANGELES , 360-417-4735 Application Number 14-00000800 Date 7/08/14 Application pin number 586400 Property Address . , , 1727 E 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-5-5-0145-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY Subdivision Name . . , , . Ort your excise fax form Property Use , . . , , , to the City of Port Angeles Property Zoning . . , , , . , R97 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation h . . , 0 ---------------------------------------------------------------------------- Application deme Washer'/ Dryer and Laundry remodel ---------------------------------------------------------------------------- Owner Contractor WILLIAM LANE AND SARAH LEWIS T EXTRA MILE TECH & ELECT_ LLC 1727 R 4TH ST 418 N. RACE ST, PORT ANGELES WA 96362 PORT ANGELES WA 98362 (360) 457-5222 ---------------------------------------- ----------------------------------- t Permit . . . . . . ELECTRICAL ALTER RESSDSNTIAL Additional desc 1-4 CIRCUITS Permit Fee 75.00 Plan Check Fee .00 Tssue Date . . . . 7/06/14 Valuation . . . . 0 .Expiration Date . . 1/04/15 Qty Unit Charge Per Extension BASE FEE 75.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 7.5.00 75.00 .00 .00 Plan Check Total 00 00 ,00 .00 Grand Total 75,00 75.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN r1 FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X x Date: G:IEXCHANGKBUILDING ELECTRICAL INSPECTION 01 . 1 WIRING REPORT 417-4735 U BATF. PERMIT Jt INSPECTOR —f� OWNER I CONTRACTOR - ,k-fh) 1,� ADDnEss L,-( APPROVED NOT APPROVED El . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . El D. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . 0 0. . . . . . . . . - . . . . . . . . SERVICE . . . . . . I . . . . . I . . . . . . El Il. . . . . . . . . . . . . . FINAL . . . . . . . . . . . . CORRECTIONS NEEDED; lft4 65 `ft) Cc us. I K-C-Yr— 5 �C� 314 , NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE -