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Home My WebLink About1120 W 10th St - BuildingPREPARED 9/07/11 9 11 38 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/07/11 ADDRESS 1120 W 10TH ST TENANT NBR GENEVRA A HARRIS TRST CONTRACTOR GREEN HOME RENOVATIONS INC OWNER GENEVRA A HARRIS TRST PARCEL 06 30 00 0 3 1720 0000 APPL NUMBER 11 00000539 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 7/19/11 JLL 7/19/11 AP BL99 01 BL99 02 9/07/11 8/03/11 JLL 8/03/11 DA SUBDIV COMMENTS AND NOTES PHONE PHONE (320) 762 5372 BLDG FRAMING July 18 2011 2 07 48 PM pbarthol JACKIE 460 4924 July 19 2011 4 18 48 PM jlierly BLDG FINAL TIME 01 00 August 2 2011 2 39 49 PM 1pangrle AL 360 775 9723 BUILDING FINAL REMODELED BASEMENT ADDED A BATHROOM AFTERNOON HE REQUESTED YOU CALL HIM 10 MINUTES BEFORE YOU GET THERE SO HE THE OWNER CAN MEET YOU THERE August 3 2011 4 10 28 PM jlierly weather strip door /elec final/j11 BLDG FINAL TIME 01 00 September 7 2011 8 34 44 AM 1pangrle JACQUELINE 460 4924 BUILDING FINAL AFTERNOON SHE REQUESTS THAT YOU CALL HER 10 MINUTES BEFORE YOU GET THERE DATE: 1 PERMIT /�c/.,,,. 1 V/ INSPECTOR OWNS CONTRACTOR ADDRESS APPROVED 0 0 ELECTRICAL INSPECTION WIRING REPORT 417 -4735 DITCH ROUGH IN /COVER SERVICE FINAL NOT APPROVED 0 0 0 CORRECTIONS NEEDED: ("NT1ig..) 12O) N 3 2p L. 214 p rz V o �1q tz y NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE PREPARED 8/03/11 8 08 55 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS TENANT NBR CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT TYP /SQ BL3 01 BL99 01 PERMIT TYP /SQ 06 30 00 0 3 1720 0000 11 00000539 RES REMODEL BPR 00 BUILDING PERMIT REQUESTED INSP COMPLETED RESULT ME99 01 8/03/11 PERMIT TYP /SQ PL2 01 PL99 01 1120 W 10TH ST SUBDIV GENEVRA A HARRIS TRST GREEN HOME RENOVATIONS INC PHONE GENEVRA A HARRIS TRST PHONE (320) 762 5372 7/19/11 JLL 7/19/11 AP 8/03/11 ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS 7/19/11 JLL 7/19/11 AP 8/03/11 RESIDENTIAL DESCRIPTION RESULTS /COMMENTS COMMENTS AND NOTES PAGE 7 DATE 8/03/11 BLDG FRAMING July 18 2011 2 07 48 PM pbarthol JACKIE 460 4924 July 19 2011 4 18 48 PM jlierly BLDG FINAL TIME 01 00 August 2 2011 2 39 49 PM 1pangrle AL 360 775 9723 BUILDING FINAL REMODELED BASEMENT ADDED A BATHROOM AFTERNOON HE REQUESTED YOU CALL HIM 10 MINUTES BEFORE YOU GET THERE SO HE THE OWNER CAN MEET YOU THERE MECHANICAL FINAL TIME 01 00 August 2 2011 2 41 27 PM 1pangrle AL 360 775 9723 MECHANICAL FINAL REMODELED BASEMENT ADDED A BATHROOM AFTERNOON HE REQUESTED YOU CALL HIM 10 MINUTES BEFORE YOU GET THERE SO HE THE OWNER CAN MEET YOU THERE PLUMBING ROUGH IN July 18 2011 2 08 33 PM pbarthol JACKIE 460 2924 July 19 2011 4 18 48 PM jlierly PLUMBING FINAL TIME 01 00 August 2 2011 2 41 46 PM 1pangrle AL 360 775 9723 PLUMBING FINAL REMODELED BASEMENT ADDED A BATHROOM AFTERNOON HE REQUESTED YOU CALL HIM 10 MINUTES BEFORE YOU GET THERE SO HE THE OWNER CAN MEET YOU THERE IAAkkqk. D„, rt„,1-4 p\QAsi GQ �I aN PREPARED 7/19/11 9 13 55 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/19/11 ADDRESS 1120 W 10TH ST TENANT NBR GENEVRA A HARRIS TRST CONTRACTOR GREEN HOME RENOVATIONS INC OWNER GENEVRA A HARRIS TRST PARCEL 06 30 00 0 3 1720 0000 APPL NUMBER 11 00000539 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESUL RESULTS /COMMENTS 7/19/111 J4 BL3 01 Ira PERMIT PL 00 PLUMBING PE T REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESUL RESULTS /COMMENTS PL2 01 7/19/11 SUBDIV PHONE PHONE (320) 762 5372 BLDG FRAMING July 18 2011 2 07 48 PM pbarthol JACKIE 460 4924 PLUMBING ROUGH IN July 18 2011 2 08 33 PM pbarthol JACKIE 460 2924 COMMENTS AND NOTES S INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN )J 1 6 c lip 45?' tq' FINAL COMMENTS ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Basement remodel 3. circuits Owner GENEVRA A HARRIS TRST 1219 BRYANT ST ALEXANDRIA (320) 762 5372 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Fee Total Plan Check Total Grand Total MN 56308 187567 78 70 6/15/11 12/12/11 Fee summar' Charged 78 70 00 78 70 11 00000599 997271 1120 W 10TH ST 06 30 00 0 3 17 0 0000 ELECTRICAL ONLY Paid Contractor ELECTRICAL ALTER RESIDENTIAL Qty Unit Charge Per 1 00 73 5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 2 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT JEFF NELSON ELECTRIC 7062 OLD OLYMPIC HWY PORT ANGELES WA 98 62 (369) 460 4291 66 29'4 78 70 00 78 70 Plan Check Fee Valuation PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Credited 00 00 00 Date 6/15/11 Due 00 00 00 0 0 0 Extension 73 50 5 20 Signature of owner or Electrical Contractor X Date G \EXCHANGEBUILDING REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) CITY OF PORT ANGELES PERMIT APPLICATION�x Building Division/Electrical Inspections 321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362 Ph (360) 417 -4735 Fax. (360) 417 -4711 Date /y 2 Si gle Family Dwelling Multi Family or Commercial* Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet Job Address: /Zo mac/ Building Square Footage' /235 Description of above gel/11 G'S 7 arc ✓idD Owner Information 1�//'' Name. hF irra fY's2..7^" S Mailing Address: City' Phone: License Exp. State: Zip: Fax: Dated: j 6 t /'(1SI j "U o<fGccs5 JUN 14 2011 ELECTRICAL INSPECTIONS Commercial Addition Alteration Remodel Repair* Wirsng C Contractor Infor ation Name: ._,,,k, 4 S'orr '/2 G Mailing Address: ..57 7 City' et State: We" Zip: 't8'? z Phone: Y6C1 W/29/ Fax: 4 4 /2-TY License Exp. /^Fit/&/ ?7Y RP Item Unit Charge CAy Total (Qty Multiplied 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 Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp Service/ Feeder 200 Amp. 92.70 Temp Service /Feeder 201 -400 Amp. 110.30 Temp Service /Feeder 401 -600 Amp. 148.70 Temp Service /Feeder 601 1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling 63.90 'Signal Circuit/ Limited Energy Multi Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY. First 1300 Square Ft. 110 30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 78" 70 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 inspection z �3 ,S S•� After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N E.0 RCW Chapter 19.28 WAC Chapter 296 -46B The City of Port Angeles Municipal Code and Utility Specifications and PAMC 14 05 050 regarding Electrical Permit Applications Signature of owner electrical contractor or electrical administrator Cash Check Credit Card 01101/2010 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 11 00000539 Application pin number 877570 Property Address 1120 W 10TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 1720 0000 Tenant nbr name GENEVRA A HARRIS TRST Application type description RES REMODEL Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 19000 Application desc REMODEL BASEMENT ADD A BATHROOM Owner Contractor GENEVRA A HARRIS TRST GREEN HOME RENOVATIONS INC 1219 BRYANT ST 3762 SE ROETHE RD ALEXANDRIA MN 56308 MILWAUKIE (320) 762 5372 Structure Information 000 000 REMODEL BASEMENT ADD A BATHROOM Permit BUILDING PERMIT RESIDENTIAL Additional desc REMODEL BASEMENT Permit pin number 186775 Permit Fee 333 75 Plan Check Fee 216 94 Issue Date 6/08/11 Valuation 19000 Expiration Date 12/05/11 Qty Unit Charge Per BASE FEE 17 00 14 0000 THOU BL -2001 25K (14 PER K) Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 1 00 1 00 1 00 Qty Unit Charge Per T:Forms /Building Division /Building Permit MECHANICAL PERMIT 186783 82 70 6/08/11 12/05/11 Permit PLUMBING PERMIT Additional desc Permit pin number 186791 Plan Check Fee 00 Valuation Date 6/08/11 OR 97267 Extension 95 75 238 00 0 Unit Charge Per Extension BASE FEE 50 00 7 2500 EA ME VENT FAN (SINGLE DUCT) 7 25 10 6500 EA ME STOVE /FIREPLACE /MISC APP 10 65 14 8000 EA ME HEATER(SUSP /WALL /FLOOR MTD) 14 80 Permit Fee 100 00 Plan Check Fee 00 Issue Date 6/08/11 Valuation Expiration Date 12/05/11 0 Extension REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) ttW 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 J ct-C quefine. Lip, u,st Y Date Print Name Signature of Contractor or Authorized gent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Parking Lighting Comments FOUNDATION Date Accepted By Footings Stemwall Foundation Drainage Downspouts R W PW Engineering Piers Fire Post Holes (Pole Bldgs.) 417 -4653 PLUMBING Planning Accepted by Under Floor Slab 417 -4750 Rough -In Building Water Line (Meter to Bldg) 417 -4815 Gas Line Back Flow Water FINAL Date 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. Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date MANUFACTURED HOMES. Footing Slab Blocking Hold Downs Skirting PLANNING DEPT FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA. ESA. SHORELINE. Parking Lighting Inspection Type Date Accepted By Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT Separate Permit #s SEPA. ESA. SHORELINE. Parking Lighting Landscaping 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. 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 Application Number Application pin number Qty Unit Charge Per 4 00 1 00 1 00 Other Fees Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Other Fee Total Grand Total 7 0000 EA 7 0000 EA 15 0000 EA 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 owner is builder) T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 11 00000539 877570 BASE FEE PL- PLUMBING TRAP PL -WATER LINE PL -SEWER LINE 516 45 516 45 00 216 94 216 94 00 4 50 4 50 00 737 89 737 89 00 Page 2 Date 6/08/11 Extension 50 00 28 00 7 00 15 00 STATE SURCHARGE 4 50 00 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Inspection Type Date Accepted By Comments FOUNDATION. Footings Accepted By Electrical Stemwall 417 -4735 Foundation Drainage Downspouts Construction Piers PW Engineering 417 -4831 Post Holes (Pole Bldgs.) Fire PLUMBING q' 3 tk TA-- Under Floor Slab -"I'-- l� Rou g h -In L 1 9 Water Line (Meter to Bldg) Gas Line Building Back Flow Water 417 -4815 ct— 1 FINAL Date Cl Accepted by J AIR SEAL. Walls Ceiling FRAMING 7..IQ_It 'ALL Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION' Slab Wall Floor Ceiling MECHANICAL. 3 Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES Footing Slab Blocking Hold Downs L Skirting PLANNING DEPT FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA. ESA. SHORELINE. Parking Lighting Inspection Type Date Accepted By Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 ct— 1 l., PLANNING DEPT Separate Permit #s SEPA. ESA. SHORELINE. Parking Lighting Landscaping 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. T Forms /Building Division /Building Permit 7D e nevra RECEIVED JUN 07 2011 CITY OF PORT BUILDING DIVISION S arr 1 1 0 W 6o- /P 4Z4 1/1-ile7PA 1/' s Applicant Property Property Contractor Contractor's License Parcel Number Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLIC TION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 5 yorAt fgancl J a :Ce a e. 61 a L fs( Owner G e 'i v-rtz Mel rr Owner's Address l q fir $7- q /�X 5 Gee �v �er��r�fce, s nc Phone Address G R LEN R 92-504 PROJECT ADDRESS Project Type Brief Description. %Residential Multi- family Commercial Check all that apply New Construction Industrial Addition la Remodel 5.62. Repair Demolition Re -roof House garage other tear off re -roof lay over one layer Heat System Heat pump wood burning stove. gas fireplace pellet stove other Other Total footprint of structures Site Coverage the amount of impervious s and other impervious surfaces (see PAMC Max. height of proposed structures Will a lawn sprinkler system be installe Will a fire sprinkler system be installe Expires_ I y 6 5 f o r t. Existing (sq. ft.) Proposed (sq. ft.) s• T Lot size e on a parcel including stru 7 94 135 for exemptions) Occupancy gro Occupant loa Constructio type P one Phone Lot O.TAL .VALUATION For City Use Only Date Received 5 -3I I Permit i 5 g ate Approved 3' 'q may' (3-7_c) 7(2 J 3 7z M/V o g'/ per sq ft. fu q Zon e sq es paved driveways sidewalks patios Site coverage of bedrooms of full baths of half baths I 1 have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my respon ibility to determine what permits are required, and to obtain permits prior to working on projects. Date Print Name Jae u di e L tv> alcr rs f Signature T Forms /Building Division /Building permit application NOTES Permit 1\ -539 p 4 4 Some_ of- hc'S adr 4a eet .one ®_Ali r vew t"o r a l t s I n 6a. s- N ew r "s4-ud lls' n s 4 D_)dek l'o r CM cVVA-e— Wek.11 S Ne IA/ s,t.) [Q4-4 V ci. X 11 Nei K i s h Owe room n ex+ 4a ha-1 -k ry r e,.,.} S t ri K 1 v► ern Voin f V e y 14 c, ;v1 re o Yle k± 0 1 e b r wv Nt iNeW c G arn-t exi si-cn -furrn N Q I h ee,- V\ ,rn ■y V t-,r, one. w r 11 4 i ye, 1 h d ure. -I t'1 T Forms /Building Division/Notes N o chay, e, o try kV° F14-1- scP .r* Clallam County Assessor Treasurer Property Details 59146 GENEVRA A HARRIS Page 1 of 2 Clallam County Assessor Treasurer Property Search Results 59146 GENEVRA A HARRIS -TRST for Year 2011 2012 Property Account Property ID* Amount Due if Paid on 71. 59146 Taxes and Assessment Details Property Tax Information as of 05/31/2011 Legal Description: Geographic ID 0630000317200000 Agent Code: Type. Real Tax Area 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space. N DFL N Historic Property' N Remodel Property' N Multi Family Redevelopment: N Township: Section: Range: Location Address. 1120 W TENTH ST Mapsco. PORT ANGELES, WA Neighborhood: Cycle 5 Res Map ID 3 Neighborhood CD 10955130 Owner Name. GENEVRA A HARRIS -TRST Owner ID Mailing Address. 1219 BRYANT ST Ownership ALEXANDRIA, MN 56308 Exemptions: E 45' LOT 5 BL 317 HARRIS SURV V50 P60 29224 100.0000000000% NOTE. If you plan to submit payment,on a future date make sure you enter the date and click RECALCULATE to obtain the correct total amount due. First Second Half Half Ba Base Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid Amount Due 2011 153762 ST SCH STATE SCHOOL $168.37 $168.36 $0.00 $0.00 $336.73 $0.00 2011 153762 CC -GEN COUNTY CLALLAM $92.96 $92.93 $0 00 $0 00 $185.89 $0.00 2011 153762 SD #121 SCHOOL DISTRICT #121 $220 09 $220 07 $0.00 $0 00 $440 16 $0.00 2011 153762 CITY PORT ANG CITY OF PORT ANGELES $214.57 $214 57 $0 00 $0 00 $429 14 $0.00 2011 153762 PORT PORT OF PORT ANGELES $13.08 $13 08 $0 00 $0 00 $26 16 $0.00 i 2011 153762 NTH OLY LIB NORTH OLYMPIC LIBRARY $38.98 $38.98 $0 00 $0.00 $77.96 $0 00 2011 153762 HOSP #2 HOSPITAL #2 $38 16 $38.15 $0 00 $0 00 $76•.31 $0.00 i 2011 153762 WSMET PK DIST WILLIAM SHORE MET PARK DIST $11.60 $11.59 $0 00 $0 00 $23 19 $0 00 2011 153762 CITY STORMWATER CITY STORMWATER $36 00 $36 00 $0.00 $0 00 $72.00 $0 00 2011 153762 WEED CONTROL WEED CONTROL $0.82 $0.81 $0 00 $0 00 $1.63 $0 00 2011 153762 TOTAL. $834.63 $834.54 $0.00 $0.00 $1669.17 $0.00 2010 42047 ST SCH STATE SCHOOL $166.68 $166.68 $0 00 $0.00 $333.36 $0.00 2010 42047 CC -GEN COUNTY CLALLAM $88 71 $88.69 $0.00 $0.00 $177 40 $0 00 2010 42047 SD #121 SCHOOL DISTRICT #121 $215.90 $215.89 $0.00 $0 00 $431 79 $0.00 2010 42047 CITY PORT ANG CITY OF PORT ANGELES $205.37 $205.38 $0.00 $0 00 $410 75 $0.00 201 42047 PORT PORT OF PORT ANGELES $12.46 $12.47 $0.00 $0.00 $24 93 $0.00 2010 42047 NTH OLY LIB NORTH OLYMPIC LIBRARY $25 78 $25 77 $0 00 $0 00 $51.55 $0 00 2010 42047 HOSP #2 HOSPITAL #2 $36.39 $36.39 $0 00 $0 00 $72.78 $0 00 2010 42047 WSMET PK DIST WILLIAM SHORE MET PARK DIST $11.58 $11.58 $0 00 $0 00 $23 16 $0 00 2010 42047 CITY_STORMWATER CITY STORMWATER $36.00 $36 00 $0 00 $0 00 $72.00 $0 00 http. /websrv8 clallam. net propertyaccess /Property.aspx ?cid ='0 &year 2011 &prop_id =59146 5/31/2011 �m 7' 4 r IIIMINammiel 71 '.IiF,pJ" ski I f 7 I WI III ty141 7 te__ Mk, i d u ft ish t J. if �i Komi A v 'SO415 .4) n 1� Ifs' s I ass ...mt,..iiiiimi .-a IF MEMi oft I iiTi .:ate fl 1?f jiff r d q W s¢ Lit' t 9 t Y Ib 7 0 .0 2 G u l n corn ent al l n t p g did er d,ta ng rried d, birth ent t t L o on t B y ne 0 y°_ i of t all is pert d equiri ns- odes -and-. -A Al `k Es_: r ui i j t y n Y r r j. The i;suante catioiranc}�other from thereafter r;- sovibeet buil ing o�erati,ns viol<tion cf bU +'fls,s e il ore from rth�Ouns is i oicial 5 ifl`3aid prev,nting o i coon. pp nova+ )ate ES Y :r III IIII Wow= 10 it- 1,4 g e IV Q S4 Q t r f-. r )v 6y- o t 4 +N t y ��ZIZ�,g� aid 4 7 t 04:14 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc TEAR OFF RE ROOF HOUSE RS7 RESDNTL SINGLE FAMILY 5110 Owner Contractor 09 00000362 Date 4/23/09 006280 1120 W 10TH ST 06 30 00 0 3 1720 0000 GENEVRA A HARRIS TRUST RE ROOF GENEVRA A HARRIS TRUST TOPNOTCH ROOFING GUTTER 1219 BRYANT ST 1235 W 9TH ALEXANDRIA MN 56308 PORT ANGELES WA 98362 (360) 460 4924 (360) 457 0066 Structure Information 000 000 TEAR OFF RE ROOF HOUSE Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF RE ROOF HOUSE Permit pin number 144709 Permit Fee 151 75 Plan Check Fee 00 Issue Date 4/23/09 Valuation 5110 Expiration Date 10/20/09 Qty Unit Charge Per Extension BASE FEE 95 75 4 00 14 0000 THOU BL -2001 25K (14 PER K) 56 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 151 75 151 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 156 25 156 25 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit Inspection Type Date Accepted By Parking Lighting Comments FOUNDATION Date Landscaping Footings Electrical Stemwall 417 -4735 Foundation Drainage Downspouts Construction Piers PW Engineering 417 -4831 Post Holes (Pole Bldgs Fire PLUMBING 417 -4653 Accepted by Under Floor Slab Planning Rough -In 417 -4750 Water Line (Meter to Bldg) Gas Line Back Flow Water /i)(pl ri" -s 2'I -I FINAL Date 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. Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA. ESA. SHORELINE. Parking Lighting Inspection Type Date Landscaping Accepted By Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 /i)(pl ri" -s 2'I -I PLANNING DEPT Separate Permit #s SEPA. ESA. SHORELINE. Parking Lighting Landscaping 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. T.Forms /Building Division /Building Permit Applicant or Agent 1.00 p X 0 9 t p SL ep Property Owner G_ A r r Property Owner's Address jet) 6,3. c g e1 Contractor /Engineer t? -art 1,4 Contractor /Engineer's Address y.- 3 6 0 1, License e N A 9, e rg! r A PROJECT ADDRESS Parcel Number Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures T Forms /Building Division /Bldg Permit Appl. 2006 Code doc BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 t2.0 i& Existing (sq. ft.) Proposed (sq. ft) iv R "oey„ Max height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type Date 0 2,.9° ®I. Print Name tt4 t!/ l{ 0 -1 1 "1_ P. A. tili.1,Y 4 For City Use Only Date Received Li -2.3-- O Permit# Oq -3( Date Approved Phone 2I�„6- b mb.6 Phone C /co. At at 2 �t PFione Lot alb 7-0 .44.6 Expires S o) 6 Zoning Project Type Brief Des Check all that apply New Construction cription. .Q, r e9 it Residential Commercial Multi- family Industrial '7 r esig Atka 3 4/eo 41e-, g 4o et-,/ .47 ed F4 Ala.., Ga n. a.► P ,bra b k Addition Remodel Repair house Re -roof Demolition Heat System Heat pump wood burning stove gas fireplace pellet stove other Other per sq ft. TOTAL VALUATION 5 H 0 /0 sq ft. T Lot size sq ft. Lot coverage of bedrooms of full baths of half baths Signature Li) I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. 3/i 7/09 Company signature. L 5 Authorized party to accentbid topnotchroofing @gwestoffice:net TOPNORG994DA EXPIRATION DATE: 5/18/10 Date 3 Bid prices are subject to reasonable increases due to any necessary alterations, additions, increases in material and /or labor to complete work. Homeowner will be notified of any necessary changes, which may affect cost. Property owners are responsible for obtaining any permits required for work and materials described herein. TOPNOTCH. is happy to provide permit, but will add the cost to the final bill. Bid prices are applicable for 30 days* from date below, unless otherwise stated or agreed to. Please feel welcome to call if you have questions concerning this estimate /bid. If bid is accepted, please sign one copy and return it to TOPNOTCH ROOFING GUTTER, at the address above. Work is scheduled upon receipt of signed bid. Verbal agreements will not guarantee scheduled work. References are available! Plus City of Port Angeles Building permit required ESTIMATE AND BID PROPOSAL CONTRACT TO' Jackie Lindquist 1902 W 5 St Port Angeles WA 98363 460 4924 FOR' Re -roof 1120 W 10 St Port Angeles WA 98363 $5110 00 429.24 $5539 24 Five thousand five hundred thirty nine and 24/200 Torchdown roof that is badly deteriorated Recommend tear off and re -roof estimate to follow Tear off existing roofing Clean up and landfill disposal included Roof with 30 -year laminated Composition over 30# felt Torchdown application to be used for the built in gutter system Install chimney flash, step flash, 3 -1" neos 1 -4 neo starter course composition 49' of Ridge cap 1 -AF 50 vent skylight flash Estimated cost of tear off and re -roof gutters To include materials to be used and labor to complete work as described and sales tax Please call if you have any questions about your bid or would like to schedule this work to be done Date i oC 3/9 MATERIAL WARRANTY BY MANUFACTURER, WORKMANSHIP GUARANTEED BY LICENSED, BONDED, INSURED CONTRACTOR Workmanship warrant• does not cover alterations. lack of maintenance, or improper maintenance, etc. PAYMENT TERMS: ONE HALF TO START WORK, BALANCE DUE IN FULL WHEN WORK IS COMPLETED ALTERNATIVE PAYMENT ARRANGEMENTS MUST BE DISCUSSED AND AGREED TO PRIOR TO THE START OF THE JOB BUILDING PERMIT ISSUED: 9/09/2002 OWNER/APPLICANT KAY WYMAN 1120 W 10TH Port Angeles, WA 98363 360/000 -0000 T: CONTRACTOR PETTIT OIL 638 MARINE DR PA, WA 98363 -0000 800/972 -7002 PROJECT NOTES ABANDON OIL TANK IN PLACE, SLURRY FILLED RECEIPT#9647 FEES ASSESSMENT Building Permit: $0.00 Plan Check: $0.00 State Surcharge: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 Plumbing: $0.00 Mechanical: $0.00 Radon: $0.00 CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5"' Street, Port Angeles, WA 98362 S: PROPERTY LOCATION 1120 10TH ST W Lot: e. 45' lot 5 Block: 317 Long Legal Subdivision: TPA Parcel No: 063000031720000 ARCHITECT N/A 98360 -0000 360/000 -0000 Misc Fee 1: ABANDON TANK Misc Fee 2: Misc Fee 3: TOTAL FEE: AMOUNT PAID: PERMIT NO: 13698 PROJECT INFO Project Value: $650.00 SFD Units: 0 Commercial: 0 Project Type: ABANDON OIL TNK SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: rs7 $15.00 $0.00 $0.00 $15.00 $15.00 BALANCE DUE: $0.00 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 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 recognized standards, laws and ordinances goveming this type of work will be compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions o €any etate or local law regula np the work specified in the permit. Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date Q f S Inspection Type I Date Passed Comments FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough -in inspection Alarm final LP GAS Completed by Contractor: Test #1 Piping pressure test psi Underground piping inspection/pressure test Above ground piping inspection/pressure test Time initiated Tank (container) inspection Test #2 Piping pressure test psi Appliance inspection Time initiated LP -gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Kb Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final /3 a- PERMIT OTHER (specify) permit final FIRE PERMIT INSPECTION RECORD Call 360 417 -4655 for fire inspections. Please provide a minimum 24 -hour notice. It is unlawful to cover, insulate or conceal any work before inspected and accepted. Post permit in a conspicuous location. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE /36W GENERAL COMMENTS: 2/15/00 REQUEST Date a--/(1 C' 6 CITY OF PORT ANGELES D 0 )a. o I (�4� DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT Time Location of Work to be inspected 6 tJ Name of person requesting inspection L'U 11 C c: i Address of person requesting inspection 1 'f 13 Phone No Type of Inspection (circle appropriate one) Permit No Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other CA-) ''e3' INSPECTION NOTES Inspected Date Time By Remarks 1 R -trGt e;.'` 4?- >1 ev is W f 1 h -ro C Y c/ CA. /141 RESTORATION REQUIRED YES NO t (Continue on reverse side if necessary) 3/7 Received by (phone, person) 2" c- 1 c) SURFACE RESTORATION SURFACE TYPE Unimproved Gravel Asphalt PCC Other Repaired by City Work Order 5 7 7 Repaired by Permittee COMPLETE No Damage Found INCOMPLETE STREET SUPERINTENDENT (DATE) SO i L 'Work Order No: Reported: 0 a Repaired: 1 1 1 O a Repair Location: Address. Loc. Description. Component Repaired: 5/19/98 Repair Type: Clamp Site Condition: Surface Curb Main Condition: Apparent Cause of Leak: City of Port Angeles Public Works Department Water Distribution Repair Report Damage: Cuts: Street Cut: Ft. Condition. Emergency Routine Source. Citizen Complaint v Leakage Survey Other Dresser Other Gravel Roadway Asphalt Street Top Soil Area Soil 'Type Curb Cut: Ft. Sidewalk Cut: Ft. Diameter- Inches 2`` c Material. Depth of Cover- Ft. c Internal Lining. Other Structures. (Crew: 7 j q 1 l 6 Main Line ID#: Main: Joint Cir Break 1/ Split Bell Long. Break Hole Clamp Other Service: Tap Corp Stop Pipe Curb Stop Line Valve: Flange Nuts, Bolts Stem Bonnet Hydrant: Branch Valve Barrel Other: Joint Type: External Prot: Tuberculation. N/A Minor Severe External Corrosion. N/A Localized Extensive Special Conditions: Bedding: Samples Taken: Pipe Section C o u p o n Water Off- From q D b To At M From 0 P To M 5-e li-Q Sidewalk Page 1 PW -90209 CITY OF PORT ANGELES LIGHT DEPARTMENT 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 electric .4 r 1 work as listed below. Address Occupancy v Owner Wiring Contractor ot are --et+- Light Outlets Receptacle Outlets Dryer, KW Range, KW Water Heater: KW Heat: KW._..! Motors: size, volt and phase: Remarks: Total Load IM Olympic Printers, Inc. N? 17184 Port Angeles, Washington 19 ELECTRICAL PERMIT Service, volts By No. wires Size wires 9'I Main fuse ..a'.... Enclosure Type of wiring: Entrance Cable Rigid Conduit Metallic Tubing Current transformers: No. Size Ser. No Ser. No. Ser. No Ser. No Address Date Type of Wiring: Armored Cable Non Metallic Knob Tube Rigid Conduit Metallic Tubing Raceway Circuits, Light Utility Heat Range Water Heater Motor Dryer Furnace Total Permit Fee Treas. Receipt 4 No Bic. a t 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 N? 17184 Owner Tenant Wiring Contractor 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.