HomeMy WebLinkAbout623 E 5th St - BuildingPREPARED 3/10/10 9 21 38
CITY OF PORT ANGELES
ADDRESS 623 E 5TH ST SUBDIV
TENANT NBR MARJORIE L UPHAM
CONTRACTOR HATHAWAY CONSTRUCTION INC PHONE (360) 457 5627
OWNER MARJORIE L UPHAM PHONE (360) 452 3677
PARCEL 06 30 00 0 1 7370 0000
APPL NUMBER 09 00001050 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLFO 01
10/29/09 JLL
10/29/09 AP
BL3 01 11/03/09 JLL
11/03/09 AP
BL9 01 11/ -12/09 PB
11/12/09 AP
BL3 02 12/09/09 JLL
12/09/09 AP
BL99 01
2/04/10 PB
2/05/10 DA
BL99 02 3/10/10
INSPECTION TICKET
INSPECTOR JAMES LIERLY
BLDG FOUNDATION TIME 09 00
October 29 2009 8 31 17 AM 1pangrle
TOBY 460 6257
FOUNDATION
MORNING
October 29 2009 4 22 32 PM jlierly
BLDG FRAMING TIME 01 00
November 3 2009 8 19 14 AM 1pangrle
TOBY 460 6257
FRAMING UNDERFLOOR
AFTERNOON
November 3 2009 4 06 35 PM jlierly
BLDG SHEARWALL
November 12 2009 9 45 41 AM 1pangrle
TOBY 460 6257
SHEARWALL
November 12 2009 4 05 48 PM pbarthol
BLDG FRAMING
December 9 2009 9 12 17 AM 1pangrle
TOBY 460 6257
FRAMING
December 9 2009 4 03 31 PM jlierly
BLDG FINAL TIME 12 00
February 3 2010 10 12 51 AM 1pangrle
RON HATHAWAY 460 5143 CELL
BLDG FINAL
PLEASE INSPECT BETWEEN 12 00 1 00 PM THE HOMEOWNER
MARGE UPHAM WILL BE HOME DURING HER LUNCH HOUR
IF YOU INSPECT LATER THAN 1 00 PM PLEASE CALL RON AT
460 5143 ABOUT 30 MINUTES BEFORE YOU GET THERE SO HE CAN
MEET YOU THERE AND LET YOU INSIDE
February 5 2010 8 52 59 AM pbarthol
Electrical not signed off Needs handrail on rear steps
(south side only) Insulation affidavit
BLDG FINAL TIME 01 00
March 10 2010 8 45 26 AM 1pangrle
RON 452 3677
BLDG FINAL
AFTERNOON
PLEASE CALL THE OWNER MARGE AT 452 3677 OR AT 417 2242
30 MINUTES BEFORE YOU GET THERE SO SHE CAN MEET YOU THERE
COMMENTS AND NOTES
PAGE 6
DATE 3/10/10
trvy cetAle cr-e.
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EXTERIOR WALLS
Type of material. Fiberglass
ATTIC BLOW
Type of material. Fiberglass N Pt
TRACY'S INSULATION INC
"Insulating your Community"
PO BOX 567
PORT ANGELES, WA 98362
INSULATION CERTIFICATE
THE INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE
CURRENT THERMAL PERFORMANCE STANDARDS (WASHINGTON
STATE ENERGY CODE) OR PER APPROVED PLANS, AT THE ADDRESS
LOCATED BELOW
G2 f c-J
-AW.Mr_Pra011
SUB- CONTRACTOR. TRACY'S INSULATION CONTRACTOR S REG NO TRACYI*942DF
MANUFACTURER THICKNESS R-VALUES
jag 1
ATTIC BATTS t„a 1L"
Type of material. Fiberglass Ad
SLOPE/VAULTED CEILINGS
Type of material. Fiberglass
1
FLOORS
Type of material. Fiberglass 14 A CMLF
I PIPE WRAPS
Type of material. Fiberglass YES NO K,
i
VAPOR BARRIERS CEILING N) 1 pi WALLS
tit IA .1011 (AO bt2tilM-( 5
AUTHO ZED SIGNATURE TITLE DATE
by
ADDRESS
f\.) n FLOORS 41_5_
PREPARED 2/04/10 8 09 20 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES `NSPECTOR JAMES LIERLY DATE 2/04/10
ADDRESS 623 E 5TH ST
TENANT NBR MARJORIE L UPHAM
CONTRACTOR HATHAWAY CONSTRUCTION INC
OWNER MARJORIE L UPHAM
PARCEL 06 30 00 0 1 7370 0000
APPL NUMBER 09 00001050 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
SUBDIV
PHONE (360) 457 5627
PHONE (360) 452 3677
BLFO 01 10/29/09 JLL BLDG FOUNDATION TIME 09 00
10/29/09 AP October 29 2009 8 31 17 AM 1pangrle
TOBY 460 6257
FOUNDATION
MORNING
October 29 2009 4 22 32 PM jlierly
BL3 01 11/03/09 JLL BLDG FRAMING TIME 01 00
11/03/09 AP November 3 2009 8 19 14 AM 1pangrle
TOBY 460 6257
FRAMING UNDERFLOOR
AFTERNOON
November 3 2009 4 06 35 PM jlierly
BL9 0 11/12/09 PB BLDG SHEARWALL
11/12/09 AP November 12 2009 9 45 41 AM 1pangrle
TOBY 460 6257
SHEARWALL
November 12 2009 4 05 48 PM pbarthol
BL3 02 12/09/09 JLL BLDG FRAMING
12/09/09 AP December 9 2009 9 12 17 AM 1pangrle
TOBY 460 6257
FRAMING
December 9 2009 4 03 31 PM jlierly
BL99 01 2/04/10 JLL BLDG FINAL TIME 12 00
j
February 3 2010 10 12 51 AM 1pangrle
RON HATHAWAY 460 5143 CELL
BLDG FINAL
PLEASE INSPECT BETWEEN 12 00 1 00 PM THE HOMEOWNER
MARGE UPHAM WILL BE HOME DURING HER LUNCH HOUR
IF YOU INSPECT LATER THAN 1 00 PM PLEASE CALL RON AT
460 5143 ABOUT 30- MINUTES BEFORE YOU GET THERE SO HE CAN
MEET YOU THERE AND LET YOU INSIDE
COMMENTS AND NOTES
INK
Date
BUILDING DIVISION
CITY OF PORT ANGELES
Correction Notice
Job Located at 6 3 F
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction
ita/ L 04/ seer -s/ vc (4f 4/sfe5)
4/sa,4, -T 70 /ci L //K/7-
These corrections must be made and are not to be
covered until reinspection is made When corrections
have been made, please call 4/ 7 /Pg
for inspection
'Inspector for Building Division
DO NOT REMOVE THIS TAG
PREPARED 12/09/09 9 13 26 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/09/09
ADDRESS 623 E 5TH ST SUBDIV
TENANT NBR MARJORIE L UPHAM
CONTRACTOR HATHAWAY CONSTRUCTION INC PHONE (360) 457 5627
OWNER MARJORIE L UPHAM PHONE (360) 452 3677
PARCEL 06 30 00 0 1 7370 0000
APPL NUMBER 09 00001050 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLFO 01 10/29/09 JLL BLDG FOUNDATION TIME 09 00
10/29/09 AP October 29 2009 8 31 17 AM 1pangrle
TOBY 460 6257
FOUNDATION
MORNING
October 29 2009 4 22 32 PM jlierly
BL3 01 11/03/09 JLL BLDG FRAMING TIME 01 00
11/03/09 AP November 3 2009 8 19 14 AM 1pangrle
TOBY 460 6257
FRAMING UNDERFLOOR
AFTERNOON
November 3 2009 4 06 35 PM jlierly
BL9 01 11/12/09 PB BLDG SHEARWALL
11/12/09 AP November 12 2009 9 45 41 AM 1pangrle
TOBY 460 6257
SHEARWALL
1 (j November 12 2009 4 05 48 PM pbarthol
BL3 02 12/09/09 Dec FRAMING
December mber 9 2009 9 12 17 AM 1pangrle
TOBY 460 6257
FRAMING
COMMENTS AND NOTES
PREPARED 11/12/09 9 54 44 INSPECTION TICKET PAGE 11
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/12/09
ADDRESS 623 E 5TH ST SUBDIV
TENANT NBR MARJORIE L UPHAM
CONTRACTOR HATHAWAY CONSTRUCTION INC PHONE (360) 457 5627
OWNER MARJORIE L UPHAM PHONE (360) 452 36 7
PARCEL 06 30 00 0 1 7370 0000
APPL NUMBER 09 00001050 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLFO 01 10/29/09 JLL BLDG FOUNDATION TIME 09 00
10/29/09 AP October 29 2009 8 31 17 AM 1pangrle
TOBY 460 6257
FOUNDATION
MORNING
October 29 2009 4 22 32 PM jlierly
BL3 01 11/03/09 JLL BLDG FRAMING TIME 01 00
11/03/09 AP November 3 2009 8 19 14 AM 1pangrle
TOBY 460 6257
FRAMING UNDERFLOOR
AFTERNOON
November 3 2009 4 06 35 PM jlierly
BLDG SHEARWALL
November 12 2009 9 45 41 AM 1pangrle
TOBY 460 6257
SHEARWALL
BL9 01 11/1'/09 JLL
i /'d7 /iii
COMMENTS AND NOTES
PREPARED 11/03/09 8 21 37 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/03/09
ADDRESS 623 E 5TH ST SUBDIV
TENANT NBR MARJORIE L UPHAM
CONTRACTOR HATHAWAY CONSTRUCTION INC PHONE (360) 457 5627
OWNER MARJORIE L UPHAM PHONE (360) 452 3677
PARCEL 06 30 00 0 1 7370 0000
APPL NUMBER 09 00001050 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLFO 01 10/29/09 JLL BLDG FOUNDATION TIME 09 00
10/29/09 AP October 29 2009 8 31 17 AM 1pangrle
TOBY 460 6257
FOUNDATION
MORNING
October 29 2009 4 22 32 PM jlierly
BL3 01 11/03/09 JLL BLDG FRAMING T 00
November 3 19 1•- AM 1pangrle
TOBY 46. •2 7
FRAMING UNDERFLOOR
AFTERNO
COM D NOTES
O
/g7-71-.
r
air yd, o �d 1
NCiv 0 Z 2009
CITY OF POF r ANGE
BALDING DIVISFON
7 A a
171, 1
Le/e^, t
So l rrdf S >,S 7 Cr) Y- ev
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y
RECEIVED
1 13 'O
DV-
J u-
PREPARED 10/29/09 8 32 39 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/29/09
ADDRESS 623 E 5TH ST SUBDIV
TENANT NBA MARJORIE L UPHAM
CONTRACTOR HATHAWAY CONSTRUCTION INC PHONE (360) 457 5627
OWNER MARJORIE L UPHAM PHONE (360) 452 3677
PARCEL 06 30 00 0 1 7370 0000
APPL NUMBER 09 00001050 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLFO 01 10/29/09 yyyy�''''L BLDG FOUNDATION TIME 09 00
IL l_\ October 29 2009 8 31 17 AM 1pangrle
TOBY 460 6257
FOUNDATION
MORNING
COMMENTS AND NOTES
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
192 SQ FT DINING ROOM ADDITION
Owner
MARJORIE L UPHAM
623 E 5TH ST
PORT ANGELES
(360) 452 3677
Other struct info
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Date Print N
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
WA 98362
09 00001050
003400
623 E 5TH ST
06 30 00 0 1 7370 0000
MARJORIE L UPHAM
RES ADDITION
16000
Contractor
Date 10/29/09
HATHAWAY CONSTRUCTION INC
624 E 7TH STREET
PORT ANGELES
(360) 457 5627
HARD SURFACE AREA
Permit BUILDING PERMIT RESIDENTIAL
Additional desc DINING ROOM ADDITION
Permit pin number 154930
Permit Fee 291 75
Issue Date 10/29/09 Valuation
Expiration Date 4/27/10
Qty Unit Charge Per
Plan Check Fee
BASE FEE
14 00 14 0000 THOU BL -2001 25K (14 PER K)
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
October 21 2009 3 39 48 PM sroberds
The proposal will result in a dining room addition /remodel
for total lot coverage of 15W and site coverage of 22W in
the RS 7 zone No land use issues anticipated
Electrical load calculations and electrical permits are
required
Any modifications to the City s electrical facilities will
be at the customer s expense
Public Works Utility Engineering has no requirements for
this plan review
Charged Paid Credited
291 75 291 75 00
189 64 189 64 00
4 50 4 50 00
WA 98362
Due
Extension
95 75
196 00
STATE SURCHARGE 4 50
00
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
189 64
16000
Si n of Coj�kractor or Authori6 Agent Signature of Owner (if owner is builder)
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
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
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only
T -Bar
INSULATION
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Fumace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood /Ducts
MANUFACTURED HOMES.
Footing Slab
Blocking Hold Downs
Skirting
T.Forms /Building Division /Building Permit
Inspection Type
Date Accepted By
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping 1 SHORELINE.
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Comments
FINAL Date Accepted by
IFINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
r'
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Page 2
Application Number 09 00001050 Date 10/29/09
Application pin number 003400
Grand Total 485 89 485 89 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 irequired 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
BUILDING PERMIT INSPECTION RECORD
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
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
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders (Under Floor)
Shear Wall) Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION.
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
T:Forms /Building Division /Building Permit
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
Date Accepted By
I I '3 -01 S1
I I i 2T CDC# T IeL
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping 1 SHORELINE.
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Comments
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
0
-0
(O
N
3 T I O- ID I LT•
CITY OF PORT ANGELES For City Use Only.
Attn Building Permit Technician Date Received l0 09
321 E Fifth St. Port Angeles WA 98362 09— d
(360) 417-4815 fax (360) 417-4711 gate Approved Q
Applicant A6.,9 Phon 7 .3 -a5
Property Owner y ra e 4/a�,,,. Phone (3 3e?,
Property Owner's Address (j. �=s C 5 64-- ,1t; 6 e!`it &.,A" W?,-.2
Contractor /4 ?ch GZ v Canrf .roc Phone 4 5
Contractor's Address C 1 Y ,o f 7 1 Z(/ 9,Pc2
License fit ra22 _s 6 Explresp3 /pr/ to E -mail
1
PROJECT ADDRESS
Parcel Number
Proiect Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof
Heat System
Other
BUILDING PERMIT APPLICATION print in
ca q /f f., Y f1 i°,� ny G6/4
Lot Zoning Rs -7
v4esidential Multi- family Commercial Industrial
J
Floor Areas Existinglsq. ff Proposed (g. ft.)
Basement 1
1 Floor LCrJ T _LPQ a
2nd Floor
3 Floor
Garage 5�(p
Carport
Covered Porch
Deck
Shed
Other ,-;l
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
DateLV /UY� 7 Print Name O l 46 71a.
T /Building Division /Bldg Permit.doc
per sq ft.
of bedrooms
of full baths
of half baths
House garage other tear off re -roof lay over one layer
❑Heat pump wood- burning stove gas fireplace pellet stove other
TOTAL VALUATION a, 66k-
Total footprint of structures*. 2 09 sq ft. T Lot size iT sq ft. Lot coverage 19
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 (9-/
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 project&
Signature -el �-"*7ei
Permit# 0 S
T Forms /Building Division/Notes
NOTES
4-44 io
(10-1i o) 00.11 103-44 cif,
363 Ch
8'
3
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ref-
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ts45.vrt ROO. ?liP4r1
Ore C)
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val.PL, ti 1'4
.14te. KrtiV't
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t Oroc.3 Gep+11" Nitt4124W
4Ize
7
When recorded return to
\1-- .Av&
1 8T.±
c Q
-A,.(1%..-o9 1.0 Pr-
I/WE the undersigned owner(s) of the following described property
(Insert legal description here)
L c s
t.%c s t 4 b( 11 37 b 0 o
do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17 08 032
`Z' of the Port Angeles Municipal Code This covenant creates one inseparable building lot which may only
be removed through compliance with 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 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 be enforced by injunction or other lawful procedure
and covenant by the recovery of any damages resulting from non compliance.
DATED this 2,t day of ���e. 2008
(Owner)
(Owner)
STATE OF WASHINGTON
COUNTY OF CLALLAM ss
1, 6icBg,e.T
that on this 2.1 day of FE 44,14 2-/
U. to W A m and
me known to be the individual(s) described in
5<J JE signed and sealed the same as
mentioned.
GIVEN UNDER MY,JAND AND OFFICIAL SEAL this .2 /5 day of
ti jr
-*t 130
1
ty
2008 1216521
Page 1 of 1 Protct Covenant
M Upham
Clallam County Washington 02/21/2008 01 32 35 PM
1111 PIA TWINAr, ,14!, b, 14:1:1 11111
ZONING LOT COVENANT
r (er)
(Owner)
Notary Public m and for the State of Washington, do hereby certify
2008, personally appeared before me 4, o 2l E
wM to
and who executed the within instrument and acknowledged that
A free and voluntary act .and deed for the purposes herein
E'B eu.4 ALI 2008
CZt/A/
NOTARY PUBLIC in and for the State of
Washington residing at Port Angeles.
This document int141 be ftaiviffot1ee Callum County Auditor s Office and a copy returned to the City of Port Angeles
to be included in City records.
Parcel Lookup Page 1 of 1
Parcel Number 0630000173700000
Site Address. 623 E FIFTH ST PA
Quit, Back 1
Taxpayer
U P F INC TAX SERVICE 910 W BOONE
SPOKANE, WA 99201
Title Owner
UPHAM MARJORIE L
Description
LTS 14 15 BL 173
SURVEY V20 P23
PMB 236
136 E 8TH ST
PORT ANGELES WA 98362 -6129
Value Summary
Note Listed values do not reflect adjustments made for exemption programs such as
Senior /Disabled or Current Use programs (except Commercial Forestland properties)
Land Value 125 000
Improvements Value 154 400
Total Assessed Value 279 400
Property Characteristics
Note: Use Code is for Assessor's purposes only Contact the appropriate planning or
building departments for Zoning and allowable usage of property
Use Code 1113 THREE BEDRM
Land Size (acreage) 00
Note. Acreage is not listed for all properties in the
Assessor's records. More information about land size.
Tax Status Taxable
Tax Code Area. 0010
Note: Zoning and zoning codes change constantly Verify all
zoning with the appropriate planning or building department.
Building Characteristics (Click on Bldg. for more details.)
Bldg. Type Blda. Style Total S.F. BD BA
01 House One Story 1116 3 3
Tax History
Quit] Back
111 639 71911
Sales History
http./ /apps clallam.net/website /sitis_p pgm ?parcel= 0630000173700000 2/22/2008
42
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Room addition 1 circuit
Owner
UPHAM MARJORIE L
623 E 5TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00 57 5000 ECH
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983623411
157875
57 50
12/08/09
6/06/10
Charged
57 50
00
57 50
1 3 it)hp
INSPECTION TYPE
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
09 00001282
171834
623 E 5TH ST
06 30 00 0 1 7370 0000
ELECTRICAL ONLY
0
Contractor
ELECTRICAL ALTER RESIDENTIAL
SHAMP ELECTRICAL CONTRACTING
PO BOX 383
PORT ANGELES
(360.) 452 1689
Plan Check Fee
Valuation
EL- BRANCH CIRCUIT WO /FEEDER
Paid Credited
57 50
00
57 50
DATE
00
00
00
Date 12/10/09
WA 98362
Due
RESULTS
IZ!/b 10
g 11110 91k\
Extension
57 50
00
00
00
00
0
Signature of owner or Electrical Contractor X Date
INSPECTOR.
D E
OW R/CONTRACTOR
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
PERMIT INSPECTOR
O ZIS
ADDRESS
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED: __n t v, c,C 1 /4 cy
Go el (1 k r±.L k. &a-RYE-2 el, Q!_t) it" l LL
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
12/07/2009 13 27 FAX
City of Port Angeles Permit Application
Building 0Ivislon /Electrrcai Inspections
321 East Fifth Street P O. Box 1150
Pon Angeles Washington, 96362
Ph (360 417.4735 Fax: (360) 417.4711
Dale. 1 11 gal
.Description of above
Owner Inf, ion
Name
Mallin Ad Ire
City
Phon
License if Exp
Umt Charge
93 75
$1 3.15
S160.00
$205 00
$291 25
2 00
57 50
2 00
2.50
86 25
$116 25
$13 25
75 00
6900
7 5 00
50 00
50 00
93 75
60 00
46 25'
$,i2' 50
$.`57 50
86 25
43.
51gna ure o ner electrical contractor or electrical administrator
RECE V
DEC E, 2009
ELECTRICAL
INSPECTIONS
'71 2 Single Family Dwelling
Multi- Family or Commercial'
Commercial Addition Alteration Remodel Repair'
Plan Review May a fired lei o pI Electrical Plan Review information Sheet
JoC Address
Building Square Footage
AYGt k 7JY I 1 M 41
ContraCtkqpiorm ati•n
Name: Y1 ajMt le it
Maili Address: i 3 A4 I
tale: y v n Zip e City: State lr Zip
Fax: Phone; r Fax:
License l Exp ,.�.,'��2���j_ ID
II
Total )Qty Multiplied by t Charge]
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp.
Service /Feeder 401.600 Amp
Service /Feeder 601 1000 Amp,
ServicelFeeder over 1000 Amp
Branch Circuit W/ Service Feeder
Gr Branch Circuit WIC Service Feeder
Each Additional Branch Circuit
Temp Service/ Feeder 200 Amp
Temp Service/Feeder 201 -400 Amp
Temp Service /Feeder 401.600 Amp
Temp Service Feeoer 601 1000 Amp
Portal to Portal Hourly
Sign/Outline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1 2 Family Oweliing
Signal Circuit/ Limited Energy Multi- Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System orless
First 1300 Square Ft.
Each Additional 500 Square Ft, or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or -101 Tub
Thermostat
$Total
Owner as defined by RCW 19.28, 261 (1) Owner will occupy the structure for two year after this electrical permit is finalized. (2) Owner is required lo hire an
electrical contractor lf above said property Is for sale, rent or lease.
After reading the above statement, I hereby certify that am the owner of the above named property or a llcenaed electrical contractor I em meting the electrical
Installation or alteration in compliance with the electrical laws, N,E.0 RCW Chapter 19,26, WAC Chapter 2$e -46B, The City of Port Angeles Municlpel Code =nil
Utility Specifications
O Cash
Check
c FV f e/'6 J
Date, Credit Card 11
v
.
.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. r'SOZ
DATE </~y
ELECTRICAL PERMIT
Site Address:
Phone:
Installed By:
0;;23
,-c/
o READY FOR
INSPECTION
license Number:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Owner/Business Address:
Sq. Ft.
~SIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
~EnvICE SIZE c,{) AMPS
/TE~/14
o TEMPORARY SERVICE
o PERMANENT SERVICE
o I)lEW CONSTRUCTION
WREMODEL
Itl-1mD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
DetailslDescription:
0{) /M'f
r
-" {AI/f-f"
(
.4~ie, !-o ft1-41f t:
~Ct-n{)c1e-f
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
o Final O.K.
Site Address:
~;;r~
Permit/Receipt No.
7" SO Z-
If..
2. s
lC1J
Installer:
New Meters
Notify Port Angeies City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224. ~ (,U'
~-!L",,-", NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 77' -;17 .-
Electrical Inspector Permit Fee
WHITE - File by address
YELLOW - file by number
GREEN - Top: Meter Dept., Bottom: City Hall
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC
..
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
.;27//
7/s-ho
p ,
ELECTRICAL PERMIT
DATE
Installed By:
(, .;2.3
/J1
.E.
o READY FOR
INSPECTION
License Number:
~WILLCALLFOR
INSPECTION
Phone:
Site Address:
OwnerfBusiness Address:
Phone:
'1'S' 7 - 06~.5
Sq. Ft.
Owner/Business:
~ Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o undergrou~
Voltage I-'<!J. 2.1/0
o 1.0 03.0
Service size
o Temporary
Amps
~ Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Detai IslDescription:
V<~f)
kOA JA t
.'J
cHfh 2G~~ ~J
~
&fL L ~
W,S, No, Service
Capacity: 0 OK 0 Not OK
o Ditch inspection OK
~ROUgh-in/cover OK
o 0, K, to connect service
o Finai OK
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
~;23 Z
Permit/Receipt No.
02 717
New Meters Date:
D
Site Address:
,e-
Notify the De rtment of City Lig t by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K, for covering or service has been given
by the In~ in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
l NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ c9-O
~ ,/ <:::::Yf -
InspeclOr Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall