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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. l EXC-GVC1 1 G" LeC__ kJ-oa- t-L 3o: CL Zam-e- ?ftoof 4,* de, c4 vc e, EL "0 kvsecx1 Vt U0S-C.C. e In 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 koc Q C6- 1L r rv<s?C �L "7 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 1 t j I I— .1 ,ter+ .l, 60/ 4 t/�dd li NO.ONIHSVM dO 3 IS N O8 N3T1a I 13 3111132i rl!' 03a31S1931 cooi L 4 of� `fin NQLL` A113 N1.I4O7 L I ra)! 3 uN� A i (42 cfma (Ids1M -i uH-i vel I+ CI) aj ziAlln9 1 914u0Dia /M r4 ,1 a N I W -A/isi 0)a 2 nwo (122 L Irt Z 0 .1) 4 2 Lo'IAd- S 02;0' l s 04 1 zvvvicii Apr) (1) i4-toes\i-k ov--,2,-- k /1/41 /to" ki 01 q G hi r) P tc- 77... i. .V1=.64rs) i -NOM CPI IMA/ 10)- ,6 fr,146t-i rttai-46 fe,,) K5.4 1-0 0A-re-i4 ri ref- 1 11 2• ts45.vrt ROO. ?liP4r1 Ore C) 100 0:111tWAY PlrEV val.PL, ti 1'4 .14te. KrtiV't Ar.t4 M. 11? le&tot.NA WI,rnt46,- 64+1M14 W441:240/ 1.4/ NVv,/ 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