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HomeMy WebLinkAbout540 E 8th St - Building When recorded return to: 2ee5-1318953 it '1101, Tl��l2 4JE.sP1C�z Dr u Page 1 of 1 Protct Covenant C.11/� � /�T� Volunteer Hospice Of Clallam County Clallam County Washington 03/30/2015 1r0:09:06 AM l 61-11 S-1-taaa 11111 « � ii iii RArtAk4 s) wA 483.6 Z . ZONING LOT COVENANT I/WE the undersigned owners) of the following described property: o� 0 000y7zo`f 01 v At.,aE0-; sc- (PNUM and ADDRESS) ©‘‘, 0 02-1200 5 4-c.) 6 2 ,k do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17.08.130 "Z" of the Port Angeles Municipal Code. This covenant creates one inseparable building lot which may only be removed through compliance with Chapter 58.17 RCW (subdivision regulations) and/or the City of Port Angeles short subdivision regulations (Ordinance No. 2222, as amended). This covenant shall be binding on the owner(s),heir(s), assign(s), and successor(s) in 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. /1 DATED this 3•a-:.�day of 1"��v�,� ,2O+4. Y4%Nreek !rosy;c e o� • Print Name: C(G//ate l ot.mi Print Name: (Owner ign. 1tive) (Owner Signature) Phone: 60 - - 157/ Phone: STATE OF WASHINGTON COUNTY OF CLALLAM I, N1 (`-i\ ,Notary Public in and for the State of Washington,do hereby certify that on this day of ,201._ personally appeared before me -L.• 4--\ ,€.' - 2__ known to me to be the individual(s)described in and who executed the within instrument and acknowledged that tt _ signed and sealed the same as \-'5 free and voluntary act and deed for the purposes herein mentioned. GIVEN UNDER MY HAND AND OFFICIAL SEAL this z ay of 1\-1e4-'-c.■-■ 20'5 MARY M. GETCHELL -- NOTARY PUBLIC NOTARY PUBLIC in and for the State of STATE OF WASHINGTON COMMISSION EXPIRES Washington residing at Port Angeles. OCTOBER 5, 2017 I. My Commission expires: ltD Z�r,-I PREPARED 6/21/10 9 48 14 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/21/10 ADDRESS 540 E 8TH ST SUBDIV TENANT NBR HOSPICE OF CLALLAM COUNTY CONTRACTOR EMERALD ROOFING INC PHONE (360) 452 4681 OWNER HOSPICE OF CLALLAM COUNTY PHONE (360) 460 8017 PARCEL 06 30 00 0 2 7200 0000 APPL NUMBER 10 00000625 RE ROOF PERMIT ENOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 6/21/10 JL BLDG 1INAL _n____ June 18 2010 4 19 20 PM 1pangrle TRAVIS 460 4471 BUILDING FINAL RE ROOFED HOSPICE COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 10 00000625 Date 6/16/10 Application pin number 638125 Property Address 540 E 8TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 7200 0000 Tenant nbr name HOSPICE OF CLALLAM COUNTY Application type description RE ROOF Subdivision Name Property Use Property Zoning COMMERCIAL NEIGHBORHOOD Application valuation 4700 Application desc RE ROOF LAY OVER ONE LAYER Owner Contractor HOSPICE OF CLALLAM COUNTY EMERALD ROOFING INC 540 E 8TH ST P 0 BOX 879 PORT ANGELES WA 98362 PORT ANGELES (360) 460 8017 (360) 452 4681 Structure Information 000 000 RE ROOF LAY OVER ONE LAYER Permit BUILDING PERMIT NO PR FEE Additional desc RE ROOF LAY OVER ONE LAYER Permit pin number 167817 Permit Fee 137 75 Plan Check Fee 00 Issue Date 6/16/10 Valuation 4700 Expiration Date 12/13/10 Qty Unit Charge Per Extension BASE FEE 95 75 3 00 14 0000 THOU BL -2001 25K (14 PER K) 42 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 137 75 137 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 142 25 142 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 fora 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 1 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 ofa 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 6 1 Date Print Name Signatur of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit WA 98362 6rt G -2 I- la 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 BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 h Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 .3% Date Accepted By PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. T:FormslBuilding Division /Building Permit 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 Applicant CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 �iR -vas C�ubvr BUILDING PERMIT APPLICATION Print in ink Property Owner 95d'( Property Owner's Address f4 7 Contractor F'fi R.POP(NG, I Ne, Contractor's Address P 13oy 879 W License I t 44192_4 2,1 074 pr Expires E -mail PROJECT ADDRESS Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Floor Areas Total footprint of structures Site Coverage the amount of impervious and other impervious surfaces (see PAMC Max. height of proposed structures Will a lawn sprinkler system be installe Will a fire sprinkler system be insti? 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 rojects. 6- /6 0 Print Name 2 i4L?t 3 (9/e/fir T Forms /Building Division /Building permit application Date Parcel Number Sao g r� Existing (sq. ft.) Proposed (sq. ft.) Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Lot Zoning Residential Multi family O<Commercial Industrial 4Re -roof House garage Wother tear off re -roof d(lay over one layer Heat System Heat pump wood burning stove gas fireplace pellet stove other Other sq ac ft. Lot size n a parcel including structure 135 for exemptions) Occupancy group Occupant load Construction type TOTAL VA Phone 17 LL' Phone Phone X52- Z LUATION sq ft. Lot ouve og,; n� paved driv =.'.ys sidewalks patios Site coverage Signature For City Use Only Date Received 6— 6- 1 D Permit /1_110 625 Date Approved per sq ft. /000 of bedrooms of full baths half baths Feed Ro o Post Office Box 879 Port Angeles, WA 98362 PH. 360 452 -4681 FX. 360 452 -4429 www.emeraldroofing.20m.com TO HOSPICE OF CLALLAM CO ATTN: LEE CHATFIELD 540 E 8TH ST PORT ANGELES WA 98362 $4700.00 TAX 394.80 $5094.80 PERMIT WILL BE APX $143.00 NOT INCLUDED STAX LOC 0502 All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard pract ices. Any al._.::_.. or deviation from above specifications involving extra costs will be executed only upon written or verbal orders, and will become an extra charge over and above the estimate. All a —s upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado, and other insurance. Our workers are fully covered by Worker's Compensation insurance. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Description Job Name/Location Date 4/12/10 540 EAST 8ST PORT ANGELES WA. 98362 ALL COMPOSITION TO BE WIND NAILED (6 NAILS PER FULL SHINGLE AND 4 NAILS PER RIDGE PIECE) ALL WORK NOT ABOVE TO BE A CHANGE ORDER (TIME AND MATERIAL) MANUFACTURERS WARRANTY ON MATERIAL, 5YR LABOR WARRANTY WE PROPOSE hereby to furnish material.and labor ,complete in accordance with the above specifications. Please: choose an item>where 'sign return to the above address. Payment is due upon completion unless other arrangements have been made. Estimate Estimate 1541 JOB PHONE 460 -8017 RECOVER ROOF IN GRANULATED TORCHDOWN SWEEP CLEAN AND DRY ROOF FOR RECOVER INSTALL GRANULATED TORCHDOWN TO ROOF AREA AS PER SPECS FLASH ALL WALLS WITH GRANULATED TORCHDOWN FLASH ALL PLUMBING PIPE VENTS IN GRANULATED TORCHDOWN REFLASH 2 SKYLIGHTS IN GRANULATED TORCHDOWN INSTALL NEW VENTING SYSTEM UNDER EXISTING METAL AT FRONT OF BUILDING AND ROOF IN TO MAKE WATER TITE INSTALL NEW SHAKE RIDGE TOEXISTING SHAKE RIDGE AREA **NOTE DOING A RECOVER MAKES SENSE AS THERE'S A SINGLE LAYER EXISTING AND YOU CAN UTILIZE EXISTING ROOFINGS AND INCORPORATE THEM INTO ONE ROOF TO GET WHAT LIFE IS REMAINING OUT OF EXISTING MATERIAL AS THE NEW MATIRIAL WILL BE FUSED INTO NEW ROOF IT ALSO WILL SAVE LABOR AND SOME MATERIALS AND DUMP FEES Authorized Signature Ante This proposal may he withdrawn br us if not accepted within 60 dabs. Signature Signature Clallam County Assessor Treasurer Property Details 58525 HOSPICE OF CLALLA. Page 1 of 3 Clallam County Assessor Treasurer Property Search Results 58525 HOSPICE OF CLALLAM COUNTY for Year 2010 2011 Property Account Property ID* 58525 Legal Description. Geographic ID 0630000272000000 Agent Code. Type. Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code Open Space N DFL Historic Property N Remodel Property* N Multi Family Redevelopment: N Township Section Range. Taxes and Assessment Due Property Tax Information as of 06/16/2010 Amount Due if Paid on. Exemptions EX LOT 1 BL 272 EXC SLY 64 97 N Location Address: 540 E EIGHTH ST Mapsco PORT ANGELES WA 98362 Neighborhood Exempt All Exmpt Reference Map ID Neighborhood CD 50110030 Owner Name HOSPICE OF CLALLAM COUNTY Owner ID 31312 Mailing Address. 540 E 8TH ST Ownership 100 0000000000% PORT ANGELES WA 98362 First Half Second Half Year Statement ID Taxing Jurisdiction Base Due Base Due Penalty Interest Base i 2010 41458 ST SCH STATE SCHOOL $0 00 $0 00 $0 00 $0 00 9 2010 41458 CC -GEN COUNTY $0 00 $0 00 $0 00 $0 00 9 2010 41458 PORT PORT $0 00 $0 00 $0 00 $0 00 2010 41458 PORT ANG PORT ANGELES $0 00 $0 00 $0 00 $0 00 9 2010 41458 SD #121 SCHOOL DISTRICT #121 $0 00 $0 00 $0 00 $0 00 9 2010 41458 NTH OLY LIB NORTH OLYMPIC LIBRARY $0 00 $0 00 $0 00 $0 00 9 2010 41458 HOSP #2 HOSPITAL #2 $0 00 $0 00 $0 00 $0 00 9 2010 41458 WSMET PK DIST WILLIAM SHORE MET PARK DIST $0 00 $0 00 $0 00 $0 00 9 2010 41458 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $7 2010 41458 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 2010 41458 TOTAL. $36.82 $36.81 $0.00 $0.00 $7 2009 585252008 ST SCH STATE SCHOOL $0 00 $0 00 $0 00 $0 00 9 2009 585252008 CC -GEN COUNTY $0 00 $0 00 $0 00 $0 00 9 2009 585252008 PORT PORT $0 00 $0 00 $0 00 $0 00 9 2009 585252008 PORT ANG PORT ANGELES $0 00 $0 00 $0 00 $0 00 9 2009 585252008 SD #121 SCHOOL DISTRICT #121 $0 00 $0 00 $0 00 $0 00 9 2009 585252008 NTH OLY LIB NORTH OLYMPIC LIBRARY $0 00 $0 00 $0 00 $0 00 9 2009 585252008 HOSP #2 HOSPITAL #2 $0 00 $0 00 $0 00 $0 00 9 2009 585252008 CITY STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $7 http. /vpn.clallam. net: 8084 propertyaccess /Property.aspx ?cid =0 &year 2010 &prop_id =58 6/16/2010 . Site Address: Installed By: Owner/Business: Owner/Business Address: o RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN Details/Description: CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. tl//-rG ~/y/yJ DATE D READY FOR INSPECTION License Number: D WILL CALL FOR INSPECTION Phone: D TEMPORARY SERVICE D PERMANENT SERVICE D NEW CONSTRUCTION D REMODEL D ADD/ALTER CIRCUITS ;& SERVICE UPGRADE/REPAIR D SPECIAL EQUIPMENT (LIST BELOW) Phone: Sq. Ft. ~ OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: D SINGLE PHASE D THREE PHASE SERVICE SIZE AMPS R~ f!~ dJ ~ c.9-NJ /I1Ph-, ~dJ c ~..IX.~e ~ ~ A-' a, I' / . W.S. No. SERVICE SIZE CAPACITY: D O.K. NOT O.K. ACTION REQUIRED: D CHANGE TRANSFORMER D INSTALL SERVICE POLE DATE ENGR. D CHANGE SERVICE WIRE D OTHER D Ditch Inspection O.K. D Rough-in/cover O.K. D O.K. to connect service 1tJtA l' Final O.K. Site Address: Installer: perm1/;~t New Meters -- Notify Port Angeles City Light by Street Address and Permit Numberwhen 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 BUil~ Permit. PHONE 457-0411, EXT. 224. AI FJ (cfl1vt NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ;;:('0 ~ Electrical Inspector Permit Fee . WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer OLYMPIC PRINTERS INC GREEN - Top: Meter Dept., Bottom: City Hall (. . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: Installed By: Owner/Business: Owner/Business Address: o RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN DetailslDescription: ~ ?/e &~ cud CtJ. PERMIT NO :Srfo / ?//7~c . DATE o READY FOR INSPECTION License Number; o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL '>i1 ADD/ALTER CIRCUITS /0 SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) o WI LL CALL FOR INSPECTION Phone: Phone: Sq. Ft. o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS / ~ Ibe. ~-9-// ~~tJdr I . 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. "'6. Rough-in/cover O.K. b O.K. to connect service )Y 1 Final O.K. Site Address: J L SrO t. 8'-' Installer; Permit/Receipt No. ,dgO! New Meters L. . Notify Port Angel s 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 Buildin ermi!. PHONE 457-0411, EXT. 224. WHITE - File by address NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ YELLOW - file by number PINK - Top: Eng, Bottom, Customer OLYMPIC PRINTEAS INC. ~- ------- ----..--- r%? ;;2. 0 ...- Permit Fee GREEN - Top: Meter Dept" Boltom: City Halt , Site Address: CITY OF PORT ANGELES LIGHT DEPARTMENT Installed By: ..- PERMIT NO. ;11[0, 9-5-9() "" t'READYFOR DWILLCALLFOR N INSPECTION INSPECTION License Number: Phone: DATE . ELECTRICAL PERMIT OwnerlBusiness: Phone: Owner/Business Address: Sq. Ft. o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) o Overhead o Underground Voltage 010 03.0 Service size o Temporary o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor ioad (attach breakdown) o New Construction o Remodel ~ Service update/alter/repair Amps DetailslDescription: ,-' . W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. o Rough-in/cover O.K. o O.K. to connect service ~ Final O.K. 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 .' Permit/Receipt No. ;?07 Dat8.: r -::>-'70 Installer: New Meters . Notify the Department of City Light 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 Inspector in riting on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT '2f?, () () Amount paid GREEN - Top: Inspector, Bottom: City Hall YELLOW - file by number PINK - Top: Eng, Bottom: Customer OLVMPIC PRINTERS. INC.