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HomeMy WebLinkAbout1422 S Cedar St - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION •�/ 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . 11-00000148 Date 2/25/11 Application pin number . . . 923652 Property Address . . . . . . 1422 S CEDAR ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4-1790-0000- REPORT SALES TAX Application type description RES ADDITION on your state excise tax form Subdivision Name Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 1180 Application desc 35 SQ FT GREEN HOUSE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MATTHEW TEOREY / TARA A DEMERS HATHAWAY CONSTRUCTION INC 1422 S CEDAR ST 624 E. 7TH ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457-5627 Other struct info . . . . . HARD SURFACE AREA ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . 35 SQ FT GREEN HOUSE ADDITION Permit pin number . 181537 Permit Fee . . . . 71.35 Plan Check Fee 46.38 Issue Date . . . . 2/25/11 Valuation . . . . 1180 Expiration Date . . 8/24/11 Qty Unit Charge Per Extension BASE FEE 50.00 7.00 3.0500 HND BL-501-2K (3.05 PER C) 21.35 ---------------------------------------------------------------------------- Special Notes and Comments The Fire Department has reviewed the project application and has no comments February 24, 2011 2:08:51 PM sroberds. The proposal will result in a 35 sq.ft addition to an i existing residence for total lot coverage of 10% and site \ coverage of 13%. No land use issues anticipated. �S February 23, 2011 10:33:09 AM Brian 417-4708. OK Public Works Utility Engineering has no requirements for this plan review. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 71.35 71.35 .00 .00 Plan Check Total 46.38 46.38 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 122.23 122.23 .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 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In Water Line Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lic htin ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 L V T:Forms/Building Division/Building Permit c11 H I I H I � \ i I M I o i I \ I I m 1 I 1 1 1 W W i I W O F I 1 W RCRC I u aq1 I o I x I H I H z � w � a w 1 w a I N I i l0 V W ,n I I H x I I x F r I F I v a o I azo w O 11 H x r M 10 z w rt W rx - O a x l aF w u a o r H i p I az, a a I F qzz sxF 5 F cn wcnmoo oa w w w W p x x o q m z F U U I maa I ••mwa H o 0 04 c0 a V1 O w Q Z •• oUr o o OH O U) i FF F I H WHz (n U I z 1 El w(nH F oW, W o rCOi z ••O Fz-I H W m Vl fn z 1 N H Q x O z zl a 0 0 a W W O z H H W I H U RC zF+ z0 O X 001:4w v] U w Qam H to z0F W YAH UQ NHF H zMDa z z I f/1a- N Q 0 W HRC O C4UU U' 7RC.7 W FC a OH 0.W'I U]V7 Q bl rax'HF a' W W zRaC o F I w w a � C x w x o x 0r�oq qa mRCF CQ F>+F F F q E U o RC H ]\m vNi m w a i P,m�D azar zU) o g 0 0 0 i x H a m U N o o q V] RC 3 0 o I L7 •a I rCxoo 1 pww I ,� H w N x F M o W F F H H C7 I N H F I 1 CO W I \ \z I wRC ��o� I owa I r, rn RC rl x o.-I o p a o o I OI£ ro 101, .. .. .• ..a RS wa'u 0 . a .w a a l o m l (IJ a 0 coil QWU' a z F OI o a>, aH wU.] H \ m wE, rQzzaa l w I m W u q u o a Q PWi Ems+ i 0.-1 1 'V °RTqABUILDING PERMIT APPLICATION Print in ink "�- CITY OF.PORT ANGELES For City Use Only: 4 Attn: Building Permit Technician Date Received 321 E. Fifth St., Port Angeles, WA 98362 �-- g Permit# /J '/ (360)417-4815 fax (360) 417-4711 Date Approved Applicant / Oma - zrr P Property Owners i�- 6. es Ph ne Property Owner's Address Contractor �� err`. Phone 's - Contractor's Addresses/� !� License # �� C f� �,� Expires 6/2 E-mail PROJECT ADDRESS 4Z2. 5 e &r 5+ Parcel Number Lot. Zoning S Project Type &Brief Description. Residential. ❑ Multi-family ❑ Commercial ❑ Industrial Check all that apply ❑ New Construction a Addition ❑ Remodel ❑ 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 No plwm6kne-c*cLnl`CgLk ' 10.n Floor Areas Existing(sq. ft.). Proposed(sq. ft.) Basement @ $ per sq. 1 St Floor 9.x77 ii 2nd Floor 117L" 3r.d Floor n �� Garage Carport n c� Covered Porch 4-o s , Deck n �� Shed Other 46 sef -03- �un� g �-- 857+'10 t igp FyhtbS TOTAL VALUATION Total footprint of structures sq. ft. _ Lot size �� � 33. sq. ft. = Lot coverage !r l 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 12.65 % Y-d -f-- 11 S S= i ,5 3I 2, 13`3 Max. height of proposed structures Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load. #of full baths Will a fire sprinkler system be installed? Construction type #of half baths /have read and completed this application and know it to be true and correct. /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. Date Print Name �c Ov, Signature T:Forms/ uilding ivision/Building permit application r. I oat T,g%, s �" p i [>aobk�'M3 ,M iC3 wgi, MV, s h � Al J f � ss 'g r f� f 9 r^ o, T �lI { \K ..q 'llb � \ ^ 0. Cb q ddd w a w, vn17 000 I'=-'rla Is"—JR<a� I��: ,�I_ ©�•� moo �o �eo�� Fro M9 i9 Dec FE FI yy i 1 I aoo ...-..... ,..._.C�'.y,..®F POP'3'ANGELES_ ' ConS$.*l3Coroit;l�lunt.�........._. ®ems The:ISSE. nee or this permlr rased upon mese plans,spe ;rr ca L„ns and othe(data shall not prevent the building officisl �o rrm thereakQ_requiring the-correction of errors in said p!a spEClficauans and other data or from prp��enting buil _ � { o 0 o !{' .. r : rng operat,ons being carried on thereunder s4fien in_ __- i.._ " �r violation of all codes and ordinances of..#hIs urts�lction. x ! ; yy oma= �2ov 9 TtL ` i ✓ ° ... .. is r9pprcval Date g o y -- t C� I C i 2 1N , � I 1 I • r r � ty.n ... ..y :y f--FTS( (40aAt Ul . S - o oo p too 00 �p��� av000 _ 00 r��� I CiOo {: � fie,.,__..._ QL7 600 o :I ❑QOM �vd „, � G� `'-oa; i:--.. �� CI��v - __ w =a.t W i 1J,,� bhp I i i I I ` I i : , , ' Nil loffI Rog �CUf-r f fa : y F KNI4 67 low ,p 6 ;(�[ I : j i : ti w 1 'S1Y i 1 I IFFI 10 � I I i i _ 4 i , F ' : I Vj i cn _ — . i 4+ , I j ; I Z `y) o o Mil1-0— _ o�8OR Wld (� quo � p �J [:� MR N 9=91 i V � C � [ A 4 _._. _.. ._.. ..... - i f ti r st Al wl y k •} f 1 YAC 31tl� 4 b �f f f S 1 C3� Pr . f 4, PREPARED 10/08/10 9 04 11 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/08/10 ADDRESS 1422 S CEDAR ST SUBDIV TENANT NBR MATTHEW TEOREY/T DEMERS CONTRACTOR HATHAWAY CONSTRUCTION INC PHONE (360) 457 5627 OWNER MATTHEW TEOREY / TARA A DEMERS PHONE PARCEL 06 30 00 0 4 1790 0000 APPL NUMBER 10 00000486 DEMOLITION PERMIT DEMO 00 DEMOLITION REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 10/08/10 L BLDG FINAL October 8 2010 8 58 57 AM 1pangrle TARA 457 5838 BUILDING FINAL DEMOLISHED THE CARPORT & SLAB COMMENTS AND NOTES PREPARED 10/08/10 9 04 11 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/08/10 ADDRESS 1422 S CEDAR ST SUBDIV TENANT NBR MATTHEW TEOREY/T DEMERS CONTRACTOR HATHAWAY CONSTRUCTION INC PHONE (360) 457 5627 OWNER MATTHEW TEOREY / TARA A DEMERS PHONE PARCEL 06 30 00 0 4 1790 0000 APPL NUMBER 10 00000487 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 10/08110 [fL BLDG FINAL October 8 2010 8 57 34 AM 1pangrle TARA 457 5838 BUILDING FINAL RE ROOFED THE SHED/BREEZEWAY - COMMENTS AND NOTES 0*PORT 4*,� ELECTRICAL INSPECTION WIRING REPORT KS 417-4735 DA PERMIT# INSPECTOR 2 OWNERICONTRACTOR 5 c_ rzA, ADDRESS S-- APPROVED NOT APPROVED ❑ DITCH ❑ ❑ ROUGH IN/COVER .- ❑ SERVICE ❑ ❑ FINAL ❑ CORRECTIONS NEEDED- _AGM �b6 W �25I (a G� '2 oxo I-go,2JJ 1�! Ai-L, .hl�' L 2%pz r NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — i I �/� � I L nt•. .� ,�w waG L �`��J!-i✓1 rel ©`C ✓11� ��l �f t�f/G`/ � (J'yCi�r1<<C✓ 1 /Vr-cc�- L�« �c Y- Gver r RECEIVED MAY 2 8 2010 9r?�� CITY OF PORT ANGELES BUILDING DIVISION i i I K. °�°°RT"�°� ELECTRICAL INSPECTION 4��N w WIRING REPORT W ZRIKS 417-4735 DATE PERMIT k TINSPECTOR La OVAERICONYhACTOR ADDRESS 15 e"14K- APPROVED NOT APPROVED ❑ DITCH ❑ ❑ ROUGH IN/COVER X ❑. SERVICE ❑ ❑ FINAL ❑ CORRECTIONS NEEDEQ// GrrIV a-- ew&--� /& NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — J ELECTRICAL PERMIT p CITY OF PORT ANGELES 360-417-4735 Application Number 10 00000512 Date 5/21/10 Application pin number 856960 \\\ Property Address 1422 S CEDAR ST ASSESSOR PARCEL NUMBER 06 30 00 0 4 1790 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 1 circuit breezeway wiring Owner Contractor MATTHEW TEOREY / TARA A DEMERS SHAMP ELECTRICAL CONTRACTING LJ1 1422 S CEDAR ST PO BOX 383 1 r PORT ANGELES WA 98362 PORT ANGELES WA 98362 455-7 Sd 38 (360) 452 1689 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc \�s Permit pin number 165787 Permit Fee 73 50 Plan Check Fee 00 Issue Date 5/21/10 valuation 0 Expiration Date 11/17/10 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 73 50 Fee summary Charged Paid Credited Due Permit Fee Total 73 50 73 50 00 00 Plan Check Total 00 00 00 00 Grand Total 73 50 73 50 00 00 O t� t INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN C� FINAL COMMENTS Signature of owner or Electrical Contractor X Date 05/20/2010 13 11 FAX Q 001/002 T� REMO NMY 2 0 2000 ELECTRICAL INSPECTIONS Clry of Port Angeles Permit Application Building DlvlslonlElectrlcal Inspections 321 East Fifth street P.O.Box 1150 C7 Port Angelee Washington,95362 1 Ph.(360)417.4735 Fax:1360)417.4711 a Date q 1 &2 Single Family Dwelling _Mul l•Famdy or Commercial• _Commercial Addition/Alteration I Remodel I Repair" Plan Review ay PI se lee lectncel we formatio Sheet V11 Job Address• ar ( ay Y 6wlding Square F e Description of above Owner lnformatl w onUaclor Info/ Name s. ; �' � _ Name:, /� l� G PlailillrAA or s;­'. _ Mailin /ass U City: tate Zip: CtiyI e� Zip: Pho ax: Phon :Ibw IV11 License# exp License#I Exp, S I �?I- Unit Charge Tole)(Oty Multi Iled by Unit Chartle S 119,90 § Sery celFeeder 200 Amp $145.50 _ $ Seivice/Feeder 201-100 Amp. $204.60 �, 3 SeMcelFeeder 401600 Amp. $262,20 3 Service/Feeder 601.1000 Amp $ 72.50 $ Service/Feeder over 1000 Amp $ 2 60 $ Branch Circuit W/Service Feeder $ 73.50 6 Branch Circuit W/O Service Feeder.. $ 2.60 S _ EacSiA9Entonel Branch Circuit $ 92,70 S Temp.Service/Feeder 200 Amp. $ 11030 $ Temp.ServlcelFeader 201.400 Amp, $1,6'0 $ Temp,Service/Feeder 401-600 Amp. $167.90 $ Temp.Servlcelceeder 601-1000 Amp $ 9590 $ Portal to Portal Hourly $ 66.20 $ SigntovVine Ughung S 95.90 S_ Signal Circuit/Limited Energy-Commercial.Additional 1500$5,00 S 6390 S Signal ClrcuiV Limited Energy 1&2 Family Dwelling S 63.90 S Signal ClrcuiV Limited Energy Multi-Family Dwelling S 11990 $ Manufactured home Connection $10230 S Renewable Electrical Energy 5NVA System or Less S 110 30 4 First 1300 Square FT $ 25 20 8 Each Additional 500 Square Ft or Portion of S 73 50 S Each Outbuilding or Detached Garage S 11030 $ Each Swimming Pool or Hot Tub S 56.008, Thermostat �/►� per/ Total YtA"C4 r/ s► Owner as defined by PCW 19.26.261 (1)Owner wIll occupy the structure for two years after this electrical pemUt Is finalized.(2)Owner is required to hire an 619c /confrecfoiifl I above said properry Is for sale,ren r or lease,Permit Grp/res after six months of last Inspection. Attar 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 adoration In compliance with the electrical lows,N.E.C. RCW,Chapter 19,26,WAC,Chapter 296.468,The City of Port Angeles Municipal Code,and Ullllty Speemcatlons, Signature of owner electrical contractor or electrical adminletratbr ❑ Cash ❑ Chock I5ec x Date: Credit Card# ra,Utt-o( I WrM Wo(r� 9/�4 lio 11IJ A bJ InA CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION J 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 10 00000486 Date 5/18/10 Application pin number 704032 Property Address 1422 S CEDAR ST ASSESSOR PARCEL NUMBER 06 30 00 0 4 1790 0000 Tenant nbr name MATTHEW TEOREY/T DEMERS Application type description DEMOLITION Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 2000 Application desc DEMOLISH THE 18 X 14 CARPORT & SLAB Owner Contractor MATTHEW TEOREY / TARA A DEMERS HATHAWAY CONSTRUCTION INC 1422 S CEDAR ST 624 E 7TH ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457 5627 Structure Information 000 000 DEMOLISH THE 18 X 14 CARPORT & SLAB Permit DEMOLITION Additional desc DEMOLISH CARPORT & SLAB Permit pin number 165449 Permit Fee 50 00 Plan Check Fee 00 Issue Date 5/18/10 Valuation 0 Expiration Date 11/14/10 Qty Unit Charge Per Extension BASE FEE 50 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 50 00 50 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 54 50 54 50 00 00 V � 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 A Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit i C 1 BUILDING PERMIT INSPECTION RECORD oQ — 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs) PLUMBING Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL. ,N Walls Ceiling FRAMING Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar n INSULATION Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 0� Building 417-4815 T Forms/Building Division/Building Permit %®n CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 10 00000487 Date 5/18/10 Application pin number 501776 Property Address 1422 S CEDAR ST ASSESSOR PARCEL NUMBER 06 30 00 0 4 1790 0000 Tenant nbr name MATTHEW TEOREY/T DEMERS Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 1862 Application desc TEAR OFF & RE ROOF & REPAIR THE SHED/BREEZEWAY Owner Contractor MATTHEW TEOREY / TARA A DEMERS HATHAWAY CONSTRUCTION INC 1422 S CEDAR ST 624 E 7TH ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457 5627 Structure Information 000 000 TEAR OFF & RE ROOF THE SHED Permit BUILDING PERMIT NO PR FEE Additional desc RE ROOF THE SHED Permit pin number 165456 Permit Fee 92 70 Plan Check Fee 00 Issue Date 5/18/10 Valuation 1862 Expiration Date 11/14/10 Qty Unit Charge Per Extension BASE FEE 50 00 14 00 3 0500 HND BL-501 2K (3 05 PER C) 42 70 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 92 70 92 70 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 97 20 97 20 00 00 1 d- U 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. 1197 4t Date Print Name Signature of Contractor or Author' Agent Signature of Owner(if owner is builder) T:FormsBuilding Division/Building Permit C> BUILDING PERMIT INSPECTION RECORD S — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— DQ 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING Under Floor/Slab Rough-In Water Line(Meter to Bldg) ^^� Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL. Walls 1 Ceiling 1 FRAMING Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) T-Bar INSULATION Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-in v` Gas Line T Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By (0 1 Electrical 417-4735 Construction R.W PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 d— — to �L�-- T:Forms/Building Division/Building Permit �� "°N'+,w BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES � For City Use Only Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 Date Received 5 - 113- 10 Permit# 1 - $1 (360)417-4815 fax (360)417-4711 Date Approved Applicant //0(-0r1 Phone Property Owner ep Phone Property Owner's Address Contractor _ �sj` Phone Contractor's Address License # nf6res / E-mail PROJECT ADDRESS Parcel Number Lot Zoning Proiect Type & Brief Description. Residential ❑ Multi-family ❑ Commercial ❑ Industrial Check all that apply ❑ New Construction ❑Addition F. C C; o ❑ Remodel Y w repair ❑ Demolition Re-roof ❑ House ❑ garage i7other wfear off& re-roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood-burning stove gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existing(sq. ft.) Proposed(sq, ft.) Basement @ $ per sq ft. _ $ 1st Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other OTAL VALUATION $ 6Z:�— Total footprint of structures sq T Lot size sq ft. = L t coverage o Site Coverage = the amount of impervious su on a parcel including strucApedys sidewalks patios and other impervious surfaces (see PAMC 94 135 for exemptions) coverage % Max. height of proposed structures ft. Occupancy groupedrooms Will a lawn sprinkler system be instal d? Occupant loadull baths Will a fire sprinkler system be insta d? Construction typealf baths 1 have read and completed this application and know it to be true and correct. /am authorized to apply for this permit and understand o ' that it is my responsibility to determine what permits are required, and to obtain permits prior to won projects Date LO Print Name &07 �Q ?'1t��l� t�_Signature T Forms/Buil Ing Division/Building permit application HATHAWAY CONSTRUCTION 7th.St. :PORT=ANGELES WA.98362 436D)-,'45-77-5627 CUSTOMER'S ORDER NO, PHONE DATE l3 �d NN�A,M/E� �— ADDRESS SOLD BY CASH C.O.D. CHARGE ON ACCT I MDSE.RET'D. PAID OUT I I � L two 1� i I I ,p t lU-997 I I 1 8 x I TAX RECEIVED BY TOTALf � ? ,6:'FRODUCT6I0T AlI'C1311rIS,and.refurri3tl_gdods=must'beanompanied.bythistill: n�ss ToiReorder ;;y .; a00z25=6380,onnebsxom THAIr3K YOU BUILDING PERMIT APPLICATION Print in Ink �'^�•'�- CITY OF PORT ANGELES For City Use Only Attn Building Permit Technician Date Received [;-)13 - p ` 321 E Fifth St. Port Angeles WA 98362 Permit# In-L{K (360) 417-4815 fax (360)417-4711 Date Approved Applicant Q ��,'�w Phone Property Owner �� l5� fro ry Phone Property Owner's Address Contractor ���%a4o ,7 C Phone 9, �- Contractor's Address License # C xpires 3 -7 tow E-mail PROJECT ADDRESS l� Parcel Number Lot Zoning Project Type & Brief Description. Residential ❑ Multi-family ❑ Commercial ❑ Industrial Check all that apply ❑ New Construction ❑Addition X14 _ 252- ❑ Remodel �p � "20� r/- ❑ Repair C 0 K)C-r 7r-lL, Demolition r Ca ❑ 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 Floor Areas Existing(sq. ft.) Proposed(sq. ft.) Basement @ $ per sq ft. _ $ 1st Floor 2"d Floor 3`d Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION $ 2 0"00 Total footprint of structures sq ft. - Lot size sq ft. = Lot coverage % Site Coverage = the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage % Max. height of proposed structures ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths Will a fire sprinkler system be installed? Construction type #of half baths /have read and completed this application and know it to be true and correct. /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 worg1bg on projects D�� Date 5'13- �0 Print Name /L,, an e Signature T Forms/Building Division/Building permit application .` , f ,�`."/ / � - 0 ��' '�. t � .. °r ,. r F V <., r �� f%, Jf �r ��� �. `�.,_ / �"�, �3 ` r �°� f f 'f �' ! � �: �� N �( v V/ -- �4 �� �� �,� � �, Clallam County Assessor& Treasurer - Property Details - 60340 MATTHEW TEOREY/ Page 1 of 5 Clallam County Assessor & Treasurer Property Search Results > 60340 MATTHEW TEOREY/TARA A DEMERS for Year 2010 2011 Property Account _ Property ID- 60340 Legal Description. S70'OF E49'11IN IN LT 19&S70' LT 20 BL 417 &E83'N2&E65'S2 VAC 15 ST Geographic ID- 0630000417900000 Agent Code Type Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space: N DFL N Historic Property N Remodel Property, N Multi-Family Redevelopment: N Location Address. 1422 S CEDAR ST Mapsco* PORT ANGELES Neighborhood- Cycle 5 Res Map ID. Neighborhood CD- 10955130 Owner Name MATTHEW TEOREY/TARA A DEMERS Owner ID- 55702 Mailing Address: 1422 S CEDAR ST %Ownership 100 0000000000% PORT ANGELES WA 98362 Exemptions: Taxes and Assessments Due Property Tax Information as of 05/13/2010 Amount Due if Paid on. First i Second Half Half Statement Base Base Base Amoy Year ID Taxing Jurisdiction Due Due Penalty Interest Paid Due !2010 43212 ST SCH STATE SCHOOL $121 62 $12161 $0 00 $000 $12162 $121 2010 43212 CC-GEN COUNTY $6472 $6472 $000 $000 $6472 $64 2010 43212 PORT PORT $910 $909 $000 $000 $910 $9 2010 43212 PORT ANG PORT ANGELES $14985 $14984 $000 $000 $14985 $149 2010 43212 SD#121 SCHOOL DISTRICT#121 $15753 $15752 $000 $000 $15753 $157 2010 43212 NTH OLY LIB NORTH OLYMPIC LIBRARY $1880 $1881 $000 $000 $1880 $18 2010 43212 HOSP#2 HOSPITAL#2 $2655 $2655 $000 $000 $2655 $26 2010 43212 WSMET PK DIST WILLIAM SHORE MET PARK DIST $845 $845 $000 $000 $845 $8 2010 43212 CITY STORMWATER CITY STORMWATER $3600 $3600 $000 $000 $3600 $36 2010 43212 WEED—CONTROL WEED CONTROL $082 $081 $000 $000 $082 $0 2010 43212 TOTAL. $593.44 $593.40 $0.00 $0.00 $593.44 $593 12009 603402008 ST SCH STATE SCHOOL $13958 $13957 $000 $000 $27915 $0 2009 603402008 CC-GEN COUNTY $7064 $7064 $000 $000 $141.28 $0 2009 603402008 PORT PORT $1001 $1000 $000 $000 $2001 $0 2009 603402008 PORT ANG PORT ANGELES $15494 $15494 $000 $000 $30988 $0 2009 603402008 SD#121 SCHOOL DISTRICT#121 $17260 $172.62 $000 $000 $345.22 $0 2009 603402008 NTH OLY LIB NORTH OLYMPIC LIBRARY $2053 $2052 $0 0'0'_.__$_0_00 $41 05 $0 http.//vpn.clallam.net:8084/propertyaccess/Property aspx?cid=0&year=2010&prop_>d=60 5/13/2010 i HATHAWAY 4CO'NSTRUCTIGN -MW 7-M.Sl. PORTANGELES WA 98362 1-360-45745627 CUSTOMER'S ORDER NO. PHONE DATE NAME _ /21,g& /[Orr y lama Cir.., r of ADDRESS ® �/ l��� .� �t�tr�r S� �r� �✓ki���J ��`J' SOLD BY CASH C.O.D. CHARGE I ON ACCT MDSE.RET'D. PAID OUT DESCRIPTION � © ' D u r r I /e•'t e�.� !.f/Dr�C JVD r A r z z d l `� Sv� 2`vJto[ &PAO to I 8c";. oc- O x ` TAX — RECEIVED BY TOTAL � r4r6` p,D '•BBODUCT 610T All;cfaims and returned goods must,be accompanied.by this bill:" �� 'ToEReorder• 3"0'8. '800-225-6seo.or:�ebs.�om THANKYOU . CITY OF PORT ANGELES <— FEE R CEIPT McER DEPARTMENT OF LIGHT A PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT I . TOTAL FEE NJ CONT.LIC.NO. TIMETOCOMPLETE NO.STORIES LEGALOCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address // CO ECT AD-DRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG AA DD�aESSES RE CANCELLED Owner /�F ,v� «" Installation By /r!� ,.1ti.o .v Owner's Address le-–2 Installers Address c!)r- DayPhone - Installers Phone - Application is hereby made for Permit t0 install Electrical Equipment as follows: / - Wiring Method NUMBER AMP - 120V 240V NUMBER AMP 120V - 240V USE OF CIRCUIT CIRCUITS PER t 0 1 00R FEE USE OF CIRCUIT CIRCUITS PER t 1 0 OR FEE CIA 30 CIA 30 LIGHT SIGN LIGHT -" '50 VOLTS OR LESS CONVENIENCE- MOTOR CONVENIENCE MOTOR - - APPLIANCE MOTOR DISHWASHER FIREALARMS 'DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY -- - ' DRYER - "' - REINSTALLATION LIGHT FIXTURE g FURNACE SUB TOTAL FEE GAS-OIL - - - - - - - FURNACE ENERGYFEE ELECTRIC BASIC FEE ELECTRIC HEAT _ TOTAL FEE ' ELECTRIC HEAT SIZE�OF SERVICE SWITCH OR CIRCUIT BREAKER A.C.UNIT (/ AMP. .PHASE FEEDER SIZE OF SERVICE ENTRANCE CON UCTORS SERVICE A.W.G. SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer and in c ancewiwith htthe N.E.C. Electrical Code. Date Application made (�J!� e✓ �f 'tg r� By CONTRACTOR OR(OWNER(OR-AUTHORIZED AGENT) Permission is hereby given to do the above described work,according to the conditions hereon.and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. DI ECTOR OF CITYLIGHT Date Permit Issued ' 8A� V Byj PLANS APPROVE �+ Notify Department of City Light by Street Address and Permit mbar when ready for inspection.Work must not be covered or current turned on before inspection and O.K.for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE-Original CANARY-Duplicate PINK-Triplicate WHITE CARD.Inspector's Report OLYMPIC PRINTERS,INC. REPORT OF INSPECTOR DATEOFVISIT MADEBY REMARKS Z Q N r z_ W r r O z O O O.K.FOR COVERING O.K.TO CONNECT SERVICE tFINALO.K. ELECTRICAL PERMIT CITY OF PORT.ANGELES � 360-417,4735 Application Number , , , 16-00000068 Date 1/19/16 Application pin number . . , 040840 Property Address . . . . . 1422 S CEDAR ST REPORT SALES Ti4X ASSESSOR PARCEL NUMBER; 06-30-00-0-4-1790-0000- Application type description ELECTRICAL, ONLY on your excise tax form Subdivision Name , , . , , Property Use to the City of Port Angeles Property zci]ing . , , . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Ductless heat pump ---------------------------------------------------------------------------- owner Contractor MATTHEW TEOREY / TARA A DEMERS EXTRA MILE TECH & ELECT. , LLC 1422 S CEDAR ST 418 N, RACE ST, PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457-5222 ------------------------------------------------------------------------- Permit . , . . , , ELECTRICAL ALTER RESIDENTIAL, Additional desc . , Permit Fee 63.00 Plan Checic Fee .00 Issue Date 1/19/15 valuation . . , , 0 Expiration Date 7/17/16 Uty Unit Charge Per Extension 1.00 63,0000 ECH -EL-R- ERANCH CTR WC/ SER FEED 63.00 Fee summary Charged Paid Credited Due Permit Fee Total 63.00 63.00 DO .00 Plan Check Total ,00 .00 ,00 .00 Grand Total 63.00 63.00 .00 DO INSPECTIONTYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN 1 FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM FAST INSPECTION Signature of owner or Electrical Contractor X Date: GAIEXCHANGEIBUILDING CrryorPORTAIqGELUPERbnTAPNZC ' O A )417-4735 F (360)417-47U RCTRIM DEW: /:�� �`� YU 2 Fm9leP lY 6N5PVION", *Plan Review Be3 .Please Cnm iete Plan Review formaii Sheet JobAddr �`^4 0 � at Q�fll@r�On {:4333tl81�01'�R�r�l9tibn tetra ti11t� �_({W gag"bvM CftaMg 8e �2A0Arnp. $'t OD SetvtoelFZ13'i�taflA3t�. $1et5.0D .,��'.,-- S� SeOelFr1-BODAtap $ 1D DarvicefFsatl=tttDDAtttp. $2B-RD S�etteroueriOttDAmp $378:06 --.-. -� Branch Circ W Smvtor#Feeder $ 5,00 BMRMChodWO Fea r O&M r $ emrmh 75,04 Temp.S�FoodwZOAmp. $ 9100 Temp.SsttioWfWar=•WAmpD S't1i oo Temp. $14900 $--••^—•^----- Temp.So iceFeeder04170ARAmp. $IfAQ 1 port to PON HOtciy S 95.00 �L- ttmtm-"Buffica38m -a5WASPMOrLm $9MOD Thmmoft OND NdbcSB.GDfcr6a*2d Tse FhtISODSqwMFL S i2D.00 �.. �cttAdrDttoa�t�tQSritrmeR.�P4�t�n� $ 4D"9tt . �--�•— �[ice or Curage S 74.00 Swhq9wftPaatcrHotTvb tweras deedbyRCW I9?U$1'.(1)GmerwM a=LWthe pwdts ftp.(2)Omer is mwfired to hke an etacv rffmb=sdd pmpW!s foriWo.wt orlam.P Wtresef'*mcn tscfWirMer,DOn. Abrrwftftsbmddmmt f hseby QS'that l am the owwof#he a#m named propwLy ora ffomoW elmtdcW sant:lam m"9 the etecrid bWdMon o r mon in compftce va lm dedW Ian,RRC,RGW.Chapter 19.28,WAG.CNW29WB.1 ho telly of Po€t Angeles Mu"d Co and URY SPWIC&Ons and PANC 14.0&WO mgmft SBWC0 PemtitAPPIGSHOM Sd nafian�eafavnter, Ca$cmftcwrorei cVwd ` 0 .% s Loma ew VP.O ) —r7 . a