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HomeMy WebLinkAbout524 S Chambers St - Buildingvirago. 6 00 Other Fees Fee summary 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 Application Number 10 00000188 Date 2/24/10 Application pin number 574796 Property Address 524 S CHAMBERS ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 9285 0000 Tenant nbr name RAYMOND L C LOVELY TTE Application type description SIDING Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 8000 Application desc INSTALL VINYL SIDING ON THE HOME Owner Contractor RAYMOND /L C LOVELY TTE LOVELY FAMILY TRUST 524 S CHAMBERS PORT ANGELES WA 98362 Qty Unit Charge Per BASE FEE 14 0000 THOU BL -2001 25K (14 PER K) Charged G M VINYL SIDING /GUTTER INC 4113 S C ST PORT ANGELES WA 98363 (360) 457 3949 Structure Information 000 000 VINYL SIDING OF THE HOME Permit BUILDING PERMIT NO PR FEE Additional desc VINYL SIDING OF THE HOME Permit pin number 161414 Permit Fee 179 75 Plan Check Fee 00 Issue Date 2/24/10 Valuation 8000 Expiration Date 8/23/10 STATE SURCHARGE 4 50 Paid Credited Due Permit Fee Total 179 75 179 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 184 25 184 25 00 00 L z 1 -0 j9, /7 fl,f/R Extension 95 75 84 00 Date Print Name Signature of Contractor or Authorized Agent 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. Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS 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 Date Accepted By I 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 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 PLANNING DEPT Parking Lighting Landscaping Separate Permit #s T.Forms /Building Division /Building Permit Inspection Type FINAL Date Accepted by FINAL Date Accepted by SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Electrical 417 -4735 I Construction R.W PW Engineering 417 -4831 I I Fire 417 -4653 I I Planning 417 -4750 I �I Building 417 -4815 I 4 1 k -Z- 10 BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant 5, ,¢,7Z Phone Property Owner ,Q ,q,, 4L,, Al Phone Property Owner's Address Z.y 5.0 e,4.4 Contractor 6'f- AI 5,,/,,,, 0 ,A., Phone Contractor's Address 4 3 c /e /f z„_ r y./a3 License ,i //e iv Al I /%GAL Expires 3 ,7/ E -mail PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System Other 2 zi 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 Lot ikfzesidential Multi family Commercial i 1 Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq ft. 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION For City Use Only Date Received' 2- 2 -4 `U Permit i(1 _•g- Date Approved Ss'a� 0 3 .rs_ 17,4 Zoning X House garage other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other Total footprint of structures sq ft. T 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 of bedrooms of full baths of half baths Industrial /Da 0 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 ,^7y responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date Z Zy c" Print Name 1;1 7/ Signature "e T F ms /B,iilding Division /Budding permit appdcation Clallam County Assessor Treasurer Property Details 57574 RAYMOND/L C LOVE Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 57574 RAYMOND/L C LOVELY TTE for Year 2010 2011 Property Account Property ID Multi-Family Redev lopmont: N Location Address: Taxes and Assessments Due Property Tax Information as of 02/24/2010 Amount Due if Paid on Statement Year ID Taxing Jurisdiction 2010 40 ST SCH STATE SCHOOL 2010 40565 CC-GEN COUNTY 2010 40565 POnT POaT 2010 40565 PORT ANG PORT ANGELES 57574 Legal Description S2 LOTS 17 18 BL 192 TPA Geographic ID 0630000192850000 Agent Code Type Real Tax Area: 0010 RAl21 PORT GTCNTYM2L Land Use Code 11 Open Space. N DFL N Historic Property' N Remodel Property N nz*o�n�wocnoo/ "mvu:v PORT ANGELES WA 9836 Neighborhood: Cycle 5 Res Map ID. Neighborhood CD 10955130 Owner Name. RAYMOND/L C LOVELY TTE Owner |D 37846 Mailing Address: LOVELY FAMILY TRUST °/0 Ownership: 100 0000000000% 524 S CHAMBERS PORT ANGELES WA 98362 Exemptions: First Second MoHalf iHalf Base Base Base Amoi Due I Due Penoby.��r��/Pai� Due $136 42 $136 43 $0 00 $0 00 $0 00 $27' *72._61 $72159 $OOO $0 00 $14! $10.20 $1o21 $ouo $0 $0 00 $2( $168 10 $168 09 $0 00 $0 00 $0 00 $33( 2010 40565 So�z1 ��H{OLD|GTR|OT#121 $176 71 $176 70 $0 00 $0 00 $0 00 $35: 2010 40565 wTHOLYL|a NORTH OLYMPIC �21 10 $21 09 $0 00 $0 00 $0 00 $4. �O10 4V5O5 MOG 8 $2979 $0 $O 00 *OO-*51 -4-8 2010 40565 Vx8MsTPmo|8T VwLUAMSHORE MET PARK D|GT $9 $947 0 00 $0 00 $0 00 $11 2010 40565 $36 00 $36 00 $0 00 $0 00 $0 00 $7' -2616-40-6-6--5- WEED V��DCOm�OL $0 82 $0 81 $0 00 $0 00 2010 4u���n�TAL. $661.22 $��11� V.UV $0.00 $0.00 $1�3: '5-75742068 2009 STQCM STATE �CMOOL $15532 �155�1 �OOO *OOO �V1VV3 -$78 2009 575742000 CC-GEN COUNTY $78 60 61 $0 00 $0 00 $157.21 VVV 575742008 PORT PORT $11 13 $11 14 �UUU $0 00 $22.27 r o o $172.41 |u000 575742008 pox/ *ma PORT ANGELES �rz�*� 172.41 $0 00 �o $u44oz m( i20O9 o75742OO8 SD #121 SCHOOL DISTRICT #121 $192.07 $192.06 $0V0 $0 00 $384 13 2OOg 57574oOO8 NTH OLYUB NORTH OLY�P|CUoRARY $22 84 $22.84 $0 00 $0 00 $45 68 2V�V �7�742UO8 HOSP #2 HOSPITAL #2 $32.24 $32.23 $0 00 $0 00 $64 47 Owner Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date 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 Application Number 09 00001224 Application pin number 714472 Property Address 524 S CHAMBERS ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 9285 0000 Tenant nbr name RAYMOND /L C LOVELY TTE Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 2695 Application desc RE ROOF HOUSE LAY OVER ONE LAYER RAYMOND /L C LOVELY TTE LOVELY FAMILY TRUST 524 S CHAMBERS PORT ANGELES (360) 452 6180 Structure Information WA 98362 Qty Unit Charge Per 1 00 Other Fees Fee summary Charged Permit Fee Total 109 75 Plan Check Total 00 Other Fee Total 4 50 Grand Total 114 25 Contractor Date 11/24/09 AFFORDABLE SERVICES 258663 HWY 101 WEST SEQUIM WA 98382 (360) 683 9619 000 000 RE ROOF HOUSE LAY OVER ONE LAYER BUILDING PERMIT RE ROOF HOUSE 157115 109 75 11/24/09 5/23/10 NO PR FEE BASE FEE 14 0000 THOU BL -2001 25K (14 PER K) Plan Check Fee 00 Valuation 2695 Extension 95 75 14 00 STATE SURCHARGE 4 50 Paid Credited Due 109 75 00 4 50 114 25 00 00 00 00 00 00 00 00 be complied with whether specified herein or not. The granting of a permit do s not pr state or local law regulating construction or the performance of cpRSon. 1I 6 '7 t 1a Date Print Name Signature of C trac or Authorized Agent 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 e to 'e authority to violate or cancel the provisions of any Signature of Owner (if owner is builder) 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 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 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 Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 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 Inspection Type PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE kkpi Il`jr Date Accepted By BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360).417 -4711 Applicant Et^� bl c) f1 .t (0 Phone Property Ownef �L•lf Phone Property Owner's ddre s SZ LI Sock -El) Contractor 'fJ ,p 6to, 1 1 Phone For City Use Only Date Received I -2`{ -��`jq Permit Q— t!L Date Approved Contractor's Address 6s jj 'j 7 zrvizig License e 5' fj Expires E -mail 6rf m6,15 PROJECT ADDRESS ZU 'x-EA 01i.(EyriuL'S Parcel Number PraY/.Sr) Lot f. 01 Zoning Project Tyne Brief Description. Residential Multi- family Check all that apply New Construction Addition Remodel Repair Demolition li a -roof X House garage other tear off re -roof t y over one layer Heat System o Heat pump wood burning stove gas fireplace pellet stove other Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION ZCQa 6.6 Total footprint of structures sq ft. T 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 Will a lawn sprinkler system ibe be installed? Will a fire sprinkler system be installed? have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date it Print Name Signatur Forms/ uilding Division /Bldg Permit.doc Existing (sq. ft.) Proposed (sq. ft.) ft. Occupancy group Occupant load Construction type Commercial Industrial per sq ft. of bedrooms of full baths of half baths a All material is guaranteed to be as specified. Any alteration or deviation from the above specifications involving extra costs will be exerted only upon women orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents, or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. DEPOSIT AFFORDABLE ROOFING 258663 Hwy 101 West Sequim, WA q.:ffordable Roofing s Representative. Customer s Signature of Acceptance Set attached Warranty Statement_ (360) 683-9619 (360) 385 -2724 (360) 452 -0840 N ame Phone #1 FV,If) L157- T Add s i _lL .0. St k" Phone #2 City m Ali". r. State Zip Code 2 2.. Tarp ho perimeter to protect landscaping ;R emove old roofing and haul to landfill Install Plywood OSB Install Roofing Felt Install Drip Edge Metal Install Pipe Flashing Ins tall Metal W- Valleys Install Exhaust Vents Install Roof to Wall Flashing Install Ridge Vents Install Roof to Wall Step Flashing Install Attic Vents Cut In Chimney Counter Flashing Install Sun Tube Install Chimney Step Flashing Install Skylights Install Skylight Flashing Install Install Install Install Secure Locate Septic Drain Field Location Q f Pnce Includes Building Permit Customer to Secure Building Perrot Description, `install 10 year i.nminatec{, Niel Wind Shingles, at 6 nails per shingle. With ..Scotch .Guard Algae Block System. //O rrich Payment to full upon completion of project, unless other arrangements accepted SUBTOTAL. .2 We propose hereby to furnish material and labor, SALES TAX complete in accordance with the above specifications. TOTAL A cceptance of Proposal the above prig, specifications and conditions are sansfactory and are hereby accepted. You are authorized to do the wort as specified. Payment will be made as outlined above. Note this proposal may be withdrawn by us i f not accepted within 30 days, Brand /C.- Year 30 Color Workmanship 10 Year Warranty C Lifetime Warranty Date Date: PROPOSAL ~ ~ORr ~ $.J...O~~~ ,. L~ ~ '\.tli:,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000916 Date 759556 524 S CHAMBERS ST 06-30-00-0-1-9285-0000- RE-ROOF 8/03/07 RS7 RESDNTL SINGLE FAMILY 2329 Owner Contractor LOVELY TTE RAYMOND/L C LOVELY FAMILY TRUST PORT ANGELES WA 98362 AFFORDABLE SERVICES 258663 HI - WAY 101 SEQUIM WA 98382 (360) 683-9619 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE TEAR OFF/INSTALL COMP 108464 109.75 Plan Check Fee 8/03/07 Valuation 1/30/08 .00 2329 Qty Unit Charge Per Extension 95.75 14.00 BASE FEE 1.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- -'--------- ---------- Permit Fee Total 109.75 109.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 114.25 114.25 .00 .00 ~ ~~ ad} ~ ~ ~ ~ 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 as 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 'olate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) Date T:\PoliciesIlI02_15 building permit inspection record05.wpd [1/4/2005] BUll.,DING PERMIT INSPECTION RECORD :3 CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS. I CALL 417-4807 FOR PUBLIC WORKS UTILITIES ...0 PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UN LA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE ~ INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TlON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSI'ECTlON TYPE DATE ACCEI'TED COMMENTS YES I NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDA TION DRA[NAGE / DOWN SPOUTS PIERS I POST HOLES (POLE BLDGS,) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW /WATER AIR SEAL WALLS CEILING FRAMING JO[STS / GIRJ)ERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF 1 CEILING DRYW ALL (INTERlOR BRACED PANEL ONLY) T-BAR INSULA nON SLAB WALL 1 FLOOR 1 CEILING MECHANICAL ROUGH-IN HEATPUMP/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE / PELLET 1 CillMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKJRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARK[NG/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL I DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LI GHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W. / PWI CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW / ENGINEERJNG FIRE 4] 7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 ()~ 10'\( 1\1 1-'\ t".L-- BUILDING U1 ~ \f) ~ J [ r I ~ T:IPoliciesl] J02 15 bUlldmg penmt IIlspecllOn record05.wpd [1/4/2005] \ r--- cor- ....0 , '" 0 , CO r>1r>1 (')E-< .,;.,; 0.0 '" .... '" '" , M co '" 0 '" >- M r>1 0-< 0-< P: P: r>1 (') H ;> :i! 0-< Hr>1r>1 E-< OZZ 0. t>1Ul ~OO 0-< t>1 ~t>1 :X::X: E-< ~~ Ul "d'.. 0 E-<>:> ~ <<. Z 0 0 Z .. 0 :i! OP: co P: HO Ul "" , E-<E-< E-< t>1 Ul UU Z 0 P: E-< r>1t>1 t>1 ....'" Z 0.0. :>: .... , r>1 UlUl r>1Z:>: '" ~ ZZ r>100 Hr"'"-O'\H H H "'HU ,:::C 0 I,::x; 0 E-<' ZOl"'"lZ U ~o.Ul HNCOH P<HE-< ~""""\D~ P:o-< co , OU::> C!JoWeJ Uo lz:UlUl ~~~~ 0 r>1t>1 0-<0 10~ ~o>:>~ (I)........otI.. t>10 '0 ... E-<UZIOO H (J}H Oco 0:: ~o.o-< ;>:>:N , N UlP:>-"'t>1 N ~~~~o:: P<Ul::> M ~ ,'" C'J:'i "" ~t>1t>10.... lz: P: >:> H~IG\ H co :I:1Ilf-loa 9 Ul u.,; 00 t>1 0>- '0 HOO .0-< Cl)ll:::HOO ::>t>1t>1 r- r-t>1 QWl"'lO ~E-<E-< 0 0(') ""<<.;> , , Ult>1 , ';;;:i! NtI.. 0\0 r-- ot>1o-< '" lll,::(HOO 0::>0. 0 0 0:>: , 'E-< P<t>10 '" co~ P: o~u 0 'P: .t>1 ~ 0. 0 ~ 0 E-< .~ t>1<<. UlU .... <>:0 f3;;ip:r;iz ... 0 0 .,; H Ul 0.>- P:E-<t>1uo-< ~ , '" t>1E-< ozzp:o. 0. '" <>:H ~03:";0. >- 0-< o.u uoo..,; P< E-< ~ Phone # 1 'S60 q S'2- ro L ?f-) Phone #2 Z. C d n o..'2/' "l_ IP 0 e ::L ::r::..2 , )L( ^'-~ AFFORDABLE ROOFING _"\. . \\' 258663 Hwy 101 West ) Q} Sequim, W A . ~ (360) 683-9619. (360) 385-2724 C A -e.s. State Tarp house pe meter to protect landscaping Remove old roofing and haul to landfill PROPOSAL (360) 452-0840 Plywood Roofing Felt Pipe Flashing Exhaust Vents Ridge Vents Attic Vents Sun Tube Skylights OSB .~ ...J4 Install Install Install Install Cut In Instal I Install Install ~Install Install Install Install Install Install Install Install Install '\C')V"C-Y\ .~,A.f OAf f7~+ Install Install --fl:j]--Secure / Locate Septic / Drain Field Locati07-=r n ~Price Includes Building Permit (2)~A Customer to Secure Building Pe 'it Description: V" ffiv yY) Drip Edge Metal Metal W -Valleys Roof to Wall Flashing Roof to Wall Step Flashing Chimney Counter Flashing Chimney Step Flashing Skylight Flashing Payment in full upon completion of project, unless other arrangements accepted. We propose hereby to furnish material and labor, complete in accordance with the above specifications. SUBTOTAL: .J>Z.3 ~ ~ Gu SALES TAX ,,'7 Ii 07-( TOTAL: fL,52-'{ {;(..I , .-\11 malerial S guaranteed to be as specified. All worlc to be competed in a professional mllJ1ncr according to slllndard practices, Any altCl1ll.ion or deviation from the above ;pccilie:uiOllS invoiving exlrll cosli will be executed only upon written orders ll.'1d will b<.~omc an extra churge over and above the estimate, All agreements contingent upon ;uikcs, llCcidcnLS, or delays beyond our control. Owner to CllJT'Y fire. tornado, and other necessary insuran'Ce. OUf workers are fully covered by Wor1cer's Compensntion Insurance. Note: this proposal may be withdrawn by us if nOI accepted within 30 days. .Acceplance of Proposal - the above prices, specifications and conditions are saris factory and are hereby accepted. Youare authorized to do the work as specified. Payment will be made as outlined above. Brand Ta.vyU:(o ColorKLlS-fIc- d/.llc....1< 10 Year Warranty (Jj( Lifetime Warranty ~ Year -.6 0 Workmanship: .A.ffordable Roofing's Representative: 9fr{~ Customer's Signature of Acceptance: See anached Warranty Statement. I 1:' Date: &~1-61- 'j rr &- i~- 0 / J Date: ,---- BUILDING PERMIT.. APPLICATION FOR OFFICIAL USE ONLY: . Date Rec.: 08 -0 ~-D. Permit#: Of J,. CJ @ Date AppTOved: ~ . J -C'7 Date Issued: :!r.:5 -en Applicant or AgentMFo-rda 'oIL SerU{f1 ~ Architect/Engineer: Contractor ~M.b(,.{. Sew r (.fl.!; Address: ZSeoll.3 f.J w y f 0( IA J PROJECT ADDRESS: 5 2J1 5 LEGAL DESCRIPTION: Lot CLALLAM COUNTY PARCEL NU11BER: Phone: State License #:A-J;J:nf?', )Il~s'I&p: re/Z31 (ji I City: \.5-e~1.L.ifY\ fAJfr [ha rY\bL~ Phone: &. f;~ qfo let. zipttBJ?J2-7L/2 ~ ZONING: Block: Subdivision: TYPE OF WORK: o Residential 0 New Constr. lIl-1te-roof o Multi-family 0 Addition 0 Move o Commercial D. Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: o Stove o Garage o Deck o Other ;--t:a lr ~ SIZENALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ -z;.S z...'1, /Y) Cel-/- conrY) I COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage % Occupant Load: . & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee.is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees. are due at the time of permit issuance. . EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same 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 ,not the City's, and that I must obtain such permits prior to work. T:\Policies\BL-l102_13.wpd APPlicant:9i'l/Pbl-- Date: ~. ~Z-6f- . . Site Address: , CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. .;( 3 4-~ 0/ Lij--15i- .' ELECTRICAL PERMIT DATE .s o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Installed By: OwnerlBusiness: Phone: Owner/Business Address: Sq. Ft. o 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) I DetailslDescription: / I o New Construction o Remodel o Service update/alter/repair o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) verhead o Underground VoltaQJY- ; "lA>/z-<e-o ~ D31i!J Service size Amps o Temporary e .1--<.- , . ~..I;{ v 10G- A~4 , -f: . 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 ~ ~inal 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 i $"2 Installer: ~ ""- PermitfReceipt No. :2.3<f~ Site Address: New Meters I~) ,'-c. Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permi!. PHONE 457-0411, EXT. 158 or EXT. 224. ~~-'- Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT OLY"lPIC PRI~HERS. INC. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16014 Port Angeles. washlngton......lqm~.t[~_m____mmm..m___m___. 19./__? In accordance with the City Ordinance to regulate the installation, extension. or repair of elec- trical equipment in. On. or about any building or other structure in the City of Port Angeles. per- mission is hereby granted to do electrical work as listed below. Address h_.:2.__;)._Y...L/,~,,_C~47-<__k--=(...~_______m__m Occupancy____4-f?62_______hh__________m___h__ Owner ------':-:":~.t:r;'t....:m:%~d2rf:!1f:--h'-- ');anL_..___._m__m____m_______mm..h___m_m_m______________. Wiring Co~tractoP____Y!f:.__.t)t2:i':U~__:.:Q__{!!2-",:.,..___~.. By._____mm__m__m___hhhhmh_m_______h.h..__mh.__.... Light Outlets.___................____________.._..... Receptacle Outlets........._____..h....._....... Dryer, KW........hh........____._n__..______.._. Range, KW m_hm__mm_____m_____ Water Heater: KW............................................... Heat: Kw...jL_.y.~",.ju Motors: sIze, volts and phase: ServIce, volts ---/.-:d..9/-..'.::i?f.:;C.. :7 No. wIres .____.......0...........;;::;.... SIze wires..$?1~,.........._.. MaIn fuse ....;,;;lr:J:_t2.A.......... Enclosure __..5.._._.._..0.__.............. Type of wiring: Entrance Cable .._______m._____ Rigid Conduit ___._________..______ Metall1c Tubing h..h_......... Current transtormers: No. & Size............____________.___ Ser. NO..._h......._..._..______....._.__..__...n._. Ser. No. ..........._......._.._0........___ Ser. NO.._h___h_.......................... Type of Wiring: Armored Cable ..._0...........__.......____. Non.Metallic .................___.___.___h... Knob & Tube......._...___._.................. RIgid Conduit ............................... Metallic Tubing ....._._................... Raceway .........._....._._............_......_ Circuits, Light................________............... Utility 0....................__..._.................. Heat _______.._.__.................__......__.._._ Range ...............n._______...____n........... Water Heater ..............._._.._.......... Motor ..._..........._.............__........_.... Dryer __.__...__...._...n......_________._..._n....... Furnace _..________...............__....._........._ Total Load............................. Ser. NO...Uh......._..._.._......____n.._....__.. Total .........._..._........................ Remarks: h___m,__<;'_,_if_.~-b.~m....---.-a-.e.,::L.--2:::..4!.e.~-m-m-m--mmmm-m--m___m_mm___m_.m__ m____.__mm____m__m__m___.m__..__m__m_.__..mmmm___m..__hmn_n.__mmm___mn__m_m~m-- ''''....:_m...__...________.m_____m...__._._____ Permit Fee Treas. Receipt J/~" d L $_____mh________m_______m__m_. NO.__mmm____m__________ By 1Y-:_m..l_m~__"m---?"k:--!r:O~_._(&4.""__ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con- cealed due notice must be given the Inspector so that work may be Inspected betore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 16014 Address....._._....._.........._....__........_....____......__.....______.._____________.__._______...____.__._....__..___.____._._____.____..Date..._......____......_...__..____._...._____________._.. Owner .........._._..............._......__...._...._u.._._......_.._.............0.......................0......_..........0... Tenant.......n...n..__......__.............._........................... WirlngContractor________._______.__..__.________...........................__..._.............._..._.......____._.._._.___.....______.____By____....._.....____..._._____...____....._..____._..________._ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con- cealed due notice must be given the Inspector so that work may be inspected betore concealment. 1M nhtTnni.... Print..,.", Tn...