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HomeMy WebLinkAbout134 Lopez Ave - BuildingPREPARED 1/04/11 8 37 51 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/04/11 ADDRESS 134 LOPEZ AVE SUBDIV TENANT NBR LISA FREUNDLICH AND D J CONTRACTOR HATHAWAY CONSTRUCTION INC PHONE (360) 457 5627 OWNER LISA FREUNDLICH AND D JOHNSON PHONE PARCEL 06 30 10 5 0 1504 0000 APPL NUMBER 10 00001029 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 1/04/11 JLL BLDG FINAL January 4 2011 8 35 26 AM 1pangrle I V RON 457 5627 BUILDING FINAL RE ROOFED THE GARAGE COMMENTS AND NOTES Owner CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 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 TEAR OFF RE ROOF THE GARAGE LISA FREUNDLICH AND D JOHNSON 1410 SANTA BARBARA ST SAN DIEGO CA 921073931 Structure Information 000 000 Permit BUILDING PERMIT NO PR FEE Additional desc RE ROOF THE GARAGE Permit pin number 173476 Permit Fee 109 75 Issue Date 9/16/10 Expiration Date 3/15/11 Qty Unit Charge Permit Fee Total Plan Check Total Other Fee Total Grand Total 7/«/" /j Date Print Name T:Forms/Building Division/Building Permit Per 1 00 14 0000 THOU Other Fees Fee summary Charged 109 75 00 4 50 114 25 BASE FEE BL 2001 25K (14 PER K) Separate Permits are required for electrical work, SERA, 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 I 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. 10 00001029 Date 9/16/10 037787 134 LOPEZ AVE 06 30 10 5 0 1504 0000 LISA FREUNDLICH AND D J RE ROOF RS7 RESDNTL SINGLE FAMILY 2400 Contractor HATHAWAY CONSTRUCTION INC 624 E 7TH ST PORT ANGELES (360) 457 5627 RE ROOF THE GARAGE Paid Credited Due WA 98362 Plan Check Fee 00 Valuation 2400 Extension 95 75 14 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) STATE SURCHARGE 4 50 109 75 00 00 1 00 00 00 he, W 4 50 00 00 114 25 00 00 Si ature of Contractor or Authorized Agent ure 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 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 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. 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 FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By N r -li P8 Floor Areas PROJECT ADDRESS J.? Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System Other Basement 1st Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? Datef /h( f Print Name_lfa BUILDING PERMIT CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant ,fo vz ffcer-A uvQ Property Owner _Q jeA;,,r_op, Property Owner's Address Contractor Contractor's Address License ,ac .2c .C; 7 )44 „r7 A Expires oP Ayr Residential El House it garage other tear off re -roof lay over one layer Heat pump wood burning stove El gas fireplace pellet stove other Existing (sq. ft.) 9 Proposed (sq. ft.) Total footprint of structures sq ft. T Lot size Site Coverage the amount of impervious surface on a parcel including and other impervious surfaces (see PAMC 17 94 135 for exemptions) riots*. T.Forms/Building Division /Building permit application APPLICATION Print in ink Multi- family ft. Occupancy group Occupant load Construction type Signature I Lot For City Use Only Date Received 9.- 11,- 10 Permit# 11')_ 2-et Date Approved Phone fS7 -5(2 Phone Phone f E -mail Zoning Commercial Industrial per sq ft. TOTAL VALUATION a. sq ft. Lot coverage structures paved driveways sidewalks, patios Site coverage of bedrooms of full baths of half baths 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 on projects. Clallam County Assessor Treasurer Property Details 65048 LISA FREUNDLICH A. Page 1 of 6 Clallam County Assessor Treasurer Property Search Results 65048 LISA FREUNDLICH AND D JOHNSON for Year 2010 2011 [Property Account Property ID Geographic ID Type. Tax Area: Open Space. Historic Property* Multi Family Redevelopment: N Township Range. Location Taxes and Assessment Due L Property Tax Information as of 09/16/2( 10 Amount Due if Paid on. E. Address. 134 E LOPEZ AVE Mapsco PORT ANGEL ES WA 98362 Neighborhood: Cycle 5 Res Neighborhood CD 10955130 Owner Name LISA FREUNL.LICH AND D JOHNSON Owner ID Mailing Address: 1410 SANTA BARBARA ST Ownership: SAN DIEGO r',A 92107 -3931 Exemptions. Year !Statement !2010 47314 2010 47314 2010 47314 ;2010 47314 2010 47314 2010 47314 2010 47314 2010 47314 2010 47314 2010 47314 2009 650482008 2009 650482008 '2_009 650482008 2009 650482008 20_09650482008 12009 650482008 0630105015010000 Real 0010 PA 12` PORT ST CNTY H2 L N N ID Taxing Jurisdiction ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY Section HOSP #2 HOSPITAL #2 W PK DIST WILLIAM SHORE MET PARK DIST $17 50 CITY_STORMWATER CITY STORMWATER $36 00 WEED_CONTROL WEED CONTROL $0 82 2010 47314 TOTAL. $1189.91 ST SCH STATE SCH DOL CC -GEN COUNTY PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DIISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY 65048 Legal Description PUGET SOUND CO -OP COLONY 2 ADD LOT 2 BL 15 Agent Code Land Use Code DFL Remodel Property* Map ID $20 75 $321 37 $358 02 $42.57 11 N N 2 25533 100 0000000000% First Half Second Half $321 38 $0 00 $358 01 $0 00 $42.57 $0 00 .J ir e' I Base Due Base Due i Penalty Interest I Base $251 95 $251 95 $000 $0 00 $2E $134 06 $134 09 $0 00 $0 00 $1 $18 84 $18 85 $0 00 $0 00 $1 $310 44 $310 44 $0 00 $0 00 $31 $326 34 $326 34 $0 00 $0 00 $32 $38.96 $38 96 $0 00 $0 00 $55 00 $55 00 $0 00 $0 00 $1750 $000 $000 $36 00 $0 00 $0 00 $0 81 $0 00 $0 00 $1189.94 M $0.00 $0.00 $289 51 $289 51 $0 00 $0 00 $146 51 $146 53 $0 00 $0 00 $20 76 $0 00 $0 00 $E $1 $11P $57 $2f $4 $0 00 $64 $0 00 $71 $0 00 $E http. /vpn.clallam. net. 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =65 9/16/2010 PORT ANbELES 4/4::9836 tkt 444 (460 k CUSTOMERS ORDER NO. NAME ADDRESS SOLD BY RECEIVED BY agn 04v a 4,7c /41,,,,,-47zr 4f5t7 CAS 4 HATHA WAY CON STRUCTI ON 1 PHONE DATE C.O.D. CHARGE ON ACCT MDSE. RET'D. PAID OUT fie e -c2?? kc C r el 1 Lt .1 CC jr*it C ryie k roc7c. fk, h/76 f P C.' ..-6)."'" g. Y _Ca irs QTY. DESCRIPTION .PRICE AMOUNT TAX 0 I _c() TOTAL .9 roz_ 60_ erN u k biAtopLicTrifin, Attlainip:and us T e ibyfthis,b116-10. I: 141k., 4 `°1 K: YOUi .,.i.r, ,,800=22546381)OrontOszcim, t .,k,l, PREPARED 6/28/10 8 18 05 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/28/10 ADDRESS 134 LOPEZ AVE SUBDIV TENANT NBR LISA FREUNDLICH /D JOHNSON CONTRACTOR EMERALD ROOFING INC PHONE (360) 452 4681 OWNER LISA FREUNDLICH D JOHNSON PHONE PARCEL 06 30 10 5 0 1504 0000 APPL NUMBER 10 00000644 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 6/28/10 BLDG FINAL TIME 01 00 June 25 2010 2 41 04 PM 1pangrle TRAVIS 460 4471 BUILDING FINAL RE ROOFED THE HOUSE AFTERNOON THE PERMIT WILL BE ON THE GARAGE DOOR 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 010000644 Date 6/23/10 Application pin number 5505132 Property Address 134 LOPEZ AVE ASSESSOR PARCEL NUMBER 06 3I0 10 5 0 1504 0000 Tenant nbr name I LISA FREUNDLICH /D JOHNSON Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 5073 Application desc TEAR OFF RE ROOF THE HOUSE Owner LISA FREUNDLICH D JOHNSON EMERALD ROOFING INC 1410 SANTA BARBARA ST P 0 BOX 879 SAN DIEGO CA 921073931 PORT ANGELES (360) 452 4681 Structure Information 000 000 TEAR OFF RE ROOF THE HOUSE Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 4 00 Other Fees Fee summary Charged Permit Fee Total Plan Check Total Other Fee Total Grand Total T:FornsBuilding DivisionBuilding Permit BUILDING PERMIT NO PR FEE RE ROOF THE HOUSE 168013 151 75 6/23/10 12/20/10 BASE FEE 14 0000 THOU BL-2001 25K 151 75 00 4 50 156 25 (2ii "/2640 5 vi Contractor WA 98362 Plan Check Fee 00 Valuation 5073 (14 PER K) Extension 95 75 56 00 STATE SURCHARGE 4 50 Paid Credited Due 151 75 00 00 00 00 00 4 50 00 00 156 25 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 giv s 't to violate or cancel the provisions of any state or local law regulating construction or the perfortnance of construction. Date Print Name Signature of Contrac r or Authorized Agent Signature of Owner (if owner is builder) 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 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 Date Accepted By Comments 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 Inspection Type Date Accepted By Electrical 417 -4735 I Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 6-2_8-16 T.FormslBuilding Divis!on /Building Permit 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 0S J/ ItJ) Phone Property Wrier /.3 a s P, I; c,t p 1-r,t,In S v\ Phone Property Owner's Address IR1 o Saki I?7o.v ocdca.,S aay.®te CA Contractor 6 -2O-Lb iL�If r AZ7 N6, horde Contractor's Address License FMAL(A -(LI c' 7 (919 Expires )1-5 -21911 E -mail PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition X Re roof Heat System Other Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? Date 1,00=2_ 'House garage other Floor Areas Existina (sq. ft.) Proposed (sa. ft.) Basement per sq ft. 1St Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other 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 I have read and completed this application and knew it to that it is my responsibility to determine what permits are r esidential Multi family Commercial tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other Print Name T Forms /Building Division /Building permit application ft Occupancy group Occupant load Construction type Lot TOTAL VALUATION 40 be true and correct. 1 am authorized to apply for this permit a understand red, and to obtain permits prior to workin project 't6,11T Signature For City Use Only Date Received (Q-2 10 Permit 10 -Co `H Date Approved 1 7/6.0 1 -/q7/ 92I67-3c13 L S 2-- 4 /45 Zoning of bedrooms of full baths of half baths Industrial e a €d �04 Proposal Post Office Box 879 Date Quote Port Angeles, WA 98362 5/10/10 1552 PH. 360 452 -4681 FX. 360 4:;2 -4429 www.emeraldroofing.20m.com Job Name/Location TO Properties By Landmark C \O JANET Port Angeles, WA 98362 3301 #1)$4966.00 TAX 422.11 $5388.11 #2)$5073 00 TAX 426.13 $5499 13 PERMIT IS REQUIRED AND RUN APX $143.00 STAX LOC 0502 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: Authorized Signature Signature Signature 134 lopez port angeles wa 98362 Description REROOF HOUSE f TEAR OFF EXISTING ROOFING TO SHEETING (1 LAYER OF COMPOSITION) PREP DECKING FOR REROOF (POUND FLUSH A X117 OR PULL EXISTING FASTENERS) INSTALL NEW METAL DRIP EDGE FLASHINGS TO ALL GABLE EDGES INSTALL #30 ROOFERS FELT TO ROOF AREA INSTALL COMPOSITION AS PER SPECS #1)30Y PABCO PREMIER #2)30YR PABCC 1 PREMIER WITH ALGEA BLOCK STEP FLASH WALLS WITH NEW METAL FLASHI AS NEEDED REFLASH 1 CHIMNEY WITH NEW METAL FLASMNGS (NOTE NOT COUNTER FLASHING IN MORTOR) REPLACE 3 EXISTING VENTS WITH NEW AF50 1 TENTS INSTALL 2 ADDITIONAL VENTS TO EXISTING 10 VENT TO CODE (ALSO AF50 VENTS) INSTALL NEW PLUMBING COVERS TO ALL PIPE VENTS (METAL AND NEOPREM) INSTALL RIDGE CAP TO ALL RIDGES CLEAN GUTTERS FREE FROM DEBRIS CLEAN UP AND REMOVE ALL ROOFING DEBRIS FROM JOBSITE ALL COMPOSITION TO BE WIND NAILED (6 NA [LS PER FULL SHINGLE AND 4 NAILS PER RIDGE PIECE) ALL WORK NOT ABOVE TO BE A CHANGE ORE ER (TIME AND MATERIAL) MANUFACTURERS WARRANTY ON MATERIAL 5YR LABOR WARRANTY WE PROPOSE hereby to furnish n laterial and labor complete in accordance with the above specifications. Please choose an item where required, sign return to the above address. Payment is due upon completion unless other arrangements have been made. All material is guaranteed to be as specified. All work to be completed in a p ofessional manner according to standard Any alteration or deviation front above specifications involving extra costs will be executed only upon written or verbal orders, and u ill become an extra charge over and above the estimate. All contingent upon stril es, accidents or delays beyond our control. Owner to carry fire; tornado, and other necessity insurance. Our workers are fully covered by Worker's Con,..... insurancli. JOB PHONE 452 1326 Vote This proposal may he withdrawn hr ors if not accepted within 60 days. Clallam County Assessor Treasurer Property Details 65048 LISA FREUNDLICH Page 1 of 5 Clallam County Assessor Treasurer Property Search Results 65048 LISA FREUNDLICH D JOHNSON for Year 2010 2011 Property Account Property ID Geographic ID Type Tax Area. Open Space. Historic Property Multi Family Redevelopment: Township Range Location Address. Neighborhood: Neighborhood CD Owner Name. Mailing Address. Taxes and Assessment Due Property Tax Information as of 06/23/2010 Amount Due if Paid on. Year Statement ID 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 47314 2009 2009 2009 2009 2009 2009 47314 47314 47314 47314 47314 47314 47314 47314 47314 650482008 650482008 650482008 650482008 650482008 650482008 65048 Legal Description 0630105015010000 Agent Code Real 0010 N N N PA 121 PORT ST CNTY H2 L Land Use Code DFL Remodel Property' 134 E LOPEZ AVE PORT ANGEL ES WA Cycle 5 Res 10955130 Section Mapsco Map ID LISA FREUNDLICH D JOHNSON Owner ID 1410 SANTA BARBARA ST Ownership SAN DIEGO CA 92107 3931 Exemptions: Taxing Jurisdiction ST SCH STATE SCI-OOL CC -GEN COUNTY PORT PORT PORT ANG PORT A JGELES SD #121 SCHOOL D STRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL #2 WSMET PK DIST WILLIAM SHORE MET PARK DIST CITY STORMWATER CITY STORMWATER WEED CONTROL WEED CONTROL 2010 47314 TOTAL. ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT PORT ANG PORT AIJGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTI OLYMPIC LIBRARY PUGET SOUND CO -OP COLONY 2 ADD LOT 2 BL 15 11 N N $251 95 $251 95 $134 06 $134 09 $18 84 $18 85 $310 44 $310 44 $326 34 $326 34 $38 96 $38 96 $55 00 $55 00 $17 50 $17 50 $36 00 $36 00 $0 82 $0 81 $1189.91 $1189.94 $289 51 $289 51 $146 51 $146 53 $20 75 $20 76 $321 37 $321 38 $358 02 $358 01 $42.57 $42.57 25533 100 0000000000% First Half Second Half Base Due Base Due Penalty Interest Base $0 00 $0 00 $2E $0 00 $0 00 $1 $0 00 $0 00 $1 $0 00 $0 00 $31 $0 00 $0 00 $32 $0 00 $0 00 $0 00_ $0 00 $E $0 00 $0 00 $1 $0 00 $0 00 $C $0 00 $0 00 9 $0.00 $0.00 $11E $0 00 $0 00 $57 $0 00 $0 00 $2C $0 00 $0 00 $4 $0 00 $0 00 $64 $0 00 $0 00 $71 $0 00 $0 00 $E http. /vpn.clallam. net. 8084 /propertyacress /Property.aspx ?cid =0 &year= 2010 &prop_id =65 6/23/2010 Application Number . . . . . 22-00000720 Date 6/13/22 Application pin number . . . 075360 Property Address . . . . . . 134 LOPEZ AVE ASSESSOR PARCEL NUMBER: 06-30-10-5-0-1504-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HOLLY ZECH BLACK DIAMOND ELECTRICAL CONTR 134 LOPEZ AVE 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 200-0864 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 6/13/22 Valuation . . . . 0 Expiration Date . . 12/10/22 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Pub! ic \Yorks and ULili ties Department 32 l E. 5th Street. Port ;\ngeles. WJ\ 98362 300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us Project Address:--------------------------------------­ Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _ OWNER JNFORMATtON Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRfCAL CONTRACTOR fNFORMATION Name: ___________________________ License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 $ Temp. Service/Feeder 200 Amp. $93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal CircuiULimited Energy - 1 &2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Ren ewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Sql;Jare Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool/ Hot Tub $110.00 $ TOTAL $ Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After 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 alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] '"'CJ CD ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 11/8/2023 22-720 TAP OWNER CONTRACTOR Black Diamond Electric PROJECT ADDRESS 134 Lopez Ave Application Number . . . . . 22-00000785 Date 6/29/22 Application pin number . . . 351495 Property Address . . . . . . 134 LOPEZ AVE ASSESSOR PARCEL NUMBER: 06-30-10-5-0-1504-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Service, feeder and car charger ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HOLLY ZECH JOHNSON ELECTRIC COMPANY 134 LOPEZ AVE 3129 S REGENT PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 200-0864 (360) 728-4327 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 125.00 Plan Check Fee . . .00 Issue Date . . . . 6/29/22 Valuation . . . . 0 Expiration Date . . 12/26/22 Qty Unit Charge Per Extension 1.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 5.00 1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 125.00 125.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 125.00 125.00 .00 .00 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Pub! ic \Yorks and ULili ties Department 32 l E. 5th Street. Port ;\ngeles. WJ\ 98362 300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us Project Address:--------------------------------------­ Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _ OWNER JNFORMATtON Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRfCAL CONTRACTOR fNFORMATION Name: ___________________________ License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 $ Temp. Service/Feeder 200 Amp. $93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal CircuiULimited Energy - 1 &2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Ren ewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Sql;Jare Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool/ Hot Tub $110.00 $ TOTAL $ Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After 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 alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] '"'CJ CD PREPARED 6/27/22, 8:20:20 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00000785 134 LOPEZ AVE FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 125.00 TOTAL DUE 125.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Service NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 7/12/2022 22-785 TAP OWNER CONTRACTOR Johnson Electric PROJECT ADDRESS 134 Lopez Ave