HomeMy WebLinkAbout239 W 5th St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Sub Panel and 7 circuit remodel
Owner
BOCK EDWIN S
239 W 5TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983622811
182618
138 10
3/15/11
9/11/11
138 10
00
138 10
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G: \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
11 00000229
491979
239 W 5TH ST
06 30 00 0 0 87 6 0000
ELECTRICAL ONLY
RESIDENTIAL HIGH DENSITY
0
Contractor
ELECTRICAL ALTER RESIDENTIAL
ELECTRIC NORTHWEST LLC
1171 3 CRABS RD
SEQUIM
(360) 808 6188
Plan Check Fee
Valuation
Qty Unit Charge Per
7 00 2 6000 ECH EL BRANCH CIRCUIT W /FEEDER
1 00 119 9000 ECH EL 0 200 SRV FEEDER
Paid Credited
138 10 00
00 00
138 10 00
DATE. RESULTS
Date 3/15/11
iz?
WA 98382
Extension
18 20
119 90
Due
00
00
00
0 0
0
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
'fur
Date:
DATE: /2/
2J t •622.5
OWNEIR
CONTRACTOR
ADDRESS
VA,
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
PERMIT IN ECTOR
APPROVED NOT APPROVED
p DITCH 0
ROUGH IN /COVER p
SERVICE
p FINAL p
CORRECTIONS NEEDED: V7*.inO Qiig
++z y b 4,
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362
Ph (360) 417 -4735 Fax. (360) 417 -4711
Date. 3-15 I I
-1 2 Single Family Dwelling
Plan Review May Be Required, P ease complete Electrical Plan Review Information Sheet
Job Address: 015 f W S
Building Square Footage:
Description of above At l i rcu i '.S 4 re -ee P e _f So o F n
J
Owner Information 1 "F
Name: V c e.l
Mailing Address: Q 3 Y U' 5 Sf
City 4 State: (.'/f Zip: 74
Phone: Fax:
License Exp.
Item
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp.
Service /Feeder 401 -600 Amp
Service /Feeder 601 1000 Amp.
Service /Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/0 Service Feeder
Each Additional. Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service /Feeder 201 -400 Amp.
Temp. Service /Feeder 401 -600 Amp.
Temp. Service /Feeder 601 1000 Amp
Portal to Portal. Hourly
Sign /Outline Lighting
Signal Circuit/.LimitedEnergy First 1500 sf Commercial
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited. Energy Multi- Family Dwelling
Manufactured' Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
NEW CONSTRUCTION ONLY.
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Multi Family or Commercial* Commercial Addition Alteration Remodel Repair*
Unit Charge
119.90
$145.50
204.6D
262.20
372.50
2.60
73.50
2,60
92.70
$110.30
$148.70
$167.90
95.90
88.20
95.90
63.90
63.90
119.90
102.30
56.00
$110.30
35.20
73.50
$110.30
Dated:
CE1 E
MAR 1 2011
ELECTRICAL
INSPECTIONS
PORT 4 4.6.
s
sr
limmor
Contractor Information Ji
Name: nec)Fr,c- 71/or 042.r7 LLC
Mailin Address: /12/ .3 Credr.r 1�
City u%.._ State: u" 4 Zip: 7Y3f02
Phone: 1 3'Co0-0'{arf Fax:
License I Exp. LJEC N( 9 ct, 7
Total (Qty Multiplied by Unit Charnel
//q 70
S
(F,01-0
5
S
S
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 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14 05 050 regarding Electrical Permit Applications.
Signature of owner electrical contractor or electrical administrator LCash check
Credit Card
01/01/2010
Application desc
DUCTLESS HEAT PUMP
Owner
NICOLE J ROBISON
239 W 5TH ST
PORT ANGELES
(360) 808 6117
Qty
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
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
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
WA 983622811
Permit MECHANICAL PERMIT
Additional desc DUCTLESS HEAT PUMP
Permit pin number 182972
Permit Fee 64 80
Issue Date 3/25/11
Expiration Date 9/21/11
Unit Charge Per
14 8000 EA
Charged
64 80
00
64 80
11 00000261
534542
239 W 5TH ST
06 30 00 0 0 8736 0000
MECHANICAL APPL PERMIT
RESIDENTIAL HIGH DENSITY
2781
Contractor
ALL WEATHER HTG
302 KEMP ST
PORT ANGELES
(360) 452 9813
Plan Check Fee
Valuation
BASE FEE
ME FURN /HP /FAU OR
5 TON
Paid Credited
64 80
00
64 80
00
00
00
Date 3/25/11
COOLING INC
WA 98362
00
0
Extension
50 00
14 80
Due
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
t ,f\c),\R4
0 5 D5
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.
/d 1 r9SLY1 MtViee wn 4
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
Inspection Type
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 COVEF' INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Date
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 S
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Accepted By I Comments
1 FINAL Date Accepted by
<t jo Kaafixt.Z
Date
PLANNING DEPT Separate Permit: #s SEPA.
Parking Lighting 1 ESA.
Landscaping SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Accented by
Date Accepted By
Applicant
Property Owner
Property Owner's Address
Contractor .411
Contractor's Add ess
License
PROJECT ADDRESS
Parcel Number
Proiect Tvoe Brief Description.
Check all that apply
o New Construction
o Addition
Remodel
o Repair
a Demolition
o Re -roof
Meat System
u Other
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
T:Forma /8ullaing Division /BId® Pemiit.doc
ZO /Z6 39Cd
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
cZ cl wea 5th ,red
pesidenrlal
l rlr.�, 011 I
o House garage other tear off re -roof o lay_ over one layer
,»Heat pump wood burning stove o gas fireplace pellet stove XiDthernikligS,
Floor Areas Existing (sq. ft.) Proposed (Sq. ft.)
Basement per sq. ft.
1' Floor
2" Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION Ci 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
ft. Occupancy group
Occupant load
Construction type
1 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 res)onsibility to determine what v permits re required, and to obtain permits prior to t/p king on projects.
Date 3I4 I f Print Name JI 1 r Signature
0001 I )ia
t lam''nt3 r
Expires
Multi-family
For City Use Only
Date Received '3 24
Permit h 2 &o 1
Date Approved_3-
Phone i,PO(- S2
Phone '3(pri7WIS
Phone a oub 1 5
E -mail ICLUIL D U.W1
Lot
Zoning
of bedrooms
of full baths
of half baths
o Commercial Industrial
if A ANA 4
1
9NI1C3H a3H1C3M 11' LLTSZSb09ET TS TT TTOZ /bZ /E0
After recording retum to:
John R. Rutz
Johnson Rutz Tassie, PLLC
804 South Oak Street
Port Angeles, WA 98362
Abbrev Lgl. Desc. LT 11 BLK 87 TPA
LOT 11 IN BLOCK 87QF /THEO
AS PER PLAT THER OF RE
RECORDS 0
COUNTY S
/7
DATED t
NO 61!6
Tr St) ria
2011 1263850
Page 1 of 2 Deed
Olympic Peninsula Title Company
Clallam County Washington 03/11/2011 02 41 53 PM
1111 h't ,6 II,AL4 t1' :5'10I,firlfii fiT irt, 14/1, 519iii 11111
\S
Grantor* Stacey Marshall, Director of Finance and Administration for ala Trail
Conservancy Personal Representative of the Estate of Edwin S. B•: c
Grantee: Nicole J Robison, an unmarried individual
PERSONAL REPRESENTATIVE'S DEED
Tax Parcel No 06- 30-00- 008736 7
THE UNDERSIGNED GRANTOR, Stacey 1 hall, Dir or of Finance and
Administration for Appalachian Trail Conservancy, as e -du aP ointed, qualified, and
acting personal representative of the Estate of Edwin ck,-d ceased, Clallam County
Superior Court of Washington, Cause No d9,4N00250 9 and not in her individual capacity,
and as authorized by the ORDER ADMITttN WILL TO PROBATE, APPOINTING
ADMINISTRATOR WITH WILL ANNEXED ND 'CANTING NON INTERVENTION
POWERS entered in said probate cause'on J•u 26 to settle the Estate of Edwin S
Bock, deceased, without the interventign(of OV•cquil, does hereby grant, bargain, sell,
convey, and confirm to Nicole J Robison: (an *Married individual, GRANTEE, the
following- described real estate, situikt in CIallat YCounty State of Washington, to-wit:
y Mars' Dir tor :f Finance and
Administrat for Appalachian Trail
Conservancy ersonal Representative of the
CCJ Estate of Edwin S Bock, deceased
aMit
Page 1
2011
AL TOWNSITE OF PORT ANGELES
DED IN VOLUME 1 OF PLATS, PAGE 27
GOUyTY WASHINGTON, SITUATE IN CLALLAM
RIN3TON.
1
2011 1263850 03/11/2011 02 41 53 PM 2 of 2 Clallam County WADEED
OLYMPIC PENINSULA TITLE COMPANY
STATE OF ,/1iIk U�LAue-
u )ss.
COUNTY OF
I certify that I know or have satisfactory evidence that Stacey Marshall is the p e bin
who appeared before me, and said person acknowledged that she signed this nst the t,\
on oath stated that she was authorized to execute the instrument and acknowl;,
be her free a Untary act
the personal representative of the Estate of Edwin S. Bock to
for the uses and purposes mentioned in mentioned instrument.
DATED this I ay of t' �'t �Ju i 2011
Notary Signature
Typed /Printed Name:
Title /Residence:
Expiration:
SEAL
JI3LIC
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nterence
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Harpers Ferr WV 25425
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