HomeMy WebLinkAbout226 W 4th St - Building CITY OF PORT ANGELES
'glow DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
3 21 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000623 Date 5/18/12
Application pin number 711575
Property Address 226 W 4TH ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -0- 8720 -0000 REPORT SALES TAX
Application type description RE -ROOF on your state excise tax form
Prope Use
Subdivision Name
Property t the City of Port Angeles
ert s
Property Zoning RESIDENTIAL HIGH DENSITY (Location Code 0502)
Application valuation 7802
Application desc
TEAR OFF REROOF
Owner Contractor
NORMAN, THOMAS J MELVINA V HOMESTEAD HERO, LLC
1910 LOTZGESELL RD 241 AVELLANA RD #4
SEQUIM WA 98382 SEQUIM WA 98382
(360) 797 -4786
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF REROOF
Permit Fee 179.75 Plan Check Fee .00
Issue Date 5/18/12 Valuation 7802
Expiration Date 11/14/12
Qty Unit Charge Per Extension
BASE FEE 95.75
6.00 14.0000 THOU BL- 2001 -25K (14 PER K) 84.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged 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
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 Nam 9 Sig ure o Contractor or uthorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILIDING 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. Q
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 by
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 FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By 9
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 tO q. I d' �w
T•Fnrmc /Ri Permit
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C tTlf CAF For City Use
Permit 12'' 123 RECEIVED
W A S H I N G T O N U.S.
Date Received: MAY 1 8 2012
321 East 5th Street
Port Angeles, WA 98362 Date Approved: 1?-17- CITY OF PORT ANGELES
P: 360 417 -4817 F: 360 417 -4711 BUILDING D IVISION
hcatuzo @cityofpa.us
Building Permit Application
Site Address:
Main Co tact: Phone
3.• 7gb
Property Name Phone
Owner cko Ay 7110 lei X1')14
Mailing Address 6 Email
f'O it Zy of �/(�f
City State
frtjA g .5 z-
Contractor/ -N
-=P-hone
A
licant >?�i l.P. Li� /��St�acfKQ.rO
Applicant Mailin Email
/14/e/64,1
4(
City State
4/lei's/ Gu4 7x 3 (2
Contractor License'# Expiration:
/i /lee j', 89 Zjory
Project Value: Zoning: Tax Parcel Lot
7 1
Type of Residential Er Commercial Industrial Public
Permit Demolition Fire Repair Reroof 0
For the following, fill out both pages of permit application:
New Construction Remodel Addition Tenant Improvement
Mechanical Plumbing Other
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes No
Project
Description Teal(` rp r
I have read and completed the 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. I understand the plan review fee is not refundable after review has
occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before
plan review has occurred. I understand that if the permit is not issued within 180 days of receipt, the
application will be considered abandoned, and the fees forfeit.
Date Print Name Sign Lure
L.0( N'B'C -tO( L..- U'_'
HOMESTEAD HERO, LLC Estimate
fit) 241 Avellana Rd. #4
S e u im WA 8 82
Q 9 3 Date Estimate
9/29/2011 18
Name Address
Jack Melvina Worman
1910 LOTZGESELL RD
SEQUIM, WA 98382
Description Qty Rate Total
2 SQ 30# FELT 8 23.27 186.16T
AF -50 Roof Vent 2 9.49 18.98T
3x5x8 Black Prebent Shingle 50 1.23 61.50T
CORAVENT 9" RIDGEVENT 12 /CTN. 12 14.24 170.88T
Malarkey Highlander 30Y SILVERWOOD 68 19.80 1,346.40T
MAL 40Y SILVERWOOD 3 31.99 95.97T
OC 25 SUPREME 3 TAB 3 23.49 70.47T
1 -3/4" E.G. COIL ROOFING 7.2M 1 49.39 49.39T
1 -1/4" E.G. COIL ROOFING 7.2M 2 28.49 56.98T
7/16X1 -3/4 CROWN STAPLES 1 50.82 50.82T
STAPLES,3 /8,5M,F /All TACKER 4 5.69 22.76T
STYLE G BLACK DRIP EDGE 1 -1/2" 12 5.50 66.00T
1 -1/2" NEOPRENE FLEX FLASH 2 4.79 9.58T
4" NEOPRENE FLEX FLASH 1 6.64 6.64T
2x4 lumber 18 2.04 36.72T
7/16 OSB 36 9.92 357.12T
Install Collar Ties 10 65.00 650.00T
HAULING DISPOSAL OF 48SQ ASPHALT SHINGLE 48 22.00 1,056.00T
TEAR -OFF 48SQ ASPHALT SHINGLE 48 30.00 1,440.00T
SHEETING IN 36 NEW SHEETS OSB 36 20.00 720.00T
ROOFING INSTALLATION 16 80.00 1,280.00T
Roof Top Delivery 50.00 50.00T
Subtotal $7,802.37
Phone: (360) 681 -7176 Sales Tax (8.4 $655.40
Cell Phone: (360) 797 -4786
Fax: (360) 681 -0163 Total
Email: Sales @HomesteadHero.net $8,457.77
Contractors or Tradespeople Printer Friendly Page Page 1 of 1
General /Specialty Contractor
A business registered as a construction contractor with LEtl to perform construction work within the scope
of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment
of account and carry general liability insurance.
Business and Licensing Information
Name HOMESTEAD HERO LLC UBI No. 603103330
Phone 3606817176 Status Active
Address 241 Aveliana Rd #4 License No. HOMESHL892JM
Suite /Apt. License Type Construction Contractor
City Sequim Effective Date 4/14/2011
State WA Expiration Date 4/14/2013
Zip 98382 Suspend Date
County Clallam Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Business Owner Information
Name Role Effective Date Expiration Date
LEHMER, DAVID C Partner /Member 04/14/2011
Bond Information
Bond Bond Account Effective Expiration Cancel Impaired Bond Received
Bond Company Number Date Date Date Date Amount Date
Name
1 Lexon Ins Co 9805692 04/14/2011 Until $12,000.0004/14 /2011
Cancelled
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Company Policy Effective Expiration Cancel Impaired Received
Insurance Name Number Date Date Date Date Amount Date
2 Northfield WS076506 04/14/2012 04/14/2013 $500,000.0003/29 /2012
Ins Co
1 Northfield WS076506 04/14/2011 04/14/2012 $500,000.0004/14 /2011
Ins Co
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
https: fortress .wa.gov /lni/bbip /Print.aspx 5/18/2012
t C .kj.
%tea. CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001447 Date 12/29/11
Application pin number 405897
Property Address 226 W 4TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-0- 8720 -0000-
Application type description MECHANICAL APPL. PERMIT on your state excise tax form
Subdivision Us e Name
Property to the City of Port Angeles
Pro et Use
Property Zoning RESIDENTIAL HIGH DENSITY (Location Code 0502)
Application valuation 3499
Application desc
MINI SPLIT HEAT PUMP SYSTEM
Owner Contractor
THOMAS J AND MELVINA V NORMAN PENINSULA HEAT INC
1910 LOTZGESELL RD 782 KITCHEN -DICK RD
SEQUIM WA 98382 SEQUIM WA 98382
(360) 681 -4415 (360) 681 -3333
Permit MECHANICAL PERMIT
Additional desc MINI SPLIT HEAT PUMP
Permit Fee 64.80 Plan Check Fee .00
Issue Date 12/29/11 Valuation 0
Expiration Date 6/26/12
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME FURN /HP /FAU OR 5 TON 14.80
Fee summary Charged Paid Credited Due
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .00 .00
1.U• t2-
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 pecified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the pr. Ion of y e or ocal law regulating construction or the performance of
construction.
/a120/ 41
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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments 1�
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 by
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 FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date. Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
LTC-L-
T :F orms/Buildina Division /Building Permit
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DEC -28 -2011 11:31A FROM:PENINSULA HEAT COMPA 3606812086 TO:4174711 P.1
BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for protects that do not require plan review.)
Date Received /A 11
Permit* /LLf
City of Port Angeles Please print in Ink. Date Approved j- 1/
Attn: Building Permit Technician Approved by
321 E. 5' St., Port Angeles, WA 98362
380- 417 -4815 fax: 380 -417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express)
Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon Thurs 8:30 pm Fri 8 :30 12:30 pm
Contact person Phone:
Li ada�r� o% 3'3 3 3
Property owner: 7_, V v a5 4 rinan Phone:
Props owner's Iing address
/'9 1 La 7 Gl/
Contractor's business Mine: e h n S 4,I .7 Phon
(or property owners name if he/she Is doing /overseeing he work) wb'l 33 3
Contracto mailing ad4resp: l
A /L i n L2 'J fez Seri �vj /4/4
Contractor's 1 license number; L Expiration date
Project Address:
S
Protect Type: drfralential a Commercial o Industrial o Multi- family
Project Business Name:
(for commercial, industrial, or multi family protects)
The following permits are usually Issued over the counter immediately, without the need for plan review.
Complete only the portions of this permit that are relevant to your project.
Re roof; to house o 'garage o other
c3 tear off re -roof o lay over one layer
Licensed contractor: Submit a copy of your re roof bid.
Project Valuation (labor materials, not Including sales tax)
Reside o house o garage o other
Project Valuation (labor materials; not including sales tax)
Reoair: fexolain the Project)
Project Valuation
jiomeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the
cost of materials, to reflect the value the repair adds to your property.
Cost of materials x 2 LT Project Valuation
T:Forma /Building Division /Building /Plumbing/Mechanical Permit Application Short Form (Revised 2011)
Page 1 of 2
Ria-Ce /d/he enekf/ //ri
---/a/zi
DEC-28- 2011 11:32A FROM:PENINSULA HEAT COMPA 36028812086 TO :4174711 P. 2
Swimming Pool or Spa (a 24" deep) For prefabricated swlmminuool or sod projects that
do not reaulm plan review;
Obtain the City of PA handout entitled "Pools Spas' follow the requirements.
Project Valuation
Demolition: A demolition permit Is needed when an entire building gets demolished.
What will be demolished? a house garage o other
some demolition permit applications need to be reviewed by various City departments, and may take
approximately two weeks to obtain.
Agree to ensure that all utilitlee are /will be properly tumed off (and capped off If needed)
prior to demolition.
Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to
be demolished. Submit the map with this application.
Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA)
Demolition Permit Application.
Contact ORCAA at 360 417 1466 to discuss whether or not an ORCAA Demolition Permit will also
be needed.
yes no Will the debris be going to the Regional Transfer Station In Port Angeles?
yes o No if yes, will a licensed contractor be taking It there?
(1) If yes, obtain (from the City of PA) a copy of the Waste Disposal Application,
Complete and submit the waste disposal application to the Building Permit Technician, now
(or later if asbestos testing is needed).
Plumbing Permit: (explain the project)
Protect Valuation
Nlechenice Per k: a la• ee ro act
M//'?/ 7 L Aec y scs
Project Valuation t
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 responslblll o determine what mils are required, end to obtain permits prior to
working on projec
Date /2i Signature
Print Name CLL. ra
Page 2 of 2
ELECTRICA.L PERMIT
CITY OF PORT ANGELES W
360 -417 -4735
Application Number 11- 00001380 Date 12/08/11
Application pin number 102520 REPORT SALES TAX
Property Address 226 W 4TH ST
ASSESSOR PARCEL NUMBER, 06- 30- 00 -0 -0 -8720 -0000- on your excise tax form
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning RESIDENTIAL HIGH DENSITY
Application valuation 0
Application desc
200 amp service and 4 circuits
Owner,1,444 tat U Contractor
GODWIN, STEVEN CLARK J.P.E. JERRY PETERSON
PO BOX 2401 73 EAST LOMA VISTA RD
PORT ANGELES WA 98362 SEQUIM WA 98382 \v
(360) 731 -8994
Permit ELECTRICAL ALTER RESIDENTIAL N
Additional desc
Permit Fee 130.30 Plan Check Fee .00
Issue Date 12/08/11 Valuation, 0
Expiration Date 6/05/12
Qty Unit Charge Per Extension
4.00 2.6000 ECH EL- BRANCH CIRCUIT W /FEEDER 10.40
1.00 119.9000 ECH EL -0 -200 SRV FEEDER 119.90
Fee summary Charged Paid Credited Due
Permit Fee Total 130.30 130.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 130.30 130.30 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE i'2)e) I 1 PT
ROUGH -IN
FINAL //11
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE• \BUILDING
OF II 0 RT 4,vottz..0 ELECTRICAL INSPECTION
WIRING REPORT
V N
G L r u
-4, 417 -4735
DATE PECTO'
z /1 0
OWNER/CONTRAC OR
ADDRESS
221,a t
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
o,�
CORRECTIONS NEEDED: N Ar1DLj� SMALL u5-c-.4>
Tmcz- o IQ L-Y m t9 L'n LJ 1 'fZFe_. 1Z1As I�Lt�{ LI
rJArezc, Z�
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
OLYMPIC PRINTERS, INC. (360) 452 -1381
r o `.pc�Hrg h t c
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections ELECTRICAL t r
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 INSPECTIONS siimosw d
Ph: (360) 417 -4735 Fax: (360) 417 -47.11
Date: l Z 4 2- 1 I
Ki 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair*
Plan Review M. y Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: L2 Lo l„) '-I .S+ P0,-t-- 412 ,A /4
Building Square Footage: A ar rAi,- /rrr0
Description of above
Owner Information Contractor Information
Name: Eck wor.44,1 Name: J, P E.
Mailing Address: /9/1 1 t .se// 2 Mailing Address: __23___t L I/is� Y
City: sizym .•r State: WI/ Zip: 9t3P2. City: j .-vi State: JA Zip: 911? Z_
Phone: 5U,n -(pk/ '/V /5 Fax: Phone: 34o -7 4-4 zy Fax: 1. 3( 3- (24
License Exp. License Exp. J Pt Arlr Jr I( 9/ 2 o C- Cr Y/3
Item Unit Charge
Total (Qtv Multiplied by Unit Charge)
Service /Feeder 200 Amp. 119.90 /I9', 20
Service /Feeder 201 -400 Amp. 145.50
Service /Feeder 401 -600 Amp 204.60
Service/Feeder 601 -1000 Amp. 262.20
ServicelFeeder over 1000 Amp. 372.50
Branch Circuit W/ Service Feeder 2.60 "I /0 .../O
Branch Circuit W/O Service Feeder 73.50
Each Additional Branch Circuit 2.60
Temp. Service/ Feeder 200 Amp. 92.70
Temp. Service /Feeder 201.400 Amp. 110.30
Temp. Service/Feeder 401 -600 Amp. 148.70
Temp. Service/Feeder 601 -1000 Amp 167.90
Portal to Portal Hourly 95.90
Sign /Outline Lighting 88.20
Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90
Signal Circuit/ Limited Energy Multi -Family Dwelling 63.90
Manufactured Home Connection 119.90
Renewable Electrical Energy 5KVA System or Less 102.30
Thermostat 56.00
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. 110.30
Each Additional 500 Square Ft. or Portion of 35.20
Each Outbuilding or Detached Garage 73.50
Each Swimming Pool or Hot Tub 110.30
/30.3r, 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 296-46B, 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: cash IR' Check
Credit Card
X Dated: Z 6 I I 01/01/2010