HomeMy WebLinkAbout605 S Chambers StBuilding Permit
605 S Chambers St
12 -1174
PREPARED 9/18/12, 9:21:05 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/18/12
ADDRESS 605 S CHAMBERS ST
CONTRACTOR EARTH TECH CONSTRUCTION
OWNER RILEY, TIMOTHY C
PARCEL 06-30-00-0-2- 1045 -0000-
APPL NUMBER: 12- 00001174 RE -ROOF
PERMIT: BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 9/18/12
COMMENTS AND NOTES
SUBDIV:
PHONE (360) 670 -8811
PHONE
BLDG FINAL
September 18, 2012 8:48:42 A4 pb
Tim 460
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00001174
Application pin number 890038
Property Address 605 S CHAMBERS ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 1045 -0000-
Application type description RE -ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 3708
Application desc
TEAR OFF REROOF
Owner
RILEY, TIMOTHY C
PO BOX 1826
PORT ANGELES
Other Fees
T:Forms /Building Division /Building Permit
WA 98362
Qty Unit Charge Per
2.00 14.0000 THOU
Fee summary Charged
Permit Fee Total 123..75
Plan Check Total .00
Other Fee Total 4.50
Grand Total 128.25
Contractor
OWNER
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF REROOF
Permit Fee 123.75
Issue Date 9/07/12
Expiration Date 3/06/13
BASE FEE
BL- 2001 -25K (14 PER K)
STATE SURCHARGE
Paid 'Credited
123.75
.00
4.50
128.25'
Date 9/07/12
Plan Check Fee .00
Valuation 3708
.00
.00
.00
.00
Extension
95.75
28.00
4.50
Due
.00
.00
.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 give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
17 z- 4c.-9/
Date
Print Name Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
Inspection Type
Date
Accepted By
Comments
FOUNDATION:
Accepted By
Electrical
Footings
417 -4735
Stemwall
Construction R.W.
Foundation Drainage Downspouts
417 -4831
Piers
Fire
417 -4653
Post Holes (Pole Bldgs.)
PLUMBING:
FINAL Date
Accepted by
Under Floor Stab
Rough -In
417 -4815
Water Line (Meter to Bldg)
Ja.-L.____
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:
FINAL Date
Accepted by
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
SEPA:
ESA:
SHORELINE:
Inspection Type
Date
Accepted By
Electrical
417 -4735
Construction R.W.
PW En•ineerin•
417 -4831
Fire
417 -4653
Planning
417 -4750
Building
417 -4815
9
Ja.-L.____
PLANNING DEPT. Separate Permit #s
SEPA:
ESA:
SHORELINE:
Parking Lighting
Landscaping
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.
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Project Address:
60s S. C/-4 e(z5 S�7 c
Main Contact:
1 e..
Phone
3 Y6o .5
Property
Owner
Name
-7 ,:e...c
Phone
3 G V6a z/‘.S S
Mailin Address
O 4 /s-1c
Email
7 71 OL %PC'✓. 6,y
City,
).orL7 K) 4(.. .CS
State
f i )/b 4
Zip
‘9 S362
Contractor
Name
rem,
Phone
3 GF- s 9�
Mailing Address
Email
City
State
Zip
Contractor License
Expiration:
Project Value:
'3 7o
Zoning:
Tax Parcel
0(o?)o DO Dz 164
Lot
Type of
Permit
Residential -6 Commercial Industrial Public
Demolition Fire Repair Reroof ear of .lay over)
For the following, fill out both pages of permit application:
New Construction Remodel Addition Tenant Improvement
Mechanical Plumbing Other
Existing Fire Sprinkler System?
Yes No a
Maximum height of structure
Proposed Bedrooms
Proposed Bathrooms
Project
Description
W- 1' Y lc
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
9. "7
Print Name
8
Signature
le:; o PORTANGELES
W A S H I N G T O N U.S.
321 East 5 Street
Port Angeles, WA 98362
P: 360-417-4817 F: 360-417-4711
hcatuzo @cityofpa.us
Building Permit Application
For City Use
Permit l a I 11/14
Date Received: 10
Date Approved: q fe?
m
0
m
C)
m
m
Residential Structures
Area Description (SQ FT)
Existing
Proposed
Minimum
value
For Office Use
Basement
Appliance Vent
Heater (Suspended, Floor, Recessed wall)
First Floor
Size:
Heating /Cooling appliance
repair /alteration
Second Floor t,
Pellet Stove /Wood- burning /Gas
Fireplace /Gas Stove /Gas Cook Stove /Misc.
Fuel Gas Piping
Covered :D eck /P,orch /Entry
l'
Ventilation Fan, single duct
Furnace /Heat Pump/
Forced Air Unit
Size:
Deck
Ventilation System
Garage
Carport
Other (describe)
Area Totals
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler
Size:
Haz /Non -Haz Piping
of Outlets:
Appliance Vent
Heater (Suspended, Floor, Recessed wall)
Boiler /Compressor
Size:
Heating /Cooling appliance
repair /alteration
Evaporative Cooler (attached, not
portable)
Pellet Stove /Wood- burning /Gas
Fireplace /Gas Stove /Gas Cook Stove /Misc.
Fuel Gas Piping
of Outlets:
Ventilation Fan, single duct
Furnace /Heat Pump/
Forced Air Unit
Size:
Ventilation System
Commercial Structures
Area Description (SQ FT)
Existing
Proposed
Minimum
value
For Office Use
Structure (s)
Medical gas piping
of Outlets:
Water Line
Addition
Vent piping
Sewer Line
Tenant Improvement
Other (describe):
Other (describe)
Area Totals
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps
Fuel gas piping
of Outlets:
Water Heater
Medical gas piping
of Outlets:
Water Line
Vent piping
Sewer Line
Industrial waste pretreatment
interceptor
Other (describe):
Lot /Site Coverage Calculations
Footprint (SQ FT) of all Structures:
Lot Size:
Lot Coverage
SQ FT Site coverage (all impervious
structures)
Site Coverage