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Home My WebLink About222 Lopez Ave - BuildingBuilding Permit 222 Lopez Ave 13 -336 Date 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 Application desc TEAR OFF /INSTALL COMP Owner THOMPSON DONALD B 222 LOPEZ AVE PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date Qty Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total Unit Charge Per 4.00 14.0000 1 3 53 f6z- R5 T:Forms /Building Division /Building Permit WA 983626528 BUILDING PERMIT TEAR OFF /INSTALL 151.75 4/03/13 9/30/13 13- 00000336 766304 222 LOPEZ AVE 06-30-10-5-0- 1412 -0000- RE -ROOF RS7 RESDNTL SINGLE FAMILY 5944 Contractor EMERALD ROOFING INC P. O. BOX 879 PORT ANGELES (360) 452 -4681 NO PR FEE COMP Plan Check Fee Valuation BASE FEE THOU BL- 2001 -25K (14 PER K) STATE SURCHARGE Charged Paid Credited 151.75 151.75 .00 .00 .00 .00 4.50 4.50 .00 156.25 156.25 .00 Print Name Signature of Co Date 4/03/13 WA 98362 Extension 95.75 56.00 4.50 Due .00 .00 .00 .00 .00 5944 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. ctor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Comments FOUNDATION: Electrical Footings Stemwall PW Engineering 417 -4831 Foundation Drainage Downspouts Fire Piers 417 -4653 Planning Post Holes (Pole Bldgs.) 417 -4750 PLUMBING: Building Accepted by Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date 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: Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date 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 Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking Lighting Landscaping 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. 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 Project Address: 2zi �o Main Contact: ((lft ,uC't Phone 46,0 1f 4117 E -Mail: Property Owner Name pO» `C'i- IDAP5P J Phone zJ 57 2�6 —c L G Mailing Address 2 2— 2 GDiPe-- Email City p4_ in Nit n-, State A Zip T534,2 Contractor Name Phone Mailing Address 10;o. 11 l 1 Email City 11/1/671q-t- Stag Zip L /‘2_ Contractor License Expiration: Project Value.;-, ‘D Ct� Zoning: Tax Parcel Lot Type of Permit Residential it Commercial Industrial Public Demolition Fire Repair X Reroof (tear off /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 Maximum height of structure Proposed Bedrooms Proposed Bathrooms Project Description (T ID pe I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit. I understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects. I understand that the plan review fee is not refundable after plan review has occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the permit is issued. 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 t f 5 D Print Name tptiv(5 ej,,,AP Signature THE CITY OF W A S H I N G T O N U.S. 321 East 5t Street Port Angeles, WA 98362 P: 360 -417 -4817 F: 360- 417 -4711 permits @cityofpa.us Building Permit Application For City Use Permit# t Date Received: Date Approved 1 !3 -3-13 Residential Structures Area Description (SQ FT) Existing Proposed value For Office Use Basement Appliance Vent Heater (Suspended, Floor, Recessed wall) First Floor Size: Heating /Cooling appliance repair /alteration Pellet Stove /Wood- burning /Gas Fireplace /Gas Stove /Gas Cook Stove /Misc. Second Floor _portable) Fuel Gas Piping of Outlets: Ventilation Fan, single duct Covered Deck /Porch /Entry Furnace /Heat Pump Forced Air Unit Size: Ventilation System Deck Garage Carport Other (describe) Area Totals Mechanical Fixtures Indicate how many of each type of fixture to Size: be installed or relocated as part of this project. Haz /Non -Haz Piping of Outlets: Air Handler Appliance Vent Heater (Suspended, Floor, Recessed wall) Boiler /Compressor Size: Heating /Cooling appliance repair /alteration Pellet Stove /Wood- burning /Gas Fireplace /Gas Stove /Gas Cook Stove /Misc. Evaporative Cooler (attached, not _portable) Fuel Gas Piping of Outlets: Ventilation Fan, single duct Other work (describe) Furnace /Heat Pump Forced Air Unit Size: Ventilation System Area Totals Commercial Structures Area Descriptions (SQ FT) Existing Proposed Value For Office Use Existing Structure (s) Medical gas piping of Outlets: Water Line Proposed Addition Vent piping Sewer Line Tenant Improvement? Other (describe): Other work (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 T: \BUILDING \APPLICATION FORMS \BUILDING PERMIT 081212.DOCX PREPARED 4/26/13, 11:50:13 PROGRAM BP521L CITY OF PORT ANGELES APPLICATION PROPERTY ADDRESS STRUCTR PERMIT INSPECTION HISTORY REPORT 0 /00 /00 THRU 0 /00 /00 ASSESSOR PARCEL NUMBER ALTERNATE ID INSPECTION 13 00000336 222 LOPEZ AVE 06- 30- 10 -5 -0- 1412 -0000- 063010501412 000 000 BNOP 00 BUILDING PERMIT NO PR FEE BL99 0001 BLDG FINAL 4/08/13 APPROVED REQ COMM: April 8, 2013 8:15:13 AM pbarthol. REQ COMM: Travis 460 -4471 RES COMM: April 8, 2013 4:24:44 PM jlierly. PAGE 1 RESULT DATE /STATUS INSPECTOR JLL