HomeMy WebLinkAbout223 W 12th St - BuildingPREPARED 8/03/11 8 08 55 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/03/11
ADDRESS 223 W 12TH ST SUBDIV
CONTRACTOR AFFORDABLE SERVICES PHONE (360) 683 9619
OWNER OWEN RICHARD DALE PHONE
PARCEL 06 30 00 0 3 4572 0000
APPL NUMBER 11 00000134 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01
8/03/11
BLDG FINAL
August 2 2011 1 50 31 PM 1pangrle
JANE (AFFORDABLE SERVICES 683 9619)
I CALLED HER TO FINAL THIS PERMIT
BUILDING FINAL RE ROOF
COMMENTS AND NOTES
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
OWEN RICHARD DALE
223 W 12TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
4 00 14 0000 THOU
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
21in u C Ca nQ
TForms /Building Division/Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983627715
BUILDING PERMIT
TEAR OFF /INSTALL
181388
151 75
2/10/11
8/09/11
Charged Paid
151 75
00
4 50
156 25
11 00000134
353016
223 W 12TH ST
06 30 00 0 3 4572 0000
RE ROOF
RS7 RESDNTL SINGLE FAMILY
5550
BASE FEE
BL 2001 25K
Contractor
AFFORDABLE SERVICES
258663 HWY 101 WEST
SEQUIN
(360) 683 9619
NO PR FEE
COMP
151 75
00
4 50
156 25
(14 PER K)
STATE SURCHARGE
Credited
00
00
00
00
Date 2/10/11
WA 98382
Plan Check Fee 00
Valuation 5550
Due
Extension
95 75
56 00
4 50
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
y
00
r`
00
00
00
v
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 specifi herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or lo -w regulating construction or the performance of
construction.
Date Print Name Signature of Contra or or Authorized Agent Signature of Owner (if owner is builder)
tfl
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
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
Parking Lighting
Landscaping
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
Date I Accepted By
Separate Permit #s
FINAL Date Accepted by
FINAL Date Accepted by
SEPA.
ESA.
SHORELINE.
Comments
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 I
Planning 417 -4750 I
Building 417 -4815 I C Z -2 I I I -'SL,I—
PORT A ,r
vir
Project Type 8 Brief Description:
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
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 (Sy` 12 &YU ((iS
Property wner ri \k S
Property Owner's Address ZZ2 W E 17 �f—
Contractor )LQ btflf i(L
Contractor's Address 1.5 2, -fAf Lf 16
License c 5( Expires Ce
PROJECT ADDRESS Z25 tAT 2)
Parcel Number f)cpzx S?—Z
oAtesidential Multi family
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
Phone
Phone
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq. ft.
1st Floor
2 Floor
3` Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION
For City Use Only
Date Received c9-40-1/
Permit lI /3 V
Date Approved ;)-"--/CL
Phone 5f r 9
UU1A4 -q_
E-mail
Lot 5 Zoning
Commercial Industrial
K House garage other "4ar off re -roof lay over one layer
a Heat System Heat pump wood burning stove gas fireplace pellet stove other
Other
of bedrooms
of full baths
of half baths
1(D
Total footprint of structures sq. ft. T 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
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 responsibility to determine what permits are required, and to obtain permits prior to working onprojects.
Date 2/�/ Print Name s J/A JU Signature
T:Forms /Building Division/Bldg Permit.doc
1
AFFORDABLE ROOFING
258663 Hwy 101 West
Sequirn, WA
(360) 683 -9619 (360) 385 -2724 (360) 452 -0840
Name D,( Ockte n s Phone #1 3eD G2 9P3-3
Address 2Z?, .1/V 1 2 ,5+ree Phone #2 30/,_ /0 -c-7.--/6 C C>Y' 9i State 6 Zip Code Li Z..
Tarp house perimeter to protect landscaping
Remove old roofing and haul to landfill
Install
Install
Install
Install
Install
Install
Instal l
Install
Instal
Install
With Scot
iS
a fordable Roofing Representative:
Customer s Signature of Acceptance:
See attached Warranty Statement
Plywood OSB
Roofing Felt
'Pipe Flashing
Exhaust Vents
Ridge Vents
Attic Vents
Sun Tube
Install
,,Install
Install
Install
Cut In
Install
Skylights Install
(IAA.; i•IV (lP
Install P L
Install
Secure Locate Septic Drain Field Location
Price Includes Building Permit
Customer to Secure Building Perrrul
es►cnptlon
/Y.
'nd Shingles; at 6 nails per shingle.
Guard Algae Block System.
U,J 4V LTA/Vilti L/ C!
Payment irl full upo letion of project,
unless other arrangements accepted.
We propose hereby to furnish material and labor,
complete in accordance with the above specifications.
All material is guaranteed to be as specified Any alteration or deviation from the above
specifications involving extra casts will be excused only upon written orders and will
become an extra charge over and above the estimate. All agreements contingent upon
strikes, accidents, or delays beyond our control. Owner to carry fie, tornado and other
necessary insurance.
A cceptance 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.
DEPOSIT $21.ua
YKOYOSAL
Drip Edge Metal
Metal W- Valleys
Roof to Wall flashing
Roof to Wall Step Flashing
Chimney Counter Flashing
Chimney Step Flashing
Skylight Flashi
O /i9-- ,a LIP (kJ h mi eh
00
SUBTOTAL
SALES TAX
TOTAL. `/ln /t!p Z.15
No this progocal may be withdrawn by us if not
accepted within 30 days.
B ran d e
Color Z% -ors U t.' 00 A Woar rkmanship
10 Year Warranty
Lifetime Warranty
Date: 2////
Date: j
calk
CONTRACTOR
PETTIT OIL
638 MARINE DR
PA, W A 98363-0000.
800/972-7002
PROJECT INFO
Project Value: $600.00
Project Type: ABANDON OIL TNK
Occupancy Type: RESIDENTIAL
Occupancy Group:
Construction Type:
Zoning Use::
(i,' "/'''''
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BUILDING PERMIT
OWNER/APPLICANT
RICHARD OWEN
223 W 12RH STREET
Port Angeles, W A 98362
360/452-9773
T:
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CITY OF PORT ANGELES
- - ---~- -',- - _._--~..
FIRE DEPARTMENT PERMIT
321 East 5th St@et,'Port Angeles,WA 98362
S:
ISSUED: 10/30/2002 PERMIT NO: 13822
PROPERTY LOCATION
223 12TH ST W
Lot: E 5" L T 14 & ALL L T 15
Block: 345 D Long Legal
Subdivision: TPA
Parcel No: 063000034572000
ARCHITECT
N/A
I 98360-0000
360/000-0000
SFD Units:
."SFD sa FT:
Commercial:
Industrial:
Garage:
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MFD Units:
MFD sa FT:
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PROJECT NOTES
ABANDON OIL TANK IN PLACE, SLURRY FILL
RECEIPT#9871
FEES ASSI;SSMENT
Building Permit:
Plein Check:
State Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
-
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Misc Fee 1: ABANDON TANK
Misc Fee 2: "
Misc Fee 3:
$15.00
$0.00
$0.00
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE:
$15.00
$15.00
$0.00
This permit becomes null and void if work authorized is not commenced within 18Q. days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
180 days from the last inspection. I hereby certify that I have read and examintrl this applicatiolland knoWthe same to be
true and correct. All provisions of recognized standards, laws and ordinances governing this typ~ of work will. be compled
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
the provisions of any state or local law regulating the work specified in the permit. . .
Sigriature of Contractor orAuthorized Agent
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;~:~J;xDa~:;{;;' Signature~f:~er(if~ner'is b\lil(ie~"x
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FIREPERMITi INSPECTION RECORD
Call360-4H~655 for fIre itJ.spections.PI~p~vide a ~um 24-hour notice. It i~,~~~wc()v~r,;insulate
or conceal any'\Vork before inspected and accepted. Post'penmt in a conspicuous location. ,'-'
KEEP PERMIT CARD' AND APPROVED PLANS AT JOBi.SITE
Date Passed
FIRE SPRINKLER
Undergrotind piping hydrostatically teSted
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler.fmal
FIRE ALARM
Rough-in inspection
Alarm final
LP-GAS
Completed by Contractor:
Underground piping inspection/pressure test
Above ground piping inspection/pressure test
Tank (container) inspection
Appliance inspection
LP-gas final
UNDERGROUND STORAGE TANK(UST) ABANDONMENT
Removal of flammable/combustible liquids
Tank appropriately abandoned
UST abandonment final
PERMIT OTHER (sp~city)
permit final
'rest#1
'Piping pressure test
Time initiated
Test #2
Piping pressure test
Time initiated
psi
psi
GENERAL COMMENTS:
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
47Z-
PERMIT NUMBER
.
- -TOTAL FEE /h~ -
CONT. Lie. NO. TIMETQ COMPLETE NO. STORIES LEGAL OCCUPANCY
-
elECTRICAL PERMIT ONLY NO'OCCUPANCY OR USE ESTABliSHED UNDER THIS PERMIT
Site Address -z..2:3 W. 12TH 5...- VA.
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner ]?ICH.M2p - c:9v.Je.u - - Installation By <;SAMe
Ow"nar's Address '54:-~ Installers Address
452-- 0875
Day Phone Installers Phone
Application is h~reby made for Permit to in.stall Ele_ctrical Equipment as follows: I L1~-n:::\..LL-
f=U12AJA0P-
Wiring Method
.
NUMBER AMP 120V 24QV NUMBER AMP 120V 24QV
USE OF CIRCUIT PER - 100A FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIRCUITS 10
CIR 10 30 CIR : 30
LIGHT SIGN
LIGHT 50 VOLTS
OR lESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE - MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE lVl'1to >jJ ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HE!,T I
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
--
SERVICE AW.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
Mol/. /31 y1 ,1geC; By \f..)t'~j)0- OWe-.
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. .
-'- DIRECTOR OF CITY LIGHT,
Date Application made
WARNING
B/13i?fk
PLANS APPROVED
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered.or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
.
Date Permit Issued
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD - Inspector's Report
OLYMpIC PRINTERS, INC.
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REPORT OF INSPECTOR
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DATE OF VISIT MADE BY REMARKS
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FEE RECEIPT NUMBER
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. CITY OF PORT ANGELES.
. DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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A
000302
PERMIT NUMBER
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TOTAL FEE
301~-
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CONT. Ltc. NO.
TIMETOCOMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Owner
Owner's Address
2'2-') \tv. )J.-liI
(\ . _' i70RRECT A?DRESS IS R~SPONSIBILITY OF APPLICANT
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PERMITS WITH WRONG ADO~,SS~ ARE CANCELL~D.;. .'
Installation By tj R El{>(.\ V", L-
Installers Address >;3 l, E i.fh
Installers Phone 1-1 C; '7-il5{CI
Site Address
Day.phone
Application is he:re.by mac!.e for Permit.tp install EI!3ctrical Equipment as follows:
200 q",P :,e.nl\&O e(fJ ,r/(ONf
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Wiring Method
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AMP 240V NUMBER AMP 120V 240V
USE OF CIRCUIT .NUMBER PER 120V 100R FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT .. . 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE . MOTOR . . .
DISHWASHER .. . .. -- FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY - -
DRYER . .. REINSTALLATION LIGHT FIXTURE # .
FURNACE SUB TOTAL FEE
GAS. OIL .
FURNACE ENERGY FEE
ELECTRIC- . ..
BASIC FEE
ELECTRIC HEAT "TO, OV
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
..
AC. UNIT AMP PHASE
- - . ..
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE V V [fo, cy<' AW.G.
I SUB-TOTAL' JO:"'" SIZE OF GROUND SIZE OF ENTRANCE SWITCH
.
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I certify that the work to be performed under this permit will be done by the Installer and In, conformance with the N.E.C. Electrical Code.
,19 <(5 By @(Arb~uJ
co TRACTOR OR OWNER (OR AUTl~C)RIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and'
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
By tZL.."....~ D E~::PrYLIGHT.
Date Permit Issued ~~ ~
PLANS A R VED . .
. ~. .
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before Inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158.
Date Application -made ~ (}..'i
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WARNING I
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE - Original CANARY - Duplicate PINK - Triplicate WHITE CARD -Inspector's Report
r'll VUClIr. PRINT!=;RS.INC.
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