HomeMy WebLinkAbout110 W 14th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000678 Date 7/23/03
110 W 14TH ST
06"30-00-0-4-2220-0000-
RE-ROOF
2,310
Owner
Contractor
------------------------
, ,
STEVENS LEROY F
110 W 14TH ST
PORT ANGELES
WA 983627722
TOPNOTCH ROOFING
1235 W. 9TH
PORT ANGELES
(360) 457-0066
WA 98362
, I
Permit
Additional desc
permit Fee
Issue Date
Expiration Date
BUILDING PERMIT
TEAR OFF, FELT,
106.75
7/23/03
1/20/04
~ NO PR FEE
COMP
Plan Check
Valuation
Fee
.00
2310
Qty Unit Charge Per
Extension
92.75
14.00
BASE FEE
1.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
---
Fee swnmary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 106.75 106.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 111. 25 111. 25 .00 .00
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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 as 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.
o/lJ }-/LC-
Signature of Contractor or AuthOrized Agent
Signature of Owner (If owner IS bUilder)
Date
Date
T \PLANNING\FORMS\l102 15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS .,'
CEILING I I
FRAMING i
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'s
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARA TE PERMIT #'s SEPA
PARKING/LIGHTING ESA-
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R W / PW/ CONSTRUCTION - R W
ENGINEERING 4 I 7-4807 PW / ENGINEERJNG
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 4]7-4750 PLANNING DEPT
BU]LDING 417-4815 j..J -~3-0 /.,/ J.,LJ... BUILDING
T IPLANNINGIFORMSI] ]02 15 [4/2002]
~J~ 71lcdo)
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815
FOR OFFICIAL USE ONLY.
Date Rec IJ-IS~~
PermIt # b7 ~
Date Approved
Date Issued
Phone:
City: r?,& 1'-+ ff f-.o~l r.. t.
Architect/Engineer: Phone:
Contractor "i7o P "M.o k h R (.:J (/)/ ~tate License #~ Nt' ((; f7if~p: :2 ~ i
I .1 A (/ -A-
Address: /?_ ~ ct:;""" I.J I r IJ-'Y City: I C),?f -+- ~~ k>.
PROJECT ADDRESS:
Applicant or Agent: L ..R.--
.
5~
tiC) We
r (5) \.)
.
5' -f-.,( lJ.e I"V c;
Phone:
.?-./ :j- 7 - )::L &9
Owner:
Address:
/ '-I riJI
Zip:
?~365
Phone: 7 - dO 6 B
Zip: C?k 3-' 3
ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
g ResidentIal 0 New Constr. At Re~roof
o Multi-family 0 AdditIon 0 Move
o CommerCial 0 Remodel 0 DemohtIon
o Repair P Sign,
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
o Stove
o Garage
o Deck
..p- Other
l-eav
SIZEN ALUATION:
SF..@ $ /SF. = $
SF. @$ /SF. = $
SF. @ $ " /SF. = $
. TOTAL VALUATION $ 2-3)6 r CJ '7
I? -f(:-) .c.e.l + j C~ ~.',
COMMERCIAL/RESIDENTIAL: Occupancy Group:
Occupant Load.
ConstructIOn Type:
= TOTAL Sq Ft.
%
No. of Stones: Lot SIZe: EXlstmg Sq Ft. & Proposed Sq. Ft.
EXlstmg lot coverage _ % & Proposed lot coverage _% = Total lot coverage
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESNWetland(s): 0 Yes 0 No SEPA Checkhst required? 0 Yes 0 No Other:
BillLDING PERMIT APPLICATION SUBMITTAL: The Building DiVision can provide you With mformatIon on the apphcatlOn and
plan subrmttal requrrements If you have questions
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the apphcant. ThiS figure Will be reviewed
and may be reVised by the BUlldmg DiviSIOn to comply With current fee schedules. Contact the Perrmt Coordmator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee IS due It must be subrmtted at the tIme the buIlding perrmt application and constructIon plans are
submitted. All other perrmt fees are due at the tIme of perrmt Issuance.
EXPIRATION OF PLAN REVIEW: Ifno perrmt IS Issued Wlthm 180 days of the date of applicatIOn, the application will expire. The
BuIlding OffiCial can extend the bme for actIon by the applicant up to 180 days upon wntten request by the apphcant (see Section 107.4 of
the Uniform BUlldmg Code, current editIon). No applicatIon can be extended more than once.
I hereby certify that I have read and examined thiS application and know the same to be true and correct. I am authorized to apply for thiS pemut and
understand that it IS my responSIbility to determme what permits are required ,not the City's, and that I ust obtain such permits pnor to work.
T \FORMS\APPS\BUlldmgpermlt wpd APPliC~ ~ Date: ? - /~~ 83
PREPARED 4/23/04. 12 28'13
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
1
4/23/04
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
110 W 14TH ST
TOPNOTCH ROOFING
STEVENS LEROY F
06-30-00-0-4-2220-0000-
03-00000678 RE-ROOF
SUBDIV:
PHONE (360) 457-0066
PHONE
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 ,~~~\1 ~~ BUILDING FINAL
~\ ~ Topnotch needs are-roof f1nal. Ph#457-0066
-------------------------------------- COMMENTS AND NOTES --------------------------------------
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property zoning . . .
Application valuation
03-00000678 Date 7/23/03
110 W 14TH ST
06730-00-0-4-2220-0000-
RE-ROOF
2310
Owner
Contractor
------------------------
,
STEVENS LEROY F
110 W 14TH ST
PORT ANGELES
WA 983627722
TOPNOTCH ROOFING
1235 W. 9TH
PORT ANGELES
(360) 457-0066
WA 98362
, I
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT ~ NO PR FEE
TEAR OFF, FELT, COMP
106.75 Plan Check
7/23/03 Valuation
1/20/04
Fee
.00
2310
Qty Unit Charge Per
Extension
92.75
14.00
BASE FEE
1.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
---
Fee swnmary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 106.75 106.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 111.25 111.25 .00 .00
-
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~
-
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())
:-\
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 as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and exammed 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 regulatmg construction or the performance of
construction.
oN J-ILL:-
Signature of Contractor or AuthOrized Agent
Date
Signature of Owner (if owner is builder)
Date
T IPLANNINGIFORMSIII02 ]5 [4/2002]
BillLDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER L,INE
GAS LINE
, BACK FLOW / WATER
AIR SEAL
WALLS ..-
CEILING I
FRAMING I'
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING -
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DiviSIon) SEPARATE PERMIT #'s
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA
PARKING/LIGHTING ESk
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT 417-4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R W / PW/ CONSTRUCTION - R W
ENGINEERlNG 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 j.J -fJ.-3-0 '" ..l.,L-t.. BUILDING
T \PLANNING\FORMS\1102 ]5 [4/2002]
~JV 711410>
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815
FOR OFFICIAL USE ONLY
Date Rec I'}-IS~~
Pennlt# b7 ~
Date Approved
Date Issued
Phone:
CIty: r?&,....+ ft f'..>71 f.. ~
Architect/Engineer: Phone:
Contractor 070 P "M-o k h R c.J CIf)/ ~tate LIcense #:t; Nt' r (; fltf~p: .::L ~ 'f
I .1 A (I -A-
Address: /? ~ cr;- LJ I if IJ--'Y City: I c9,1 -f ^7e- Ie- >-
PROJECT ADDRESS:
Applicant or Agent: L J2..--
.
5~
I/o Wt
r- C9 \.)
.
S' -1--,( tJ.e I"L/ ~
Phone:
L-/5- 7 - /.2. &9
Owner:
Address:
/ '-I r!JI
Zip:
?&'36~
Phone: 7 - co 6 €
ZIp: crk 3-6 :5
ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
Ji!' ResidentIal 0 New Constr. ...I!!t' Re-roof
o MultI-farmly 0 Addition 0 Move
o CommercIal 0 Remodel' 0 DemolitIOn
o Repair 0 _ Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
o Stove
o Garage
o Deck
)J... Other
l-eav
SIZEN ALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ , /SF. = $
. TOTAL VALUATION $ 2-3)(j r c!J 7
I? -ff-) -Ce. ~ '/- j ~~ ~_-
. .-
COMMERCIAL/RESIDENTIAL: Occupancy Group:
Occupant Load:
Construction Type:
No. of Stones: Lot Size: EXIstmg Sq. Ft. & Proposed Sq. Ft.
EXIstmg lot coverage _ % & Proposed lot coverage _% = Total lot coverage
APPRO V ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESNWetland(s): 0 Yes 0 No SEPA Checklist reqUired? 0 Yes 0 No Other:
BillLDING PERMIT APPLICATION SUBMITTAL: The BuIlding DivisIOn can provIde you WIth informatIon on the applIcation and
plan subrmttal requuements If you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applIcant. ThIS figure wIll be reVIewed
and may be revised by the BUlldmg DIVIsion to comply with current fee schedules. Contact the Perrmt Coordmator at 417 -4815 for assistance
PLAN CHECK FEE: IF a plan check fee is due It must be submitted at the tIme the bUIldmg perrmt application and construction plans are
submitted. All other perrmt fees are due at the tIme of perrmt issuance.
EXPIRATION OF PLAN REVIEW: Ifno perrmt IS Issued Within 180 days of the date of applIcatIOn, the application will expire. The
BUIldmg Official can extend the bme for action by the applicant up to 180 days upon wntten request by the applIcant (see SectIon 107.4 of
the Uniform BUlldmg Code, current editIOn). No applicatIon can be extended more than once.
I hereby certify that I have read and exammed this appltcatlon and know the same 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 ,not the City's, and that lust obtam such permits pnor to work
T.\FORMS\APPS\Bulldmgpennlt wpd APPIIC~ ~ Date ? - /.;y- 8.3
PREPARED 4/23/04. 12 28'13
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
1
4/23/04
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER
110 W 14TH ST
TOPNOTCH ROOFING
STEVENS LEROY F
06-30-00-0-4-2220-0000-
03-00000678 RE-ROOF
SUBDIV
PHONE
PHONE
(360) 457-0066
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 ,~~~\i ~~ BUILDING FINAL
~\ ~ Topnotch needs are-roof f1nal Ph#457-0066
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES ~ ~ rf6
DEPARTMENT OF PUBLIC WORKS ~/\6-'
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date 7- ll/o9
Time
Received by JI8
E. I~th 6h-C'.e-\-
(phone, person)
Location of Work to be inspected J \ 0
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Phone No.
Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date
Remarks:Cu.\ ;() ~~(I,\\
Time By
IS ApyffW. 3' if LJ /
RESTORATION REQUiRED...... YES \-- NO
I 07' I
if\" '11; 0
- -
13l
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel )2{AsPhalt OPCC o Other
o Repaired by City oIL Work Order # -'3Q-:\4 (9 - ~'5l
o Repaired by permittee?/tv r kt' COMPLETE /e:tf low JJ si-
D No Damage Found 0 INCOMPLETE fw~~A.
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,,............:............... ................. ",."'...:.J ...^"'.................\