HomeMy WebLinkAbout1002 E. Park AvenueAddress:
1002 E Park Avenue
PREPARED 3/31/14, 13:06:07 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/31/14
--------------------------------------------- —--------------------- — ---- — ---- ----- — — - — --
ADDRESS . : 1002 E PARK AVE SUBDIV:
CONTRACTOR EMERALD ROOFING INC PHONE (360) 452-4681
OWNER MARSH JERRY L/ DEBORAH A ET AL PHONE
PARCEL 06-30-14-5-6-0112-0000-
APPL NUMBER: 14-00000391 RE -ROOF
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PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 3/31/14 J,C %% BLDG FINAL
March 31, 2014 10:03:12 AM pbarthol
---------------- ---- COMMENTS AND NOTES----------
"F^mss CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
;)
0 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . .
14-00000391 Date 3/28/14
Application pin number . . .
261092
Property Address . . . . . .
1002 E PARK AVE
ASSESSOR PARCEL NUMBER:
06 -30 -14 -5 -6 -0112 -0000 -
Application type description
RE -ROOF
Subdivision Name . . . . . .
. 193.75.
Property Use . . . . . . . .
Fee
Property Zoning . . . . . . .
RS9 RESDNTL SINGLE FAMILY
Application valuation . . . .
8946
----------------------------------------------------------------------------
Application desc
. 8946
tear off comp
----------------------------------------------------------------------------
. 9/24/14
Owner
MARSH JERRY L/ DEBORAH A ET AL
1119 47TH DR SE
BOTHELL WA
BOTHELL WA 98021
Contractor
EMERALD ROOFING INC
P. O. BOX 879
PORT ANGELES WA 98362
(360) 452-4681
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Permit . . . . .
. BUILDING PERMIT -
NO PR FEE
Additional desc .
. TEAR OFF COMP
Permit Fee . . .
. 193.75.
Plan Check
Fee
.00
Issue Date . . .
. 3/28/14.
Valuation
. . .
. 8946
Expiration Date .
. 9/24/14
Qty Unit Charge
Per
Extension
BASE FEE
95.75
7.00 14.0000
----------------------------------------------------------------------------
THOU BL -2001-25K
(14 PER K)
98.00
Other Fees . . .
----------------------------------------------------------------------------
. . . . . . STATE SURCHARGE
4.50
Fee summary
Charged Paid
Credited
Due
Permit Fee Total
193.75 193.75
.00
00
Plan Check Total
.00 .00
.00
.00
Other Fee Total
4.50 4.50
.00
.00
Grand Total
198.25 198.25
.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 lo ca lawregulating construction or the performance of
construction.
Date Print Name Signature of Contra6tor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
— PLEASE PROVIDE A MIN/MUM 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type
Date
Accepted By
Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Fire 417-4653
Post Holes (Pole Bldgs.)
PLUMBING:
FINAL Date Accepted b
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)
-f-Bar
INSULATION:
Slab
Wall / Floor / Ceiling
MECHANICAL:
FINAL Date Accepted by
Heat Pum / Furnace / FAU / Ducts
Rough -In
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts
MANUFACTURED HOMES:
Footing / Slab
Blocking & Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s
SEPA.
ESA:
SHORELINE:
Parkin / Lighting
Landscaping
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
T:Forms/Building Division/Building Permit
THE TELES
CITY OF ,ai
WASHI N GyT O N, U.S.
321 E Stb Street
Port Angeles, WA 9836
P: 360-417-4817 F: 360-417-4711
Email: permits"Zdl F— — BUILDING PERMIT
Project Address:
For City Use
Permit# 4
Date Received:I c.
Date Approved ' r
CATION
PrimaryContact: (%I S
�-
CN
Phone:
Email:
Property
Owner
Name
(C
Phone
m� _ r — 2773
�(p l
Mailing Address
Email
City
State
Zip
Contractor
Information
Name[ A���
/j ` FI/1
We
Phone
T
Address - n` `
Email
city . /
State
zip 362
Contractors License# Exp. Date:
Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor)
$ 19�6
Residential [ Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof (tear off/lay over) 12
Classification For the following fill out both pages of permit application:
(check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Imnrovement ❑
Fire Sprinkler System? Irrigation System? Proposed Bathrooms Proposed Bedrooms
Yes 0 No 0 Yes 0 No 0
Project Description
Is project in a Flood Zone: Yes ❑ No❑ Flood Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $ � Y6
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 work. I understand that plan review fees are not refundable after review has
occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is
issued. I understand that if the permit is not picked up/issued within i8o days of submittal, the application
will be considered abandoned and the fees will be forfeited.
3 r 2? l'4 0 (S QqEN7-
Date G� Print Name
Residential Structures
Area Description (SQ FT)
Existing
Proposed
ss value
For Office Use
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck (over 30" or i° floor)
Garage
Carport
Other (describe)
Area Totals
Commercial Structures
Area Descriptions (SQ FT)
Existing
Proposed
ss Value
For Office Use
Existing Structure (s)
Proposed Addition
Tenant Improvement?
Other work (describe)
Site Area Totals
Lot/Site Covera a Calculations
Lot Size (sq ft)
Lot Coverage (sq ft)
%Lot Coverage (Total lot coverage + lot size)
Site Coverage _(Sq_Ft_of all imervious) _ _
% of Site Coverage (total site coverage + lot size)
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
Outlets:
Appliance Exhaust Fan
#
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
#
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
#
Plumbing Vent piping
#
Sewer Line
#
Industrial waste pretreatment
Interceptor Grease Trap)
Size
Other (describe):
f:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx