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Home My WebLink About1005 H StreetAddress: 1005 H Street PREPARED 8/12/13, 10:56:04 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY- DATE 8/12/13 ------------------------------------------------------------------------------------------------ ADDRESS . : 1005 H ST SUBDIV: CONTRACTOR : PHONE OWNER GONZALES ARMANDO PHONE PARCEL 06-30-00-0-3-1435-0000- APPL NUMBER: 13-00000842 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 8/12 3 JLL^ BLDG FINAL �A�\g\i\1- August 12, 2013 8:23:04 AM pbarthol. Armondo ---------------------------=---------- COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION V 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 13-00000842 Date 7/29/13 Application pin number . . . 000058 Property Address . . . . . . 1005 H ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -1435 -0000 - Application type description RE -ROOF Subdivision Name . . . . . . Property Use . . . . . . . . . 151.75 Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 5200 ----------------------------------------------------------------------------- Application desc Valuation TEAR OFF/INSTALL COMP ---------------------------------------------------------------------------- . 5200 Owner Contractor. GONZALES ARMANDO OWNER 1005 S H ST PORT ANGELES WA 983635531 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc . . TEAR OFF/INSTALL COMP Permit Fee . . . . 151.75 Plan Check Fee .00 Issue Date . . . . 7/29/13 Valuation . . . . 5200 Expiration Date . . 1/25/14 Qty Unit Charge Per Extension BASE FEE 95.75 4.00 14.0000 ---------------------------------------------------------------------------- THOU BL -2001-25K (14 PER K) 56.00 Other Fees . . . ---------------------------------------------------------------------------- . . . . . STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 151.75 151.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 156.25 156.25 .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 o/riot. The grantin Ff a permit does not presume to give authority to violate or cancel the provisions of any state or I law regulat j /corjstPuttion he performance of construction. `7'f ate Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) ]:Forms/ bwltling 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 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: Electrical 417-4735 Footings Stemwall Foundation Drainage / Downspouts Piers 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) 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 PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking / 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 4-R`U CITY OF JL W A S H i 321 E 51h Street A TG S N G T O N, U. S. Port Angeles, WA 9836 P: 360-417-4817 F: 360-417-4711 Email: permits0cityofpa.us For City Use Permit# Date Received: Date Approved 7 BUILDING PERMIT APPLICATION Project Address: A0 S 171 ` Primary Contact: A Phone: 45:7— 018/ Email: Name 41CO, - /ur bo C% c,,J % Phone C/ Property Owner Mailing Address Email City State � , /� F Zip Name .� Phone Contractor Address Email Information city state \ zip Contractors License# Exp. Date: Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor Residential fl7 - Commercial ❑ Industrial Public ❑ Permit Demolition ❑ Fire ❑ Repair [�Reroof (tear off/lay over) ❑ Classification (check appropriate) For the following fill out both pages of permit application: New Construction ❑ Exterior Remodel ❑ Addition [3 --Tenant Improvement ❑ Mechanical ❑ Plumbing ❑ Other ❑ Fire Sprinkler System? Yes ❑ No Irrigation System-?- Yes ❑ No -Z Proposed Bathrooms �:. = Proposed Bedrooms Project Description X-C) &-F- C Is project in a Flood Zone: Yes ❑ o Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ 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 18o days of submittal, the application will be considered abandoned and the fees will be forfeited. 71V 1 Date Print Name f Sib atur Residential Structures Area Description (SQ FT) Existing Proposed $$ value For Office Use Basement First Floor Second Floor Covered Deck/Porch/Entry Deck (over 30" or a" floor) Garage Carport Other (describe) Area Totals Commercial Structures Area Descriptions (SQ FT) Existing Proposed Proposed ss Value For Office Use Existing Structure (s) Proposed Addition Teriant Improvement? Other work (describe) Site Area Totals Lot/Site Coverage Calculations Lot Size (sq ft) Lot Coverage (sq ft) %Lot Coverage (Total lot coverage =lot size) Site Coverage (Sq Ft of all impervious) % 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): :\ouIwiivia\HrrL1Ln►iuix ruKiviS\CurrentBFnppucation\tsuildmgPermit 4-17-13.docx