HomeMy WebLinkAbout1015 W 15th StreetAddress:
1015 W 15th Street
PREPARED 4/09/14, 9:59:04 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY .. DATE 4/09/14
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ADDRESS . : 1015 W 15TH ST SUBDIV:
CONTRACTOR LARRY'S ROOFING PHONE (360) 452-2215
OWNER JONATHAN P FESTE PHONE (360) 670-1475
PARCEL 06-30-00-0-4-1380-0000-
APPL NUMBER: 14-00000422 RE -ROOF
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FSE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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BL99 01 4/09/14 L 0 BLDG FINAL
April 9, 2014 8:59:44 AM pbarthol.
Tom 460-0517
-------------------------------------- COMMENTS AND NOTES -----------------------------
" CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
® 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 14-00000422
Date 4/07/14
Application pin number . . . 298328
Property Address . . . . . . 1015 W 15TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -4 -1380 -0000 -
Application type description RE -ROOF
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 4771
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Application desc
TEAR OFF/INSTALL COMP
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Owner Contractor
------------------------ ------------------------
JONATHAN P FESTE LARRY'S ROOFING
1616 E 4TH ST 352 AVIS ST.
PORT ANGELES WA 98362 PORT ANGELES
WA 98362
(360) 670-1475 (360) 452-2215
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Permit . . . . . . BUILDING.PERMIT - NO PR FEE
Additional desc . . TEAR OFF/INSTALL COMP
Permit Fee . . . . 137.75 Plan Check Fee
.00
Issue Date . . . . 4/07/14 Valuation . .
. . 4771
Expiration Date . . 10/04/14
Qty Unit Charge Per
Extension
BASE FEE
95.75
3.00 14.0000 THOU BL -2001-25K (14 PER K)
42.00
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Other Fees . . . . . . . . . STATE SURCHARGE
4.50
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Fee summary Charged Paid Credited
-----------------
Due
------------------------------
Permit Fee Total 137.75 137.75 .00
----------
.00
Plan Check Total .00 .00 .00
.00
Other Fee Total 4.50 4.50 .00
.00
Grand Total 142.25 142.25 .00
.00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
In
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 co p ' d with whether specified herein or not. The granting of a permit does
not presume to give authority tol,,yiolate or cancel th royisiV any state or local law regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms/Building Division/Building Permit
S
VJ
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 b
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 I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
THEP A
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CITY OF
W A S H I N G�T O N, U.S.
321 E Sm Street
Port Angeles, WA 9836
P: 360-417-4817 F: 360-417-4711
For City Use
Permit#
Date Received:
Date Approved -
Email: permitsMcit F- t BUILDING PERMIT APPLICATION
Project Address: l S
Primary Contact:p i'x) b 2g
Phone: -
Email:
Property
Owner
Name
Phone
Mailing Address , / /
b �P
Email
City
State
(}l/
Contractor
Information
Name
Phone
Address S
�JS
Eman
citystate
\
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Fp ��
Contractors LIcense#
Exp. Date:
Legal Description:
Zoning:
Tax Parcel #
Project Value: (materials and labor)
$ i 7} ) -'
Permit
Classification
(check
Residential 0 Commercial ❑ Industrial ❑ Public ❑
Demolition ❑ Fire ❑ Repair ❑ Reroof (tear off/lay over)
For the follamdil . fill out both pages of Dermit application:
New Construction 0 Exterior Remodel 0 Addition D
_Tenant _Im _rovemgnt
Mec 'cal Plumbing Other
Fire Sprinkler System?
Yes 0 No 0
Irrigation System?
Yes 0 No 0
Proposed Bathrooms
Proposed Bedrooms
Project Description
Is project in a Flood Zone: Yes 0 No® 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 i8o da s of submittal, the application
will be considered abandoned and the fees will be forfeited.
Date
Print Name
Signature
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
$$ 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 _Cogerae_(S_ Ft of all im ervious) _% 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 t3rpe 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
interce for Grease Trap)Size
Other (describe):
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