HomeMy WebLinkAbout1016 W. 9th StreetAddress:
1016 W 911 Street
C0(6 W ? '�- Sf�
PREPARED 10/23/15, 11:02:54 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/23/15
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ADDRESS . : 1016 W 9TH ST SUBDIV:
CONTRACTOR STEVE JOHNSON CONSTRUCTION PHONE (360) 457-8196
OWNER MICHAEL MCCORMICK/T SHINER PHONE
PARCEL 06-30-00-0-3-0115-0000-
APPL NUMBER: 15-00001283 RE -ROOF
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
---------------------------- ------------------
BL99 01 10/23 5 JLL BLDG FINAL
October 23, 2015 11:00:20 AM pbarthol.
Steve 670-1317
--------- --------- — — - — - — COMMENTS AND NOTES --------------------------------------
D
v
CITY OF PORT ANGELES
i �i DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
t. �r- a
`�, 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00001283 Date 10/13/15
Application pin number . . . 137900
Property Address . . . . . 1016 W 9TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -0115 -0000 -
Application type description RE -ROOF
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 10000
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Application desc
tear off comp roof
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Owner
Contractor
------------------------
MICHAEL MCCORMICK/T
SHINER
------------------------
STEVE JOHNSON CONSTRUCTION
1016 W 9TH ST
1512 W. STH ST
PORT ANGELES
WA 983635726
PORT ANGELES
WA 98362
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(360) 457-8196
Permit . . . . .
. BUILDING PERMIT - NO PR FEE
Additional desc .
. TEAR OFF COMP
ROOF
Permit Fee . . .
. 207.75
Plan Check Fee
.00
Issue Date . . .
. 10/13/15
Valuation . . .
. 10000
Expiration Date
4/10/16
Qty Unit Charge Per
Extension
BASE
FEE
95.75
8.00 14.0000
----------------------------------------------------------------------------
THOU BL -2001-25K
(14 PER K)
112.00
Other Fees .
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. . . . . . STATE SURCHARGE
4.50
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
207.75
207.75 .00
.00
Plan Check Total
.00
.00 .00
.00
Other Fee Total
4.50
4.50 .00
.00
Grand Total
212.25
212.25 .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 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
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
Rou h -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 Onl
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•Fnrmc/Ri iilriinn nivicinn/Rl Pildinn Pcrmif
THE
CITY of p C?�RT N:GELESa
W A S H I N G'T O N, U. S.
321 E 51h Street
Port Angeles, WA 9836
P: 360-417-4817 F: 360-417-4711
Email: permits@cityofpa.us BUILDING P
For City Use
Permit# S g
eDate Received: b
6'Date Approved
APPLICATION
Project Address: ld 6v Q -
Primary Contact:
Phone.
Email:
Name C
Phone
Property
Owner
Mailing Address
A6
Email
City 64%4.-r
State A*
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Contractor
Name
Phone
Address
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Email
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Information
City *
State /
Zip 2L -
Contractor
Contractor License# cft��$'�`r �r ?76
Exp. Date:
Legal Description:
Zoning:
Tax Parcel #
Project Value: (materials and labor)
$
Permit
Classification
(check
appropriate)
Residential ;3— Commercial ❑ Industrial ❑ Public ❑
Demolition ❑ Fire ❑ Repair ❑ Reroof ear of lay over) {---
For the following fill out both pages of permit application:
New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical ❑ Plumbing ❑ Other ❑
Fire Sprinkler System Proposed
or Existing? Yes 0 No 0
Irrigation System Proposed or
Existing? Yes 0 No
Proposed Bathrooms
Proposed Bedrooms
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater(&cityofpa.us
Project Description Rc-C661< /,Cel, ,P 6-,g. A -4'F
Is project in a Flood Zone: Yes ❑ NdS--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.
(ol131 t 5—
Date
S -r>�x: -5a fAjS °k—
Print Name
Si nature
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit4-17-13.docx
Residential Structures
Area Descriptions (SQ FT)
Existing
Floor area
Proposed
Floor area
Construction
$ Value new area
For Office Use
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck (over 30" or i" floor)
Garage
Carport
�' ..
`' .tip _, •�.
Other (describe)
Area Total;; .
-
- Commercial
Structures ,
Area Descriptions (SQ FT)
Existing
Floor area
Proposed
Floor area
Construction
$Value new area
For Office Use
Existing Structure (s)
;
Proposed Addition
Tenant Improvement?
'
Other work (describe)
Site Area Totals
Lot/Site Coverage Calculations
Lot Size (sq ft)
Lot Coverage (sq ft) foot print of
all structures sq ft
%Lot Coverage (Total lot cov _ lot size)
Max Bldg Height
Site Coverage (Sq Ft of all impervious)
% of Site Coverage (total site cov _ 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
#
Water Heater
#
Plumbing Vent piping
#
Medical gas piping
# of Outlets:
Water Line
#
Fuel gas piping
# of Outlets:
Sewer Line
`
#
Industrial waste pretreatment
interceptor Grease Trap)
Size
Other (describe):
"
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit4-17-13.docx