HomeMy WebLinkAbout1025 W. 6th StreetAddress:
1025 W 6th Street
PREPARED 12/21/15, 11:24:27 INSPECTION TICKET PAGE f 5
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/21/15
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ADDRESS . : 1025 W 6TH ST SUBDIV:
CONTRACTOR LARRY'S ROOFING PHONE (360) 452-2215
OWNER HASTINGS MARTHA L PHONE
PARCEL 06-30-00-0-1-0858-0000-
APPL NUMBER: 15-00001527 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 12/21/15 LL BLDG FINAL
December 21, 2015 10:25:41 AM jlierly.
tom 460-0517
---------------------- --- -- -------- COMMENTS AND NOTES -------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
U 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00001527 Date 12/04/15
Application pin number . . . 995677
Property Address . . . . . . 1025 W 6TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -0858 -0000 -
Application type description RE -ROOF
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 11000
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Application desc
TEAR OFF/INSTALL COMP
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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. ISO days, if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if re uired inspections have not been requested,within 180 days from the
last inspection. I hereby certify that I have read and examined t 's plication and know the same to be true 7and correct. All provisions
of laws and ordinances governing this type of work will be comp ilewhether specified herein or not. The granting of a,permit does
not presume to give authority to viola r cancel the provis" ny"InN tate 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)
I:Forms/bulltling Division/Building Permit
Owner
------------------------
Contractor
HASTINGS MARTHA L
------------------------
LARRY'S ROOFING
1312 W 5TH ST
352 AVIS ST.
PORT ANGELES
WA 98363 PORT ANGELES
WA 98362
(360) 452-2215
--------------------------------
Permit . . . . .
`-------------------------------------------
. BUILDING PERMIT - NO PR FEE
Additional desc
TEAR OFF/INSTALL COMP
e
Permit Fee . . .
221.75 Plan Check Fee
.00
Issue Date . . .
. 12/04/15 Valuation . . .
. 11000
Expiration Date
6/01/16
'•.
,.,_-,_ Qty Unit,Charge
.Per
Extension
BASE FEE
95.75
i----------
9.00-------14.0000-THOU
BL -2001-25K (14 PER K)--------------126.00
+,-
-----Other-Fees
-- ------------- ---- -----
-.-.--STATE-SURCHARGE----------------4.50-----
-----
Fee summary
Charged Paid Credited
Due
Permit Fee Total
221.75 221.75 .00
.00
3
Plan Check Total
Other Fee Total
00 .00 .00
4.50 4.50 .00
.00
.00
Grand Total
226.25 226.25 .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. ISO days, if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if re uired inspections have not been requested,within 180 days from the
last inspection. I hereby certify that I have read and examined t 's plication and know the same to be true 7and correct. All provisions
of laws and ordinances governing this type of work will be comp ilewhether specified herein or not. The granting of a,permit does
not presume to give authority to viola r cancel the provis" ny"InN tate 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)
I:Forms/bulltling 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:
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:
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:
Parkin / Lighting
Landscaping I
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
THE �RCITY OF
W A S H I
321 E 51h Street
NES -
;4 Ga u..
l�
N G T O N, U.S.
Port Angeles, WA 9836
P: 360-417-4817 F: 360-417-4711
Email: permitsOcityofpa.us
For City Use
Permit#
Date Received:
Date Approved
BUILDING PERMIT APPLICATION
Project Address:
Primag Contact: 1'OT1(}b
Phone: _
Email:
Name
Phone
Property
Mailing Address
Email
Owner .
City
State
Zip
Name -
Phone
Contractor
Address js
_
Email
Information
City
State
Zip
Contractors License# (� r_. Q
Exp. Date:
Legal Description:
Zoning:
ax Parcel #
Project Value: (materials and labor)
$ �—
Residential ❑ Commercial ❑ Industrial ❑ Public ❑
Permit
Demolition 11 Fire ❑ Repair ❑ Reroof (tear off/lay over)
For the following. fill out both pages of permit application:
Classification
(check
appropriate)
New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical ❑ Plumbing ❑ Other ❑
Fire Sprinkler System Proposed
Irrigation System Proposed orProposed
Bathrooms
Proposed Bedrooms
or Existing? Yes 0 No D
Existing? Yes 0 No
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
W%VW.stormwater(&cityofpa.us
Project Description
6b,I 1 _3O
i
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? $
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 appl'c ion before the permit is
issued. I understand that if the permit is not picked up/issued within i8o d ys f submittal, the application
will be considered abandoned and the fees will be forfeited.
Date
Print Name
Signature
r:\corms\suis LEU Form Updates\Building & Permitting\BP\Building Permit 20150415.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 z" floor)
Garage
Carport
Other (describe)
Area Totals
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 tvve 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):
r:\corms\suis LEU Form Updates\Building & Permitting\BP\Building Permit 20150415.docx