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Home My WebLink About1109 W. 5th Street Address: 1109 W 511 Street PREPARED 8/02/16, 8:06:54 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/02/16 ------------------------------------------------------------------------------------------------ ADDRESS . : 1109 W 5TH ST SUBDIV: CONTRACTOR : PHONE OWNER WEBSTER, TTE FRANK E PHONE r . PARCEL 06-30-00-0-1-1265-0000- APPL NUMBER: 15-00001042 SIDING ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------- --- -—------—----------------------—--------------------—------—-- BL99 01 8/02/16 BLDG FINAL August 2, 2016 8:08:34 AM jlierly. Burke ------------------------ - ----Burke COMMENTS AND NOTES %w. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 15-00001042 Date 8/17/15 Application pin number . . . 290252 REPORT SALES TAX Property Address . . . . . . 1109 W 5TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-1265-0000- on your State excise tax form Application type description SIDING to the City of Port Angeles Subdivision Name . . . . . . Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 2400 ---------------------------------------------------------------------------- Application desc New siding ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WEBSTER, TTE FRANK E OWNER 1109 W 5TH ST PORT ANGELES WA 983632003 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional des . . NEW � �ICAr Permit Fee . 109109.75 Plan Check Fee .00 " Issue Date . . . . 8/17/15 Valuation . . . . 2400 % . Expiration Date x/13/16 . . k Qty / Q y Unit Charge Per Extension BASE FEE 95.75 1.00 14.0000 THOU BL-2001-25K (14 PER K) 14.00 ---------------------------------------------------------------------------- 0 Other Fees . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 109.75 109.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 114.25 114.25 .00 .00 (x, 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 isnot 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. 15 '--\j , 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: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In Water Line Meter to Bldg) Gas Line t Back Flow/Water FINAL Date Accepted b +� 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 Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: 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:Form s/Building Division/Building Permit THE P1' ORT NGELES For City Use /v ysCITY O P rmit# W A S H I N G� T O N, U . S. ate Received: 321 E 51h Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permitsOcityofpa.us BUILDING PERMIT A PLICATION Project Address: ilk � 5 Phone: Primary Contact: gv Email: Name Phone L't Property Mailing Ad ress Email Owner ' City State Zip Name Phone Contractor Address Email Information city State Zip .i Contractor License# Exp.Date: Legal Description: Zoning: Tax Parcel # Woject Value: (materials and labor) i vio . - a-J4M b Residential Commercial ❑ Indut al ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ Classification For the following, fill out both pages of permit application: (check New Construction ❑ Exterior Remodel 0 Addition ❑ Tenant Improvement ❑ appropriate) Mechanical ❑ Plumbing ❑ Other ❑ Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms or Existing? Yes 0 No V Existing? Yes 0 No In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwaterocityofpa.us Project Description S'rp Is project in a Flood Zone: Yes 0 NoJ9 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 days of submittal,the application will be considered abandoned and the fees will be forfeited. Date Print Name Signature Residential Structures Existing Proposed Construction For Office Use Area Descriptions(SQ FT) Floor area Floor area $Value new area 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 Construction For Office Use Floor area Floor area $Value new area } Existing Structure (s) Proposed Addition Tenant Improvement? Other work(describe) Site Area Totals 7- Lot/Site Coverage Calculations Lot Size(sq ft) Lot Coverage(sq ft)foot print of %Lot Coverage (Total lot cov_lot size) Max Bldg Height all structures sq ft 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 # Pellet Stove/Wood-burning/Gas # portable) Fireplace/Gas Stove/Gas Cook Stove/Mise. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit 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 Permit 4-17-13.docx I:. CITY OF PORT ANGELES ` DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 15-00000125 Date 2/11/15 ✓� Application pin number . . . 705500 I Property Address . . . . . . 1109 W 5TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-1265-0000- Application type description RES MECHANICAL PERMIT REPORT SALES TAX Subdivision Name . . . . . . on your State excise tax form Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY to the City of Port Angeles Application valuation 5700 (Location Code 0502) PP . . Application desc WOOD BURNING FIREPLACE INSERT ------------------------------------------------------=--------------------- Owner Contractor ------------------------ ------------------------ WEBSTER, TTE FRANK E EVERWARM INC. 1109 W 5TH ST 257151 HWY101 PORT ANGELES WA 983632003 PORT ANGELES WA 98362 (360) 452-3366 -------------------------------- ------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc WOOD STOVE INSERT Permit Fee 60.65 Plan Check Fee .00 Issue Date . . . . 2/11/15 Valuation . . . . 0 Expiration Date 8/10/15 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65 r` ---------------------------------------------------------------------------- Special Notes and Comments Per Washington State Code 51-51-315, j installation of Carbon Monoxide detector(s) is required if you are installing or replacing a fuel burning appliance (wood, pellet., gas)and must be in place prior to the final inspection of this permit. They are required to be place directly outside of each sleeping , area and at least one on each floor of the house. --------------------------=--------------------------------------------- --- Fee summary Charged Paid Credited Due \� ----------------- ---------- ---------- --------`- ---------- Permit Fee Total 60.65 60.65 .00 .00 Plan Check Total .00 .00 .00 .00 t* Grand Total 60.65 60.65 .00 .00 Ul V\ 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 aerlod of 180 days after the work has commence p y d, or if required inspections have not been q p e n 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: 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 FINAL Date Accepted b 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: Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: 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 THEy For City U pise CITY OF f LE$� - Permit# /16 125 W ASH I NGTON, U. S. Date Received: 321 E 5th Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permitsMcitj F-- — BUILDING PERMIT APPLICATION Project Address: i i C 1:,-) S+-\. Phone: Primary Contact: &0AyQ Email: Name Phone Property —mailing Ad&ess Email Owner I r UOCG� (0,4-,, City State Zip Pop,,T Afo! Lit �,Ao(',. '--)?A(c:� 4 Name — Phone Contractor Address Email Information cit. State Zip Contractors License# Exp.Date: Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor) $ Residential Commercial 11 Industrial 11 Public 11 Permit Demolition ❑ Fire 1:1 Repair 0 Reroof(tear off/lay over) 0 Classification For the following, fill out both pages of permit application: (check New Constru ti n 13 Exterior Remodel 11 Addition 11 Tenant Improvement ❑ appropriate) Mechanical XPIumbing 1:1 Other 0 Fire Sprinkler System? Irrigati6n System? Proposed Bathrooms Proposed Bedrooms Yes 0 No A Yes 13 No PL Project Description Is project in a Flood Zone: Yes [3 No13 Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ 1 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. Date Print Name Signature Residential Structures Existing Proposed Construction For Office Use Area Descriptions(SQ FT) Floor area Floor area $Value new area Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30" or i" floor) Garage Carport Other(describe) Area Totals Commercial Structures Construction For Office Use Area Descriptions(SQ FT) Existing Proposed $Value new Floor area Floor area area Existing Structure (s) Proposed Addition Tentint Improvement? Other work(describe) Site Area Totals Lot/Site Coverage Calculations Lot Size (sq ft) Lot Coverage(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 # Pellet Stove/Wood-burning/Gas # portable) Fireplace/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping ( #of Outlets: Ventilation Fan,single duct # Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit 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 scribe): T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx;A