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Home My WebLink About111 W 5th Street Address: 111 W5 Ih Street PREPARED 5/08/17, 9:14:07 INSPECTION TICKET PAGE 10 - CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/08/17 -------------------------------------------—------------------------------------------------- ADDRESS . : 111 W 5TH ST SUBDIV: CONTRACTOR CAMPBELL ROOFING LLC PHONE (360) 461-7747 OWNER SIJKE SELINDA BARKHUIS PHONE PARCEL 06-30-00-0-0-8875-0000- APPL NUMBER: 17-00000560 RESIDENTIAL RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL99 01 5/08/17 L BLDG FINAL May 8, 2017 9:08:24 AM jlierly. josh 683-8071 ------------------------ ------------ COMMENTS AND NOTES -------------------------------------- '"�'�► CITY OF PORT ANGELES rt DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 17-00000560 Date 5/02/17 Application pin number . . . 245040 Property Address . . . . . 111 W 5TH ST D ASSESSOR PARCEL NUMBER: 06-30-00-0-0-8875-0000- REPORT SALES TAX Application type description RESIDENTIAL RE-ROOF Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . to the City of bort Angeles Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY Application valuation . . . . 7470 (Location Code 0502) ---------------------------------------------------------------------------- Application desc TEAR OFF/INSTALL STANDING SEAM METAL ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SIJKE SELINDA BARKHUIS CAMPBELL ROOFING LLC PO BOX 3194 638 BLUE RIDGE RD PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 461-7747 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc . : TEAR OFF/INSTALL METAL Permit Fee 179.75 Plan Check Fee .00 Issue Date . . . . 5/02/17 Valuation . . . . 7470 Expiration Date 10/29/17 Qty Unit Charge Per Extension BASE FEE 95.75 6.00 14.0000 THOU BL-2001-25K (14 PER K) 84.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 179.75 179.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 184.25 184.25 .00 .00 Q 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. 1 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. 5-2-17 Jas G7 Date Print Name Zignature 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 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 F- 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 /En ineerin 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 C TY OF R 1' AN GS ELE For City Use Permit# � � rS � cJ W AS H i O N , U . S . Date Received: 7 321 E 51hStreet Date Approved Port Angeles,WA 9836 P:360-417-4817 E:360-417-4711 Email:permits0cilyofpa.us BUILD=INO PERMIT APPLICATION. Project Address: 5{"' S� Phone: 360- 6/63- 8071 Primag Contact:J Email: / ,evx-i Name 'S Phone 17a, k 366 7 75 " 6 5 2 Property Mailing Address Email D Owner 319q City , State � ^ Zip 9836 2 Name V Phone H /Z 3 9 o- 6"93- So 71 Contractor Address Email ML-c, ZnfarmatiQxt City 50111- State zip 9936 Z JA Contractors License# `877 ,� Exp.Date: 5-Z (_ /7 Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor) s 7, g7o•c Residential ❑ Commercial ❑ Industrial ❑ Public ❑ Permit Demolition '❑ Fire 0 Repair 0 Reroof(tear>offllay-over)e-� Classification For the following,fill out both pages of permit application: (check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ r appropriate) Mechanical ❑ Plumbing ❑ Other ❑ Fire minkler'System? Irrigatipn System? Proposed Bathrooms Proposed.Bedrooms Yes ❑ No ❑ Yes ❑ No ❑ Project Description r e / r or x-- /t Si'-s / a'.C/ reo,t% Is Project-lea a Flood Zone: Yes ❑ Nap >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 witted aw the application-befare 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. Date ''�� Print Name JOS4 Gj Signaturee�x Z-5;p/� Residential Structures For Office Use Area Description(SQ FT) Existing Proposed $$value Basement First Floor SecondFloor Covered Deck/Porch/Entry Deck(over 30"or an floor) Garage Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions(SQ FT) Existing Proposed $$Value 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) %Lot Coverage(Total lot coverage_lot size) Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site coverage_lot size) y Mechanical Fixtures Indicate how many of each type of fixture to he installed or,,relocate,d as pan 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) Fire lacetGas Stove/,Gas�CookRtove/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 # Fuel gas piping #of Outlets: Water Heater # Medical gas pi-ping #of Outlets: Water Line # Plumbing Vent piping # Sewer Line # Industrial waste pretreatment interceptor Grease Trap) Size +Other` describe: T:\BUILDING\APPLICATION FORMS\Current BP Application\Building,Permit 4-17-13.docx