HomeMy WebLinkAbout1115.5 E 3rd Street Address:
1115 % E 3rd Street
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PREPARED 7/06/17, 13:05:43 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/06/17
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ADDRESS . : 1115 1/2 E 3RD ST SUBDIV:
CONTRACTOR : PHONE
OWNER STONE, ROBERT W & BILLIE-JANE PHONE
PARCEL 06-30-00-5-4-0440-0000-
APPL NUMBER: 17-00000093 RES REMODEL
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PERMIT: BPR 00 BUILDING PERMIT - RESIDENTTAT•
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED --RESULT-_ RESULTS/COMMENTS
------------- ---------------------
---------------—------------------'----9999-
BL99 01 7/06/17L BLDG FINAL TIME: 17:00 !!11
---Robert stone
------------9999-- ---- -----------------------------9999--
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION /_
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS �7j��`1
--99-01-------------- ---CAL F_N_-__--__- ------------------------_-__- � pen-,
ME99-O1----7/06/17--- JLL -_ MECHANICAL FINAL TIME: 17:00
-- ------------------------999'9------------ 9999-------- �/
PERMIT: PL 00 PLUMBING IT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
PL99 01 7/06/17 J L PLUMBING FINAL TIME: 17:00
------------------------- ---------- COMMENTS AND NOTES -------------------------------------- -
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 17-00000093 Date 4/10/17
Application pin number . . . 835558
Property Address . . . . . . 1115 1/2 E 3RD ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-4-0440-0000- REPORT SALES TAX
Application type description RES REMODEL on your state excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . UNKNOWN (Location Code O$O2)
Application valuation . . . . 3000
Application desc
1 BATH 1 BED & KITCHEN
Y --- ----------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
�t STONE, ROBERT W & BILLIE-JANE OWNER
P. O. BOX 1904
PORT ANGELES WA 98362
------------------------------ ----------------------------------------
Permit . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc . . ADD 1 BATH 1 BED & KITCHEN
Permit Fee 109.75 Plan Check Fee 71.34
]_ Issue Date . . . . 4/10/17 Valuation . . . . 3000
Expiration Date 10/07/17
Qty Unit Charge Per Extension
BASE FEE 95.75
1.00 14.0000 THOU BL-2001-25K (14 PER K) 14.00
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc TWO VENT FANS
Permit Fee . . . . 64.50 Plan Check Fee .00
Issue Date . . . . 4/10/17 Valuation . . . 0
Expiration Date 10/07/17
Qty Unit Charge Per Extension
BASE FEE 50.00
2.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 14.50
----------------------------------------------------------------------------
Permit . . . . PLUMBING PERMIT
Additional desc ADD 1 BATH / 1 KITCHEN
Permit Fee . . . . 99.00 Plan Check Fee .00
Issue Date . . . . 4/10/17 Valuation . . . . 0
Expiration Date 10/07/17
Qty Unit Charge Per Extension
BASE FEE 50.00
4.00 7.0000 EA PL-PLUMBING TRAP 28.00
M 1.00 7.0000 EA PL-WATER LINE 7.00
'•J 1.00 7.0000 EA PL-DRAIN VENT PIPING 7.00
1.00 7.0000 EA PL-WATER HEATER 7.00
Ilia ----------------------------------------------------------------------------
i Special Notes and .Comments
January 26, 2017 11:41:35 AM tamiot.
Separate Permits are required forelectrical 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.
�b 17 R w Sf�h e- LI
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
AIR SEAL:
Walls
Ceiling
FRAMING:
r
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:
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
r CITY OF PORT ANGELES
i1 DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number . . . . . 17-00000093 Date 4/10/17
Application pin number 835558
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REPORT SALES TAX
Special Notes and Comments on your state excise tax form
ELECTRICAL SERVICE FOR A ARU NEEDS TO HAVE A SEPARATE METER
AND ELECTRICAL SERVICE. to the City of Port Angeles
ELECTRICAL PERMIT REQUIRED FOR ANY AND ALL ELECTRICAL WORK. (Location Code 0502)
Applicant responsible for erosion/sedimentation control and
surface restoration. Follow attached Construction Pollution
Prevention Factsheet B.
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Other Fees . . . . . . . . . STATE SURCHARGE 4.50
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 273.25' 273.25 .00 .00
Plan Check Total 71.34 71.34 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 349.09 349.09 .00 .00
i
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:
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:
Parkin /Li htin 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
THF-
CITY o� f 1 ' �I�T{` For City Use
�1
Permit# 8 ,� '" 7
W A S H l N G T O N , U. S. Date R2celU 1 `et ►
321 E 51h Street Date'A r v 7
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits@ciMfpa.us BUILDING PERMIT APPLICATION
Project Address: 1 ! 1 S7� E, ?' S f o fPs
Phone: 3 6 6 1- 4d 16q7
Primary Contact: to,4 Email: s 1,11 r le s 4 G L c o wr
Name Phone
a l -tvt V S�o� Q � o 0i 7
Property Mailing Address Email
Owner P D d S ec, e y c o wr
City State zip
PoVt Its Wa G z
Name Phone
Contractor Address Email
Information city State zip
Contractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel# oject Value: (materials and labor)
$ G1X�
Residential Commercial ❑ Ind rial ❑ 1 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 ❑ Addition ❑ Tenant Improvement Af
appropriate) Mechanical ❑ Plumbing ❑ Other A �o
Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms
or Existing? Yes ❑ No 'A Existing? Yes ❑ No 1
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater ci o a.us
Project Description , /,/I-v f K
AOfl
in. a R Sc F'
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 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.
/�a6.-,e„ t
7
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 2" 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)
1
Site Area Totals
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 ''+"T • l e: �►'• j:.t 4°•-H-eating/Cooling appliance #
re iii/ era�t<ioq�:w c' ' 4 t'a ;•
Evaporative Cooler(attached,not # Pellet Stove/Wbod-burnin /Gas
portable) Fireplace/Gas Stove/Gas Al''Stoe%NIfifi.
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 i ailed 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
interce for Grease Trap) Size
Other(describe):
T:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx
En7 FILE MY OF PORT ANGELES-Construction Plans
The Issuance of this permit based upon these plans
specifications and other data shad not prevcni the
building offlicial 1ron) reqll;rirt�' the
cori-ectiol,ol'e.)-rors ii..,�)i(� n'%,:;t',:tiimls and
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