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Home My WebLink About1121 E. Park Avenue Address: 1121 E park Avenue PREPARED 7/27/16, 8:59:02 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/27/16 ------------------ - ADDRESS . : 1121 E PARK AVE SUBDIV: CONTRACTOR : PHONE OWNER SCOTT AND NATALIYA ERICKSON PHONE PARCEL 06-30-11-5-1-0670-0000- APPL NUMBER: 16-00000093 RE-ROOF PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------ ................................................ BL99 ------------------- --------------- BL99 01 7/27/16 LL BLDG FINAL July 27, 2016 8:57:16 AM jlierly. 460-3901 - - --- -------------- -- - COMMENTS AND NOTES ---------------------------— cir =k CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 16-00000093 Date 2/02/16 Application pin number . . . 328551 Property Address . . . . . . 1121 E PARK AVE ASSESSOR PARCEL NUMBER: 06-30-11-5-1-0670-0000- REPORT SALES TAX Application type description RE-ROOF on your state excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RESIDENTIAL MEDIUM DENSTY `Location Code 0502) Application valuation . . . . 1800 Application desc INN --install comp over 1 layer --------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ �. SCOTT AND NATALIYA ERICKSON OWNER 1121 E PARK AVE PORT ANGELES WA 983622740 -- ----------------------------------------------------------------------------- Pefmit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc INSTALL COMP OVER 1 LAYER Permit Fee . . . . 89.65 Plan Check Fee .00 Issue Date . . . 2/02/16 Valuation . . . . 1800 Expiration Date 7/31/16 r Qty Unit Charge Per Extension BASE FEE 50.00 13.00 3.0500 HND BL-501-2K (3.05 PER C) 39.65 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due A ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 89.65 89.65 .00 .00 Plan Check Total .00 .00 .00 .00 v Other Fee Total 4.50 4.50 .00 .00 Grand Total 94.15 94.15 .00 .00 t.Y 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 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 pro ' ' s of any state or local law regulating constr R-or'the performance of construction. r Date Print Name Signature of Contractor or Au orized 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 I 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 I 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 T" 1 l�TGLES For City Use CITYF O Permit# /��" �D3 W A S H I N G T o N, U. S. Date Received: 321 E 5th Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits@cityofpa.us BUILDING PERMIT APPLICATION Project Address: t f ( 1 Phone: G 0 Primary Contact: Email: Name ,n , ` -S Phone Property Mailin Address ^ �V Email - Owner ._ r City ® t , � � State Zi Name Phone Contractor Address Email -Information_. City State zip Contractor License# Exp.Date: Legal Description: Zoning: Tax Parcel # ProjectDValue: (materials and labor) Residential Commercial ❑ Industrial ❑ Public ❑ _ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear o f/lay over) Classification. For the following,fill out both pages of permit application: (check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ appropriate) Mechanical ❑ Plumbing ❑ Other ❑ - Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms or Existing? Yes 13 No 0 Existing? Yes 0 No E3 In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwater citvofpa.us Project Description , .0e et l�A-v Ef 0 r e v kc e- Pti S ,O,) rl re--' tV Is project in a Flood Zone: Yes ❑ /f%ToPr 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. ,I—W,q —/� 6p'o f'15 Date Print Name Si nature 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'q floor) Garage Carport r. 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? 1 Other work(describe) Site Area Totals " Lot/Site Coverage Calculations r Lot Size(sq ft) Lot Coverage(sq ft)foot print of %Lot Coverage(Total lot cov=lot size) Max Bldg Height all structures s 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) Fire lace/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 # 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:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx Erickson Rental Property PO Box 3145 Port Angeles, WA 98362 (360) 452-3423 City of Port Angeles, I Scott Erickson do hereby give permission for Brad Bryars to install a roof on my house Located at 1121 E Park St. Port Angeles,WA. All work is to conform to existing building Codes. If you have any questions please direct them to my Property Manager Steve Johnson At the above address.You may also call me at(360)912-7005 if you feel it necessary. Thank you, i i = 6e Z2- 2014 Scott Erickson JA N 27 coM�n'q -- 2016 �1FIVT