HomeMy WebLinkAbout1138 W 10th StreetAddress:
1138 W 10th Street
PREPARED 10/09/14, 13:02:41 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/09/14
---------------------------------
ADDRESS . : 1138 W 10TH ST SUBDIV:
CONTRACTOR HOME DEPOT AT-HOME SRVCS, THE PHONE (770) 779-1300
OWNER BURTON RICHARD/JULIE L PHONE
PARCEL 06-30-00-0-3-1740-0000-
APPL NUMBER: 14-00000542 RE -ROOF
--------------------------------
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 10/09/14 BLDG FINAL
October 9, 2014 9:02:29 AM pbarthol
------------------------------ COMMENTS AND NOTES----------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
S 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 14-00000542 Date 5/09/14
Application pin number . . . 859654
Property Address . . . . . . 1138 W 10TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -1740 -0000 -
Application type description RE -ROOF
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 19238
----------------------------------------------------------------------------
Application desc
---REPLACE 36.3 SQ FT COMP ROOFING/8 SHEETS PLYWOOD
--------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BURTON RICHARD/JULIE L HOME DEPOT AT-HOME
SRVCS, THE
1138 W 10TH ST 2690 CUMBERLAND PKWY, STE 300
PORT ANGELES WA 983635628 ATLANTA
GA 30339
(770) 779-1300
----------------------------------------------------------------------------
Permit . . . . . . BUILDING. PERMIT - NO PR FEE
Additional desc . . RE -ROOF
Permit Fee . . . . 347.75 Plan Check Fee
.00
issue Date . . . . 5/09/14 Valuation . . .
. 19238
Expiration Date . . 11/05/14-
1/05/14Qty
QtyUnit Charge Per
Extension
BASE FEE
95.75
18.00 14.0000 THOU BL -2001-25K (14 PER K)
252.00
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE
----------------------------------------------------------------------------
4.50
Fee summary Charged Paid Credited
Due
---------------------------------------------------------
Permit Fee Total 347.75 347.75 .00
.00
Plan Check Total .00 .00 .00
.00
Other Fee Total 4.50 4.50 .00
.00
Grand Total 352.25 352.25 .00
.00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Separate Permits are required 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.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms/Building Division/Building Permit
N
J)
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:
Construction - R.W. PW I Engineering 417-4831
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
FINAL Date Accepted b
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:
FINAL Date Accepted b
Heat Pum / 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
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
CITY OF PORT ANGELES
s '�� DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
S
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . .
14-00000542 Date 5/09/14
Application pin number . . .
859654
Property Address . , . . . .
1138 W LOTH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -0 -3 -1740 -0000 -
Application type description
RE-ROOP
Subdivision Name . . . . . .
Property Use . . . . . . .
Property Zoning . . .
R97 RESDNTL SINGLE FAMILY
Application valuation . .
19238
----------------------------------------------------------------------------
Application desc
REPLACE 36.3 SQ FT COMP ROOFING/8 SHEETS PLYWOOD
----------------------------------------------------------------------------
Owner Contractor
--------- --------------- ------------------------
BURTON RICHARD/JULIE L HOME DEPOT AT -NOME SRVCS, THE
1138 W LOTH ST 2690 CUMBERLAND PKWY, STE 300
PORT ANGELES WA 983635628 ATLANTA GA 30339
(770) 779-1300
-----------------`----------------------------------------------------------
Permit . . . . . BUILDINa,.PERMIT - NO PR FEE
Additional desc . . RE -ROOF
Permit Fee . . . . 347.75 Plan Check Fee .00
Issue Date . . . . 5/09/14 Valuation . . . . 19238
Expiration Date . . 11/05/14
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Qty Unit Charge Per Extension
BASE FEE 95.75
18.00 14.0000 THOU BL -2001-25K (14 PER K) 252.00
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
------------------------------------- --- -
Permit Fee Total 347.75 347.75 .00 .00
Plan Check Total .00 .00 .00 .00 Q
Other Fee Total 4.5-0 4.50 .00 .00 �V
Grand Total 352.25 352.25 .00
Separate Permits are required forelectrical work, SEPA, Shoreline, ESA, utilities, privateand public improvements. This p mit becomes
null and void If work or construction authorized is not commenced within 180 days, if construction or work is suspendop or abandoned
for a period of 180 days after the work has commenced, or if required inspections have no been requested within 1 the
last Inspection. I hereby certify that I have read and examined this application and know th ame to be true and correct. All proves ns
of laws and ordinances governing this type of work will be compiled with whethipre IPrein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or t cal lawulating construction or the performance of
construction. A
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if(owneris builder)
MFormslBuilding Division/Building Permit
To: Permit OePartmant FA.O. 2 of 2
2014 -OS -03 03:36:02 (GMT)
18884000383
From: Oaborah Stiialds
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
For City Use Only:
Date Received
Permit #
Date Approved —/
Applicant Naida Khan / Northwest Permit Inc. Phone 360-945-2787
Property Owner Rick Burton Phone 360-452-6225
Property Owner's Address 1138 W 10th Street, PORT ANGELES 98363
Contractor The Home Depot At Home Services Phone
Contractor's Address 140 County Line Rd #101, Pacific WA9807
License # HOMED**972RQ Expires 2/1/2015 E-mail
800-381-5699
NAIDA@NWPERMIT.COM
PROJECT ADDRESS 1 138 W 10th Street
Parcel Number 0630000317400000 Lot Zoning
Project Type & Brief Description: n Residential ❑ Multi -family ❑ Commercial ❑ Industrial
Check all that apply
❑ New Construction
❑ Addition
❑ Remodel
❑ Repair lReplace 36.3 squares comp. roofing and 8 sheets lywood.
❑ Demolition
in Re -roof in House ❑ garage ❑ other m tear off & re -roof ❑ lay over one layer
❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other
❑ Other
Floor Areas
Basement
1 st Floor
2nd Floor
3`d Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Existing Isa. ft.) Proposed Iso. ft.)
@ $ per sq. ft. = $
VALUATION
Total footprint of structures sq. ft. T Lot size sq. ft. = Lot coverage %
Site Coverage = the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage %
Max. height of proposed structures ft. Occupancy group # of bedrooms
Will a lawn sprinkler system be installed? Occupant load # of full baths
Will a fire sprinkler system be installed? Construction type # of half baths
l have read and completed this application and know it to be true and correct. l 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 working on project o glauyaisl,ed by Naida Khan
2 May 2014 Naida Khan / Northwest Permit Inc. N PermitInc..WKhan,o=NoM1hwesl
Date Y Print Name SignatureNaida Khan _ S
T:Forms/Building Division/Bldg Permit.doc Dale: 2014.05.0220:33:47-07'001