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Home My WebLink About1218 Water Street Address: 1218 Water Street PREPARED 6/08/17, 9:37:46 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/08/17 ------------------------------------------------------------------------------------------------ ADDRESS 1218 WATER ST SUBDIV: CONTRACTOR CAMPBELL ROOFING LLC PHONE (360) 461-7747 OWNER MEDLEY EARL D PHONE PARCEL 06-30-00-5-3-0120-0000- APPL NUMBER: 17-00000724 RESIDENTIAL RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL99 01 6/08/17L BLDG FINAL TIME: 17:00 Brandon 477-3455 -------—------—-——-- - ----------- COMMENTS AND NOTES -------------------------------------- Z %'��► CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 17-00000724 Date 6/05/17 Application pin number . . . 374136 Property Address . . . . . . 1218 WATER ST P v ASSESSOR PARCEL NUMBER: 06-30-00-5-3-0120-0000- REPORT SALES TAA Application type description RESIDENTIAL RE-ROOF Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 5650 (Location Code 0502) ---------------------------------------------------------------------------- Application desc tear off/install new comp ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MEDLEY EARL D CAMPBELL ROOFING LLC 1218 WATER ST 638 BLUE RIDGE RD PORT ANGELES WA 983624231 SEQUIM WA 98382 d (360) 461-7747 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF/INSTALL COMP Permit Fee . . . . 151.75 Plan Check Fee .00 Issue Date . . . . 6/05/17 Valuation . . . . 5650 Expiration Date . . 12/02/17 —� Qty Unit Charge Per Extension BASE FEE 95.75 4.00 14.0000 THOU BL-2001-25K (14 PER K) 56.00 ---------------------------------------------------------------------------- • Other Fees STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- -------- ---------- Permit Fee Total 151.75 151.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 156.25 156.25 .00 .00 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 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 /Lighting ESA: Landscaping ]SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW /Engine rin417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 THE For City Use CITY OF ANGELES, Permit# Z 7- 2- w' A S H I N G'. T G N , U . S. Date Received: lD- " 17 321 E 51h Street Date Approved 47 -5'l7 Port Angeles,WA 9836 P:360-417-4817 P:360-417-4711 Email:Hermits@cityofpa.us UII:D!IN:G PERMIT APPLICATION. Project Address: IM W a e✓ ��, Phone: 3bo, 7/ Primag Contact: J051. (,� Email: 04, o� Name Phone 360- S 7— /3 2-1f Property Mailing Address Email Owner /Z I I-) ♦- City y)�r F nn S State 6A Zip f936 Z Name ` no LLQ Phone 36 Contractor Address n Email J 05l,'o6> k,��', ,,information, city -F-04- Zip 0i >'8 3�e- Contractors License# C,Wh nL 377k2 Exp.Date: S-2 Z- Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor) $ S&5� Y1 Residential Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair 0 Reroof(tear.offjlayeover) 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? Irrigation System? Proposed Bathrooms Pro osed Bedroo_m s_ Yes 0 No R) Yes 0 No to I Project Description ,,/ ,' o oC 's Jro' dor f I l ;, 1^ooG Is-project in a flood Zone- 'Yes 0 NOF Flood Zahn 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 applfcatribns 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. Date 6 -Z- /7 Print Name L/ Signature Y Residential Structures For Office Use Area Description(SQ FT) Existing Proposed ss value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"ora°d floor) Garage import Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions(SQ FT) Existing Proposed ss Value Existing Structure Ws 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) Mechanical Fixtures Indicate how-many of each- a of fixture w be installed or relocated as part of this pr.oject. 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) Fite lace%Gas,Stove/:Gas<Co-ok 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 # 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!=describe, T:\BUILDING\APPLICATION FORMS\Current BP Application\Building,Permit 4-17-13.docx