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Home My WebLink About1222 H Street Address: 1222 H Street PREPARED 2/04/15, 9:07:04 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/04/15 ADDRESS . : 1222 H ST SUBDIV: CONTRACTOR LARRY'S ROOFING PHONE (360) 452-2215 OWNER Andrew Schultz PHONE PARCEL 06-30-00-0-3-6596-0000- APPL NUMBER: 15-00000080 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------- 01 2/04/15 BLDG FINAL February 4, 2015 9:00:43 AM pbarthol. uTom 460-0517 -------------------------- COMMENTS AND NOTES ---------- --- ---------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 \ (lj� Application Number . . . . . 15-00000080 Date 2/02/15 �}y} Application pin number . . . 321760 (� Property Address . . . . . . 1222 H ST V ASSESSOR PARCEL NUMBER: 06-30-00-0-3-6596-0000- REPORT SALES TAX Application type description RE-ROOF Subdivision Name . . . . . . on your state excise tax form Property Use . . . . to the Cit of Port Angeles Property Zoning .. RS7 RESDNTL SINGLE FAMILY Y Q . Application valuation . . . . 4980 (Location Code 0502) ---------------------------------------------------------------------------- Application desc reroof tear off Owner Contractor Andrew Schultz LARRY'S ROOFING 406 Maple st 352 AVIS ST. SEQUIM WA 98382 PORT ANGELES WA 98362 (360) 452-2215 Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc . . TEAR OFF COMP Permit Fee . . . . 137.75 Plan Check Fee .00 Issue Date . . . . 2/02/15 Valuation . . . . 4980 Expiration Date 8/01/15 Qty Unit Charge Per Extension BASE FEE 95.75 3.00 14.0000 THOU BL-2001-25K (14 PER K) 42.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 137.75 137.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 142.25 142.25 .00 .00 V' 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 ap�pplication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied Ath hether specified herein or not. The granting of a permit does not presume to give authority to vi to or cancel the provisi ns of an)stb a or local law regulating construction or the performance of construction. Z__ L -- is )O to 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 FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Onl T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rou h-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab IBlocking&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 /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit THE For City Use CITY OF T E xT•ES" �y Permit# W A S H I N G Y T O N, U. S. Date Received: 321 E 51h Street Date Approved 09 a c' Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits@cityofpa.us BUILDING PERMIT APPLICATION Project Address: �<.-7z �( '' &1�9 Phone:Prima Contact: 0MS Email: Name VI()_ 1� V z- Phone < �i Property Mailing Address ( - s Email ®WIler City D I I State g 1� ZipTT [a ty Name (� � Jh Phone Contractor Address V V �$ Email Information city State Zip Contractors License# i(� d'— Exp.Date: i —,I Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor) $ 4t 160.. Residential ❑ Commercial ❑ Industrial ❑ 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 ❑ appropriate) Mechanical ❑ Plumbing ❑ Other ❑ Fire Sprinkler System? Irrigation System? Proposed Bathrooms Proposed Bedrooms Yes [3 No 13 Yes ❑ No [3 Project Description 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 18 ys of submittal, the application will be considered abandoned and the fees will be forfeited. Date Print Name Signature Residential Structures For Office Use Area Description(SQ FT) Existing Proposed $$value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or i" floor) Garage Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions(SQ FT) Existing Proposed $$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) 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) Fireplace/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 # 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