HomeMy WebLinkAbout1227 E Front Street Address:
1227 E Front Street
PREPARED 10/31/14, 13:10:02 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/31/14
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ADDRESS . : 1227 E FRONT ST SUBDIV:
CONTRACTOR : PHONE
OWNER CHURCH OF CHRIST OF P A PHONE
PARCEL 06-30-00-5-3-1365-0000-
APPL NUMBER: 14-00000703 RE-ROOF
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PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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EL99 01 10/31/14 JLL BLDG FINAL
October 31, 2014 1:04:04 PM pbarthol.
Bruce 681-7258
-------------------------- ---------- COMMENTS AND NOTES --------------------------------------
% ;. CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 14-00000703 Date 6/16/14
W
Application pin number . . . 028448
Property Address . . . . . . 1227 E FRONT ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-3-1365-0000- REPORT SALES TAX
Application type description RE-ROOF
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 6000 (Location Code 0502)
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Application desc
TEAR OFF/INSTALL COMP a
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Owner Contractor v\�+
------------------------ ------------------------
CHURCH OF CHRIST OF P A OWNER
1227 E FRONT ST
PORT ANGELES WA 983624309
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Permit . . . . . . BUILDING PERMIT - NO PR FEE
Additional desc . . TEAT OFF/INSTALL COMP 4
Permit Fee . . . . 151.75 Plan Check Fee .00 \y
Issue Date . . . . 6/16/14 Valuation . . . . 6000
Expiration Date 12/13/14. 1A
Qty Unit Charge Per Extension 1
BASE FEE 95.75
4.00 14.0000 THOU BL-2001-25K (14 PER K) 56.00
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Other Fees . . . . . . . . . STATE SURCHARGE 4.50
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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 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 kno the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether s e fii d herein not. The granting of a permit does
not presume to give authority to v' late or cancel the provisions of any state or IFcall regulac nstruction or the performance of
construction ;�
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if o er 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/Ceilin
Drywall Interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pum /Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
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:Forms/Building Division/Building Permit
THE 0�� NGELES For City Use
CITY OF
Permit#
WAS HINGTO N, U . S. Date Received:
321 E 51h Street Date Approved —12a,
—/
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits@cityofpa.us BUILDING PERMIT APPLICATION
Project Address: /0-21017 f--. kl,47- dT POR7- PA45L,96
n n /� Phone: /—
Prima Contact: /cuCE
gn �' C Email: i i/y_ 0 gn • C o
y�
dc d i Phone —
Propertya ina Addr,�ss 0� ! Email
Owner G
Ci State 1 ,"W 19 Ziv—
'tkWed
Or 0kr (PRIZ-Arr tA - E Phone
Contractor Addre S 19
OV'r Email
Information city State Zip
.1 1Contractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
$ 6600
Residential Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ❑ Fire 11Repair ❑ Rero (tear off over)
Classification For the following.fill out both pages of permit application:
(check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑
appropriate) .. Mechanical ❑ Plumbing ❑ Other )d NA
Will a fire sprinkler system be installed Irrigation System? Proposed Bathrooms Proposed Bedrooms
or modified? Yes ❑ No Yes ❑ No
Project DescriptionPLROOF771.0ll
Is project in a Flood Zone: Yes ❑ NoIA 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 i8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
Ra4
Zte`, Print Name Si ure
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"or i" floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Proposed For Office Use
Area Descriptions(SQ FT) Existing Proposed ss Value
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe)
Q
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 #
re
ration
Evaporative
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