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Home My WebLink About1227 W Lauridsen Blvd. Address: 11227 W Lauridsen Blvd. PREPARED 10/28/16, 12:30:23 INSPECTION TICKET PAGE PAGE – 7 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/28/16 ---------------------------------—---------------—-----------—-——-------------—---------- ADDRESS . : 1227 W LAURIDSEN BLVD SUBDIV: CONTRACTOR EMERALD ROOFING INC PHONE (360) 452-4681 OWNER MILLER MARY ANN PHONE PARCEL 06-30-00-0-4-5870-0000- APPL NUMBER: 16-00001595 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL99 01 10/28/16LL BLDG FINAL _ October 28, 2016 12:30:53 PM jlierly. Trvis --------------------- --------- COMMENTS AND NOTES -------------------------------------- %�► CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 16-00001595 Date 10/24/16 Application pin number . . . 929510 Property Address . . . . . . 1227 W LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06-30-00-0-4-5870-0000- REPORT SALES TAX Application type description RE-ROOF onyour state excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 6700 Application desc Tear off Re roof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MILLER MARY ANN EMERALD ROOFING INC PO BOX 2110 P. O. BOX 879 PORT ANGELES WA 983620301 PORT ANGELES WA 98362 (360) 452-4681 ---------------------------------------------------------------------------- Permit . . . . . BUILDING PERMIT - NO PR FEE Additional desc . TEAR OFF RE ROOF Permit Fee . . . . 165.75 Plan Check Fee .00 Issue Date . . . . 10/24/16 Valuation . . . . 6700 Expiration Date . . 4/22/17 Qty Unit Charge Per Extension BASE FEE 95.75 5.00 14.0000 THOU BL-2001-25K (14 PER K) 70.00 --------------------------------.-------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 �l ---------------------------------------------------------------------------- • Fee summary Charged Paid Credited Due ----------------- ---------- ----=----- ---------- ---------- Permit Fee Total 165.75 165.75 .00 .00 ( Plan Check Total .00 .00 .00 .00 s Other Fee Total 4.50 4.50 .00 .00 Grand Total 170.25 170.25 .00 .00 �V 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 --Ttre tenting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law reg rng construction nt the performance s iconstruction. Date Print Name Signature of Contractor or Authodzed 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 1 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 I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 THE For City Use CITY OF Permit# q5 WASH t Ind G T O N , U . S. Date Received: 16 321 E 5th Street Date Approved to Z`f �6 Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits@ciWofpa.us BUILDING PERMIT APPLICATION Project Address: 1207 bWki-D✓ 64, Phone: _ Prima Contact: Email: Name^� n `I , Phone Property Maili/n Add s `l' Email Owner 2`T City nA` State zip p Name p pM-nn p( Phone Contractor Addres� ^ � r,, Email Information city (� State zip2� Contractor Liceense# Exp.Date: W /iJ Legal Description: Zoning: Tax Parcel# Project'Value:(materials and labor) $ 6— � Residential ZL Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off ay 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 >Sr Existing? Yes ❑ No ❑ Existing? Yes ❑ No ❑ In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwater0citvo a.us Project Description /o 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 i8o days of submittal,the application will be considered abandoned and the fees will be forfeited. 46 Q Date Print Name Si ure 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" floor) Garage Carport 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? Other work(describe) Site Area Totals Lot/Site Coverage Calculations Lot Size(sq ft) Lot Coverage(sq ft)foot print of %Lot Coverage(Total lot cov-lot size) Max Bldg Height all structures sq 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) 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 # Water Heater # Plumbing Vent piping # Medical gas piping #of Outlets: Water Line # Fuel gas piping #of Outlets: Sewer Line # Industrial waste pretreatment interce toT Grease Trap) Size Other describe): T:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx