HomeMy WebLinkAbout1325 E. 4th Street Address:
1325E 411 Street
PREPARED 12/11/15, 10:18:04 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/11/15
------------------ - - ----------------
ADDRESS . : 1325 E 4TH ST SUBDIV:
CONTRACTOR : PHONE :
OWNER ELIZABETH M TSCHIMPERLE PHONE : (360) 461-0414
PARCEL 06-30-00-9-1-0160-0000-
APPL NUMBER: 15-00000954 RES REMODEL
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTTAT.
REQUESTED INSP DESCRIPTION _
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL3 01 10/02/15 JLL BLDG FRAMING
10/02/15 AP October 1, 2015 9:19:18 AM jlierly.
808-0592
October 2, 2015 3:35:40 PM jlierly.
BL3 02 10/15/15 JLL BLDG FRAMING
10/15/15 AP October 15, 2015 9:00:08 AM jlierly.
JOE 808-0592
"��A October 15, 2015 3:45:26 PM jlierly.
BL99 01 12/11/15 BLDG FINAL
- -----December 11, 2015 10:20:40 AM jlierly.
---- Joe 808-0592
-------------------- ----------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
-------—------------- -- ---------------
ME99 01 12/11/15 MECHANICAL FINAL
December 11, 2015 10:20:05 AM jlierly.
PERMIT: PL 00 PLDMBING IT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--------------------------------------—--------------------------------------------------—----
PL2 01 10/02/15 JLL PLUMBING ROUGH-IN
10/02/15 AP October 1, 2015 9:19:44 AM jlierly.
October 2, 2015 3:35:40 PM jlierly.
PL99 01 12/11/15 L PLUMBING FINAL
December 11, 2015 10:20:26 AM jlierly.
---------------- -- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
_ DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST STH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 15-00000954 Date 8/06/15 �+
Application pin number . . . 775388
Property Address . . . . . 1325 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-9-1-0160-0000- REPORT SALES TAX
Application type description RES REMODEL
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 10000 (Location Code 0502)
--------------------------------------------------------------
Application desc
Add bed room remodel interior
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ELIZABETH M TSCHIMPERLE OWNER
1325 E 4TH ST
PORT ANGELES WA 98362
(360) 461-0414
r ----------------------------------
Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc INTERIOR REMODEL
Permit Fee 207.75 Plan Check Fee 135.04
Issue Date . . . . 8/06/15 Valuation . . . . 10000
Expiration Date . . 2/02/16
�9
Qty Unit Charge Per Extension
BASE FEE 95.75
8.00 14.0000 THOU BL-2001-25K (14 PER K) 112.00 Rt
---------------------------------------------------------------------------- `-
Permit . . . . . . MECHANICAL PERMIT
Additional desc INTERIOR REMODEL
Permit Fee . . . . 64.50 Plan Check Fee .00 t
Issue Date . . . . 8/06/15 Valuation . . . . 0
Expiration Date 2/02/16
Qty Unit Charge Per . Extension
BASE FEE 50.00
2.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 14.50
-------------------------------- -------------------------------------------
Permit . . PLUMBING PERMIT
Additional desc REMODEL INTERIOR - — - -
Permit Fee . . . . 85.00 Plan Check Fee .00
Issue Date . . . . 8/06/15 Valuation 0
Expiration Date 2/02/16
Qty Unit Charge Per Extension
BASE FEE 50.00
2.00 7.0000 EA PL-PLUMBING TRAP 14.00
1.00 7.0000 EA PL-WATER LINE 7.00
1.00 7.0000 EA PL-DRAIN VENT PIPING. 7.00
1.00 7.0000 EA PL-WATER HEATER 7.00
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
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 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
JJ• �
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 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
CITY OF PORT ANGELES
►►� DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Page 2
Application Number . . . . . 15-00000954 Date 8/06/15
Application pin number . . . '775388
-------------------------------------------------------------- REPORT SALES TAX
Fee summary Charged Paid Credited Due on your state excise tax form
----------------- ---------- ---------- ---------- --------
Permit Fee Total 357.25 357.25 .00 .00 to the City of Port Angeles
Plan Check Total 135.04 135.04 .00 .00 (Location Code 0502)
Other Fee Total 4.50 4.50 .00 .00
Grand Total 496.79 496.79 .00 .00
ti
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 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 FINAL Date Accepted b
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 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 { NGELES For City Use ,
CITY OF ,
Permit#
W A S H I N G T O N, U. S. Date Received:
321 E 51h Street ate Approved
Port Angeles,WA 9836 It
P:360-417-4817 F:360-417-4711
Email:permits0cityoflRa.us BUILDING PERMIT P LICATION
Project Address: 3oz
4-K S�-
Phone: 3 6 0 r OS47Z
Prima Contact: Joe 15GHZ E LE Email: CFzrn P
@ O�- AI, COQ.
Name .r Phone
Property Mailing Address Email
Owner 6 2V-1 V S lOA)
City FOA-r Stat
&Vfl5 F/ zips 836L
Name Phone Z
Contractor Address Email
Information city State zip
Contractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
$ 101000
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 I& :CA.)rC
0e,1�� �� O��L
Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms
or Existing? Yes 0 No 0 Existing? Yes 0 No D
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater@jLtyofpa.us
Project Description AbD TA)ILA16A- nW4115 1::01L C,405e-73
-- e
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.
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CITYOF PORTANGELES-Construction Plans
The Issuance of this permit based upon these plans
spCONTRACTOR
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ecifications and other data shalt not prevent the
bbtldu% OtTtciai from thereafter requiring the
Cid 0 1YOf3 in said plans,speciticatiorAand
other data,or fromentin
Ixi'e►' g building opetatjons
being carried on thereunder when in violatioo(f ail
Codes and ardinances of this jurisdictiomD3
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Address:
1325E 411 Street
r 3z5-- C- ,._ 9 N=- 5,,-
PREPARED
fiPREPARED 5/14/15, 9:04:35 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/14/15
------—------------— -------
ADDRESS . : 1325 E 4TH ST SUBDIV:
CONTRACTOR WILL DO PLUMBING INC PHONE (360) 457-0341
OWNER ELIZABETH M TSCHIMPERLE PHONE (360) 461-0414
PARCEL 06-30-00-9-1-0160-0000-
APPL NUMBER: 15-00000527 PLUMBING PERMIT
------------------------------------------------------------------------------------------------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--------------------------- --------
PL99 01 5/14/15 L PLUMBING FINAL
May 14, 2015 9:07:37 AM jlierly.
VIA Will 477-1168
-------------------------- ---------- COMMENTS AND NOTES --------------------------------------
' CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
� 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ,\
Application Number . . . . . 15-00000527 Date 5/13/15 4,\
Application pin number . . . 176759 �!J
Property Address . . . . . . 1325 E 4TH ST \'I
ASSESSOR PARCEL NUMBER: 06-30-00-9-1-0160-0000- REPORT SALES TAX
Application type description PLUMBING PERMIT on your state excise tax form
Subdivision Name . . . . . .
Property U5e . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code O$O2)
Application valuation . . . . 400
Application desc
REPLACE WATER LINE HOUSE TO SHOP
----------------------------------------------------------------------------
Owner Contractor
ELIZABETH M TSCHIMPERLE WILL DO PLUMBING INC
1325 E 4TH ST 268 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 461-0414 (360) 457-0341
Permit . . . . . . PLUMBING PERMIT
Additional desc . . RPL WTR LINE HOUSE TO SHOP
Permit Fee . . . . 57.00 Plan Check Fee .00
Issue Date . . . . 5/13/15 Valuation . . . . 0 \
Expiration Date 11/09/15
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 7.0000 EA PL-WATER LINE 7.00
------ ---------------------------------------------------------- (�
Fee summaryCharged Paid Credited Due 1
----- ---------- ---------- ---------- ----------
w
Permit Fee Total 57.00 57.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.00 57.00 .00 .00 r
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 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.
ate 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 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 /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
THE �. z City Use
CITY OF �NELES: y
4 Permit# _,/,Ir s'a-7
W A S H I N G'T O N, U . S.
Date Received:
321 E 51h Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits@cityofpa.us BUILDING PERMIT APPLICATION
Project Address:
Phone:
Primary Contact: Email:
Name Phone
Property Mailing Address Email
Owner
City State Zip
Name(N / ) Phone
�CS �✓vim a
Contractor Address Email
Information city State zip
Contractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
V60
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 J@, Other ❑
Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms
or Existing? Yes E3 No O 1 Existing? Yes 0 No E3
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwaterPcityofpa.us l/
Project Description 2 5 c ,` G'L P 5146
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 18o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
Date Print Name Signature
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 i"d 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)
mite 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
interceptor Grease Trap) Size
Other(describe):
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx