HomeMy WebLinkAbout1335 W. 11th Street Address:
11335 W 1111 Street
PREPARED 10/18/16, 8:58:54 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/18/16
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ADDRESS . : 1335 W 11TH ST SUBDIV:
CONTRACTOR G & M VINYL SIDING/GUTTER INC PHONE (360) 457-3949
OWNER FRANCIS/DONNA CALDWELL TRUST PHONE
PARCEL 06-30-00-0-3-1555-0000-
APPL NUMBER: 16-00000690 RES REMODEL
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PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION .
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------- -
BL3 01 6/01/16 JLL BLDG FRAMING
6/01/16 AP June 1, 2016 8:44:34 AM jlierly.
bill 809-0355
June 1, 2016 4:47:08 PM jlierly.
BLI O1 7/05/16 PB BLDG INSULATION
7/06/16 AP July 5, 2016 9:57:01 AM pbarthol.
457-3009
donna
July 6, 2016 11:09:28 AM pbarthol.
BL99 01 10/18/16 L" V BLDG FINAL
October 18, 2016 8:51:07 AM jlierly.
Donna 457-3009
-------------------------------------- COMMENTS AND NOTES --------------------------------------
l i
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 16-00000690 Date 5/17/16
Application pin number . . . 529180
Property Address . . . . . . 1335 W 11TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-1555-0000-
Application type description RES REMODEL on your state excise tax form
SubProperty
Name . . . . . . to the City of Port Angeles
Pro ert Use
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 6000
Application desc
enclose attached carport for new dining room
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Owner Contractor
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FRANCIS/DONNA CALDWELL TRUST G & M VINYL SIDING/GUTTER INC
1335 W 11TH ST 4113 S. C ST.
PORT ANGELES WA 983635507 PORT ANGELES WA 98363
(360) 457-3949
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Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc . . ENCLOSE CARPORT TO DINING ROOM
Permit Fee . . . . 151.75 Plan Check Fee 98.64
Issue Date . . . . 5/17/16 Valuation . . . . 6000
Expiration Date 11/13/16
4 Qty Unit Charge Per 'Extension
(� BASE FEE 95.75
4.00 14.0000 THOU BL-2001-25K (14 PER K) 56.00
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t Special Notes and Comments
May 17, 2016 8:33:54 AM pbarthol.
Project will result in the conversion of an attached carport
to a dining room.
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Other Fees . . . . . . . . . STATE SURCHARGE 4.50
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3 Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 151.75 151.75 .00 .00
Plan Check Total 98.64 98.64 .00 .00
l/M Other Fee Total 4.50 4.50 .00 .00
Grand Total 254.89 254.89 .00 .00
M
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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. 2n
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 all
Walls/Roof/Ceiling
Drywall Interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pump I 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 /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
THE g For City Use
CITY OFJ!0,,RRflC1 ,
- rY Permit# /6 —,5:
Q�
W A S H I N G T O N, U. S.
Date Received:
321 E Sth Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits@cityolpa.us BUILDING PERMI ArPLICATION
Project Address:
Phone: S. o&q d 3 c-t:'
Primary Contact: Email:
Name r., Phone ..� 171r 7— 3®�
Property Mailing Address Email
Owner 15 3:f-
City P r � State
Name Phone
Contractor Address Email
y//3 S
4�0-
Information City furl f x.,4,7 �e y � State d zip 3" :3
Contractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
$ O lJp a a
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 11Plumbing 1:1Other DQ 1 * 4e�:ivp.
Fire Sprinkler System Proposed I Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms
or Existing? Yes ❑ No Existing? Yes ❑ No Pd4-P %v e 10�i
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwateradmodpa.us
Project Descriptionf,¢ev
Is project in a Flood Zone: Yes ❑ NAT 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.
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 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 4e installed or relocated as part of this project.
Air Handler Size: ; # Haz/Non-Haz Piping Outrs
:
Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) #
s
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 #o- -Ifo
O lets: Ventilation Fan,single duct #
Furnace/Heat Pump/ Size: # Ventilation System #
Forced Air Unit
Plumbing Fixtures
Indicate how many of each type of fixture to bg 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 pretreatme t
interceptor Grease Trap) Size
Other describe):
T:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx
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