HomeMy WebLinkAbout1419 Pacific Vista Address:
1419 Pacific Vista
PREPARED 6/24/14, 16:34:31 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/24/14
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ADDRESS . : 1419 PACIFIC VISTA SUBDIV:
CONTRACTOR : PHONE :
OWNER THERESE / PER AGESSON PHONE : (360) 417-4615
PARCEL 06-30-01-6-3-9000-0000-
APPL NUMBER: 14-00000087 RES REMODEL
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PERMIT: BPR 00 BUILDING PERMIT - RESIDENTLAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--------------------------------------------- -------------------—---------------------
BL3 01 3/18/14 JLL BLDG FRAMING
3/18/14 AP March 18, 2014 9:45:32 AM pbarthol.
775-0662
March 18, 2014 4:24:21 PM jlierly.
BL99 01 6/24/14BLDG FINAL
J L
L� June 24, 2014 4:36:00 PM jlierly.
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PERMIT: PL 00 PLUMBING WRMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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PL2 01 3/18/14 JLL PLUMBING ROUGH-IN
3/18/14 AP March 18, 2014 9:46:19 AM pbarthol.
775-0662
March 18, 2014 4:24:21 PM jlierly.
PL99 01 6/24/14PLUMBING FINAL
_ June 24, 2014 4:36:11 PM jlierly.
T
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-- ----—-—--- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
r� DEPARTMENT OF COMMUNITY &ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 14-00000087 Date 1/28/14
Application pin number . . . 386648
Property Address . . . . . . 1419 PACIFIC VISTA
ASSESSOR PARCEL NUMBER: 06-30-01-6-3-9000-0000- REPORT SALES TAX
Application type description RES REMODEL N'k
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 7500
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Application desc
EXPAND/REMODEL EXISTING BATHROOM INTO ADJOINING CL
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Owner Contractor
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THERESE / PER AGESSON OWNER
1419 S PACIFIC VISTA
PORT ANGELES WA 983631526
(360) 417-4615
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Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc . . BATHROOM EXPANSION/REMODEL
Permit Fee . . . . 179.75 Plan Check Fee 116.84
Issue Date . . . . 1/28/14 Valuation . . . . 7500
Expiration Date 7/27/14 ' �.
Qty Unit Charge Per Extension
BASE FEE 95.75 i
6.00 14.0000 THOU BL-2001-25K (14'PER K) 84.00 6V�
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Permit . . . . . . PLUMBING PERMIT
Additional desc . . BATHROOM REMODEL
Permit Fee . . . . 107.00 Plan Check Fee .00
Issue Date . . . . 1/28/14 Valuation . . . . 0
Expiration Date 7/27/14
Qty Unit Charge Per Extension
BASE FEE 50.00
3.00 7.0000 EA PL-PLUMBING TRAP 21.00
1.00 7.0000 EA PL-WATER LINE 7.00
2.00 7.0000 EA PL-DRAIN VENT PIPING 14.00
1.00 15.0000 EA PL-SEWER LINE 15.00
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Other Fees . . . . . . . . . STATE SURCHARGE 4.50
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Fee summary Charged Paid Credited Due
Permit Fee Total 286.75 286.75 .00 .00
Plan Check Total 116.84 116.84 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 408.09 408.09 .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 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
cnot preume to give aut ority to violate or cancel the provisions of any state or local law regulating construction or the performance of
r n.
Date Pri /ame 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 �RTA-
Permit#
STT ' For City Use
CBTY OF 11�[ _ J
- �
W A S H N G /T o N, U . S. ate Received: Z2 l
321 E 51h Street ate Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits0cityofpa us BUILDING PERMIT APP ICATION
Project Address: I H ( q S n, / �zt
Phone: 3(o U L41-7 - 4 to 15
Primm Contact: Tess cc's 6 YA Email: ss G o GL Co rn
Name U P one
Per t Tne ,,5e SSB h -%o- ?Z S - 0 L to ,?
Property Mailing Address J Email
Owner I Lt I q 5. aCt C- q V S t-k A M ft M 6)6-I-kAiL- CdM
Cit G
Pb f t les State W h Zipq
Name Sep
U Phone
Contractor AddressEmail
Information city State zip
Contractors License# Exp.Date:
Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor)
�0
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 0 No 67 Yes 0 No
Project Descri tion xv�a-- IGrev m h QoSe
Is project in a Flood Zone: Yes [3 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.
/-2Z 2PI
Date Print Name Pf
Signature
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed $$value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or2"d floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
For Office Use
Area Descriptions(SQ FT) Existing Proposed $$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: # (In Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan # O Heater(Suspended, Floor,Recessed wall) # O
Boiler/Compressor Size: # Heating/Cooling appliance #
repair/alteration C�
Evaporative Cooler(attached,not # 0 Pellet Stove/Wood-burning/Gas #
portable) Fireplace/Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # O
Furnace/Heat Pump/ Size: # O Ventilation System # O
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 # o Medical gas piping #of Outlets:
Water Line # Plumbing Vent iping #
rho call- + a.d�k one- 3 me
Sewer Line # Industrial waste pretreatment
ref occtk— 3 interceptor Grease Trap) Size
Other(describe):
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx
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