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Home My WebLink About1527 W. 12th Street Address: 1527 W 1211 Street PREPARED 5/17/13, 9:30:30 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY _ DATE 5/17/13 ----—-----------—---------—------------------------------------------------------------------ ADDRESS 1527 W 12TH ST SUBDIV: CONTRACTOR DIAMOND ROOFING ENTERPRISE INC PHONE (360) 452-9518 OWNER DAVID L / DEBORAH H OLANDER PHONE (360) 417-5063 PARCEL 06-30-00-0-3-5865-0000- APPL NUMBER: 13-00000460 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT. BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------——----------- - --------------— ---- -------------------------------- BL99 01 5/17/13 BLDG FINAL () May 17, 2013 9:30:40 AM jlierly. 452-9518 -------------------------- ----------- COMMENTS AND NOTES %tel►. CITY OF PORT ANGELES i DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 13-00000460 Date 5/01/13 Application pin number . . . 895000 \ Property Address . . . . . . 1527 W 12TH ST l.. ASSESSOR PARCEL NUMBER: 06-30-00-0-3-5865-0000- REPORT SALES TAX Application type description RE-ROOF Subdivision Name . . . . . . on your state excise fax form Property Use to the Cit of Port Angeles Property Zoning RS7 RESDNTL SINGLE FAMILY Y 9' Application valuation . . . . 7685 (Location Code 0502) ---------------------------------------------------------------------------- Application desc TEAR OFF / INSTALL TORCH DOWN ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DAVID L / DEBORAH H OLANDER DIAMOND ROOFING ENTERPRISE INC 1527 W 12TH ST 1295 BLACK DIAMOND RD PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 417-5063 (360) 452-9518 ---------------------------------"------------------------------------------- Permit . . . . BUILDING PERMIT - NO PR FEE Additional desc TEAR OFF/INSTALL TORCH DOWN Permit Fee . . . . 179.75 Plan Check Fee .00 Issue Date . . . . 5/01/13 Valuation . . . . 7685 Expiration Date 10/28/13 Qty Unit Charge Per Extension BASE FEE 95.75 6.00 14.0000 THOU BL-2001-25K (14 PER K) 84.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 179.75 179.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 184.25 184.25 .00 .00 Q\ , Y i t+ 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/Buildin Division/Building Permit 9 9 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 TYOF GELES For City Use I Permit # W A S H I N G T 0 N , U . S . Date Received: 321 East S' Street Port Angeles, WA 98362 Date Approved: P: 360-417-4817 F: 360-417-4711 hcatuzo@cityofpa.us Building Permit Application Project Address: Main Contact: Phone # bcwe- 0�av\,e4— 3 6v- ty Pro er Name Phone Property - ��. 3b0-4 ill) S 6 Owner Mailing Address Email city State Zip VJrA - t (6w Contractor Na Phone Mailing A dress Email City State Zip Contractor License 11, Expiration: q Project Value: Do Zoning: Tax Parcel # Lot# !71 Type of Residential [ Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair D� Reroof(tear off/lay over) L� For the following, fill out both pages of permit application: New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical ❑ Plumbing ❑ Other ❑ Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes ❑ No ❑ Project Description �c-� 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 working on projects.I understand the plan review fee is not refundable after review has occurred.I understand that I will forfeit 20%of the review fee if I cancel or withdraw the application before plan review has occurred.I understand that if the permit is not issued within 180 days of receipt,the application will be considered abandoned,and the fees forfeit. Date Print Name Signatur Residential Structures Area Description(SQ FT) Existing Proposed Minimum$ For Office Use value Basement , First Floor , Second Floor Covered Deck/Porch/Entry Deck Garage Carport Other(describe) Area Totals Commercial Structures Area Description(SQ FT) Existing Proposed Minimum$ For Office Use value Structure(s) Addition Tenant Improvement Other(describe) Area Totals Lot Site Coverage Calculations Footprint(SQ FT) of all Structures: Lot Size: %Lot Coverage SQ FT Site coverage (all impervious+ %Site Coverage structures 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 #of Outlets: Appliance Vent # 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 # Fuel gas piping #of Outlets: Water Heater # Medical gas piping #of Outlets: Water Line # Vent piping # Sewer Line # Industrial waste pretreatment #. interceptor Other(describe): CUSTOMER'S ORDER NO. DEPARTMENT D E NAME ! ADDRESS CITY,STATE, — € �-�- L SOLD BY ASH C:OD. CHARGE ON ACCT. *MDSE RETD PAID OUT QUANTITYRESGRIPTI�:N PWE AMOUNT 2 3i 4 a� — .J 5 1� 1,13 cc 6 Z` . i 7 .1 9 — V 10 � ' 11 12 � l 13 C 14 epo- I 15 i ( i ; 16 17 I 18 j ' 19 if 20 RECEIVED BY I � KEEP THIS SLIP FOR REFERENCE 5805