HomeMy WebLinkAbout1616 W 13th Street Address:
11616 W 13th Street
PREPARED 6/02/14, 10:24:13 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/02/14
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ADDRESS . : 1616 W 13TH ST SUBDIV:
CONTRACTOR : PHONE :
OWNER Donna Trust PHONE : (683) 6559
PARCEL 06-30-00-0-4-0215-0000-
APPL NUMBER: 14-00000568 RE-ROOF
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PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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BL99 01 6/02/14 JLL BLDG FINAL
_ June 2, 2014 9:07:43 AM pbarthol.
Tom 460-0517
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION
4` m 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~
1v�
Application Number . . . . . 14-00000568 Date 5/15/14
Application pin number . . . 915368 C
Property Address . . . . . . 1616 W 13TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-0215-0000- REPORT SALES TAX
Application type description RE-ROOF on your 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 . . . . 5405
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Application desc
Removing existing, install 30# felt of shingles
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Owner Contractor
------------------------ ------------------------
Donna Trust OWNER
1616 W 13TH ST y�
PORT ANGELES WA 98362 `
(683) 6559
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Permit . . . . BUILDING'PERMIT NO PR FEE
Additional desc . . REMOVE EXISTING INSTALL
Permit Fee . . . . 151.75 Plan Check Fee .00
Issue Date . . . . 5/15/14 Valuation . . . . 5405 (,
Expiration Date 11/11/14
a�
Qty Unit Charge Per Extension A
BASE FEE 95.75 v
4.00 14.0000 THOU BL-2001-25K (14 PER K) 56.00
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Other Fees . . . . . . . . . STATE SURCHARGE 30.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 151.75 151.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 30.00 30.00 .00 .00
Grand Total 181.75 181.75 .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 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 t 's application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be compli with whether specified herein or not. The granting of a permit does
not presume to give authority tfXiolate or cancel the p ision o ny 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 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 T 1�. i�Es For City Use
CITY OF' , ,.
Permit# /"/
V A S H I N G T O N, U . S.
Date Received:
321 E Sth street Date Approved S^-15-- Ze 141
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits Ocityofpa.us BUILDING PE12MIT APPLICATION
Project Address:
I� Phone: 0 —o
Primag Contact: l01^r� b Email:
Name � ��� Phone
V0 (�}��
Property Mailing Address Email
Owner
City State Zip
Name ` + Phone
`l J A
Contractor Address _ Email
Information City 11L, State fsv Zip
Contractors License# Exp.Date: �+9
Legal Description: Zoning: Tax Parcel# Project V ue: (materials and labor)
$
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 ❑ No ❑ Yes ❑ No ❑ .
Project Description ex1 a (� 1 -3p *- 4;-,Jf 4 Ih fz
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 ays of submittal,the application
will be considered abandoned and the fees will be forfeited.
S 1S-
Date Print Name Signature
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed $$value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or 2'd floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
For Office Use
Area Descriptions(SQ FT) Existing Proposed $$Value
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe)
Site Area Totals
Lot/Site Covera a 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: # 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 # Fuel gas piping #of Outlets:
Water Heater # Medical gas piping #of Outlets:
Water Line # Plumbing Vent piping #
Sewer Line # Industrial waste pretreatment
interceptor Grease Trap) Size
Other(describe):
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx