HomeMy WebLinkAbout1619 W. 8th Street Address:
1619 W 8t" Street
PREPARED 1/21/14, 9:58:28 INSPECTION TICKET - PAGE 15
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/21/14
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ADDRESS . : 1619 W 8TH ST SUBDIV:
CONTRACTOR LARRY'S ROOFING PHONE (360) 452-2215
OWNER NIELSON RUTH ANN S PHONE -
PARCEL 06-30-00-0-2-4764-0000-
APPL NUMBER: 14-00000057 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 1/21/14 JL-/ BLDG FINAL
January 21, 2014 9:53:39 AM pbarthol.
Tom 460-0517
--------------------- - ------------ COMMENTS AND NOTES
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CITY OF PORT ANGELES �.
11 DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 14-00000057 Date 1/15/14
Application pin number . . . 629906
Property Address . . . . . . 1619 W 8TH ST co
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-4764-0000- s
Application type description RE-ROOF REPORT SALES TAX N
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY to the City of Port Angeles
Application valuation 6915 (Location Code 0502)
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Application desc
tear off comp
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Owner Contractor
NIELSON RUTH ANN S LARRY'S ROOFING
61 S 1375 E 352 AVIS ST.
FRUIT HEIGHTS UT 840372330 PORT ANGELES WA 98362
(360) 452-2215
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Permit . . . . . . BUILDING PERMIT NO PR FEE rt
Additional desc . . TEAR OFF COMP v 1
Permit Fee . . . . 165.75 Plan Check Fee .00 v
Issue Date . . . . 1/15/14 Valuation . . . . 6915
Expiration Date 7/14/14
Qty Unit Charge Per Extension
BASE FEE 95.75
5.00 14.0000 THOU BL-2001-25K (14 PER K) 70.00
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Other Fees . . . . . . . . STATE SURCHARGE 4.50
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Fee summary Charged Paid _Credited Due
Permit Fee Total 165.75 165.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 170.25 170.25 .00 .00
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 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 th5t\1 have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances go erning this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authorit 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 Pum /Fumace/FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing/Slab
IBlocking&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 ' R l AT T For City Use
CITY OF - o l l�! L
Permit# S�
Vv* A s H i N G T o N, U. S. Date Received: / /
321 E 5th Street Date Approved it Ix
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711 t
Email:permits0cityof aams BUILDING PERMIT APPLICATION
Project Address: (10(� W
�--' Phone: SZ:
Prima Contact: D m Email:
Name U /� Phone ®/� 0103
Property Mailing Address f f c Email ®®�1
Owner
CityR ^ State zip
Name (-Q S O , Phone
Contractor Address Email
Information City state zip
Contractors License# r Exp.Date:
Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor)
$ c)15
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 0 Yes D No 0
Project Description Q�.8 J nR `Ob I 45 a nw 30
5hio�
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 applic 'on before the permit is
issued. I understand that if the permit is not picked up/issued within i8o days submittal,the application
will be considered abandoned and the fees will be forfeited.
( tom
Date Print Name Signat re
i
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed ss value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or z" 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: # 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) Fire lace/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):
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