HomeMy WebLinkAbout1626 Owen Avenue Address:
1626 Owen Avenue
PREPARED 4/21/17, 8:07:45 INSPECTION TICKET _ PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/21/17
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ADDRESS . : 1626 OWEN AVE SUBDIV:
CONTRACTOR LARRY'S ROOFING PHONE (360) 452-2215
OWNER DOUGHERTY, JENNIFER L PHONE
PARCEL 06-30-99-0-1-0440-0000-
APPL NUMBER: 17-00000499 RESIDENTIAL RE-ROOF
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PERMIT: BNOP 00 BUILDING PERMIT - NO PR FSS
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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BL99 01 4/21/17 BLDG FINAL
April 20, 2017 12:21:32 PM permits.
tom
--------------------- --------- COMMENTS AND NOTES --------------------------------------
Li I r OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
.��• 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 17-00000499 Date 4/20/17
Application pin number 206877 REPORT SALES TAX
Property Address . . . 1626 OWEN AVE
ASSESSOR PARCEL NUMBER: 06-30-99-0-1-0440-0000- on your state excise tax form
Application type description RESIDENTIAL RE-ROOF to the City of Port Angeles
Subdivision Name . . . . . .
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . RESIDENTIAL MEDIUM DENSTY
Application valuation . . . . 7855
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Application desc
TEAR OFF COMP
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Owner Contractor
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DOUGHERTY, JENNIFER L LARRY'S ROOFING
1626 OWEN AVE 352 AVIS ST.
PORT ANGELES WA 983635114 PORT ANGELES WA 98362
(360) 452-2215
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Permit . . . . . . BUILDING PERMIT - NO PR FEE
Additional desc . . TEAR OFF COMP
Permit Fee . . . . 179.75 Plan Check Fee .00
Issue Date . . . . 4/20/17 Valuation . . . . 7855
Expiration Date. . 10/17/17
Qty Unit Charge Per Extension
BASE FEE 95.75
6.00 14.0000 THOU .BL-2001-25K (14 PER K) 84.00
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Other Fees . . . . . . . . . STATE SURCHARGE 4.50
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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
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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 thislication and know the same to be true and
correct. All provisions
of laws and ordinances governing 's type of work will be mplied i whether specified herein or not. The granting of a permit does
not presume to give authority to v la or cancel the provi ns of y tate 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
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 Pump/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 EASHORELINE:
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
THF_ For City Use
CITY of ORT ANGELES
Permit#
w A s H IN G T o N, U . S. Date Received: Zo
172
321 E 5th Street Date Approved _4z
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permitsOcityofpa.us BUILDING PERMI PLICATION
Project Address:
Phone:
Primary Contact: Email:
Name ,"'� o.ln Phone
Property Mailing Address �� Oh9�1. 1ICl� Email
Owner
CityP+- 66 D
State ' l� Zip
Name 6l 7 � Phone p
`1
Contractor Address S Email
Information city6+1
State Zip
Contractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (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 Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms
or Existing? Yes 0 No D 1 Existing? Yes 0 No D
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater@cityofpa.us
Project Description V0 9_xJ
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 days of submittal,the application
will be considered abandoned and the fees will be forfeited.
4 C_XJ-
Date Print Name Si nature
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"d 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 e
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 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/Mise.
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 # Water Heater #
Plumbing Vent piping # Medical gas piping #of Outlets:
Water Line # Fuel gas piping #of Outlets:
Sewer Line # Industrial waste pretreatment
interceptor Grease Trap) Size
Other describe):
T:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx