HomeMy WebLinkAbout1749 E 6th Street Address:
1749 E 61" Street
PREPARED 6/15/17, 8:16:38 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/15/17
----------------------------- ----------------------------------------------- ---
ADDRESS 1749 E 6TH ST SUBDIV:
CONTRACTOR CLAWSON CONSTRUCTION LLC PHONE (360) 461-9295 _
OWNER JOHN AND MARGO PRUSS PHONE (360) 808-6844
PARCEL 06-30-00-0-1-8580-0000-
APPL NUMBER: 17-00000444 RES ADDITION
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTTAT•
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------ --—------------—-' ------------------------------------
BL99 01 6/15/17 BLDG FINAL TIME: 17:00
Dave clausen 461-9295
-------------------------- ----------- COMMENTS AND NOTES
I
" ► U1 t Y OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- EUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 17-00000444 Date 4/14/17
Application pin number . . . 752428 REPORT
Property Address . . . . . . 1749 E 6TH ST SALES
TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-8580-0000- on your state excise tax form
Application type description RES ADDITION to the City of Port Angeles
Subdivision Name . . . . . .
Property Use . . . . . . . . (Location Code 0502
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 9000
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Application desc
t 288ST 2ND STORY DECK
V,
----- ----------
Owner Contractor
------------------------ ------------------------
4 JOHN AND MARGO PRUSS CLAWSON CONSTRUCTION LLC
1749 E 6TH ST P. O. BOX 2683
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 808-6844 (360) 461-9295
Other struct info . . . . . HARD SURFACE AREA
A ------P----ermit------------------BUILDING----------PERMIT-------RESIDENTIAL--------------------------------
Additional desc 2ND STORY DECK
Permit Fee . . . . 193.75 Plan Check Fee 125.94
Issue Date . . . . 4/14/17 Valuation . . . . 9000
Expiration Date 10/11/17
Qty Unit Charge Per Extension
BASE FEE 95.75
7.00 14.0000 THOU BL-2001-25K (14 PER K) 98.00
----------------------------------------------------------------------------
Special Notes and Comments
April 14, 2017 3:58:57 PM pbarthol.
Project will result in the addition of a 288sf deck on the
back of the first floor. Lot Coverage will be 28.4$.
Existing site coverage is 56t. the project will result in no
new site coverage as the deck is above a walk out basement.
no land use problems anticipated.
April 7, 2017 12:52:01 PM banders.
OK
Public Works Utility Engineering has no requirements for
this plan review.
----------------------------------------------------------------------------
Other Fees . . . . . . . STATE SURCHARGE 4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
y ----------------- ---------- ---------- ---------- ----------
�J\ Permit Fee Total 193.75 193.75 .00 .00
Plan Check Total 125.94 125.94 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 324.19 324.19 .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 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
constructi n.
/ Ix
�/ 4VIOAU506J
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
Stemwal I
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:
Foo
ting/Slab
Blockin &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
Tris T NGELES. For City Use
CITY OF � � �
a rm it#
W A s H 1 N ;G T o N , U. S. D to Received: Ll -17-
47
321 E 5th Street ate Approved
Port Angeles,WA 9836 2=� IF I L ,
P:360-417-4817 F:360-417-4711
Email:permits@cityofpa.us BUILDING PERMI A P ICATION
Project Address: —
Phone: a a
Primary Contact: C t 0-1 AWSO Email: rn
Name Phone
Property Mailing Address Email
Owner I-IZ4
City , o G eLc-s
State Zip
,v
Name Phone
Contractor Address Email
Information City \off k)(o State / Zip c,
�" W Q z
Contractor License#C( 3 L�� Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
$ Q 000 ,00
Residential ,® Commercial ❑ Industrial ff Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
Classification For the following,fill out both parses of permit application:
(check New Construction 19 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 0 1 Existing? Yes 0 No 0
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater ci o a.us
f
Project Descri tion (o IC.C� i E
Is project in a Flood Zone: Yes 0 Noto 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.
Date /1�
Print Naml A�'(NCL.L"fJ Signature Q
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) Z
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
all structures 9 3 p yy ft a ,
Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site cov_lot size)
Mechanical Fixtur s
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 # 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
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U
o .V L.p0 4,::-VL— CITY OF PORT ANGELES—Construction Plans
'1'hc Issuance of this permit based upon these plans
r_ specifications and other data shall not prevent the
e�C"1 building official from thereafter requiring the
correction of errors in said plans,specifications and
C, �� other data. or from preventing building operations beine carried on thereunder when in violation of A
codes and ordinances of this jurisdiction.
ALL WO KS BJECT TO FIELD APPROVAL.
Aw�00 COOS-1- � .0 .
t� Date
cao
BPsw :
BUILDING PERMIT - STORMWATER
Department of Community & Economic Development
321 E. 5th Street, Port Angeles, WA 98362 CITY USE ONLY/
360.417.4750 1 www.cityof pa.us I ced@cityofpa.us Permit#: '/
Received:
Approved:
STORMWATER QUESTIONNAIRE
To determine the stormwater requirements that apply to your project, please answer the following questions:
1. What is the parcel size of the property to be developed? 1 d bio sq.ft.
2. What is the total area of already existing impervious surfaces? �9�i sq.ft.
3. What is the total land area that will be disturbed during this project?
4. What is the total area of new hard surfaces? — sq.ft.
5. What is the total area of to-be replaced hard surfaces? sq.ft.
6. How much vegetation will be converted to lawn/landscaped area? sq.ft.
7. How much native vegetation will be converted to pasture? sq.ft.
8. Does the site have 35% or less existing impervious coverage?
❑ YES: This project is considered a "new development' project, proceed to question 9
NO: This project is considered a "re-development' project, proceed to question 13
DEVELOPMENTNEW
9. Does the project result in 5,000 sq.ft. or greater of new+ replaced hard surface?
❑ YES: A Large Project Stormwater Plan is required
❑ NO: Proceed to question 10
10. Does the project convert 3/acre (32,670 sq.ft.) or more of vegetation to lawn or landscaped area, or
convert 2.5 acres or more of native vegetation to pasture?
❑ YES: A Large Project Stormwater Plan is required
❑ NO: Proceed to question 11
11. Does the project result in 2,000 sq.ft. or greater of new plus replaced hard surface area?
❑ YES: A Small Project Stormwater Plan is required
❑ NO: Proceed to question 12
12. Does the project have land disturbing activities greater than 7,000 sq.ft. but less than an acre?
❑ YES: A Small Project Stormwater Plan is required
❑ NO: Only Minimum Requirement 2 applies
REDEVELOPMENT
13. Does the project add 5,000 sq. ft. or more of new hard surfaces? OR Convert 32,670 sq. ft. (3/acre) or
more of vegetation to lawn or landscaped area? OR disturb greater than 1 acre of land? OR Convert 2.5
acres or more of native vegetation to pasture?
❑ YES: A Large Project Stormwater Plan is required
NO: Proceed to question 14
14. Does this project result in 2,000 sq. ft., or more, of new plus replaced hard surface area? OR Is the land
disturbing activity greater than 7,000 sq. ft. but less than 1 acre?
❑ YES: Minimum Requirements 1 —5 apply. Proceed to question 15
NO: Only Minimum Requirement 2 applies
15. Is the total of new plus replaced hard surfaces 5,000 sq. ft. or more,AND does the value of the proposed
improvements—including interior improvements—exceed 50% of the assessed value (or replaced value)
of the existing site improvements?
❑ YES: A Large Stormwater Plan is required
❑ NO: A Small Project Stormwater Plan is required
BUILDING PERMIT - STORMWATER
STOIRMWATER REQU.IREMENTS
Upon completion of the stormwater questionnaire, please use Tablet and Table 2 to determine the required
stormwater management practices, and provide the appropriate materials with submission of your completed
building permit application.
Please indicate the level of Stormwater Management your project is required to meet:
R#2 Only ❑Small Project(MR#1-5) ❑ Large Project(MR#1-9) ❑Exempt
Table 1: Washington State Department of Ecology Minimum Requirements (MR)
MR#1: Preparations of stormwater site plans MR#6: Runoff treatment
MR#2: Construction Stormwater Pollution Prevention Plan (SWPPP) MR#7: Flow control
MR#3: Source control of pollution MR#8: Wetlands protection
MR#4: Prevention of natural drainage systems and outfalls MR#9: Operation and maintenance
MR#5: On-site stormwater management
i
Table Stormwater • _ •
7
Requirement Description Required
A complete Construction SWPPP does not need to be prepared and COPA Factsheet B
MR#2 Only submitted to meet this requirement. However,the project proponent Additional Resources
must consider all 13 Elements of Construction Stormwater Pollution USSG 6.05.03
Prevention and develop controls for all elements of the project. SWMMWW Vol.1-2.5.5
Small projects are required to meet Minimum Requirements 1-5. COPA Factsheet A
Small project These projects are generally less impactful and therefore require less COPA Worksheets:
stormwater stormwater protection and mitigation efforts. These projects have A,B,C,D,E
plan Additional Resources
MR 1-5 the.option to use the City's pre-engineered worksheets, templates,
( ) USSG 5.04.01.1
and forms to construct an a Small Stormwater Management Plan. SWMMWW Vol.1-Ch.2
Large projects are required to meet all Minimum Requirements
(1-9). These projects are either impactful by design or are being Contact a Licensed
Large Project
Stormwater developed in an environmentally sensitive and/or critical area. The Engineering Firm
project proponent is required to retain professional engineering g Additional Resources
(MR 1-9) services to prepare and submit a detailed report that addresses site USSG 5.04.01.2
specific stormwater concerns and engineered solutions that meet SWMMWW Vol.1-Ch.2
WA State specifications.
USSG:City of Port Angeles Urban Services and Standards Guidelines,2017 updated edition.Available free-of-charge at https://wa-
portangeles.civicplus.com/277/u rban-services-standards-gu ideli nes
SWMMWW:WA State Dept. of Ecology's Stormwater Management Manual for Western Washington, 2014 updated edition
144
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Address:
1749E 611 Street
PREPARED 10/01/14, 9:23:22 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: PAT BARTHOLICK DATE 10/01/14
------------------------------------------------------------------------------------------------
ADDRESS . : 1749 E 6TH ST SUBDIV:
CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939
OWNER JOHN AND MARGO PRUSS PHONE (360) 808-6844
PARCEL 06-30-00-0-1-8580-0000-
APPL NUMBER: 14-00001069 RES MECHANICAL PERMIT
-- -----
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
----------------------------------
ME99 01 10/01/14 PB MECHANICAL FINAL
September 30, 2014 9:22:51 AM pbarthol.
Jeanne 452-0939
October 1, 2014 9:23:18 AM pbarthol.
--------------------------------- COMMENTS AND NOTES
----- ----------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 14-00001069 Date 9/09/14
Application pin number . . . 689100
Property Address . . . . . 1749 E 6TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-8580-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 7380
Application desc
REPLACEMENT HEAT PUMP SYSTEM
---------------------------------------------------------------------------- \ ,
OwnerContractor
- - - - �\
------------------------
JOHN AND MARGO PRUSS DAVE'S HTG & COOLING SRVC INC
1749 E 6TH ST PO BOX 413
PORT ANGELES WA 98362 PORT ANGELES WA 98362
- - - (360)-808-6844 (360) 452-0939 (�
----------------------------- ------------------------------- j
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . REPLACEMENT HEAT PUMP SYSTEM r
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 9/09/14 Valuation . . . . 0 I
Expiration Date 3/08/15
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
----------------------------------------------------------------------------
Special Notes and Comments
Per Washington State Code 51-51-315,
installation of Carbon Monoxide
detector(s) is required if you are
installing or replacing a fuel burning
appliance (wood, pellet, gas)and must be
in place prior to the final inspection
of this permit. They are required to be
place directly outside of each sleeping
area and at least one on each floor of
the house.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .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 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 author' 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 /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 I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
09/08/2014 9:03AM FAX U0002/0002
THSUIV
al NGELES
CITY OFP- For City Use
W A S H I N G T O N , U . S .
Permit# 4 ' ��
Date Received:
321 East 511, Street
Port Angeles, WA 98362 Date Approved
P: 360-417-4817 F: 360-417-4711
perxnits@cityofpa.us
Building Permit Application
Project Address:
Main Contact: Phone#
E-Mail:
PropertyIIloilo
Owner Fog
Molll gA Ith-lissss
City ` State� zi����
ContractorNa1100
ePa,A0 �{.S�L,.a,', Phone
Marl/ d liq! Emall
Cfty 0//T Statf � zips-��
Contractor License# Expiration:
Projectt VVUe, Zoning: Tax Parcel # Lot#
Type of [ Residential M' Commercial 13 Industrial 13 Public 13
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ K
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 �'hsfi� ( ( �{�
Description -- �''� -1" � 4L.es0.M 4 &t..4 CA.'=-
1 have read and completed the application and know it to be true and correct.l am authorized to apply for this
permit. I understand that it is my responsibility to determine what permits are required and to obtain permits
prior to working on projects. I understand that the plan review fee is not refundable after plan review has
occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the
permit is issued. 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 signature
r ...r ,. ....... ... IWJLVVVL/VVVL
THE F R T- NGELES For City Use
CITY O
W A S H I N G T O N . U . S.
Permit#
321 East S''' Street Date Received:
Port Angeles, WA 98362 Date Approved �.
P: 360.417-4817 F: 360-417-4711
permits@cityofpa.us
Building Permit Application
Project Address: -- - -
Main Contact: Phone #
E-mail:
Property Name 1'hmre
Owner ��n (/LcS� 0.✓' d (n.L�s' ��'
Malll aAddressss Broall
cloy Irl-� scarab'
Contractor �I r PhoneJ►�
Maill ddress�
city Stat Zr��
Contractor License# Expiration:
lj-t, yo r(K C
�Projectt Va�uee- Zoning: Tax parcel # Lot#
'type of l Residential 1' Commercial ❑ Industrial 0 Public ❑
Permit Demolition ❑ Fire ❑ Repair Q Reroof(tear off/lay over) 13
For the following,fill out both pages of permit application:
New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical ❑ Phunbing ❑ Other ❑
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes ❑ No ❑ _
Project (�c!!
Description -_ K _Y'e- '14L. s�PK 2 (k c-
• u
E-
I have read and completed the application and know it to be true and correct.l am authorized to apply for this
permit, I understand that it is my responsibility to determine what permits are required and to obtain permits
prior to working on projects. 1 understand that the plan review fee is not refundable after plan review has
occurred. I understated that I will forfeit the review fee if 1 cancel or withdraw the application before the
permit is issued. 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 signature
Address:
1749E 611 Street
PREPARED 8/14/14, 13:23:32 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY 'DATE 8/14/14
------------------------------------------------------------------------------------------------
ADDRESS . : 1749 E 6TH ST SUBDIV:
CONTRACTOR LARRY'S ROOFING PHONE (360) 452-2215
OWNER MC CARTNEY TTE ROBERT T/ANNA D PHONE
PARCEL 06-30-00-0-1-8580-0000-
APPL NUMBER: 14-00000934 RE-ROOF
------------------------------------------------------------------------------------------------
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--------------------- -------------------------------------------------------------------
BL99 01 8/14/14 JL BLDG FINAL
August 7, 2014 9:22:21 AM pbarthol.
Tom 460-0517
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 14-00000934 Date 8/06/14
Application pin number . . . 430822
Property Address . . . . . . 1749 E 6TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-8580-0000- 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 11435
Application desc
TEAR OFF/INSTALL COMP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
MC CARTNEY TTE ROBERT T/ANNA D LARRY'S ROOFING
PO BOX 2007 352 AVIS ST.
PORT ANGELES WA 983620267 PORT ANGELES WA 98362 .�
(360) 452-2215 �!
---------------------------------=-------- ---------------------------------
Permit -
. . . . BUILDING PERMIT NO PR FEE
Additional desc . . TEAR OFF / INSTALL COMP
Permit Fee . . . . 235.75 Plan Check Fee .00
Issue Date . . . . 8/06/14 Valuation . . . . 11435
Expiration Date . . 2/02/15 '
Qty Unit Charge Per Extension
BASE FEE 95.75 CS
10.00 14.0000 THOU BL-2001-25K (14 PER K) 140.00
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
----------------------'------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 235.75 235.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 240.25 240.25 .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 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 comp d with whether specified herein or not. The granting of a permit does
not presume to give authority t violate or cancel the p ovisi ns any state or local law regulating construction or the performance of
construction.
9--6-14
Date Print Name Signature of Contractor or Authorized Agen 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
Rou h-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
'51ocking&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
• For City Use
CITY OF Permit
W A S H I NGTON, U. S.
Date Received: fie V
321 E 51h Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits0cityofpa.us BUILDING PERMIT APPLICATION
Project Address:
Phone: C-7
Prima Fy Contact: m b Email:
amePhone
lem 4�0
Property Mailing Address I Email
Owner
City State zip 0)�3LL
Name 04-3,1A Phone
Contractor Address J Email
Information city State Zip
Contractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel# Project 'Va ie: (materials and labor)
$
Residential ❑ Commercial ❑ Industrial ❑ -Public
Permit Demolition 13 Fire 0 Repair 13 Reroof(tear off/lay over) W1
Classification For the following, fill out both pages of permit application:
(check New Construction 11 Exterior Remodel 1:1 Addition 0 Tenant Improvement ❑
appropriate) I Mechanical 1:1 Plumbing 1:1 Other E]
Will a fire sprinkler system be installed Irrigation System? Proposed Bathrooms Proposed Bedrooms
or modified? Yes 0 No 13 Yes 13 No 13
Project Description
C�Gv 1'o�i[
T
Is project in a Flood Zone: Yes 0 No[J 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 ys of submittal,the application
will be considered abandoned and the fees will be forfeited.
Date Print Name Signature
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"ora" floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Proposed For Office Use
Area Descriptions(SQ FT) Existing Proposed ss Value
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe)
Si*e 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) 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):
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