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Home My WebLink About1835 W. 4th Street Address: t" 1835 W 4Street f 3 S GI 5f- PREPARED 10/11/13, 9:21:18 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/11/13 ---- - --- ADDRESS . : 1835 W 4TH ST SUBDIV: CONTRACTOR SHAWGO CUSTOM BUILDERS PHONE OWNER JACKSON BT / MILDRED F PHONE PARCEL 06-30-00-0-1-4520-0000- APPL NUMBER: 13-00000194 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL99 01 10/11/13 JL BLDG FINAL October 11, 2013 6:16:58 AM pbarthol. Terry 417-0401 --------------------------------------_ ----------------------------------- COMMENTS AND NOTES -------------------------------------- 4 .a i 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 it 11 I T:Forms/Building Division/Building Permit �'�'�►` CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 13-00000194 Date 2/26/13 Application pin number . . . 772588 Property Address . . . . . . 1835 W 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-4520-0000- Application type description RE-ROOF REPORT SALES TAX Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY to the City of Port Angeles Application valuation 12917 (Location Code 0502) Application desc TEAR OFF INSTALL METAL ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JACKSON BT / MILDRED F SHAWGO CUSTOM BUILDERS 1835 W 4TH ST PO BOX 1074 PORT ANGELES WA 983631732 FORKS WA 98331 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc TEAT OFF INSTALL, METAL Permit Fee . . . . 249.75 Plan Check Fee .00 Issue Date . . . . 2/26/13 Valuation . . . . 12917 Expiration Date 8/25/13 Qty Unit Charge Per Extension BASE FEE 95.75 11.00 14.0000 THOU BL-2001-25K (14 PER K) 154.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 249.75 249.75 .00 00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 254.25 254.25 .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 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. ,VZ-7_(,- V3 -i• A a Ls 6tj Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit THISP�- �0- T � For City Use CITY OF j1 I�__ ��, Permit# Date Received: � ��1. V A S H I N G T Q N , U . S . Date Approved-21-2-4,-12> 321 E. First Street Port Angeles, WA 98362 P: (360)417-4817 Building Permit Application F: (360)417-4711 E-mail: permits@citvofpa.us Form Project Address: Primary Contact: f C2Zq 14 &bc`S o,,\J Phone # 44 q 2 2- E-Mail: E-Mail:T 2`( J D C4 Phone Property Name�— �t �1 r'�1� �✓�G�c-S'o� jj Owner \ ` Mailing Address Email City� State Zip Contractor Na �G J �� 5� �``�� Phone Information Email ' License# Expiration Date: Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor) $ /J 9l'7 Residential Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair Reroof(tear off/ -evep) ❑ Classification (check For the following, fill out both pages'of permit application: appropriate) New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical ❑ Plumbing ❑ Other ❑ Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes ❑ No ❑ Project Description -�- 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 18o days of submittal,the application will be considered a oned and the fees will be forfeited. �--` 1 � 3 Residential Structures For Office Use Area Description(SQ FT) Existing Proposed $$value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"ora" floor) GarageIF Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions(SQ FT) Existing Proposed ss Value Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) Site Area Totals Lot/Site Coverage Calculations Lot Size :%Lot Coverage (Sq Ft of all Structures): %Site Coverage(Sq Ft of all impervious surfaces including 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 Ventilation Fan,single duct # Outlets: 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 Trap Fuel gas piping #of Outlets# Water Heater Water Line Medical gas piping Sewer Line Industrial waste pretreatment interceptor Vent piping# Other T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX SHAWGO CUSTOM BUILDERS PO BOX 1074 FORKS, WA 98331 360 327-3247 FEBRUARY 24, 2013 TO: TERRY JACKSON 1835 W 4TH ST PORT ANGELES, WA 98362 *BID TO REROOF HOUSE AND 8' X 10' SHED BID TO INCLUDE: • MATERIALS AND LABOR 1. REMOVE AND DISPOSE OF EXSISTING COMPOSITION ROOFING 2. INSTALL NEW UNDERLAYMENT 3. INSTALL NEW SKYLINE METAL ROOFING, FLASHINGS, PLUMBING BOOTS, ETC. 4. INSTALL NEW VENTED RIDGE MATERIALS AND LABOR $12,917.00 SALES TAX 1,085.03 TOTAL $14,003.03 7WANK YOU, 2b� SHAW(550