HomeMy WebLinkAbout1905 W. 5th Street Address:
1905 W 51h Street
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PREPARED 4/02/15, 14:24:06 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/02/15
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ADDRESS . : 1905 W STH ST SUBDIV:
CONTRACTOR LARRY'S ROOFING PHONE (360) 452-2215
OWNER JACK / ARDENE FRANSICO TTES PHONE
PARCEL 06-30-00-9-0-0160-0000-
APPL NUMBER: 15-00000312 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 4/02/15 LL BLDG FINAL
April 2, 2015 2:25:58 PM jlierly.
-------------- ---- --- COMMENTS AND NOTES ------------ ----------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00000312 Date 3/30/15
Application pin number . . . 022672
AddressProperty
ASSESSOR PARCEL NUMBER: 06-30-00-9-0-0160-0000- REPORT SALES TAX 1
Application type description RE-ROOF on your state excise tax form
SubdProperty
Name . . . . . . to the City of Port Angeles
Pro ert Use
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 6385
Application desc
tear off comp
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Owner Contractor
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JACK / ARDENE FRANSICO TTES LARRY'S ROOFING
7143 SAGEROSE DR 352 AVIS ST.
HUDSONVILLE MI 49426 PORT ANGELES WA 98362
(360) 452-2215
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Permit . . . . . . BUILDING PERMIT - NO PR FEE
Additional desc . . TEAR OFF COMP
Permit Fee . . . . 165.75 Plan Check Fee .00
Issue Date . . . . 3/30/15 Valuation . . . . 6385
Expiration Date . . 9/26/15
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 ,
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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 licallon and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be mpli it h hether specified herein or not. The granting of a permit does
not presume to give authority to vi o a or cancel the provis' s of n e 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 /Li htin 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
Clallam County Assessor& Treasurer - Property Details - 36 JACK AND ARDENE FR... Page 1 of 6
Clallam County Assessor & Treasurer
62636 JACK AND ARDENE FRANCISCO TTES for Year 2015 -2016
Property
Account
Property ID: 62636 Legal Description: ALDWELLS SUBDIV OF
SUB LOT 35 LOT 19
EXCW13'BL1
SURVEY V17 P20(.12A)
Geographic ID: 0630009001600000 Agent Code:
Type: Real
Tax Area: 0010-PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi-Family Redevelopment: N
Township: Section:
Range:
Location
Address: 1905 W FIFTH ST Mapsco:
PORT ANGELES,WA 98363
Neighborhood: PA West Res Map ID: 3
Neighborhood CD: 5151000
Owner
Name: JACK AND ARDENE FRANCISCO TTES Owner ID: 25296
Mailing Address: 7143 SAGEROSE DR %Ownership: 100.0000000000%
HUDSONVILLE,MI 49426
Exemptions:
Taxes and Assessment Details
Property Tax Information as of 03/30/2015
Amount Due if Paid on: !1" NOTE: If you plan to submit payment on a future date, make sure you enter the date and
click RECALCULATE to obtain the correct total amount due.
Click on"Statement Details"to expand or collapse a tax statement.
First Half Second Half
Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due
Statement Details
2015 42211 $1128.55 $1128.49_ $0.00 $0.00 $0.00 $2257.04
Statement Details
2014 43897 $1137.57 $1137.51 $0.00 $0.00 $2275.08 $0.00
Values
(+)Improvement Homesite Value: + N/A
(+)Improvement Non-Homesite Value: + N/A
(+)Land Homesite Value: + N/A
(+)Land Non-Homesite Value: + N/A Ag/Timber Use Value
(+)Curr Use(HS): + N/A N/A
(+)Curr Use(NHS): + N/A N/A
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(_)Market Value: = N/A
(—)Productivity Loss: — N/A
--------------------------
(_)Subtotal: = N/A
(+)Senior Appraised Value: + N/A
(+)Non-Senior Appraised Value: + N/A
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http://websrv8.clallam.net/property access/Property.aspx?cid=0&year=2015&prop_id=62636 3/30/2015
THE ORT NGELES For City Use
CITY OF lJl� _
Permit# 3�
WASH i N G T O N, U . S. Date Received: 3 0
321 E 5th street Date Approved 2 �•2 I
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits@cityofpa.us BUILDING PERMIT APPLICATION
Project Address:
Phone:
Primary Contact: I�m��g Email:
Name (� V 3 ,SCo Phone f '�,—
Property Mailing Address I�W , ` - Email
Owner
City 4A State �7`JWv zip9p
rT. �Wu
Name tl Phone
U J `71-3 G
Contractor Address 4 Email
Information City i5 ris State zip
Contractor License# Q(W— otr�s Exp.Date: i
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
$ OS5�_
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 0
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater@cityo fp a.u s
Project Description Q/r6yQ� Q�CI a>J ( 1� i1 �00 p
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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 ap lication before the permit is
issued. I understand that if the permit is not picked up/issued within i8 t.
of submittal,the application
will be considered abandoned and the fees will be forfeited.
Date Print Name Signature
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 z" 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 Covera a Calculations
Lot Size (sq ft) Lot Coverage(sq ft)foot print of %Lot Coverage (Total lot cov_lot size) Max Bldg Height
[all structures s ft
Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site cov=lot size)
Mechanical Fixtures
Indicate how many of each a 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 rnanV 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
interce for Grease Tra Size
Other(describe):
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx