HomeMy WebLinkAbout2016 W. 15th Street Address:
2016 15 Ih Street
PREPARED 5/04/15, 10:17:53 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/04/15
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ADDRESS . : 2016 W 15TH ST SUBDIV:
CONTRACTOR : PHONE
OWNER BAUBLITS, SHIRLEY J PHONE
PARCEL 06-30-00-1-0-7600-0000-
APPL NUMBER: 15-00000283 RES ADDITION
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PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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BL99 01 5/04/15 BLDG FINAL
V--) May 4, 2015 9:39:09 AM jlierly.
—yv— donna 460-1107
---------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00000283 Date 3/31/15
Application pin number . . . 358181
Property Address . . . . . . 2016 W 15TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-1-0-7600-0000- REPORT SALES TAX
Application type description RES ADDITION on your state excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RESIDENTIAL TRAILER PARK
Application valuation . . . . 2400 (Location Code 0502)
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Application desc
ADA RAMP
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Owner Contractor
------------------------ ------------------------
BAUBLITS, SHIRLEY J OWNER
PO BOX 1073
PORT ANGELES WA 98362
other struct info . . . . . . HARD SURFACE AREA
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Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc . . ADA RAMP-
Permit Fee . . . . 109.75 Plan Check Fee 71.34
Issue. Date . . . . 3/31/15 Valuation . . . . 2400
Expiration Date 9/27/15
Qty Unit Charge Per Extension
BASE FEE 95.75
1.00 14.0000 THOU BL-2001-25K (14 PER K) 14.00
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Special Notes and Comments
March 30, 2015 10:21:34 AM sroberds.
The project may not extend over the right of way and must
remain on private property. Otherwise, the ramp does not
pose a land use issue.
------------------------------- --------------------------------------------
other Fees . . . . . . . . . STATE SURCHARGE 4.50
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Fee summary Charged Paid . Credited Due
----------------- ---------- ---------- ------------ ----------
Permit Fee Total 109.75 109.75 .00 .00
Plan Check Total 71.34 71.34 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 185.59 185.59 .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 authority to violate cancel the provisions of any state or local law regulating construction or the performance of
construction.
Al�
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
TForms/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/Wate-r-- FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall(Interior Braced Panel OnlyL_
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pump/Furnace/FAU I Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
,Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting ESA:
Landscaping ISHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction- R.W. PW Engineering 417-4831
Fire 417-4653
I Planning 417-4750
1 Building
417-4815
T:Forms/Building Division/Building Permit
THE For City Use
CITY OF ORT NGELES
P A Permit# 2-95 33
WASH I NGTON . U. S. Date Received: 13,
321 E Sth Street Date Approved /404
try
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:Vermits0cityofpa.us BUILDING PERMIT APPLICATION
ProjectAddress: Z�14 W57 — 5�rcc+ R:�(+
Primary Contact: C Rf wo�-f Phone: (3�q� Z-1
Email:
Nam Phone
:%cLe-q (Ao)
Property Mai A ess j 3 Email
Owner fit
-city State
Oft
Name Phone
Contractor Address Email
Information city State Zip
Contractor License# Exp.Date:
Tax Parcel# Project Value: (materials and labor)
J 00 1 00
Legal Description: Zoning:
Residential 01 Commercial Industrial 11 Public [I
Permit Demolition 0 Fire 11 Repair 0 Reroof(tear off/lay over) 11
Classification For the following,fill out both pages of permit application:
(check New Construction 11 Exterior Remodel 11 Addition 11 Tenant I rovement 11
appropriate) Mechanical El Plumbing 11 Other (
I - 9 A4,A( —
—Ti—rrigation System Proposed or Proposed Rat
Fire Sprinkler System Proposed Yoorn Proposed gedrooms
or Existing? Yes 0 No [3 1 Existing? Yes 0 N o [3
In addition to standard hard copy submittals please,sefida PDF copy of all Stormwater plans and Engineering to
www.stormwaterR9q4WA,=U=S
Project Descri tion C>o J i,As:� 36 t kA4 i �a
p fo.V— e'-A
—aJ60A-e-At
ey�J �e
Is project in a Flood Zone: Yes , [3 No)Z(,-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 b 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/is'sued.within 18o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
Date Print Name Siea u[�e
I
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) co,cc)
�-+aA�I
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) Nlax�Bldg Height
� all structures sqft
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 I Size: # Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan Heater(Suspended,Floor,Recessed wall) #
Boiler/Compressor Size: # Heating/Cooling appliance #
I repai r/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-buming/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 I I
Plumbing Fixtures
Indicate how many of each type of fixtu e 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
Other(describe): interceptor(Grease Trap) Size
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx
In reference to the handicap ramp permit request for 2016 West 15th street Port
Angeles, WA 98362:
Myrtle Powers is the owner of the Trailer/home which sits on a trailer park owned by
Shirley Baublets. Shirley has given permission to Myrtle for the construction of the
ramp (letter enclosed)
The Boeing Bluebills (Volunteer group through the Catholic Community Service's) has
agreed to help Myrtle build the ramp.
�Jlu OC's:
,,S�teve Hargi (360)808-3896 (permit submission for Myrtle)
R o d37h�e ar�p"(360) 681-8750 (Project Coordinator)
C.
PREPARED 3/17/15, 12:36:57 ESTIMATED FEES LISTING PAGE
CITY OF PORT ANGELES
PROGRAM BP822L
-----------------------------------------------------------------------------------
DESCRIPTION . . . 2016 W 15TH ST
APPLICATION TYPE . RES ADDITION
VALUATION . . . . 24CO
SQUARE FOOTAGE . . 0
-----------------------------------------------------------------------------------
APPLICATION FEES
FEE DESCRIPTION AMOUNT DUE PRIOR TO
-----------------------------------------------------------------
STATE SURCHARGE 4.50 Permit Issuance -
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APPLICATION FEE TOTALS 4.50
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PERMIT AND PLAN CHECK FEES
PERMIT TYPE PMT FEE PLAN CHK FEE
-----------------------------------------------------------------
BUILDING PERMIT -RESIDENTIAL 109.75 71.34
---------- ----------
PERMIT FEE TOTALS 109.75 71.34
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GRAND TOTALS
-----------------------------------------------------------------
APPLICATION FEES 4.50
PERMIT FEES 109.75
PLAN CHECK FEES 71.34
----------
TOTAL 185.59
HARTNAGEL BUILDING SUPPLY INC. PAGE NO 1
3111 HIGHWAY 101 EAST
PORT ANGELES, WA 98362
TOLL FREE 1-888-452-6252
PHONE: (360) 452-8933
AN EMPLOYEE OWNED AND OPERATED
LUMBER TRADERS STORE
CLISTkO: JOB NO: _PLfkCI4A.SE.ORDEk. ��16ATErnmi.'.
2 11
ETIOT
000.
20156T:
TERMINAL:559
SOLD S 0
HIPIT..'
EXP.DATE:3/2/15
ATHOLIC COMM SE, 26113W 46TkS
"7�6uT .. . T.?A_
ATTWPENNYGRELLIER7
:,1.3�3 S YAKIMA AVE
SALESPERSON:79 WAYNE BILLMARK
--T C MA,.i_._ -WA.i-98405 .....
.A 0-
TAx:Hl HARTNAGELS-CHARGE RET
ESTIMATE: 814762
LINE SHIPPED: :ORDERED UM �SKU_: SUGG
DESCRIPTIOW UNITS, PRICEV PEWEXTENSIOW,
1 10 PC PT448 4x4-8'PRES TREATED 106.66 893.99 /MF 95.36
7 6 PC PT446 4x4-UPRES TREATED 48 890.40 /MF 42.74
8 6 PC PT2616 2x6 PRES TREATED 16' 96 927.10 /MF 89.00
9 10 PC PT261 0 2x6 PRES TREATED 10' 100 927.10 /MF 92.71
10 13 PC PT268 2x6 PRES TREATED 8' 104 927.10 /MF 96.42
11 14 EA ODW2416 2x4 S4S BRN TREATED DECK 16' 149.33 1008.60 /MF 150.62
12 6 EA ODW2410 2X4 S4S BRN TREATED DECK 10' 39.99 1008.60 /MF 40.34
13 22 PC CCL228 2x2 S4S CLEAR CEDAR 8' 58.66 2533.65 /MF 148.64
14 6 PC PT34CDX 4x8.60 PRES TREATED CDX 3/4" 192 1436.50 /MF 275.81
15 2 EA MALRRBK MALARKY ROLLED ROOFING BLACK I SO 2 38.69 /EA 77.38
16 6 EA SDS25312RIO SDS 1/4"X 3 1/2"DBL BARRIER SCR 6 7.03 /EA 42.18
17 2 EA GR033HGlM 21 d 3 x.1 31 HG SMOOTH(I M/BX) 2 25.93 /EA 51.86
18 1 EA GR09HGlM 21d 2-3/8"x.1 13 HDG SMTH(lM/BX) 1 20.01 /EA 20.01
(J
L/5
I 0_
Z_ 1 Z'05
5
...........
I Z A '-1
CD�l
TAXABLE 1223.07
NON-TAXABLE 0.00
SUBTOTAL 1223.07
TAX AMOUNT 102.74
TOTAL 1325.811
x
Received By
CATHOLIC COMMUNITY SERVICES
OF WFS11.1kN 'VVAS1-f1N(.i1()N
LETTER OF PERMISSION
FOR PROPERTY MODIFICATION
Custolnel' Infoi-niation
T-@-�/Rcsidcnt Name:
Physic�il Address: .2 0 11g
7-
City:. State: Zip:
—f"J4
Telephone 4: 1
Alternate #:
Modification: ht1?ND1eAooee to 6DA)7- of
Management/Association/Owner's Information
As the Manager//Owner of the above described property, I represent that I have authority
to sign this Letter of Permission and hereby do authorize modification of the above
described property by CATHOLIC COMMUNITY SERVICES VOLUNTEER CHORE-
SERVICES authorized Volunteer.
Management//Homeowner's Name:
'Cit
State:-
zip:
y
Telephone 4: Alternate
C)
Signature:
Title: C6 F-�)
Rest'ictions (or'state none'):
Agency of'cafliolic Community services of'Wcstern Washington,Aichdiocesc of'Scilitic
045 4"'Street, SUite 202A- Bremerton, WA 993-17 -(360)405-0072 FAX (360) 377-5088 (866)246-3642
Visit OUr WCbSite at: WWW.ccsv�W.org
CATHOLIC COMMUNITY SERVICES
OF WFS I FRN WASIHN(� MN
LETTER OF PERMISSION
FOR PROPERTY MODIFICATION
Customer Information
T*4aft�/Resident
Physic�d Address: .201 W
7
State: &M
Zip:
Telephone 4: 0_"S -17 2 Alternate 8:
Modification: A14
Information
As the Maiiager//Owi.ier of the above described property, I represent that I have authority
to sign this Letter of Permission and hereby do authorize modification of the above
property by CATHOLIC COMMUNITY SERVICES VOLUNTEER CHOR�*
� .SERVICES authorized Volunteer.
Management//Horneowner's Name: OR
City:
�10_ nac Ips --.State:, Zip:
'j.
Telephone #: 467,C) Alternate 4:
Signature:
Title:
Restrictioils (or'state "none'):
Agency ofCatholic C0111[njillity Services of'Western Washington,Archdiocese(fl'Sc�11tic
i P
645 411,Street. Suite 202A- Bremerton, WA 98337 -(360)405-0072 - FAX (360) 377-5088 - (866)246-3642
Visit OLIF WehSite jjt: ,�Nwv�!.CCS\vW.()q,
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HARTNAGEL BUILDING SUPPLY INC. PAGE NO 1
3111 HIGHWAY 101 EAST
PORT ANGELES, WA 98362
TOLL FREE 1-888-452-6252
PHONE: (360) 452-8933
AN EMPLOYEE OWNED AND OPERATED
LUMBERTRADERSSTORE
CUST NO: JOB NO: PURC
HASE ORDER: REFERENCE-.. . .TERMS:.. -CLERK:. DATE I TIME:
. 201587,' 060 Powms.1 79� -
.:.2/23M 2:1 f
SOLD TO: :Ship TO: TERMINAL:559
EXP.DATE:3/2/15
CATHOLIC.COMM..SERV SOUTHWEST 2q%W..15TWST-PA...
.ATTN:PENNY GRELLIER
1323 S YAKIMA AVE
SALESPERSON: 79 WAYNE BILLMARK
fAcomA 98405w
TAx:Hl HARTNAGELS-CHARGE RET
ES TIMA TE: 8 14 762
LINE SHIPPED ORDERED LIM SKU, DESCRIPTION -:.SUGG- UNITS PRICEI_.� PER EXTENSIOW�_.
1 10 PC PT448 4x4-8'PRES TREATED 106.66 893.99 IMF 95.36
7 6 PC PT446 4x4-6'PRES TREATED 48 890.40 IMF 42.74
8 6 PC PT2616 2X6 PRIES TREATED 16' 96 927.10 IMF 89.00
9 10 PC PT261 0 2x6 PRES TREATED 10' 100 927.10 IMF 92.71
10 13 PC PT268 2x6 PRES TREATED 8' 104 927.10 IMF 96.42
11 14 EA ODW2416 2x4 S4S BRN TREATED DECK 16' 149.33 1008.60 IMF 150.62
12 6 EA ODW241 0 2x4 S4S BRN TREATED DECK 10' 39.99 1008.60 IMF 40.34
13 22 PC CCL228 2x2 S4S CLEAR CEDAR 8' 58.66 2533.65 IMF 148.64
14 6 PC PT34CDX 4x8.60 PRES TREATED CDX 3/4" 192 1436.50 IMF 275.81
15 2 EA MALRRBK MALARKY ROLLED ROOFING BLACK 1SQ 2 38.69 /EA 77.38
16 6 EA SDS25312RIO SDS 1/4"X 3 1/2"DBL BARRIER SCR 6 7.03 JEA 42.18
17 2 EA GR033HGIM 21d 3 x.1 31 HG SMOOTH(1 M/BX) 2 25.93 /EA 51.86
18 1 EA GR09HGlM 21d 2-3/8"x.1 13 HDG SMTH(lM/BX) 1 20.01 /EA 20.01
Lcf 'A
V'V
..........
I ?-A "'I P i 6� Z_ -1 1 5 Z'
TAXABLE 1223.07
NON-TAXABLE 0.00
SUBTOTAL 1223.07
TAX AMOUNT 102.74
FTOTAL 1325.811
x
Received By
PREPARED 3/17/15, 12:36:57 ESTIMATED FEES LISTING PAGE
CITY OF PORT ANGELES
PROGRAM BP822L
-----------------------------------------------------------------------------------
DESCRIPTION . . . 2016 W 15TH ST
APPLICATION TYPE . RES ADDITION
VALUATION . . . . 2400
SQUARE FOOTAGE . . 0
-----------------------------------------------------------------------------------
APPLICATION FEES
FEE DESCRIPTION AMOUNT DUE PRIOR TO
-----------------------------------------------------------------
STATE SURCHARGE 4.50 Permit Issuance
----------
APPLICATION FEE TOTALS 4.50
-----------------------------------------------------------------
PERMIT AND PLAN CHECK FEES
PERMIT TYPE PMT FEE PLAN CHK FEE
-----------------------------------------------------------------
BUILDING PERMIT -RESIDENTIAL 109.75 71.34
---------- ----------
PERMIT FEE TOTALS 109.75 71.34
-----------------------------------------------------------------
GRAND TOTALS
-----------------------------------------------------------------
APPLICATION FEES 4.50
PERMIT FEES 109.75
PLAN CHECK FEES 71.34
----------
TOTAL 185.S9