HomeMy WebLinkAbout205 W. 9th Street Address:
91h Street
2_9
PREPARED 8/11/15, 10:23:07 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/11/15
------------------------------------------------------------------------------------------------
ADDRESS . : 205 W 9TH ST SUBDIV:
CONTRACTOR LARRY'S ROOFING PHONE (360) 452-2215
OWNER GARY M AND DARCY F GORT PHONE (360) 452-5923
PARCEL 06-30-00-0-2-6695-0000-
APPL NUMBER: 15-00000997 RE-ROOF
------------------------------------------------------------------------------------------------
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL99 01 8/11/15 BLDG FINAL
AuguS t 11, 2015 9:00:51 AM jlierly.
--------------------- --------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION
co 321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 15-00000997 Date 8/06/15
Application pin number . . . 440555
Property Address . . . . . . 205 W 9TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-6695-0000- 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
Application valuation . . . . 3835 (Location Code 0502)
---------------------------------------------------------------------------- -
Application desc
tear off comp
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
GARY M AND DARCY F GORT LARRY'S ROOFING
205 W 9TH ST 352 AVIS ST.
PORT ANGELES WA 983627703 PORT ANGELES WA 98362
(360) 452-5923 (360) 452-2215
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT - NO PR FEE
Additional desc TEAR OFF COMP
Permit Fee . . . . 123.75 Plan Check Fee .00
Issue Date . . . . 8/06/15 Valuation . . . . 3835
Expiration Date 2/02/16
Qty Unit Charge Per Extension
BASE FEE 95.75
2.00 14.0000 THOU BL-2001-25K (14 PER K) 28.00
----------------------------------------------------------------------------
other Fees . . . . . . . . .. STATE SURCHARGE 4.50
----------------------------------------------------------------------------
Fee summary Charged Paid . .Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 123.75 123.75 .00 .00 -1b
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 128.25 128.25 .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 a mined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of worl(IN111b c qmplied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate prolisions of an�ysta or lo al w regulating construction or the performance of
construction.
9—tri—cs
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
t - I
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
i Back Flow/Water FINAL Date Accepted bv
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 I 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 I Engineering 417�4831
Fire 417-4653
Planning 417-4750
L Building 417-4815
T:Form s/B uilding Division/Building Permit
THE WV For City Use
CITY OF JL-
-AN-0—PL-1�s Permit#
ry
W A S H I N G T 0 N, U. S. k/ Date Received:
321 E 51h Street Date Approved (7
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits0city&a.us BUILDING PERMIT APPLICATION
ProjectAddress:
Phone: t+SZ,—zu!s;
PrimaFy Contact: Email:
Name Phone
Property Mailing Address Email
Owner
C City
ity State JP
rT- 66f,,
Name VA� Phone
j4 f cw�� M5
Contractor Address :5,st , Email
t Q 0 1 11!i�
Information city 1A State
ELI &MAaK &)q —FTP qtSN'2—
Contractor License# "J Exp.Date:
Legal Description: Zoning: 1 # oj ect'Value: (materials and labor) ';
I 7$pr( 1-36��—
Residential 11 Commercial 0 Industrial El Public 11
Permit Demolition El Fire 11 Repair 11 Reroof(tear off/lay over)
i I Classification For the following, fill out bo h pages of permit application:
(check New Construction 11 Exterior Remodel 1:1 Addition 1:1 Tenant Improvement 11
appropriate) Mechanical 11 Plumbing [I Other 1:1
F or Existing? Yes 0 No [3 Existing? Yes 0 No 0 oposed Bath Proposed Bedrooms
ire Sprinkler System Proposed I Irrigation System Proposed or �o
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Cngineering to
www.stormwater cityofRa.us A A
Project Descri tion K9 k�,Y-
P
Is project in a Flood Zone: Yes 0 NoO 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 18 ys of submittal,the application
will be considered abandoned and the fees will be forfeited.
It
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 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
Em- sting Structure (s)
P�2oposed 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 co.v+lot size) Max Bldg Height
I 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 I Size: # Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan # �Heater(Suspended,Floor,Recessed wall) #
Boiler/Compressor Size: # Heating/Cooling appliance #
I 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 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
interceptor(Grease Trap) Size
Other(describe):
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx
Address:
91h Street
PREPARED 1/15/14, 13:04:09 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/15/14
------------------------------------------------------------------------------------------------
ADDRESS . : 205 W 9TH ST SUDDIV:
CONTRACTOR SPECTURM PAINTING & CONSTRUCTI PHONE (360) 417-1527
OWNER GARY M AND DARCY F GORT PHONE (360) 452-5923
PARCEL 06-30-00-0-2-6695-0000-
APPI, NUMBER: 13-00000689 RES REMODEL
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL3 01 8/27/13 PB BLDG FRAMING
8/27/13 DA August 27, 2013 9:01:34 AM pbarthol.
Darcy 452-5923
August 27, 2013 2:20:45 PM pbarthol.
walls and mechanical covered prior to inspection.
BL3 02 1/15/14 BLDG FRAMING
January 14, 2014 10:15:15 AM pbarthol.
Gary/Darcy 452-5923
After 2:15
BL99 01 1/15/14 JLL BLDG FINAL
ko— January 14, 2014 10:16:52 AM pbarthol.
ni Gary/Darcy 452-5923
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECIIANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME1 01 8/27/13 PB MECHANICAL ROUGH-IN
8/27/13 DA August 27, 2013 9:01:56 AM pbarthol.
Darcy 452-5923
August 27, 2013 2:21:33 PM pbarthol.
walls and mechanical covered prior to inspection.
ME99 01 1/15/14 J�� MECHANICAL FINAL
January 14, 2014 10:17:05 AM pbarthol.
Gary/Darcy 452-5923
After 2:15
----- -------------------------------- COM+NTS AND NOTES --------------------------------------
rhV4-1-
CITY OF PORT ANGELES
DEPARTMENT OF C0
T- BUILDING DIVISION
62
Application Number . . . . .
Application pin number . . .
Property Address . . . . . .
ASSESSOR PARCEL NUMBER:
Application type description REPORT SALES TAX
Subdivision Name . . . . . . 7 your state excise tax form
Property Use . . . . . . . .
Property Zoning . . . . . . . the City of Port Angeles
Application valuation . . . .
------------------------------------ (Location Code 0502)
Application desc
move door and install exhaust
---- ---- --- ------- ------- -
Owner
---- - --- ----- - ----
GARY M AND DARCY F GORT
205 W 9TH ST
PORT ANGELES WA 98362770
(360) 452-5923 L
---------------------------------W-------------------------------------------
Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc . . MOVE DOOR AND EXHAUST FAN
Permit Fee . . . . 80.50 Plan Check Fee 52.33
Issue Date . . . . 6/26/13 Valuation . . . . 1500
Expiration Date 12/23/13
Qty Unit Charge Per Extension
BASE FEE 50.00
10.00 3.0500 HND BL-501-2K (3.05 PER C) 30.50
------------------------------------------------------- --------
Permit . . . . . MECHANICA
Additional desc MOVE EXHA
Permit
Fee . . . . 60.6�
Issue Date . . . . 6/26/1�
Expiration Date . . 12/23/1
Qty Unit Charge Per I
BA
1.00 10.6500 EA M�
Other
Fees . . . . . . . . .
Fee summary Charged
----------------- ----------
Permit Fee Total 141.15
Plan Check Total 52.33
Other Fee Total 4.50
Grand Total 197.98
,kA
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.
a r7 I/I)-;; '1441�Clq C-2o0-r
V / /
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
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 . . . . . 13-00000689 Date 6/26/13
Application pin number . . . 328746
Property Address . . . . . . 205 W 9TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-6695-0000-
Application type description RES REMODEL 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 . . . . 1500 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
move door and install exhaust
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
GARY M AND DARCY F GORT SPECTURM PAINTING & CONSTRUCTI
205 W 9TH ST 1738 W 12TH ST
PORT ANGELES WA 983627703 PORT ANGELES WA 98363
(360) 452-5923 (360) 417-1527
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc . . MOVE DOOR AND EXHAUST FAN
Permit Fee . . . . 80.50 Plan Check Fee 52.33
Issue Date . . . . 6/26/13 Valuation . . . . 1500
Expiration Date 12/23/13
Qty Unit Charge Per Extension
BASE FEE 50.00
10.00 3.0500 HND BL-501-2K (3.05 PER C) 30.50
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . MOVE EXHAUST FAN
Permit Fee . . . . 60.65 Plan Check Fee .00
Issue Date . . . . 6/26/13 Valuation . . . . 0
Expiration Date 12/23/13
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 10.6500 EA ME-HOOD/DUCT-MECH.' EXHAUST 10.65
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE. 4.50
-------- ---
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 141.15 141.15 .00 .00
Plan Check Total 52.33 52.33 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total * 197.98 197.98 .00
NI)
M
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 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 by
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 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 I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
THE
For City Use
Tr I �i N
C"F
Cr-ly 0-r-
Permit#
Date Received: U av
321 East Slb Street
Port Angeles, WA 98362 Date Approved
P: 360-417-4817 F: 360-417-4711
permits@cityofpa.us
Building Permit Appflc�caltti n
Project Address: C,
20S
Main Contact: Phone # G 0—
C-W--t4 &Orf E-Mail: _3 Q -7- /�S-2 7
Property Nalne Phone
Owner qA")c
Mailing Address Email
9 0 S U C54744�:Gs _ q4,4e e
city Po r4 Stat&/ 2ip
Contractor Name A r.,9tJ e-/) yfw�_ Ph A- 17%Q
Spe-el (vA, Pmp4im, Cows4 17 —(S 2- 7
MaillAddress ZJ Email
3 1�
State Z'
city
Contractor License#
Expiration.
C C_ PIE C-T P0 3 S L- E
Project Valu zoning: Tax Parcel# Lot#
$ I (�(no f I
Type of Residential commercial 0 industrial [3 Public 0
Permit Demolition 0 Fire [3 Repair 0 Reroof(tear off/lay over) 0
For the following,fill out both pages of permit application:
New Construction 11 Remodel Q Addition 0 Tenant Improvement
Mechanical 0 Plumbing 1:1 Other 0
Existing Fire Sprinkler System' Maximum height of structure Proposed Bedrooms roposed Bathrooms
Mqap"JS W ti(ovvt.
Yes 0 No 1P
Project
Description _ VJC,(,Ne_V Ret.'Ate, JW., 16kJ Ag-plX(f ovl
_ L-P-" VIVL� \,J/ 54P_P5
I have read an�completed the application and know it to be true and correct.I 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
10"
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed $$value
Basement 7ZO
First Floor-
Second Floor G qZ, /45'-
Covered Deck/Porch/Entry
Deck X11,
Garage �00 p'/
Carport Z �6p
Other(describe) L
Area Totals
Commercial Structures
For Office Use
A�rea �tjons(SQ FT) Existing Proposed $$Value
Existing Structure(s)
Pro posed Addition
Tenant Improvement?
Other work(describe)
Area Totals
LotlSite Coverage Calculations
Footprint(SQ FT)of all Structures: Lot Size: %Lot Coverage
-7Q-Q 0
SQ FT Site coverageJall impervious+ 7(9-0c) %Site Coverage
structures) .10,0 %
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this projecL
Air Handier Size: # Haz/Non-Haz Piping #of Outlets:
Appliance Vent # Heater(Suspended,Floor,Recessed wall) #
Boiler/Compres 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 #
I
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 # Vent piping #
Sewer Line # Industrial waste pretreatment #
interceptor
Other(describe):
T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX
Main File No.5A8105 Eaae#181
S IMI AP
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The issuance of this pem*bnd vW these plans,specifi-
cations and other d*sW not pmvft the building official
from thereafter ro*ftg the correctla of errors in said
p!ans, specificathn and other data, w from preventing
building operation being carried on Nwounder when in
violation of all,coda W ordination d this jurisdiction.
BY ec
Approval Date
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ISTING STORAGE SHO--F
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EXISTING COVERED PORCH
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EXISTING SIDEWALK
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EXISTING CURB
Main File No.5ABMS��
DIGITAL BUILDING SKETCH
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171 Bdrm �—j 171
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Bdrm
Parlor
1/2 Story
Main Floor I
301 12'
Roofed wood porch
Main Floor: 30.0 x 40.0 1,200.0
5.0 x 12.0 60.0
1,260.0 Sf
11/2 Story: 17.0 x 30.0 510.0
11.0 x 12.0 132.0
642.0 Sf
Gross Living Area 1,902.0 Sf
Basement: 24.0 x 30.0 720.0 Sf
(100% finished)
Form SCNLTR WnTOTAL"appraisal software by a la mode,inc.—I-WO-ALAMODE
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DINING ROOM!
�Z
1"611
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,REMOVE EX
ADD NEW WINDOW
cl�l
------------------------J7=
NEW REF FREZ LOCATION
10 EXISTING :OPENING 11P
INTO: HALLWAY
CIA NEW KITCHEN REMODLE
:SCALE 1 /2" l '-O"
117
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NEW STOVE t`bCATIO1'(
ADD NEW 3'X6'8 Z-0'. T-611 21-01,
-/ IEXT. EXIT DOOR'
A (E) WINDOW 7i
I-Oil 5"ill
A 111-61,
Address:
91h Street
PREPARED 7/01/13, 10:17:48 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/01/13
------------------------------------------------------------------------------------------------
ADDRESS . : 205 W 9TH ST SUBDIV:
CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939
OWNER GARY M AND DARCY F GORT PHONE (360) 452-5923
PARCEL 06-30-00-0-2-6695-0000-
APPI, NUMBER: 13-00000667 RES MECHANICAL PERMIT
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME99 01 7/01/13 L MECHANICAL FINAL
June 25, 2013 4:50:08 PM pbarthol.
Jeanne 452-0939
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 13-00000667 Date 6/19/13
Application pin number . . . 442706
Property Address . . . 205 W 9TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-6695-0000-
Application type description RES MECHANICAL PERMIT 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----------------7185--------------- -------------- (Location Code 0502)
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Application desc
DUCTLESS HEAT PUMP
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Owner Contractor
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GARY M AND DARCY F GORT DAVE'S HTG & COOLING SRVC INC
205 W 9TH ST PO BOX 413
PORT ANGELES WA 983627703 PORT ANGELES WA 98362
(360) 452-5923 (360) 452-0939
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Permit . . . . . . MECHANICAL PERMIT
Additional desc DUCTLESS HEAT PUMP SYSTEM
Permit Fee . . . . 64.80 �Plan Check Fee .00
Issue Date . . . . 6/19/13 Valuation . . . . 0
Expiration Date 12/16/13
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
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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 10
area and at least one on each floor of D
the house. vl�
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.80 64.80 A0 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .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 gov.erning.this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authontyAo violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
dZI
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 Backfiow 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
Sternwall
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 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 I Ceiling
MECHANICAL:
Heat Pump/Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing I 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 I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
06/18/2013 9:43AM FAX [IgI0001/0001
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
For City Use Only:
Attn: Building Permit Technician Date Received /3
321 E. Fifth St., Port Angeles, WA 93362 Permit#
(360)417-4815 fax (360)417-4711 Date Approved b-:1,6
Applicant t, z Phone
%J/. —
TProperty Owner 44 (41 �56 Phone T_I_Z-�3
Property Owner's Address U
Contractor Phone 37
Contractor's Address
License# _bAVje_c6ad,-qqj_KC, Ex lres 4T71 -mail
'7
iorf.5 recara%* M O�
PROJECT ADDRESS
Parcel Number Lot Zoning
Proiect Type &Brief Description: I(Residentlal o Mult]-family o Commercial a try.dustrial
Check all that apply
o New Construction
a Addition
C)Remodel
o Repair
c)Demolition
u Re-roof o House o garage o other o tear off& re-roof o lay over one layer
)KHeat System eeet puZjp o wood-burning stove o gas fireplace o pellet stove n other
o Other 01&(7_TPZ:5 I
Floor Areas Existing(sq. ft) 'Proposed(4g.
Basement @$ per sq. $
1"'Floor
2n"Floor
3 rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUAT101V
Lot size sq, ft, = Lot coverage %
Tot?l footprint of structures —sq. ft. ".
Site Coverage= the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other Impervious surfaces. (see PAMC 17.94.135 for exetnptions) Site coverage %
Max. height of proposed structures ft. Occupancygroup #of bedrooms
Will a lawn sprinkler system be installed? Occupant load #of full baths
Will a fire SPrinkler system be installed? Construction iype 4 of half baths
I h1ve reed and complated this application and know It to be true und correct. I am authorized to apply for this permit and und,3rstand
that it/s mi spo sibility to dutQrmino-elhatpermits are roquimd, and to obtain permits prior to fkt 9 on roi.ects.
Dla�e �713 Print Name -,Y, 0 A-�,e Signature
�v Division/Building permit application
i:Fornsl Odin
4. L_j
I T X',
6.FILE NUMBER: 7.LOAN NUMBER
0;j_tLyYMP1C ENIN io0645-DS
_7WO company- E INS.CASE NO.:
TnLE INSU�NCE-ESCROM mORTGA -e shown. Items
nt costs. Amounts paid toand by tile"ettlellellt agent ai
C,NOTE: This forn,is furnished to Vve you a statement of actual settlenle here for informational purposes and are not included ill tile total";
marked"(P.0.0"were paid outside tile closillg�theyare shown
D. NAME&ADDRESS Gary M.Gort and Darcy F.Gort
OF BORROWERi 126 Philn, Read,Port Angcle�,MIA 98362
Robert L. Burk,Jr. and Kathleen M. Hussey
E. NAME&ADDRESS 274 Tonda Vista,Port An�el .' WA 9,S362
OF SELLER:
F. NAME&ADDRESS
OFLENDER: I,Street,Port Angeles,WA 98362
G, PROPERTY LOCATION, 205 West 9t s a y
Olyinpic Peninsula Title ColnP n -4451
H. SETTLEMENT AGENT: n 1,,,WA 93362�360)457
PLACE OF SETTLEMENT: 319 S. PcObc)(I" Suite A Port A �g DISBURSEMENT DATE: 6/14/2013__�
6/14/2013 nfs(-- oil
SETTLEMENT DATE: K. c.ary
Summary of Borrower's Transaction -oss Amount Due To Seller:
400.Gi ')')0'0()()'0()
100.Cross Amount Due From Borrower: 220,000-00 40 1. Contract sales price
10 1. contract sales price 402. personal property
102. Personal property 373.98 403.
103. Settlement charges to borrower:(line 1400) 404.
104. 405.
105.
e er Ill Advance:
Ad'ustincuts For items Pa Y
Ad.ustments For Items Paid By Seller In Advance: 406.City/toWn taxes to 90.41
106.city/town taxes to 96.41 407.county taxes 06/14/13 to 07/01/13
06/14/13 to 07/01/13 to
107.County taxes 408.Assessments
108.Asgessnien to 409.
109, 410,
110. 4
Ill. 412.
112. 413�
113. 414.
114. 415.
115, 416. '220,096.41
116. 220,470.39 420.Gross Amount Due To Seller:
120.Gross Amount Due From Borrower: ctions In i mount Due To Seller.
1;00 Redu
200.A rnoullts paid By Or In Bellalf of Borrower: 2,250-00 501, Excess deposit(see Instructions) 1400) 12,312.9(-
201. Deposit or earnest money 502. Settlellient charges to Seller(line
202. Principal amount of new loant,l 503. Existim,loan(s)taken subject tn --------
203. Existim-al l0all(s)taken sub.icct to 504. Payoff I st Mtg.Ln.
-2 0 4. 505. payoff2nd Mtg. Ln.
205. 506.
206. 507.
207. 508.
208, 509.
209
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