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Home My WebLink About210 S. Francis Street Address: 210 S Francis Street PREPARED 9/16/15, 10:06:55 INSPECTION TICKET PAGE 4 CITY OF_PORT_ANGELES INSPECTOR:-JAMES-LIERLY DATE 9/16/15 ------- ---- ------------------------------------- ----- --------------------------------------- ADDRESS 210 S FRANCIS ST SUBDIV: CONTRACTOR DAN DODD INC PHONE (360) 670-6552 OWNER VICKIE LEE BREWER PHONE PARCEL 06-30-00-7-7-0205-0000- APPL NUMBER: 15-00001128 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT' RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL99 01 9/16/15 BLDG FINAL September 16, 2015 10:10:28 AM jlierly. 670-6552 --------------------- --------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION c1f ) 321 EAST 5TH STREET, PORT ANGELES,.WA 98362 Application Number . . . . . 15-00001128 Date 9/08/15 Application pin number . . . 367664 Property Address . . . . . . 210 S FRANCIS ST ASSESSOR PARCEL NUMBER: 06-30-00-7-7-0205-0000- REPORT SALES TAX Application type description RE-ROOF Subdivision Name . . . . . . on your state excise tax fon77 Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application aluati 6000 (Location Code 0502) ----------- --------- - - - - ---- Application desc RES TEAR OFF REROOF 30 YR ARCH ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ICKIE LEE BREWER DAN DODD INC PO BOX 3246 3021 EDEN VALLEY RD 210 S FRANCIS ST PORT ANGELES WA 98363 PORT ANGELES WA 983G2 (360) 670-6552 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc RES TEAR OFF REROOF 30 ARCH Permit Fee . . . . 151.75 Plan Check Fee .00 Issue Date . . . . 9/08/15 Valuation . . . . 6000 Expiration Date 3/06/16 Qty Unit Charge Per Extension BASE FEE 95.75 4.00 14.0000 THOU BL-2001-25K (14 PER K) 5G.00 -------- ------------------------------------------------------------------ Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 151.75 151.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 156.25 156.25 .00 .00 Separate Permits are required forelectrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void ifwork orconstruction authorized is not commenced within 180 days,ifconstruction orwork 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 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 I Ceiling Drywall(interior Braced Panel Only)_ T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump/Furnace I FAU/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 CITY OF RT �jGLE L ES -p-:�2- A Permit# h. 2-9 W A S H INGTO N, U. S. Date Received: 9/�& 2-0 321 E Sth Street Date Approved K-- Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permitsOcityofpa.us BUILDING PERMIT APPLICATION Project Address: Z k D Phone: --360 G-20 GSSrA Primag Contact: t>APJ DOf3 D Email: Name \/\C- \ B Tzl�� Phone -7 SAVOO Property Mailing Addres Email Owner City State ip Name 1D A rJ e-- Phone 36c) GAo Contractor Addres!�07-( VAIA,1�-m (2-0 Email "Do\N C--3 (-,D C G-\/V\ Information city CJc 'Zo 4� 1P)0,<.LT F) _ _S (Z �, qq3�3 State \r4_A zip q�F3G3 Contractor Li ense# Ub6g,R, 1DOVIIJ Doom Exp.Date: Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor) $ (:��000 Residential Commercial Industrial 11 Public El Permit Demolition Fire 0 Repair 1:1 Reroof(tear off/lay over) El Classification For the following,fill out both pages of permit application: (check New Construction 1:1 Exterior Remodel Addition 11 Tenant improvement appropriate) I Mechanical 11 Plumbing 0 Other Fire Sprinkler System Proposed Irrigation System Proposed or P oposed Bathroom osed Bedrooms or Existing? Yes E3 No Existing? Yes [3 . No)A In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwater@-citvof pa.us Project Description -tr--k(L- OV-7, k?-6Qk: W�T4 �30 -Y(L A(ZC-W Is project in a Flood Zone: Yes 0 NoM 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 Icnow 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 abandoned and the fees will be forfeited. c6- �<S- T)n 0 Date Print Name Signa-2��J 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."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 Coverage Calculations Lot Size(sq ft) Lot Coverage(sq ft)foot print of %Lot Coverage(Total lot cov 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) A Mechanical Fixtures Indicate how many of each type of xture to be instaRed 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 ation 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 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: I Sewer Line # Industrial waste pretreatment I interceptor(Grease Trap) Size Oth r(describe): T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx