HomeMy WebLinkAbout2110 W. 4th Street Address:
2110 W 4 Ih Street
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PREPARED 1/29/15, 13:58:27 INSPECTION TICKET PAGE
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/29/15
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ADDRESS , : 2110 W 4TH ST SUBDIV:
CONTRACTOR HOME DEPOT AT-HOME SRVCS, THE PHONE (770) 779-1300
OWNER REGINA WOOD PHONE
PARCEL 06-30-00-9-4-0060-0000-
APPL NUMBER: 13-00001051 RE-ROOF
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PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCPIPTION
TYP/SQ COMPLETED RESULT RESULT I S/COMMENTS
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BL99 01 1/29/1S LL BLDG FINAL
January 29, 2015 1:46:03 Pm pbarthol.
i i I
------------------------- ------------ COMMENTS AND NOTES --------------------------------------
Lt
-CIT (OF PORT ANGELES
DE1PAR-L'-'NfENT OF MNINILTINITY &ECONOMIC DE-VELOPNEENT- BUILDING D[VISJO.��'
3 21 EAST 5TH STREET, POPT ANGELES, VVA 933,51-
.Ap ca o n zlu�er 13-al oo o 1,,)�5 1 Date
rll'catl Or' =in Man-ber -540352
Pcoperzy Address. 2110 �� 4T*4 ST
A 3 SE S S C.R 3 01-0 V-3-4-0 5 -0 0 0 0- REPORT SALES TAX
ry-pe E-ROO--
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.Subd'vision on your state e;<c aAv rorm
7� .0 'y of Port Angeles
Pronerzv Use the Cil
. . . . . . . RS37 RESDNTLI S-INGLE
Az�lii cation valua-icn . . . . 923-2 (Location Code 0502)
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Applica'�icn
TEA2, OFF / 1-,NST-'LL CoMP
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0��-ne- Con.t,-a C t c r
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REG7�T,�� 14,30D HOME DEPOT AT-FCME SR",C::, THE
2110 W 4TH c- 26-90 CUIBEzLA�Tzi ?Krij, STE 300
PORT A'-4�ELE- 5834�331402 A T LA-N-1 A
WA GA 30339
(770) 779-13,�-*D
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Pe rini 1: NO PR �----E
A�d d o n a d s G c TEA.F OFF;INSTALL COM?
mit Fee 2'1)7.7 5 Plan Chec.,: Fes .00
-Tssue Cate . . . . valuation 9292
Expiration Cate
Q tly Unit C-arge Per Extencic,
BASE FE-2 95.75
3.00 14.001,30 TFOU BL-2001-25K (14 PER K) li2.00
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Other Fees . . . . . . . . . STA-1E SURCH�-RGE q.5 C-1 .
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Fee aumirnary Ct�arqed Paid Credited D'.1
----------------- ----------- ----------- ------ --- ----------
Permdz Fee Tocal 207.?5 207.7S
Plan Chec". Tc-�al .00 00
Other --se Total 4.50 4-50
Grand Tcital 214-2; 1-12.25 .00 .00
Se p ara te P e rm i Is are re quil,ed for el e otrica I work, Cc:PA,5 horefine,ESA,util ities,private and public i Moro vements. This permit becomes
n Lill and void if%vork or construction authorized is not commenced within ISO days,if construction or work is suspended or aband'oned
for a.period of 180 days after the work has commenced,or if required inspections have not been reque.-te'd with,in 130 days from the
last inspection. I hereby certirythat I have reacl and examined this application and know the same to b3 true and ccrrect. All PCOvisiorlis
o! lavis and ordinances governing this type of vmrk will be complied ,vithvihether specified herein or not. The granting ofa pert-nit does
not pTesume to give authorizy to viola'e- of cancel th-e provision-s of a;-.y state or local ia,v regulating construction or fl—_Penormafllcl�or
Pr;V r,I B rn Sicnal-urz-of C6-ntracto.r or u th-oi ized Ag n Sigi ia:we of 0,;iner 6-:'O%A!ne,r i� ilil,jer�
T b-
BUILDING PERMIT INSPECTION RECORD
PLEA SE PRO VIDE A MINIMUM 24-HO UR NO TICE FOR INSPEC TIONS—
Building Inspections, 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4386
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 I 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 I Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof I Ceiling
Drywall(interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall I Floor/Ceiling
MECHANICAL:
Heat Pump/Fumace/FAU/Ducts_
Rough-In
Gas Line
Wood Stove I Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing I Slab
Blocking&Hold Downs
Pkirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting ESA:
Landscaping dSHORELINE:
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
Planning 417-4750
L Building' 417-4815
T:Forms/Buildina Division/Buildina Permit
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES For City U1 sPg
Attn: Building Permit Technician Date Received
321 E. Fifth St., Port Angeles, WA 98362 Permit# /,6 -/V 5-�"
(360)417-4815 fax(360)417-4711 Date Approved <?-J&7-
Applicant Northwest Permit Inc. Phone 360-945-27 -
Property Owner Regina Wood Phone 360-477-8145
Property Owner's Add reSS 2110 W Fourth St, Port Angeles 98363
Contractor The Home Depot At Home Services Phone 800-381-5699
Contractor's Address 140 County Line Rd, #101, Pacific WA 98047
License # HOMED**972RQ Expires 2/1/2015 E-mail naida@nwpermit.com
PROJECT ADDRES S 211OWFourthSt parcel 0630009400600000
Parcel Number Lot Zoning
Proiect Type & Brief Description: o Residential o Multi-family o Commercial o Industrial
Check all that apply
• New Construction
•Addition
• Remodel
• Repair
• Demolition
in Re-roof n House o garage o other in tear off& re-roof o lay over one layer
o Heat System i-i Heat pump o wood-burning stove o gas fireplace o pellet stove o other
Ei Other
FloorAreas Existin-g(sq. ft.) Proposed(sq. ft.)
Basement @ $ per sq. ft. $
1"Floor
2 nd Floor
3 d Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $
Total footprint of structures sq. ft. Lot size sq. ft. = Lot coverage %
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 exemptions) Site coverage %
Max. height of proposed structures —ft. Occupancy group #of bedrooms
Will a lawn sprinkler system be installed? Occupant load #of full baths
Will a fire sprinkler system be installed? Construction type #of half baths
/have read and completed this 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 working on projects.
1,�i��Kh-
DN:_Naida Kha,,Nonh,est Pe,mit t—,
Date9/16/2013 Print NameNaida Khan SiqnatureNaida Khan =maA=n.id�0nMi1_,,
47
T:Forms/Building Division/Bldg Permit.doc