HomeMy WebLinkAbout214 Hancock Avenue Address:
214 Hancock Avenue
PREPARED 6/27/17, 11:56:14 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/27/17
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ADDRESS . : 214 HANCOCK AVE SUBDIV:
CONTRACTOR DIAMOND ROOFING ENTERPRISE INC PHONE (360) 452-9518
OWNER ALAN C OMANINANCY J OMAN PHONE
PARCEL 06-30-09-5-2-2408-0000-
APPI, NUMBER: 17-00000774 RESIDENTIAL RE-ROOF
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PEIZMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT � RESULTS/COMMENTS
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BL99 01 6/27/17 JLL BLDG FINAL TIME: 17:00
Al Oman Call lst
460-1843
---------- ------- -- -------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
C 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 17-00000774 Date 6/12/17
Application pin number . . . 877574
Property Address . . . . . . 214 HANCOCK AVE
ASSESSOR PARCEL NUMBER: 06-30-09-5-2-2408-0000- REPORT SALES TAX
Application type description RESIDENTIAL RE-ROOF
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 13800 (Location Code 0502)
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Application desc
Tear off comp
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Owner Contractor
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ALAN C OMAN/NANCY J OMAN DIAMOND ROOFING ENTERPRISE INC
214 HANCOCK AVE 129S BLACK DIAMOND RD
PORT ANGELES WA 983622522 PORT ANGELES WA 98363
(360) 452-9518
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Permit . . . . . . BUILDING PERMIT NO PR FEE
Additional desc . .
Permit Fee . . . . 263.75 Plan Check Fee .00
Issue Date . . . . 6/12/17 Valuation . . . . 13800
Expiration Date . . 12/09/17
Qty Unit Charge Per Extension
BASE FEE 95.75
01�1 12.00 14.0000 THOU BL-2001-25K (14 PER K) 168.00
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Other Fees . . . . . . . . .. STATE SURCHARGE 4.50
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- -----
Permit Fee Total 263.75 263.75 .00 .00
Plan Check Total .00 OQ .00 .00
Other Fee Total 4*50 4_50 00
Grand Total 268.25 268.25 .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 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
cons;rructinA. 00 — (I').
-�6 "
S ,
Date Print Name Signature of Contractior 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
Rou h-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water
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 Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts
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. PIN I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
THE For City Use
CITY OF
Permit#
W' A S H I N G T 0 N. U - S - Date Received: n-j- 1
321 E 51h Street Date Approved
Port Angeles,WA 9836
P-360-417-4817 F:360-417-4711
Email:permitsOciltyofpa-us BUILDING PERMIT PPLICATION
Project Address:�
Phone:S60
Email:
Primary Contact' \QCkky1%!5
Name Phone 3 6 LA LO AV'A
A 1'%o' -ory\�P'V-\
Property Mailing Address Email
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Ommer coc-v- JAoe
City"�Cw--k- State t,;,,J A
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Contractor Address Email
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Information Ci -01ur Y"C'C-(es State Zipcm:�(ZL�
ty 4 1
Contractor License# A Mo�"C-
Exp.Date:
Legal Description: Zoning:=Tax Parcel# Project Value: (materials and labor)
S I A,RAPN da-
Residential 11 Commercial 13 Industrial Public 11
Demolition 11 Fire El Repair El Reroof(tear off/lay over)
Permit
Classification For the following.fill out both pages of permit application:
(check New Construction D Exterior Remodel El Addition El Tenant Improvement El
appropriate) I Mechanical 11 Plumbing Other
�l roposed Bedrooms
,Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bat
No C3
or Existing? Yes 0 No 103 Existing? Yes 13
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater(&city&a.us
Project Description Ccz-r- C)IX
\J
2 Ot-tr - �"s 1"'�
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 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 win 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,%vill be forfeited.
7
Date Print Name Signature
State Contractor Registration# DIAMORE946DZ 837
Invoice #
Since 1971
1295 Black Diamond Rd, Po�Angeles, WA 98363
(360) 452-9518 - Cliff Fors & Duffy Fors
Bid Proposal Contract
Name 0tV\C'VX Date
Address Lloe- .
Specifications:
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Price
Payment Tax
Accepted by TOTAL