HomeMy WebLinkAbout221 W. 1st Street Address:
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PREPARED 10/28/15, 12:36:29 INSPECTION TICKET PAGE I
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/28/15
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ADDRESS . : 221 W IST ST SUBDIV:
CONTRACTOR LARRY'S ROOFING PHONE (360) 452-2215
OWNER GERALD A CORNELL PHONE
PARCEL 06-30-00-0-0-1460-0000-
APPL NUMBER: 15-00001306 RE-ROOF
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PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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BL99 01 10/28/15 JL��) BLDG FINAL
October 28, 2015 12:39:56 PM jlierlY
TOM RHOADES
------------------- ----- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY &ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-0000130G Date 10/15/15
App,ication pin number . . . 47G722
Property Address . . . . . . * 221 W 1ST ST
ASSESSOR PARCEL NUMBER: OG-30-00-0-0-1460-0000- 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 . . . . . . . CENTRAL BUSINESS DISTRICT
Application valuation . . . . 31075 (Location Code 0502)
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Application desc
torch down over lay
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Owner Contractor
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GERALD A CORNELL LARRY'S ROOFING
PO BOX 301 352 AVIS ST.
PORT GAMBLE WA 983G4 PORT ANGELES WA 983G2
(3GO) 452-2215
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Permit . . . . . . BUILDING PERMIT - NO PR FEE
Additional desc . . TORCH DOWN OVER LAY
Permit Fee . . . . 488.45 Plan Check Fee .00
Issue Date . . . . 10/15/15 Valuation . . . . 31075
Expiration Date 4/12/16
-4A Qty Unit Charge Per Extension
BASE FEE 417.75
7.00 10.1000 THOU BL-25,001-50K (10.10 PER K) 70.70
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Other Fees . . . . . . . . . STATE SURCHARGE 4.50
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 488.45 488.45 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 492.95 492.95 .00 .00
N'N
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 a is application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of worW
Flixbemr-e-m6p i with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel i state or local law regulating construction or the performance of
construction.
10-n
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.
I
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Sternwall
Foundation Drainage I 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 I Ceiling
Drywall(interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pump/Furnace/FAU/Ducts
Rough-In
(�as 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
Planning 417-4750
Building 417-4815
T-;:nrmq/Ri tilrfinn ni%ii�inn/Rt ii1dinn Pprmit
THE For City Use
CATY OF lilOi RT
- Al Permit#
" �W
V� A S H I N G T 0 N, U . S.
Date Received: /v/Z /Z'C—
Pe r
Dat
321 E 51h Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permitsOcityofl2a.us PL
BUILDING PERMI JAPLICATION
Project Address: w.
Phone: -%0- 0\51-2
Primary Contact: aoles Email:
Name Phone 04D
\J�CN nun
Property Mailing Address Email
Owner —I
City n L State
iT
Name Phone
Email
Contractor Address
Information -- -P�
City P�' iV6 State Zip
Contractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor)
$
Residential El Commercial 0 Industrial 11 Public 11
Demolition 13 Fire 11 Repair 11 Reroof(tear off/lay over)
Permit A
Classification For the following, fill out both pages of permit application:
(check New Construction 11 Exterior Remodel 11 Addition El Tenant Improvement
appropriate) I Mechanical 11 Plumbing 11 Other El
Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms
or Existing? Yes 0 No 0 Existing? Yes E3 No El I I
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.storm3yaLer@cityofpa.us
Project Description
Is project in a Flood Zone: Yes 0 No13 Flood Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $
1 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 app*ation before the permit is
issued. I understand that if the permit is not picked up/issued within 18o da of submittal,the application
will be considered abandoned and the fees will be forfeited.
t'-�, - 1-1"o X\��
10— ts i()-f 1)
Date Print Name Sig,
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 2n'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 6overage 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)
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