HomeMy WebLinkAbout221.5 W 10th Street Address:
221 Y2W jolh Street
PREPARED 12/12/16, 9:04:40 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/12/16
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ADDRESS . : 221 1/2 W 10TH ST SUBDIV:
CONTRACTOR LARRY'S ROOFING PHONE (360) 452-2215
OWNER RYAN / JESSIE SANFORD PHONE (360) 457-1257
PARCEL 06-30-00-0-2-9368-0000-
APPL NUMBER: 16-00001779 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 12/12/16 BLDG FINAL
December 6, 2016 2:00:39 PM jlierly.
Tom 460-0517
December 9, 2016 12:47:02 PM jlierly.
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 16-00001779 Date 12/01/16
Application pin number . . . 610948
Property Address . . . . . . 221 1/2 W 10TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-9368-0000- REPORT SALES TAX
Application type description 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 . . ._ . 3907 (Location Code 0502)
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Application desc
tear off/install comp
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Owner Contractor
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RYAN / JESSIE SANFORD LARRY'S ROOFING
221 W 10TH ST 352 AVIS ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(3GO) 457-1257 (360) 452-2215
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Permit . . . . . . BUILDING PERMIT - NO PR FEE
Additional desc . . TEAR OFF/INSTALL COMP
Permit Fee . . . . 123.75 Plan Check Fee .00
Issue Date . . . . 12/01/16 Valuation . . . . 3907
Expiration Date 5/30/17
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 123.75 123.7S .00 .00
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 forelectrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced Wilthin 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 h
read and examined this application and know the same to be true and correct. All provisions
_N wo
of laws and ordinances governing this ( rk will be complied with whether specified herein or not. The granting of a permit does
not presume to give authoritZZprovisions any sarlocal law regulating construction or the performance of
construction. 7
iz,
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.)
�;LUMBING:
Under Floor/Slab
Rough-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/Ceil ing
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
ISkirting
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
F Building 417-4815
Ti ME For City Use
CITY OF
Permit#
W A S H I N G T 0 N , U. S. Date Received:
321 E Sth Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits Pcityofpa.us BUILDING PERMIT APPLICATION
Project Address: (16a ( 0
%0 WiQ
Phone:
Primary Contact: Lei�P-s Email:
Name Phone
Property MailingAddrtss Email
Owner
city State zip
Name Pho e
Contractor Address Email
Information city State zip
Contractor License# V Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
$
Residential X Commercial 0 Industrial 11 Public 11
Permit Demolition 11 Fire El Repair 11 Reroof(tear off/lay,over)
Classification For the following,fill out both pages of permit application:
(check New Construction 11 Exterior Remodel El Addition 1:1 Tenant Improvement
appropriate) Mechanical 11 Plumbing 1:1 Other 0
Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms
or Existing? Yes [3 No 0 1 Existing? Yes 0 No 1:
'In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
MLI�-stormwaterCa)ci
:Iy�oa-u�s
Project Description
Is project ina 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 Imill 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 i8o submittal,the application
will be considered abandoned and the fees will be forfeited.
6;�
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"OF 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
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 sqft
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 Size: # Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) #
Boiler/Compressor Size: # Heating/Cooling appliance #
repair/alteration
Evaporative Cooler(attached,not # Pellet Stove[Wood-burning/Gas #
portable) Fireplac /Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct #
Furnace/Heat Pump/ Size: # Ventilation System #
Forced Air Unil
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
Othe (describe):
T:\Forms\201S CED Form Updates\Building&Permitting\BP\Building Permit 201SO41S.docx