HomeMy WebLinkAbout222 S. Vine Street Address:
222 S Vine Street
PREPARED 3/30/15, 9:26:29 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/30/15
------------------------------------------------------------------------------------------------
ADDRESS . : 222 S VINE ST SUBDIV:
CONTRACTOR LARRY'S ROOFING PHONE (360) 452-2215
OWNER CHARLES R FOREMAN AND LYNN CHE PHONE
PARCEL 06-30-00-6-5-0036-0000-
APPL NUMBER: 15-00000305 RE-ROOF
------------------------------------------------------------------------------------------------
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED *RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL99 01 3/30/15 BLDG FINAL
March 27, 2015 10:51:08 AM pbarthol.
TOM 460-0517
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00000305 Date 3/27/15
Application pin number . . . 064880
Property Address . . . . . . 222 S VINE ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-5-0036-0000- 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 . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 5786 (Location Code 0502)
---------------------------------------------------------------------------- -
Application desc
TEAR OFF / INSTALL COMP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CHARLES R FOREMAN AND LYNN CHE LARRY'S ROOFING
1335 9TH AVENUE SW 352 AVIS ST.
ALBANY OR 97321 PORT ANGELES WA 98362
(360) 452-2215
- -------------------------------- -------------------------------------------
Permit . . . . . . BUILDING PERMIT - .NO PR FEE
Additional desc . . TEAR OFF INSTALL COMP
Permit Fee . . . . lS1.75 Plan Check Fee .00
Issue Date . . . . 3/27/15 Valuation . . . . 5786
Expiration Date 9/23/1�
Qty Unit Charge Per Extension
BASE FEE 95.75
4.00 14.0000 THOU BL-2001-25K (14 PER K) 56.00
----------------------------------------------------------------------------
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 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 Fxa red thi application and know the same to be true and correct. All provisions
is
v _y�
of laws and ordinances governing this type of work v III b plied with whether specified herein or not, The granting of a permit does
not presume to give authority to violate or cancel th rovi io s of any state or local law regulating construction or the performance of
construction.
rov, io s of
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
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 417-4886
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
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted bv
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/Fur9ace/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 /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
THE For City Use
CITY OF OR NGELES
P TA Permit# 1'5--3 O'z�
WASH I NGTON, U . S. Date Received: t
321 E Sth Street Date Approved -.?:7-
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:Vermits(@cityofVa.us BUILDING PERMIT APPLICATION
Project Address: C= S . 0 1'
--- (�604C 1--P� 1+1727-zzts
Primary Contact: lom '�5 Email:
Name Phone
Property Mailing Address Email
Owner
City State Zip
Name Phone
Contractor Address is- Email
Information City -�s State zip
Contractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
� $ :s-j8o--
Residential El Commercial 11 Industrial El Public 11
Permit Demolition El Fire El Repair 0 Reroof(tear off/lay over) 0
Classification For the following,fill out both pages of permit application:
(check New Construction 1:1 Exterior Remodel 11 Addition El Tenant Improvement 11
appropriate) I Mechanical El Plumbing 1:1 Other 11
Fire Sprinkler System ProposedT-irrigation System Proposed or Proposed Bathrooms I Proposed Bedrooms
or Existing? Yes 0 No 0 1 Existing? Yes 13 No D I
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwaterocityofpa.us
Project Description V-vM.vP' &I-Isbn (06 # �Zl+
Is project in a Flood Zone: Yes [3 No[3 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 application before the permit is
issued. I understand that if the permit is not picked up/issued within 180 s of submittal,the application
will be considered abandoned and the fees will be forfeited.
I--,-
3-n - �s (01y) �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"or 2 nd 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
� 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 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
Othe (describe):
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx