HomeMy WebLinkAbout223 E. 10th Street Address:
223 E jolh Street
PREPARED 6/06/16, 10:08:06 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/06/16
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ADDRESS 223 E 10TH ST SUBDIV:
CONTRACTOR LARRY'S ROOFING PHONE (360) 452-2215
OWNER MICHELLE BOATWRIGHT PHONE
PARCEL 06-30-00-0-2-9070-0000-
APPL NUMBER: 16-00000770 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 6/06/16 BLDG FINAL
------ -----June-6,-2016-10:01:07 AM jlierly
Tom 460-0517
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-------------------- - ---------- COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 16-00000770 Date 5/27/16
Application pin number . . . OOG560
Property Address . . . . . . 223 E 10TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-9070-0000- 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 SINGL.E FAMILY (Location Code 0502).
Application valuation . . . . 64GO
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Application desc
TEAR OFF / INSTALL COMP
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Owner Contractor
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MICHELLE BOATWRIGHT LARRY'S ROOnNG
C/O 201 HUMBLE HILL RD 352 AVIS ST.
SEQUIM WA 98382 PORT ANGELES WA 98362
(360) 452-2215
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Permit . . . . . . BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF/INSTALL COMP
-Permit Fee . . . . 165.75 Plan Check Fee .00
Issue Date . . . . 5/27/16 Valuation . . . . 6460
Expiration Date 11/23/16
Qty Unit Charge Per Extension
BASE FEE 95.75
5.00 14.0000 THOU EL-2001-25K (14 PER K) 70.00
---- ------- ---- ----------- --- --- -- -----
- -----other Fees STATE SURCHARGE 4.50
----- ---- - - - - - - - - - ----- --------- ----
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 165.75 165.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 170.25 170.25 .00 .00
Separate Permits are required forelectrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
null and void ifwork or construction authorized is not commenced within 180 days,ifconstruction orwork is suspended orabandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from" ti-he'
last inspection. I hereby certify that I have read and ex"arngd this application and know the same to be true and correct. All provisions
ill _ 0
of laws and ordinances governing this type of work wl I b _ plied with whether specified herein or not. The granting of a permit does
not presume to give authority to(VNiate or cancel t ny state or local law regulating construction or the.performance of,
construction.
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 IN CONSPICUOUS LOCA TION. KEEP PERMIT AND APPROVED PLANS A T JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Sternwall
Foundation Drai 2 age/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
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/Ceiling
Drywall(Interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pump/Furnace/FAU I Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
jSkirting
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
THE PVC For City Use
Crr�y 0 If klRT
4
A- , i,QL1 Permit# /& - -�7
A S H I N G T 0 N, U. S. Date Received:
321 E 51h Street Date Approved -),-7-
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits Ocityofpa.us BUILDING PERMIT APPLICATION
Project Address:
Phone: Q7S
Primary Contact: IoTi) Email:
Name Phone
Property Mailing Address Email
Owner City State Zi
Name Phone
�� Ob
Contractor Address ;�q kl�;' Email
Information City Pf Ao�& State Zip
rContractor Licensed "J 0 Exp.Date: 1'—Zoll
Project Value: (materials and labor)
$
Legal Description: Zoning: TAx Parcel# �4
Residential El Commercial El Industrial 11 . Public 11
Permit Demolition El Fire 11 Repair El Reroof(tear off/lay over)
Classification For the following,fill out both pages of permit application:
(check New Construction El Exterior Remodel Addition 11 Tenant Improvement El
appropriate) I Mechanical 11 Plumbing Other
sed Bedrooms
or Existing? Yes 0 No 0 1 Existing? Yes 0 No [3
Fire Sprinkler System ProposedT—Ir—rigation System ProposWd"oposed Bathroo;;�s
ln,addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwateraS#yoa.us k
4FX1
1;�4
Project Description
Is project ina Flood Zone: Yes 0 NoE3 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 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 18�ddays of submittal,the application
will be considered abandoned and the fees will be forfeited.
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 Id 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) Y 1
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 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 fixtur 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/Compresso # Heating/Cociling appliance #
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/ Siz # 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
Other(describe):
T:\Forms\201S CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx