HomeMy WebLinkAbout2507 Rolling Hills Court Address:
2507 Rolling Hills Court
PREPARED 10/05/16, 8:30:34 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/05/16
------------------------------------------------------------------------------------------------
ADDRESS . : 2507 ROLLING HILLS CT SUBDIV:
CONTRACTOR : PHONE !
OWNER DAVID R & DEBRORAH E RICH PHONE : (360) 531-4814
PARCEL 06-30-01-7-9-0250-0000-
APPL NUM13ER: 16-00001164 RES ADDITION
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - PESIDENTTAT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BLFO 01 8/12/16 JLL BLDG FOUNDATION
8/12/16 AP August 12, 2016 8:14:56 AM jlierly.
David Rich AM
August 12, 2016 4:21:25 PM jlierly.
BL3 01 10/05/16 BLDG FRAMING
October 5, 2016 8:29:22 AM jlierly.
David rich 360-531-4814
BL99 01 10/05/16 J BLDG FINAL
n October 5, 2016 8:29:55 AM 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 . . . . . 16-00001164 Date 8/11/16
Application pin number . . . 558564
Property Address . . . . . . 2507 ROLLING HILLS CT
ASSESSOR PARCEL NUMBER: 06-30-01-7-9-0250-0000- REPORT SALES TAX
Application type description RES ADDITION on your state excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Poit Angeles
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 6000
----------------------------------------------------------------------------
Application desc
Add new 8 x 24 deck
-----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
DAVID R & DEBRORAH E RICH OWNER
2507 ROLLING HILLS CT
PORT ANGELES WA 98363
(360) 531-4814
-----------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc ADD NEW 8 X 24 DECK
Permit Fee . . 151.75 Plan Check Fee 98.64
Issue Date . . . . 8/11/16 Valuation . . . . 6000
Expiration Date 2/07Y17
Qty Unit Charge Per Extension
BASE FEE 95.75
4.00 14.0000 THOU BL-2001-25K (14 PER K) 56.00
----------------------------------------------------------------------------
Special Notes and Comments
' August 11, 2016 11:57:32 AM pbarthol.
Project will result in a Bx24 deck that projects 8 feet into
the required rear yard. per 17.94.120 uncovered decks not
extending above the 1st floor may project into required rear
yard 81 .
- - - ----- --- ----- ----
- ------O-t-h-e-r--F-e-e-s---.--.--.--.--.--.-.-.-.--STATE-SURCHARGE----------------4.50-----
--- ----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------- ------ ---------- ---------- ---------- ----------
Permit Fee Total 151.75 151.75 .00 .00
Plan Check Total 98.64 98.64 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 254'.89 254.89 .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 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
construction.
1/6
Date Print Na me Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/d,uilding Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDEA MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—
Building Inspections 417-4815 bectrical 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/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. PW /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
THE For City Use
CITY OF
-A- Permit#
W A S H I N G T 0 N, U . S. Date Receivel: 9-1.L4 1 11 C-0
321 E 51h Street Date Approved Cffl A
Port Angeles,WA 9836 FILE COP gi If --r, -J
P:360-417-4817 F:360-417-4711
Email:permits(&cityofpa.us BUILDING PERMIT APPLICATION
ProjectAddress: Z�5-07 0111:�y 1-14-Ls C4, Fo,-t
Primary Contact: U Phone: 3tlo -5--?/—
Y—ch�A—)C (Z- Email: 6faC,,.,d tr t�4 & a.*
Name Phone
Property Mailing Address Email
Owner
city State
Phone
Name
Contractor Address Email
Information
City State Zip
rContractor Exp.Date:'
Legal Description: Zonin Tax Parcel# Pta Value: (materials and labor)
$
Residential S, Commercial 11 Industrial El Public 11
Permit Demolition Fire Repair Reroof(tear off/lay over)
Classification For the following,fill out both pages of permit application:
(check New Construction El Exterior Remodel 11 Addition Tenant Improvement 0,
appropriate)
I Mechanical El Plumbing El Other Z
Fire Sprinkler System Proposed -r—irrigation.system Proposed or Proposed B.athro posed Bedrooms
or Existing? Yes 0 No 0 1 Existing? Yes 0 No 0
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwateragitGota.us
Project Descri tion Bour q2,, . r5c-e
-5e-c&--,-9( -et&e-- e?Aoue, V'�
Is project in a Flood Zone: Yes 0 Nof!f Flood Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $
I have read and completed the applic ation and know it to be true and correct. I am authorized to apply for
this permit and understand that it is myriesponsibility 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 18o days of submittal,the application
will be considered abandoned and the fees wfll be forfeit6d.
6 Dlqojr.�> ql
Date Print Name Sig
Residential Structures
Existing-q e!:�Prqposed Construction For Office Use
01 F I, rp
Area Descript ohs(S.9 FT) Floor area�fy -Floorare'a area
, �j 1�$Value new
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or 2 d floor) poo 3/,'Z5
T--
Garage
Carport
Other(describe)
Area Totals
C�
Commercial Structures
Area Descriptions(SQ FT) Existing Proposed Construction For Office Use
Floor area Floor area $Value new area
Existing Structure(s)
Proposed Addition OCDO
Tenant Improvement?
Other work(describe)
Site Area Totals
C
Lot/Site Coverage Cilculations
ot Size s ft) Lot Coverage(sq ft)foot print of %Lot Co er Lo
,q �e tal 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 man of each type of fixture to be installed or relocated as part of this project.
Air Handler 77e: # 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 I
Plumbing Fixtures
Indicate how many of each type of fixtu e to be installed or relocated
Plumbing Traps # Water Heater #
Plumbing Vent piping # I gas piping #of Outlets:
Water Line Mel gas piping #of Outlets:
Sewer Line Industrial waste pretreatment
I interceptor(Grease Trap) Size
Other(describe):
T:\Forms\20 15 CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx
3 .2- FILE - 3)
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/1"(70 CITY OF PORT ANGEL5S4)0MM%ftd PhIS
,57-s— The issuance of this permit band VrM 01M OW
speci I ications and other data shall 00 peeve*1114
building ollicial from thereafter faquift *1
correct i on o 1errors in said plans,specification and
other chata. or 1roin preventing building operationS
b on.thereunder when in violation of all
co(i --an(lordinancesol'this jurisdiction.
A L W0i S1,113JECTTO FIELD APPROVAL
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,SERVICE (800) 422-5751
Washington Apec LLC
(360) 791-1312
Deliverbtg Set-vice.Plus Value (3 00 lfto�
POLY-ISO BOARD 357-7849
Foi Faced 1/2::x4:x8: Foi:Faced 2"x4'x8'
Foi2ced %x4x8 Foi Faced 3"x4'x8' L
Foil Faced 1"x4'x8' Foil Faced 3.2::x4:x8'
Foil Faced 1'W'x4,x8' Foil Faced 41/2 x4 x8'
EPS BEADBOARD
1/2::x4:x8: 1%"x4'x8'
%x4 x8 2"x4'x8'
1"x4'x8'
(Bead board must be purchased in full units only.
Additional sizes are available.)
XPS BOARD
1 50 1"x4'x8'Scored 250 11/Vx4'x8'Scored
150 %"x4'x8'Scored 250 2"x2'x8'Scored
150 2"x4:x8:Scored 250 2"x4'x8'Scored
250 1 N4 x8 Sco ed
BLOW - INSULATION
Thermoguard lsolite Cellulose
Knauf Jet Stream Fiberglass
Programs available for rental blowing machine.(call for
more info)
METAL BUILDING INSULATION
MBI Vinyl Faced 2"x4'x5O'
MBI Vinyl Faced 2"x6'x5O'
MBI Vinyl Faced 31/Vx4'x50'
MBI Vinyl Faced 31/2"x6'x5O'
MBI also available R-1 9
-Custom cut lengths available on special order basis I�jl
ROXUL MINERAL WOOL
Sound Attenuation Fire Batt 101
I 3"x16"x48" 3"x24"x48"
Comfort Batt
L—R-15 3%"x 1 5%"x47" R-23 51/2"x23"x47"
R-15 31/2"x23"x47" R-30 71/2N15%N47"
R-23 5/2"x 1 51/4"x47" R-30 71/2"x23"x47"
it
PALRAM
Sun&Rain/Palruf PVC Palruf PVC
Suntuf Polycartionate Sunlite 8mm Twin Wall
BARRIER FENCING
Silt fence with stakes 3'X1 00'
brar�dp safety fence 4'x100'
lsupe�jJumbo Tex 240 sq.ft.
R�d Rosin Paper r
DOUBLE BUBBLE'
4'x5O' t3� Foil tap6 2"x150'
L
FLOAT LOGO_�
Poly-wrapped Styr6foarn 10"x20"x9',
STUDS EO
',STEEL
3%"xB'Studs 25 ga. t,3Va',x16'Tr96�25 ga.--
35/s"xlO'Studs 25 g Vt Resilien-t"channel
.2
SPRAY FOA'k�f
Great Stuff Pro Foa"', 0 roam. GUC�e a n�e r
200 Froth-Paks 6 6n(;r i 4�Fo`aE Gunr
bc I I IROXUL
kno, The Better Insillation
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IC S
TAPE PROD& Rwp;
Duct Tape 2"x180' ','Ooil Ta��P*'xi-50' <
Venture Tape
OTHER PRODUCTS
FIRESTOP FACING :Backer Rod available in 1/V 1/8" %" %" Pipe Wrap available in 1" Twine&Stay Rods
FSK Paper 54"x6OO' VRR 54"x6OO' Gloves-Sm.Med.Lg. Breakaway Knives and replacement blades Shim Cards
FSK Tape Yx 150' VRR Tape Yx 150' -Baffles:Accuvent Cardboard Cardbord Rolls 2'x250'&4'x250' Caulk
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Port Angeles, WA Code of Ordinances Page I of I
17.94.120 - Permitted intrusions into required yards.
The following intrusions may project into any required yards:
A. Fireplace structures not wider than eight feet measured in the general direction of the
wall of which it is a part and exterior residential elevators not greater than three feet in
depth nor wider than eight feet measured in the general direction of the wall of which it
is a part.
B. Unenclosed, uncovered porches, terraces, or landings, when not extending above the
first floor of the building, may extend not more than six feet into the front yard setback,
rei,ght-feet:into-.the-r-e�ar-�yard.setbac and-three-feet-�into--the-si:de-y-dr—d--setb-ac-,k. Open
railing or grillwork in conformance with the International Building Code may be
constructed around any such porch, terrace or landing.
C. Planting boxes or masonry planters not exceeding 30 inches in height m ay extend a
maximum of three feet into any required front yard.
D. Porches, decks, platforms, walks, driveways, etc., not more than 30 inches above grade.
E. Eaves with a maximum overhang of 30 inches.
F. Detached accessory buildings within the rear one-third of a lot are permitted not closer
than three feet to side nor ten feet to rear property lines or alleys.
(Ord. No. 3441, § 10, 11-15-2011; Ord. 3272, 2/16/2007; Ord. 2668 § 10 (part), 1/17/1992; Ord.
2636 § 15, 5/15/1991; Ord. 2488 § 1 (part), 5/27/1988; Ord. 2238 § 13, 1/3/1983; Ord. 1709 § 1
(part), 12/22/1970)
about:blank 7/26/2016
17.94.090
17.94.130
A. Street Intersections-At any intersection oftwo street rights-of-way,two sides of said
triangular area shall extend twenty(20)feet along both right-of-way lines,measured from their point
of intersection.
B. Street and Alley Intersections-At any intersection of street and alley rights-of-way,
two sides of said triangular area shall extend ten(10)feet along both rights-of-way,measured from
their point of intersection.
C. Street and Driveway Intersections-At any intersection of a street right-of-way and
a driveway,the sides of each required triangular area shall extend ten(10)feet along the street right-
of-way line and twenty (20) feet along the edge of the driveway, measured from the point of
intersection of each side of the driveway and the street right-of-way line. (Ord. 3272, 2/16/2007;
Ord. 2861 §1 (part), 3/17/1995; Ord. 2668 §10 (part),*1/17/1992; Ord. 2238.§10, 1/3/1983; Ord.
1709 §1 (part), 12/22/1970)
17.94.100 Driveways. Width,location,and number of curb-cuts,for driveways-per lot shall
be determined by standards designed by the City's Department of Public Works&Utilities. (Ord.
3272, 2/16/2007; Ord. 2668 §10.(part),,1/17/1992; Ord. 2238 §11, 1/3/1983; Ord. 1709 §I (part),
12/22/1970)
17.94.120 Permitted Intrusions into ReguiredYard . The following intrusions may project
into any required yards:
A. Fireplace structures not.wider than eight(8) feet measured in the general direction
of the wall of which it is a part.- f' — W','i
B. Unenclosed,uncovered porches,terraces,or landings,when not extending above�the
03
�first rlolc f the building, may extend not more than six(6) feet into the front yard setback, eight
Il ' I' ' ro
L(8)� feet into the rear yard setback and three (3) feet into the side yard setback. Open railing or
or s c D
grillwork in conformance with the International Building Code may be constructed around any such
lw
o or .t�
rch.te ce or landing.
C. Planting boxes or masonry planters not exceeding thirty(30) inches in height may
extend a maximum of three(3) feet into any required front yard.
D. Porches, decks, platforms, walks, driveways, etc., not more than 30 inches above
grade.
E. Eaves with a maximum overhang of thirty(3 0Y inches.
F. Detached accessory buildings within the rear one third of a lot are permitted not
closer than three (3) feet to side nor ten (10) feet to rear property lines or alleys. (Ord. 3272,
2/16/2007;-Ord. 2668 §10, (part), 1/17/1992; Ord. 2636 §15, 5/15/1991; Ord. 2488 §1 (part),
5/27/1988; Ord. 2238 §13, 1/3/1983; Ord. 1709 §I (part), 12/22/1970)
17.94.130 Lot Coverage ExeMptions. The following shall be exempt from the maximum
lot coverage requirements of any zone:
A. Sidewalks, driveways, and uncovered off-street parking spaces.
B. The first thirty(30) inches of eaves.
C. Uncovered swimming pools and hot tubs..
D. ' Uncovered,unenclosed decks and platforms not more than.thirty(3 0)inches above
grade.
E.-- Systems that allow the infiltration of stormwater into the underlying soils are not
counted against lot coverage calculations.
3/2010 17- 138
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Address:
2507 Rolling Hills Court
PREPARED 6/27/16, 8:14:21 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY I DATE 6/27/16
----------------------------------------------------------------------------I--------- ---------
ADDRESS . : 2507 ROLLING HILLS CT SU13DIV:
CONTRACTOR : PHONE :
OWNER DAVID R & DEBRORAH E RICH PHONE : (360) 531-4814
PARCEL 06-30-01-7-9-0250-0000-
APPI, NUMBER: 16-00000095 RES REMODEL
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL3 01 3/22/16 JLL BLDG FRAMING
3/22/16 AP March 22, 2016 8:45:27 AM jlierly.
David Rich
March 22, 2016 4:16:12 PM jlierly.
BLI 01 4/04/16 PB BLDG INSULATION
4/OG/16 AP April 4, 2016 10:07:43 AM pbarthol.
David 360-531-4814
April 6, 2016 10:28:08 AM pbarthol.
BL99 01 6/27/16 BLDG FINAL
June 27, 2016 8:16:50 AM jlierly.
David rich
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAT PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME1 01 3/22/16 JLL MECHANICAL ROUGH-IN
3/22/16 AP March 22, 2016 8:45:54 AM jlierly.
March 22, 2016 4:16:12 PM jlierly.
ME99 01 6/27/16 MECHANICAL FINAL
une 27, 2016 8:17:08 AM jlierly.
---------------------- - ----------------------------------------------------------------------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
PL2 01 3/22/16 JLL PLUMBING ROUGH-IN
3/22/16 AP March 22, 2016 8:46:07 AM jlierly.
March 22, 2016 4:16:12 PM jlierly.
PL99 01 6/27/16 LUMBING FINAL
&D 'Pune 27, 2016 8:17:20 AM 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 . . . . . 16-00000095 Date 2/02/16
Application pin number . . . 716065
Property Address . . . . . . 2507 ROLLING HILLS CT
ASSESSOR PARCEL NUMBER: 06-30-01-7-9-0250-0000- REPORT SALES TAX
Application type description RES REMODEL on your state excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 20000 (Location Code 0502)
- ----------------------------------------------------------------------------
Application desc
complete unfinished basement
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
DAVID R & DEBRORAH E RICH OWNER
2507 ROLLING HILLS CT
PORT ANGELES WA 98363
(360) 531-4814
_4- - ----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
(�j Additional desc REMODEL UNFINISHED BASMNT
Permit Fee . . . . 347.75 Plan Check Fee 226.04
Issue Date . . . . 2/02/16 Valuation . . . . 20000
Expiration Date 7/31/16
Qty Unit Charge Per Extension
BASE FEE 95.75
18.00 14.0000 THOU BL-2001-25K (14 PER K) 252.00
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . COMPLETE UNFINISHED BASMENT
Permit Fee . . . . 162.90 Plan Check Fee .00
Issue Date . . . . 2/02/16 Valuation . . . . 0
Expiration Date . . 7/31/16
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
3.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 21.75
2.00 ..10.6500 EA ME-STOVE/FIREP LACE/MISC. APP. 21.30
1.00 10.6500 EA ME-FUEL GAS PIPING,1-5 OUTLETS 10.65
3.00 14.8000 EA ME-HEATER(SUSP/WALL/FLOOR-MTD) 44.40
-------------------------------------------------------- -------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc COMPLETE UNFINISHED BASEMENT
Permit Fee 141.00 Plan Check Fee .00
Issue Date 2/02/16 Valuation . . . . 0
Expiration Date 7/31/16
Qty Unit Charge Per Extension
BASE FEE 50.00
9.00 7.0000 EA PL-PLUMBING TRAP 63.00
1.00 7.0000 EA PL-WATER LINE * 7.00
Separate Permits are required forelectrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit beco mes
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
CT__ 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
__9 not presume to give authority to violate or cancel the provisions of any 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 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
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
MECHANICAI:
Heat Pump/Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
lSkirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Electrical Inspection Type 417-4735 Date Accepted By
Construction -R.W. PW /Engineering 417-4831
Fire 417-4653
Planning 417-4750
1 Building 417-4815
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
I CUM-
Page 2
Application Number . . . . . 16-00000095 Date 2/02/16
Application pin number . . . 716065
# REPORT SALES TAX
Qty Unit Charge Per Extension on your state excise tax form
2.00 7.0000 EA PL-DRAIN VENT PIPING 14.00
1.00 7.0000 EA PL-WATER HEATER 7.00 to the City of Poif Angeles
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Special Notes and Comments (Location Code 0502)
February 2, 2016 11:47:55 AM pbarthol.
Project will result in the addition of 3 bedroom, 2
bathrooms, and a laundry room in the basement. No land use
problems anticipated. In the future if the basement is to be
used as a separate dwelling unit (separate kitchen)a
conditional use permit for an Accessory Residential Unit
will need to be applied for and approved prior to
conversion.
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Other Fees . . . . . . . . . STATE SURCHARGE 4.50
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Fee summary Charged Paid Credited Due
-------------- ---------- ---------- ---------- ----------
Permit Fee Total 651.6 5 651.65 .00 .00
Plan Check Total 226.04 226.04 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 882.19 882.19 .00 .00
Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permitbecomes
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 fro�l 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
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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspec tion Type Date Accepted By Comments
FOUNDATION:
Footings
Sternwall
Foundation Drainage/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/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
lSkirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting ESA:
Landscaping SHORELINE:
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
1 Building 417-4815
For City Use
THE
CITY OF Pik, Rip "IN LES;,
Ar
Permit#
W A S H I N G T 0 N, U . S. Date Received: ;01
321 E 51h Street Date Approved I /.a I'l 642
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits0cilj�ofpa.us BUILDING PERMIT APPLICATION
ProjectAddress: 25-0 -7 Rol/,49 11,,11S e� P6,,� /Vn5tle-6
Phone: �3-1� O 5:?
PrimaKyContact: Email: a'1 Itt W I q*"4,1 C'am
Name Phone
Property Mailing Address Email
Owner
City State
Name 0, Phone
Contractor Address Email
Information city State Zip
[Contractors License# Exp.Date:
Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor)
$ zo
Residential El"" Commercial 11 Industrial 1:1 Public 1:1
Permit Demolition El Fire 11 Repair 11 Reroof(tear off/lay over) El
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 [I Plumbing 1:1 Other El
Fire Sprinkler System? ; Irrigation System? Proposed Bathrooms Proposed Bedrooms
Yes 13 No 13 Yes 0 No 13 � Z � 3
Project Descri tion pet Fara�"as,-�
7 Waff
easlstda, oC pre Doe
'Add- C00L"Op -Poo r. 6cui-
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Is project in a Flood Zone: Yes [3 NoO 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 i8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
Date Print Name
Residentia IStructures
For Office Use
Area Description(SQ FT) Existing Proposed ss value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or2"floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
For Office Use
Area Descriptions(SQ FT) Existing Proposed ss Value
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) %Lot Coverage(Total lot coverage lot size)
Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site coverage-- 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)) #.'7
Boiler/Compressor Size: # Heating/Cooling appliance #
ation
Evaporative Cooler(attached,not # et V!/Wood-�urning(Gi�) #
portable) Fireplace as tov Gas Coo tove/Misc.
Fuel Gas Piping #of Outlets: Ten-t-ii-atlo-n-ra—n,single duct # -3
Furnace/Heat Pump/ Size: 1-ftS # Ventilation System #
Forced Air Unit Ir I I
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps # Fuel gas piping #of Outlets:
Water Heater -S-0 e?'2flo-3-7 # Medical gas piping #of Outlets:
Water Line #[ Plumbing Vent piping #2-
Sewer Line # Industrial waste pretreatment
I interceptor(Grease Trap) Size
Other(describe):
T:\BUILDING\APPLICATION FORMS\Current 13P Application\Building Permit 4-17-13.docx
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C"OF FORT ANGELE ion Plans
The issuance of this Perin band u then Plans
" ll�
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1p"ifIcations and,other data shall t prevent the
building official fim the%afteC requir"ing the
s and
Correction of errors in said pt "I'Cabon
other dm&or from preve a operations
.1vA violation of A
being carried on thereunder when ir
UY
todeg MW ordhmices of this jurisdi,mon.
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