HomeMy WebLinkAbout3003 S. Oak Street Address:
3003 S Oak Street
PREPARED 7/06/17, 13:05:43 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/06/17
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ADDRESS . : 3003 S OAK ST SUBDIV:
CONTRACTOR HOME DEPOT AT-HOME SRVCS, THE PHONE (770) 779-1300
OWNER BAWDEN GEORGE R PHONE
PARCEL 06-30-16-5-2-0080-0000-
APPL NUMBER: 16-00000594 RE-ROOF
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PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
---------------
BL99 01 7/06/17 BLDG FINAL TIME: 17:00
IJKNorthwest Permit
------------------------- ---------- COMMENTS AND NOTES --------------------------------------
k-A I y U-P PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number 16-00000594 Date 4/26/16
Application pin number 96,9942
Property Address . . . . . . 3003 S-OAK ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-/30-16-5-2-0080-0000-
on your state excise tax form
Application type description RE-ROOF
Subdivision,game to the City of Port Angeles
Property Use . . . . . .
Property, �on,in RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Appli catipAyaluat ion 22744
------------------------------------ ---------------
App
REPLACE�ICOMP, �PLYWOOD. AND I SKYLIGHT
---------------------------------------------
Owner,' Contractor
:J,
------------ -----------------------
'HOME DEPOT AT-HOME SRVCS,
GEORGE P THE
3b'ok S`6AK'1ST """'26§0 CUMBERLAND PKKY, STE 300
PORT ANGELES WA 98�626924- '' ATLANTA GA 30339
(770) 779-1300
---------------- ------------------------ -----------
Permit BUILDING PERMIT NO PR FEE
'Additional:,�desc
Permit Fee 389.75 Plan Check Fee .00
Issue 4/26/16 Valuation 22744
E
xpira ion/�,nate 10/23/16
Qty
"Unit Charge Per Extension
BASE FEE 95,75
21.00 14.0000 THOU, 'BL-2001-25K (14 PER X) 294.00
--------------------- ----------------------------------
other Fees, STATE�SURCHARGE 4.50
--------------------- -----------------1-111 -----------------------------------
Fee summary Charged Paid Credited Due
----------------- -------7-- ---------- ---------- ----------
Permit Fee'Total 389.75 389.75 .00
Plan Che6k�Total,, .00 .00 '00 .0,0
Other,Fee,;,T6tal 4,50 4.50 .00 �00
394.25 394.25 .00
S�Oarate Per6lti 'required for electrical work,StPA,Shoreline,ESA,utilities,private and public im—provements This
are
pdrmitbecomes
null and voild If work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
fora 'eriod of
P 180 days after the work has c6mminiced,or if required Inspections have not been requested within 180 days from the
last Inspection. �hereby certify that I have rea 0 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 grantirig of a permit does
not presume to give authority to violate or cancel the provisions of any state or local 16�w regulating construction or the performance of
c
onstruction Diglially signed by Kathleen Gange
DN:-Kathleen Genge.Notthwest Perrnit i—,ou=North—t
Pernni inc.mail=kat@nwpemil.wm,c=us
Xathlbbfi Genge ..12016.04,2614.30.46-071W
Adob
a Ambat CC venlion;2015.010.20060
-he Signature of Contractor or Authorized Agent Signature of Owner(if owne�,li,bu,ildeir)
D6te ,PririI'N6F
/B u Iding D 6didiinidParmit
_t,-F6r'M9 11 ivisi6n/
BUILDING PERMIT INSPECTION RECORD,
PLEASE PROVIDEA MINIMUM 24-HOUR NOTICE FOR INSPECTIONS
Building Inspections 417-4815
Electrical Inspecti6ris,417-4735
Public Works Utilities 417-4831 Backfiow Prevention Insoections 17-4886
;4
IT IS UNLAWFUL TO C
OVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POSIT PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
lInspection Type bate
A�6epted By
�--Comments
FOUNDATION:
Footings
�itemwall
Found tion Drainage I Down-spouts
Piers
Post Holes(Pole Bldgs.) �7 I
PLUMBING:
Under Floor Slab
Kougn-ln
water Line(Meter to Bldol
uas Line
Back Flow r
AIR,SEAL:
walls
Ceiling
FRAMING:
Joists/Girders Under Floor
Shear Wall/Fold�Downs
walls/Roof/Ceiling
Drywall(interior Braced Panel ORIvi
I-Bar e
INSULATION:
Slab
Wall/Floor Ceiling
MECHANICAL:
:F:
Heat Pump/ urnace FAU Ducts
Rou -In
h
GaS Line
Wood StoveTpeiiet Chimn
s
Commercial Hood Duct
MANUFACTU ED HOMES:
Slab
Blocking&Hold Downs
IbKirung
'PLANNING DEPT. Separate Permit#s
SEPA:
Lanascapinq ESA:
SHORELINE:
FINALINSPECTIONS REQUIRED"PRIORTO 0CCQ1?AN
PY-1 QSE
v-
'D te
Insoection'Type
a cept6 Bv
Ad
Electric'
al 417-4735
Co I nstruction -R.W. PW-/En2ineerinq 417-,48dl
Fire 7,
417-4653
Plannina
417-4750 ,
Building
41774815' .
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 16-00000594 Date 4/26/16
Application pin number . . . 969942
Property Address . . . . . . 3003 S OAK ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-16-5-2-0080-0000- on your state excise tax form
Application type description RE-ROOF
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 22744
----------------------------------------------------------------------------
Application desc
REPLACE COMP, PLYWOOD, AND 1 SKYLIGHT
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BAWDEN GEORGE R HOME DEPOT AT-HOME SRVCS, THE
3003 S OAK ST 2690 CUMBERLAND PKWY, STE 300
PORT ANGELES WA 98�.626924 ATLANTA GA 30339
(770) 779-1300
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT - NO PR FEE
Additional desc
Permit Fee . . . . 389.75 Plan Check Fee .00
Issue Date . . . . 4/26/16 Valuation . . . . 22744
Expiration Date . . 10/23/16
Qty Unit Charge Per Extension
BASE FEE 95.75
21.00 14.0000 THOU EL-2001-25K (14 PER K) 294.00 e__C 42
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
--- ------- ------- ---- -------- ---
Fee summary Charged Paid Credited Due A-
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 389.75 389.75 .00 .00 3. 10
Plan Check Total .00 .00 .00 .00 1;
Other Fee Total 4.50 4.50 .00 .00
Grand Total 394.2S 394.25 .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 1180 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.
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
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 I Ceiling
Drywall(Interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pump/Furnace f FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood I Ducts
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
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 /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
THE For City Use
CITY 0 ORT NGEL ES, 16 , 5-��
P A, Permit#
V4ASH INGTON, U. S. Date Received: b
321 E 51h Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits0ciWfUa.us BUILDING PERMIT APPLICATION
Project Address:3003 S Oak St
NW Permit/Naida Khan Phone:360-945-2787
Primary Contact: Email:naida@nwpermit.com
Name Jeri Bawden Phone 360-460-9317
Property Mailing Address Email
Owner 3003 S Oak St
city Port Angeles State Wa Zip 98362
Name Phone
THD Home Compliance C-11 800-381-5699
Contractor Address 2455 Paces Ferry Road Email
Information c'tyAtlanta State GA z'P 30339
E-p.Date:2/3/17
Contractor License#HOMED**972RQ -F
Legal Description: Zoning: Tax Parcel# Piroject Value: (materials and labor)
OAKCREST LOT 9 EXC EASE 68539 $ 22,744.25
Residential W Commercial 0 Industrial 0 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 11 Exterior Remodel 11 Addition 0 Tenant Improvement
appropriate) I Mechanical 11 Plumbing 11 Other 11
Fire Sprinkler System Proposed Irrigation System Proposed or roposed Bathrooms Proposed Bedrooms
or Existing? Yes 13 No E3 Existing? Yes [3 No [3 1
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater(&cityofpa.us
Project Description Wq0tKdhW35S*UMM0Tcomp. 33.7 squares of plywood,amd I sk#1W I I Reflarl like
Wq0hathS 35 squwm at comp, 33.7 squares of plywood,and I sk,1410M WWWrIllke
Is project in a 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 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 will be forfeited.
b,Kthf—G�.
Kathleen �thW-�nW,-N—mt Pjt
�us
1 4�
Date 4=Af)6 Print Name Kathleen Genge Signature Genge �e=I�M__2015.010.2�
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
I., I
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 #
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
'PREPARED 4/26/16, 12 : 01 :48 i PAYMENT DUE
CITY OF PORT ANGELES � I k Q� t __ _2_P:�7 PROGRAM BP820L
--------------------------------------- - --------------------
APPLICATION NUMBER: 16-00000594 3003 S OAK ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
BUILDING PERMIT - NO PR FEE 389 . 75
STATE SURCHARGE 4 . 50
TOTAL DUE 394 . 25
Please present this receipt to the cashier with full payment
city of Port Angeles - OnePoint PoS
321 E Sth St
Port Angeles WA 98362
Telephone: 364-457-0411
*** SALES SLIP ***
Oper: DSHARNBR Type: CT Drawer: I
Date: 4/26/16 01 Receigt no:
Seq n 14101
Merch ID #: goal L/
Cross ref#: 272970
Card no:
Card type: MASTER CARD
Auth code: 496900
Date: 4/26/16 Time: 12:43:42
Payment total: $394.25
CARDHOLDER ACKNOWLEDGES RECEIPT OF GOODS
AND/OR SERVICES IN THE AMOUNT OF THE
TOTAL SHOWN HEREON AND AGREES TO PERFORM
THE OBLIGATIONS SET FORTH IN THE CARD-
HOLDER'S AGREEMENT WITH THE ISSUER.
Signature:CYNDAL MILLHELLIN
CUSTOMER COP
CITY OF PORT ANGELES C7
*** CUSTOMER RECEIPT ***
Opter: DSHARNBR Type: CT Drawer: I
Da e: 4/26/16 01 Receipt no: 41138
Year Number Amount
2016 594
3603 S OAK ST
,;PORT ANGELES WA 98362
BP WILDING PERMITS $394.25
Trans number: 1913152
THE HOME DEPOT
HOME DEPOT FOR 3863 S OAK ST
PRMT#594 OP PYNNT $394.25
DJS
Tender detail
OP CREDIT CARD $394.25
Total tendered $394.25
Total payment $394.25
Trans date: 4/26/16 Time: 12:43:42
***THANK YOU FOR YOUR PAYMENT***
. FOR INGUIRIES 360-457-0411 PRESS I
WWW.CITYOFPA.US