HomeMy WebLinkAbout311 W 10th Street PREPARED 1/06/17, 11:20:53 INSPECTION TICKET PAGE' — 11
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/06/17
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ADDRESS . : 311 W IOTH ST SUBDIV:
CONTRACTOR PAUL E PETERSON PHONE (360) 670-2320
OWNER CHURCH, CHARLES E PHONE
PARCEL 06-30-00-0-2-9485-0000-
APPL NUMBER: 17-00000020 RESIDENTIAL 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 1/06/17 L BLDG FINAL
January 6, 2017 11:06:20 AM jlierly.
Debbie 461-6392
-------------------------- ------ COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY a ECONOMIC DEVELOPMENT- BUILDING DIVISION
C19F 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 17-00000020 Date 1/05/17
Application pin number . . . 624200
Property Address . . . . . . 311 W 10TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-9485-0000- REPORT SALES TAX
Application type description RESIDENTIAL RE-ROOF on your state excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 7859
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Application desc
roof over comp
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Owner Contractor
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CHURCH, CHARLES E PAUL E PETERSON
311 W 10TH ST PO BOX 761
PORT ANGELES WA 983627604 NEAH BAY WA 98357
(360) 670-2320
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Permit . . . . . . BUILDING PERMIT NO PR FEE
Additional desc . . ROOF OVER COMP
Permit Fee . . . . 179.75 Plan Check Fee .00
Issue Date . . . . 1/05/17 Valuation . . . . 7859
Expiration Date 7/04/17
Qty Unit Charge Per Extension
BASE FEE 95.75
6.00 14.0000 THOU BL-2001-25K (14 PER K) 84.00
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Other Fees . . . . . . . . . STATE SURCHARGE 4.50
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 179.75 179.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 184.25 184.25 .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 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 ro isions of any state or local law regulating construction or the performance of
cons ru ion.
a I �A Z�'��
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Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:FormstBuilding 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.
Inspecti on Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
FLUMBING:
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:
Tooting/Slab
Blocking&Hold Downs
,Skirting
PLANNING DEPT. Separate Permit#s ISEPA:
Parking/Lighting IESA:
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
—Building 417-4815
T H For City Use
CITY OP NG
LIES
P-A- Permit# '00
1W A S H I N G T 0 N , U. S.
Date Received:
321 E Slh Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits(&ciWofVa.us BUILDING PERAHT APPLICATION
ProjectAddress: �A)- ;D.�94 /q/71LZ*a- ZAA 1?SZb C-;,-
Phone:
Primary Contact: Email:
Name Phone
Property Mailing Address Email
Owner Cit Z/I State �p
zt/�
Name Phone
44
Contractor Address Email
Information city State Zip
Contractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel# ProjectValue- ate ials and labor)
$
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Residential Commercial Industrial El Public D
Permit Demolition Fire 11 Repair Reroof(tear off/lay over)CC3,-.
Classification For the following,fill out both pages of permit application:
4' (check New Construction 11 Exterior Remodel 11 Addition 11 Tenant Improvement 0
appropriate)
Mechanical El Plumbing El Other El
or Existing? Yes 13 No--Z34Existing? Yes 0 Nd:!I� 7�posed Bathrooms I Proposed Bedrooms
Fire Sprinkler System Proposed I Irrigation System Proposed or
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater0cWy-0-fPa.us
Project Description 12
Is project ina Flood Zone: Yes E3 No4"lood 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 t8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
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DatZ Print Name