HomeMy WebLinkAbout313 E. 12th Street Address:
313 E 1211 Street
3� 3
PREPARED * 3/19/15, 13:55:30 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/19/15
------------------------------------------------------------------------------------------------
ADDRESS . : 313 E 12TH ST SUBDIV:
CONTRACTOR LARRY'S ROOFING PHONE (360) 452-2215
OWNER SHARON H MADDOX PHONE
PARCEL 06-30-00-0-3-4160-0000-
APPL NUMBER: 15-00000253 RE-ROOF
------------------------------------------------------------------------------------------------
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT " RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL99 01 3/19/15 JLL BLDG FINAL
(0 March 19, 2015 9:S8:51 AM pbarthol.
-% Tom 461-0517
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
I'll
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION L/I
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00000253 Date 3/1G/15
Application pin number . . . 013678 L)i
Property Address . . . . . . 313 E 12TH ST
ASSESSOR PARCEL NUMBER: OG-30-00-0-3-4160-0000-
Application type description RE-ROOF REPORT SALES TAX
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY to the City of Port Angeles
Application valuation . . . . 6800
- ----------------------------------------------------------------------------- (Location Code 0502)
Application desc
tear off/install comp
- ----------------------------------------------------------------------------
Owner Contractor
- ------------------------ ------------------------
SHARON H MADDOX LARRY'S ROOFING
116 N TARA LN 352 AVIS ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452-2215
-----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF/INSTALL COMP
Permit Fee . . . . 1G5.75 Plan Check Fee .00
Issue Date . . . . 3/16/15 Valuation . . . . G800
Expiration Date 9/12/15
Qty Unit Charge Per Extension
BASE FEE 95.75
5.00 14.0000 THOU BL-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 4:5 0 4.5.0 .00 .00
Grand Total 170.25 170.25 .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 re Wred inspectiorts have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined�i i pplication and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be compled ith whether specified herein or not. The granting of a permit does
;h
f a,
not presume to give authority to violate or cancel the ovisions f a y 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:
Tootings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs)
PLUME31NG:
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 Unlyl—
T-Bar
INSULATION:
Slab
Wall I Floor I Ceiling
MECHANICAL:
Heat Pump/Furnace/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:
ESA:
11-andscaping 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
1 Building 417-4815
T:Forms/Building Division/Building Permit
THE For City Use
CITY OF ;"OR 1�jGELES
P TA Permit#
W A S H I N G T 0 N, U . S. Date Received:
321 E 51h Street Date Approved
Port Angeles,WA 9836
P: 360-417-4817 F:360-417-4711
Email:permits(@ cityofpa.us
BUILDING PERMIT APPLICATION
Project Address: 313 E. W/A
01 Phone: A 21— V—LS
Primary Contact: 10M K)�Ojes Email:
Name - Phone
Property Mailing Address Email
Owner I I
City State Zip
Name J.� Phone
Contractor Address Email
1�z h1k.
Information city 1)L State zip
7. Aft-ei�� I
Contractor License# V p.Date:
Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor)
$ 6"--
Residential Commercial Industrial E] Public E]
Permit Demolition E] Fire [:]— Repair El Reroof(tear off/lay over)
Classification For the fo lowing, fill out both pages of permit application:
(check New Construction F-1 Exterior Remodel E] Addition 0 Tenant Improvement
appropriate) Mechanical F-1 Plumbing 0 Other 0
Will a fire sprinkler system be installed Irrigation System? Proposed Bathrooms Proposed Bedrooms
or modified? Yes El ko El Yes [] No E:
Project Description
Is project in a Flood Zone: Yes NoF-� 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 a d-Wication before the permit is
issued. I understand that if the permit is not picked up/issued within i s of submittal,the application
will be considered abandoned and thAfees will be forfeited.
L
0)-A AS
t, I
Date Print Name Signature
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed $$value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or 2 d floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Proposed 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): #
Boiler/Compressor Size: # Heating/Cooling appliance #
ation
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable): Fireplace/ as Stove/Gas Cook Stove/Misc.
Fuel Gas Piping: #of Outlets: Ventilation Fan, single duct: #
Furnace/Heat Pump/ Size: # Ventilation System: #
Forced Air Unit:
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps # Fuel gas piping #of Outlets:
Water Heater # Medical gas piping #of Outlets:
Water Line # Plumbing Vent piping #
Sewer Line # Industrial waste pretreatment
interceptor(Grease Trap) Size
Other( escribe):
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx