HomeMy WebLinkAbout321 E 12th Street Address:
321 E 1211 Street
PREPARED 5/15/17, 8:55:54 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/15/17
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ADDRESS . ; 321 E 12TH ST SUBDIV:
CONTRACTOR : PHONE : � 11
OWNER JOHN / PAMELA MARSHALL JT PHONE : (360) 457-0708
PARCEL 06-30-00-0-3-4170-0000-
APPI, NUMBER: 17-00000016 RES REMODEL
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PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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EL99 01 5/15/17 BLDG FINAL
may 15, 2017 8:41:22 AM jlierly.
John 457-0708
------------------------- ----------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 17-00000016 Date 1/25/17
Application pin number . . . 242464
Property Address . . . . . . 321 E 12TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-4170-0000-
Application type description RES REMODEL 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 20000
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Application desc
Remodel Kitchen
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Owner Contractor
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JOHN / PAMELA MARSHALL JT OWNER
321 E 12TH ST
PORT ANGELES WA 98362
(360) 457-0708
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Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc . . REMODEL KITCHEN
Permit Fee . . . . 347.75 Plan Check Fee 226.04
Issue Date . . . . 1/25/17 Valuation . . . . 20000
Expiration Date 7/24/17
Qty Unit Charge Per Extension
BASE FEE 95.75
18.00 14.0000 THOU BL-2001-25K (14 PER K) 252.00
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Other Fees . . . . . . . . .. STATE SURCHARGE 4.50
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Fee summary . Charged Paid Credited Due
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Permit Fee Total 347.75 347.75 .00 .00
Plan Check Total 226.04 226.04 .00 .00
Other Fee Total 4.50 4.50 .00 .00
-Grand Total 578.29 578.29 .00 .00
Kj
Separate Permits are required forelectrical 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! .1 law regulating construction or the performance of
construction.
N4�S- I—) -� G% Ny�'�I
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 PROVIDEA 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 Ndgs.)
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
ISkirting
PLANNING DEPT. Separate Permit#s ISEPA:
Parking/Lighting ESA:
Landscaping --]SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction - R.W. PIN /Engineering 417-4831
Fire 417-4653
Planning 417-4750
—Building 417-4815
THE For City Use
s
CITY OF ..1F,
I A- Permit#
W A S H I N G T 0 N , U. S. Date Received: I (:I-
321 E S1h Street DateApproved Ibi I I!::I
Port Angeles,WA 9836 IL
P:360-417-4817 F:360-417-4711
Email:permits0cityoflia.us BUILDING PE PPLICATION
Project Address: -3)0 6 , -K
Phone: 3 6 17 , tj 6-7 0—) 0 4S
Primary Contact: Q):� \-Y\r., 4,f� Email: '5T c kw k—&T* �p P,\�t c�,b 1P
Name Phone
Property ' Mailing Address -7 Email
Owner %6,
City Statew zip�
Name Phone
0&AA4-�r-
Contractor Address Email
Information city State zip
Contractor License# Exp.Date-
Legal Description: Zoning: Tax Parcel# Projeq Value: (materials and labor)
$
Residential 19 Commercial Industrial 11 Public El
Permit Demolition 13 Fire 11 Repair 0 Reroof(tear off/lay over)
Classification For the following,fill out both pages of permit application:
(check New Construction 11 Exterior Remodel El Addition 0 Tenant Improvement 0
appropriate) Mechanical El Plumbing 1:1 Other 29
p --l—opose Bedrooms
Fire Sprinkler System Proposed Irrigation System Proppsed or I Pro osed Bathrooms Pi
or Existing? Yes 0 No )( I Existing? Yes 0 No K I IVA I tv
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
.US
www. tormwater(ftwnham
Project Description 6��e g!"aA -\q- 4 tD R ,&, -:2-k CIA
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Is project in a Flood Zone: Yes 0 NoX 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:t8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
Date Print Name Si
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"of 2 nd floor),
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Area Descriptions(SQ IT) 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
I all structures sq ft ,: I
Site Coverage(Sq Ft of all impervious) O/o of Site Coverage(total site cov-.- lot size)
9 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:
I.. -
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 #
Furnacej'Heat Pump/ # Ventilation System #
Forced Air Unit 71�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:
W�o \)-O' o
Sewer Line # Industrial waste pretreatment
interceptor Grease Trap' Size
Other(describe):
T:\Forms\2015 CED Form Updates\Building&Permitting\BP\BuildingPerinit2015041S.docx
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