HomeMy WebLinkAbout3633 Crabapple Place Address:
3633 Crabapple Place
PREPARED 12/13/16, 8:38:38 INSPECTION TICKET PAGE. 10
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/13/16
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ADDRESS . : 3633 CRABAPPLE PL SUBDIV:
CONTRACTOR FORMOST BUILDERS INC. PHONE (360) 461-3978
OWNER YOUNG SOOK & BRENT R ROWLAND PHONE (602) 717-3959
PARCEL 06-30-15-6-1-0260-0000-
APPL NUMBER: 16-00001797 RES REPAIR
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PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
----------7-------------------------------------------------------------------------------------
BL99 01 12/09/16 JLL BLDG FINAL
12/09/16 DA December 8, 2016 8:36:00 AM jlierly.
Bobby 461-3978
December 9, 2016 4:12:53 PM jlierly.
Hand rail reqd per code/ 2x block under beam in between
joiSt/ 2 mech fastners required per code/jll
BL99 02 12/13/16 BLDG FINAL
%V December 13, 2016 8:39:57 AM jlierly.
14 \"
.) Bobby 461-3978
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 16-00001797 Date 12/07/16
Application pin number . . . 154716
Property Address . . . . . . 3633 CRABAPPLE PL
ASSESSOR PARCEL NUMBER: 06-30-15-6-1-0260-0000- REPORT SALES TAX
Application type description RES REPAIR on your state excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 10000 (Location Code 0502)
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Application desc
Repair deck
--------------------
----- ----------
Owner Contractor
------------------------ ------------------------
YOUNG SOOK & BRENT R ROWLAND FORMOST BUILDERS INC.
175 BLUE SKY DR POB 195G
PORT TOWNSEND WA 98368 SEQUIM WA 98382
(602) 717-3959 (360) 461-3978
----- -------- ----- --------
Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc . . REPAIR DECK
Permit Fee . . . . 207.75 Plan Check Fee 135.04
Issue Date . . . . 12/07/16 Valuation . . . . 10000
Expiration Date G/05/17
Qty Unit Charge Per Extension
BASE FEE 95.75
8.00 14.0000 THOU BL-2001-25K (14 PER K) 112.00
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Special Notes and Comments
December 7, 2016 11:59:08 AM pbarthol.
Project will result in the rebuilding of an existing deck.
No land use problems anticipated.
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Other Fees . . . . . . . . . STATE SURCHARGE 4.50
------------------------------------------------ ---------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 207.75 207.75 .00 .00
Plan Check Total 135.04 135.04 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 347.29 347.29 .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.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
L__
T:Forms/Building DivisiontBuilding 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:
Tootings
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
[Skirting
PLANNING DEPT. Separate Permit#s EPA:
Parking/Lighti ESA:
Landscaping dSHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction - R.W. PW /Engineer ng 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
THE For City Use
CITY OF L ' Permit#
W A S H I N I G T 0 N, U. S. Date Received:
321 E 51h Street Date Approved 41W10%
Port Angeles,WA 9836 W
P:360-417-4817 F:360-417-4711
Email:permits0ciWoflaa.us
BUILDING PERMM14A PLICATION
Project Address: Na33 S- CvaJ-> le-
I Phone:
PriTAry Contact: I Email: k1k4mtJ-s(e W-50,6t�
Name vbv�v)-, Phone &02 - 217- 3�0
Property Mailing Address -J Email
17� a/vuJa
Owner
City State OA- zip 99 3 J2
Name Phone qW- 3 7?
Contractor Address PO 1?D)( Email kk t,�7�q he?5 il,
Information City State zip
Contractor Lecense# Date:
Legal Description: Zoni�ng�: Tax Parcel# Project Value: (materials and labor)
I D V -;I--� (96,301 S--(a/01—qao $ i0l ODO
Residential Commercial 11 Industrial 0 Public
Permit Demolition El Fire 11 Repair 11 Reroof(tear off/lay over) S
Classification For the following,fill out both pages of permit application:
(check New Construction El Exterior Remodel 11 Addition 11 Tenant Improvement El
appropriate) Mechanical El Plumbing 11 Other Eg-DectL-
Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms
or Existing? Yes 13 No 0 1 Existing? Yes 13 No [3 1 1
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plan and Engineering to
www.stormwater(a)ci 0 a.us
Project Description
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 jL8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
Date-(�( Print Name Signature
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)
I
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
I all structures sq ft
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 I I
Plumbing Fixtures
Indicate how many of each type of fixture 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:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 201SO41S.docx
FORMOST BUILDERS INC Page I of 2
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FORMOST BUILDERS INC
Owner or tradesperson P 0 BOX 1956
SEQUIM,WA 98382
Principals 360-460-1232
FORSHAW,MATTHEW JOHN,PRESIDENT CLALLAM County
FORSHAW,STACY,SECRETARY
(End:09/15/2016)
Forshaw,Robert Arthur,VICE PRESIDENT
(End:09/17/2016)
Doing business as
FORMOST BUILDERS INC
WA UBI No. Business type
602567958 Corporation
Governing persons
MATTHEW
i
FORSHAW
STACEY K FORSHAW;
License
Verify the contractor's active registration license certification(depending on trade)and any past violations.
C.o.Pstructi.o.n Cori.tra.c.tpr Active.
Meets current requirements.
License specialties
GENERAL
License no.
FORMOB1949BQ
Effective—expiration
011118/2006—09/1912018
Bond
CBIC $12,000.00
Bond account no.
638709
Received by L&I Effective date
01118/2006 01101/2006
Expiration date
Until Canceled
I.n.s q.r.a.Rc..P
Contractors Bonding&Insuranc $1,000,000.00
Policy no.
C11638709
Received by L&I Effective date
09108/2016 11/01/2016
Expiration date
11/01/2017
Insurance history Help us improve
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602567958&LIC=FORMOB1949BQ&SAW= 12/2/2016
FORMOST BUILDERS INC Page 2 of 2
Saving.s.
No, savi.ngs accounts during the previous 6 year period.
,Lawsuits against the bond.oTsay!PP
No ii,w"s*u"i,t,s—"a,g"a"!*n''st'*'t"he*"b"o''n*'d or savings accounts during the previous 6 year period.
L&I Tax debts
k6igi tax de"'bts are recorded for this contractor license during the previous 6 year period,but some debts
may be recorded by other agencies.
License Violations
Rolm,e n's,e vlo'-lat"llo''ns during the previous 6 year period.
Workers' comp
Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums.
L&I Account ID Account is current.
000,924-01
...............
Doing business as
FORMOST BUILDERS INC
Estimated workers reported
Quarter 3 of Year 2016"0"Workers
L&I account representative
TO/KARLA BOWMAN(360)902-5535-Email:BOWK235@lni.wa.gov
Workplace safety and health
Check for any past safety and health violations found on jobsites this business was responsible for.
Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington.
Help us improve
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602567958&LIC=FORMOB1949BQ&SAW= 12/2/2016
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