HomeMy WebLinkAbout411 S Valley Street Address:
a I ley Street
PREPARED 3/13/15, 12:55:05 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/13/15
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ADDRESS . : 411 S VALLEY ST SU13DIV:
CONTRACTOR : PHONE :
OWNER RICHARD MARSHALL/C SWANSON PHONE : (360) 643-2056
PARCEL 06-30-00-0-0-8630-0000-
APPI, NUMBER: 14-00000470 RES REMODEL
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PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL3 01 1/09/15 PB BLDG FRAMING
1/20/15 AP December 30, 2014 8:38:47 AM pbarthol.
Richard 360-643-2056
January 9, 2015 8:54:50 AM jlierly.
January 20, 2015 10:20:33 AM pbarthol.
BL99 01 3/13/15 J BLDG FINAL
_"r6 — March 13, 2015 12:57:49 PM pbarthol.
----------- T------ ----4--------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME1 01 12/30/14 PB MECHANICAL ROUGH-IN
1/20/15 AP December 30, 2014 8:39:53 AM pbarthol.
Richard 360-643-2056
January 20, 2015 10:20:33 AM pbarthol.
ME99 01 3 1 �15 MECHANICAL FINAL
March 13, 2015 12:57:58 PM pbarthol
----- --- ---- -------- -- ---------
IT
$9-
PERMIT: PL 0 PLU]MBI. IT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
PL2 01 12/30/14 PB PLUMBING ROUGH-IN
1/20/15 AP December 30, 2014 8:40:18 AM pbarthol.
Richard 360-643-2056
January 20, 2015 10:20:33 AM pbarthol.
PL99 01 3/li/15 JLL PLUMBING FINAL
1�?_ March 13, 2015 12:58:18 PM pbarthol.
--------- --- COMMENTS AND N9e--\
ES -------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 14-00000470 Date 5/13/14
Application pin number . . . 230630
Property Address . . . . . . 411 S VALLEY ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-8630-0000- REPORT SALES TAX
Application type description RES REMODEL
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . INDUSTRIAL LIGHT
Application valuation . . . . 2000 (Location Code 0502)
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Application desc
ADD BATHROOM UPSTAIRS
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Owner Contractor
------------------------ ------------------------
RICHARD MARSHALL/C SWANSON OWNER
PO BOX 2983
PORT ANGELES WA 98362
(360) 643-2056
-----------------------------------------------------------------------------
Permit . . . . . . BUILDING� PERMIT -RESIDENTIAL
Additional desc INSTALL BATHROOM UPSTAIRS
Permit Fee . . . . 95.75 Plan Check Fee 62.24
Issue Date 5/13/14 Valuation . . . . 2000
Expiration Dat e 11/09/14
Qty Unit Charge Per Extension
BASE FEE 50.00
15.00 3.0500 HND BL-501-2K (3.05 PER C) 45.75
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Permit . . . . . . MECHANICAL PERMIT
Additional desc . . BATHROOM CONVERSION
Permit Fee . . . . 57.25 Plan Check Fee .00
Issue Date . . . . 5/13/14 Valuation . . . . 0
Expiration Date 11/09/14
Qty Unit Charge Per - Extension
BASE FEE 50.00
1.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 7.25
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Permit . . . . . . PLUMBING PERMIT
Additional desc . . UPSTAIRS BATHROOM ADDITION
Permit Fee . . . . 92.00 Plan Check Fee .00
Issue Date . . . . 5/13/14 Valuation . . . . 0
Expiration Date . . 11/09/14
Qty Unit, Charge Per Extension
BASE FEE 50.00
3.00 7.0000 EA PL-PLUMBING TRAP 21.00
1.00 7.0000 EA PL-WATER LINE 7.00
2.00 7.0000 EA PL-DRAIN VENT PIPING 14.00
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Special Notes and Comments
May 12, 2014 5:12:01 PM sroberds.
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 [a Ilating construction o e ce of
construction.
�/ 5�;l 11,7 1141
v / - - I
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is bbIlder)
T:Forms/Building Division/Building Permill
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
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-in
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders I 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 I Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting ESA:
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 1 1
T:Forms/Building Division/Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Page 2
Application Number . . . . . 14-00000470 Date 5/13/14
Application pin number . . . 230630
---------------------------------------------------------------------------- REPORT SALES TAX
Special Notes and Comments
Proposal will result in conversion of existing bedroom to on your state excise tax form
bathroom space. No additional living area will result. to the City of Port Angeles
Residential use is nonconforming in the IL zone. No change
in use will occur. (Location Code 0502)
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---------------------------------
Other Fees . . . . . . . STATE SURCHARGE 4.50
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 245.00 245.00 .00 .00
Plan Check Total 62.24 62.24 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 311.74 311.74 .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)
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 FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders I 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 I 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:
Parking/Lighting ESA:
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:Forms/Building Division/Building Permit
THE For City Use
CITY oF .-YORT �jGELES
-70
P A'
Permit#
V�' A S H IN GTON. U. S.. Date Received: .e14-119
321 E Sth Street ate Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email: permits Ocilyo(pa.us BUILDING PERMI APrPLICATION
Project Address: 4 Vig L L-�� V)— Pck 61ELZ,
Pvc'-�jA-R-o Phone:-("?az,�o )
Prima!1 Contact: Email: 1 e
k ,,. y�-
�n Q�I I t& IM 4Q
rJame Phone
KJQ4PJW - S-4 rn
Property klaiting Address Email
Owner Q,v2JI)x 7A 92� -.9 ry'. g-
C* State V
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Name Phone
Contractor Address Email
Information city Stat zip
Contractors lAcense# Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
IT I-
Residential a Commercial El Industrial 13 Public 13
Permit Demolition 13 Fire 13 Repair E3 Reroof(tear off/lay over) 11
Classification For the following,fill out both pages of permit application:
(check w Construction 13 Exterior Remodel 13 dition 0 Tgnant improvement 13
I Ne
_Ad
icfi��il- 0 Plumbing U Other 63 J r-,r-j4:;a I LA )e ery-VD12 c-L-
. Fire Sprinkler S tem?Tlrrigation System? Proposed Bathrooms Proposed Bedrooms
Yes 0 No W I Yes 0 No 9 1 1
Project Description -T-L)yZN 6 rvL5 4)if 4r-
p IzDorv-) ::�,
tT)—+-3 go-D k-/N ko -)rVA is 1:�� !�Trt'i ) AR
Is project in a Flood Zone: Yes E3 Nofi�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.
Datd Print N�me Signature
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed ss value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or 2"floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
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 C eraxe Calculations
Lot Size(sq ft) Lot Coverage(sq ft) %Lot Coverage(Total lot coverage+lot size)
Site Co' of all Impervious) of Site Cove!!age(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 #
repair/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-buming/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 I
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 # 2,
Sewer Line # 71ndustrial waste pretreatment
I Interceptor(Grease Trap) Size
Other(describe): —
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