HomeMy WebLinkAbout4154.5 E. 5th Street Address:
414 Y2 E 51h Street
PREPARED 12/22/15, 14:OS:19 INSPECTION TICKET PAGE I
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/22/15
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ADDRESS . : 414 1/2 E STH ST SUBDIV:
CONTRACTOR : PHONE
OWNER OIROURKE, DANIEL V/ANN M PHONE
PARCEL 06-30-00-0-1-9825-0000-
APPI, NUMBER: 15-00000462 RES REPAIR
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PERMIT: BPR 00 BUILDING PERMIT - RESIDENTTAT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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BFF 01 8/17/15 JLL BLDG FLOOR FRAMING
8/17/15 AP August 17, 2015 10:20:17 AM jlierly.
808-3309 call first to let in
August 17, 2015 4:19:47 PM jlierly.
BLI 01 9/03/15 PB BLDG INSULATION
9/03/15 AP September 3, 2015 10:1S:53 AM pbarthol.
Floor insulation
Bruce 808-3309 call 20 min ahead
September 4, 2015 9:16:49 AM pbarthol.
BFF 02 9/24/15 JLL BLDG FLOOR FRAMING
9/24/1S AP September 24, 2015 8:57:03 AM jlierly.
Casey 460-8891
September 24, 2015 4:26:06 PM jlierly.
BEXS 01 9/30/15 JLL BLDG EXTERIOR SHEETING
10/26/15 AP September 30, 2015 9:22:57 AM jlierly.
Casey 460-8891
October 26, 2015 10:27:20 AM jlierly.
BAIR 01 10/21/15 JLL BLDG AIR SEAL
10/21/15 AP October 21, 2015 9:16:35 AM jlierly.
dan 808-3309
October 21, 2015 4:40:38 PM jlierly.
BL3 01 10/21/15 JLL BLDG FRAMING
10/21/15 AP October 21, 2015 9:17:17 AM jlierly.
October 21, 2015 4!40:38 PM jlierly.
BLI 02 10/23/15 PB BLDG INSULATION
10/26/15 AP October 23, 2015 11:05:19 AM pbarthol.
Dan 808-3309
October 26, 2015 10:39:39 AM pbarthol.
BL99 01 12/22/15 BLDG FINAL
December 22, 2015 9:05:14 AM jlierly.
Dan 808-3389
--------------------- --------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00000462 Date 4/29/15
Application pin number . . . 018872
Property Address . . . . . . 414 1/2 E 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-9825-0000- REPORT SALES TAX
Application type description RES REPAIR
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 1500 (Location Code 0502)
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Application desc
Repair floor in bed room
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Owner Contractor
------------------------ ------------------------
OIROURKE, DANIEL V/ANN M OWNER
PO BOX 124G
PORT ANGELES WA 983623209
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Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc . . REPAIR BED ROOM FLOOR
Permit Fee . . . . 80.50 Plan Check Fee 52.33
Issue Date . . . . 4/29/1� Valuation . . . . 1500
Expiration Date 10/26/15.
Qty Unit Charge Per Extension
BASE FEE 50.00
10.00 3.0500 HND BL-501-2K (3.OS PER C) 30.50
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other Fees . . . . . . . . . STATE SURCHARGE 4.50
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
80.50 80.50 .00 .00
Permit Fee Total
Plan Check Total 52.33 S2,33 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 137.33 137.33 . .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 Signat,lre-r A�on t 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
Sternwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole BIdgs.)
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/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 FINAL Date Accepted by
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting ESA:
Landscaping SHORELINE:
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
1 Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
TH For City Use
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C IT�y OF Q RA
Permit#
W AS Hl NGTON, U . S. Date Received: Ll 7-q 1.
321 E 51h Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permitsOcityofpa.us BUILDING PERMIT A PLICATION
ProjectAddress:
Phone: 1 C7- (P-N&
Primary Contact: Ykk*LZP 10 Email- a
Name Ph.one Ila�L
0'aork-'R 41-7 -07Y&
Property Mailing Adaresp, Email
Owner
City State
Name Phone
Contractor Address Email
Information City State Zip
FE—tractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel # Value: (materials and labor)
-Pit� I F$pr 0,
Residential 19 Commercial 0 Industrial El Public El
Permit Demolition El Fire El Repair M Reroof(tear off/lay over)
Classification For the following, fill out both pages of permit application:
(check New Construction 11 Exterior Remodel El Addition 11 Tenant improvement El
appropriate) 1 Mechanical El Plumbing El Other El
Fire Sprinkler System Proposed Irrigation System Proposed or P oposed Bathr Proposed Bedrooms
or Existing? Yes M No 13 1 Existing? Yes 0 No E3 1
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.st0rmwater@cityofpa.us
Project Description nlu4ent— A-emi'mfte,
Is project in a Flood Zone: Yes E3 NoJZ 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 i8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
Print Name ure
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