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PREPARED 8/31/15, 9:22:13 INSPECTION TICKET PAGE 9
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/31/15
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ADDRESS . : 505 W 9TH ST SUBDIV:
CONTRACTOR LARRY'S ROOFING PHONE (360) 452-2215
OWNER BELL, NANCY J PHONE
PARCEL 06-30-00-0-2-6390-0000-
APPL NUMBER: 15-00001084 RE-ROOF
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P13RMIT: BNOP 00 BUIIJ)ING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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BL99 01 8/31/15 JLL BLDG FINAL
August 31, 2015 9:22:43 AM jlierly.
tom
------------------------- ----------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 15-00001084 Date 8/26/15
Application pin number . . . 255588
Property Address . . . . . . 505 W 9TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-6390-0000- on your state excise tax form
Application type description RE-ROOF
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 5209
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Application desc
tear off comp
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Owner Contractor
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BELL, NANCY J LARRY'S ROOFING
67 CUNNINGHAM RD 352 AVIS ST.
WARREN CT 0675,4 PORT ANGELES WA 98362
(360) 452-2215
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Permit . . . . . . BUILDING PERMIT - NO PR FEE
Additional desc TEAR OFF COMP
Permit Fee . . . . 151.75, Plan Check Fee .00
Issue Date . . . . 8/26/15 Valuation . . . . 5209
Expiration Date 2/22/16
Qty Unit Charge Per Extension
F BASE FEE 95.75
4.00 14.0000 THOU BL-2001-25K (14 PER K) 5G.00
- ------0 t h- r--F_e-e-s-----------------------------ST_A_T_E___SU_R_C_H_A_R_G_E_-----------------4-.-5-0-----
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Fee_summary Charged Paid Credited Due
--- ------------- ---------- ---------- ---------- ----------
Permit Fee Total 151.75 151.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 156.25 156.25 .00 .00
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 goverrft this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority�0��Iiolate or cancel the provisio s any state or local law regulating construction or the performance of
construction.
Z
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/B ui[ding 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 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 I 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 ISEPA:
Parking/Lighting IESA:
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 f
T:Forms/Building Division/Building Permit
THE For City Use
CITY OF R ��G�— US
TA
Permit#
W A S H I N G T 0 N, U . S.
Date Received:
321 E 5th Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permitsOcillofpa.us BUILDING PERMIT APPLICATION
Project Address: &S
6 Phone: 1&0
Primary Contact: V I Email:
Name �'Tw cgs OSqE;V+�6 Phone 14 1
Property Mailing Address Email
Owner 1 0
City Anw6, State 0� Zip
Na e �A fir ) Phone 4�L zz-6
i89
Contractor Address Email
Information City 3SI State zip
hwkg WA
Contractor License# V Exp.Date:
Legal Description: Zoning: #
Project Value: (materials and labor)
$
FResidential Commercial 11 Industrial Public
Permit Demolition El Fire 11 Repair Reroof(tear off/lay over)
Classification For the following,fill out both pages of permit application:
(chec.k New Construction 0 Exterior Remodel 11 Addition 11 Tenant Improvement
appropriate) Mechanical 0 Plumbing 11 Other 11
Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms
or Existing? Yes 0 No C3 � Existing? Yes 0 No 0 1 1
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater cityof�a.us
Project Description
Is project in a Flood Zone: Yes 0 No13 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 iL8 of submittal,the application
will be considered abandoned and the fees will be forfeited. 0(17
q—24� 1�n aae4:5 C �!�
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 nd floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Area Descriptions(SQ FT) Existing Proposed Construction For Office Use
Floor area Floor area $Value new are
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 I
Plumbing Fixtures
Indicate how many of each type of flxt 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:
Sewer Line # Industrial waste pretreatment
interceptor(Grease Trap) Size
Other(describe):
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx