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Home My WebLink About520 Lopez Avenue Address: 520 Lopez Avenue PREPARED 3/21/16, 10:41:54 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/21/16 ------------------------------------------------------------------------------------------------ ADDRESS 520 LOPEZ AVE SUBDIV: CONTRACTOR EMERALD ROOFING INC PHONE (360) 452-4681 OWNER PIERSON KELLY JO PHONE PARCEL 06-30-10-4-3-0390-0000- APPL NUMBER: 16-00000403 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT. BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL99 01 3/21/16 BLDG FINAL March 21, 2016 10:31:16 AM jlierly. TraviS 460-4471 ----------------------- ----------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 16-00000403 Date 3/18/16 Application pin number . . . 490127 Property Address . . . . . . 520 LOPEZ AVE ASSESSOR PARCEL NUMBER: 06-30-10-4-3-0390-0000- Application type description RE-ROOF REPORT SALES, TAX.- - Subdivision Name . . . . . . on your state excise'tax form Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY to the City of Port Angeles Application valuation 7086 (Location Code 0502) - ---------------------------------------------------------------------------- Application desc tearoff replace torchdown ----------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PIERSON KELLY JO EMERALD ROOFING INC 520 LOPEZ ST P. 0. BOX 879 PORT ANGELES WA 983626509 PORT ANGELES WA 98362 (360) 452-4681 - - - - - - --------- ------ - -- -- --- ------ ING-PERMIT---NO-PR-FEE----------------------- Additional desc RES TEAROFF TORCHDOWN Permit Fee . . . . 179.75 Plan Check Fee .00 Issue Date . . . . 3/18/16 Valuation . . . . 7086 Expiration Date 9/14/16 Qty Unit Charge Per Extension BASE FEE 95.75 6.00 14.0000 THOU BL-2001-25K (14 PER K) 84.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . .. STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid . Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 179.75 179.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 184.25 184.25 .00 .00 p4V 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 regu construction or the performance of construction. Date Print Name Signature of Contra9dror Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permft 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 Backfiow 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 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 I Ceiling MECHANICAL: Heat Pump/Furnace FAU/Ducts Rough-In Gas Line Wood Stove/Pellet I Chimney Commercial Hood I Ducts 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 I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 THE For ity Use CITY OF rA.N G- ELE,%), Permit# W A S Hl NGTON, U. S. Date Received: -3/1 1-2-0 1 321 E SthStreet Date Approved -7 6 Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits(ffic11yofpa.us BUILDING PERMIT APPLICATION Project Address: �?AL) Lo 0 ",\ Phone: Primary Contact: 1K A01 Email: Name VFLLy oz, Phone Property -Maili Address Email Owner City ';20 State r/ Name Phone 'J �VC Contractor Addre Z71 Email Information City State z'P 7 Fontractor License# Exp.Date: Legal Description: Zoning: Tax Parcel Project falue: (-materials and labor) $ - V-FXI—' - I -70S6, Residential Commercial Industrial 11 Public El Permit Demolition 11 Fire El Repair 11 Reroof(tear off/lay over) 11 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 11 Plumbing El I Other 11 Fire Sprinkler System Proposed Irrigation System Proposed or P oposed Bathrooms I Proposed Bedrooms or Existing? Yes 0 No 0 � Existing? Yes 0 No [3 In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.st o rmwat e r @ kcbty-o�a.u s Project Description 1,01,ecW T>P to 4) a7 -ro)& DC)LAW LA/11-4 q -fnfrr�- Is project in a Flood Zone: Yes 13 No[3 Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ 1 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. Date Print Name Si ature 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) 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 I Size: # Haz/Non-Haz Piping Outlets. Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) # Boiler/Compresso # Heating/Cooling appliance # 7T� 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 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: Sewer Line # Industrial waste pretreatment interceptor(Grease Trap) Size Other(describe): T:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx