HomeMy WebLinkAbout520 W 10th Street Address:
1520 W jolh Street
PREPARED 5/04/17, 12:36:32 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/04/17
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ADDRESS . : 520 W 10TH ST SUBDIV:
CONTRACTOR : PHONE
OWNER Stephen Luxton PHONE
PARCEL 06-30-00-0-3-2318-0000-
APPL NUMBER: 16-00001913 SIDING
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PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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BL99 01 5/04/17 JLL BLDG FINAL
May 4, 2017 12:13:47 PM jlierly.
Steve 808-799-8482
-------------------- ----------- COMMENTS AND NOTES --------------------------------------
CII'Y OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 16-00001913 Date 12/30/16
Application pin number . . . 064369
Property Address . . . . . . 520 W 10TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-2318-0000- on your state excise tax form
Application type description SIDING
Subdivision Name . . . . . . to the City of Port Angeles.
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . RS7 RESDNTL SINGLE*,FAMILY
Application valuation . . . . 4300
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Application desc
Residential Tear off replace wood
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Owner Contractor
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Stephen Luxton OWNER
672 W. Anderson
SEQUIM WA 98382
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Permit . —. . . . BUILDING PERMIT - NO PR FEE
Additional desc . . RESIDENTIAL TEAR OFF REPLACE W
Permit Fee . . . . 137.75 Plan Check Fee .00
Issue Date . . . . 12/30/16 Valuation . . . . 4300
Expiration Date 6/28/17
Qty Unit Charge Per Extension
BASE FEE 95.75
3.00 14.0000 THOU BL-2001-25K (14 PER K) 42.00
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Other Fees . . . . . . . . . . STATE SURCHARGE 4.50
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 137.75 137.75 .00 .00
Plan Check Total .00 .00 �.00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 142.25 142.25 .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 ng of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating con on 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:
Tootings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes(Pole Bldgs.)
�;LUMBING:
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
MECHANICAL7
Heat Pump/Furnace FAU Ducts
Rough-In
Gas Line
Wood Stove/Pellet Chimney
Commercial Hood/Ducts
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
ISkirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighti ESA:
Landscaping JSHORELINE:
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
Planning 417-4750
Building 417-4815
THF- For City Use
CITY OF
- 1913
Permit# i &
W A S H I N G T 0 N , U . S. Date Received: k 7- /30 (4
321 E Sth Street Date Approved (2 30 Z16
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:Dermits I Ocitvofpa.us BUILDING PERMIT APPLICATION
Project Address: 6'zlt: iV iari-1 4�—, 0r59?7- Lyfsn sqj=
Phone: -7cM
Primary Contact: Email: 4D
Name Phone
Property Mailing Address Email
Owner
City State Zip z
Name Phone
a whv-A/,
Contractor Address Email
Information City State _7
ILILP
Contractor License# Fxp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
W7r H AJ-L C1-:5 91E;p- -7 t5oi T-z-I $
o' Commercial [I Industrial 0 Public 11
Demolition 19 Fire Repair 18 Reroof(tear off/lay over)
Permit
Classification For the following,fill out both pages of permit application:
(check New Construction 11 Exterior Remodel 11 Addition 0 Tenant Improvement
appropri ate) I Mechanical El Plumbing 11 Other 11
Fire Sprinkler System Proposed I Irrigation System Proposed osedBathrooms Proposed Bedioom
I s
dr Existing? Yes 0 No i(I Existing? Yes [3 No [3 X
In addition to standard.haxd-copy s-u—binittals please send a PDF copy of all Stormwater plans and Engineering to 44
water(a)cityofpa.us
Project Description
VlAy'lz-
.Is project in a Flood Zone: Yes 0 NoQ' 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 iL8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
I--z
Date Print Name re
Residential Structures
Existing Proposed Construction For Office Use
Area Descriptions(SQ FT) Floor area Floor area $Value new-area
Basement
First Floor 0 17 1
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
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 # t-::� Heater(Suspended,Floor,Recessed wall) #
Boiler/Compressor Size: # Heating/Cooling appliance #
repair/alteration
Evaporative Cooler(attached,not # P ellet Stove[Wood-buming/G.a.s #
portable) Fireplace/Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fain,single duct #
Furnace/Heat Pump/ Size: # Ventilation System #
Forced Air Unit 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-.\Forw.s\2015 CED Form Updates\Building&Permitting\BP\BuildingPertnit20150415.docx