HomeMy WebLinkAbout524 W 3rd Street Address:
311 Street
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PREPARED 6/04/14, 10:31:25 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/04/14
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ADDRESS . : 524 W 3RD ST SU13DIV:
CONTRACTOR EMERALD ROOFING INC PHONE (360) 452-4681
OWNER S L HATHAWAY-FERRIS/C A FERRIS PHONE
PARCEL 06-30-00-0-0-7425-0000-
APPI, NUMBER: 14-00000651 RE-ROOF
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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 6/04/14 BLDG FINAL
June 4, 2014 9:42:35 AM pbarthol.
Travis 460-4471
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES IN,
DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION
32 1 EAST 5TH STREET, PORT ANGELES,WA 98362
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Application Number . . . . . 14-00000651 Date 6/03/14
Application pin number . . . 478050
Property Address . . . . . . 524 W 3RD ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-7425-0000- REPORT SALES TAX
Application type description RE-ROOF
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 8814 (Location Code 0502)
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Application desc
TEAR OFF/INSTALL COMP
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Owner Contractor
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S L HATHAWAY-FERRIS/C A FERRIS EMERALD ROOFING INC
524 W 3RD ST P. 0. BOX 879
PORT ANGELES WA 983622217 PORT ANGELES WA 98362
(360) 452-4681
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Permit . . . . . . BUILDING PERMIT - NO PR FEE
Additional desc . . TEAR OFF/INSTALL COMP
Permit Fee . . . . 193.75 Plan Check Fee .00
Issue Date . . . . 6/03/14. Valuation . . . . 8814
Expiration Date 11/30/14 .
Qty Unit Charge Per Extension
BASE FEE 95.75
7.00 14.0000 THOU BL-2001-25K (14 PER K) 98.00
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Other Fees . . . . . . . . . STATE SURCHARGE 4.50
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 193.75 193.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 198.25 198.25 .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 ranting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law r ating c uction o he performance of
construction.
<3-- 3-#( &a6'VT
Date Print Name Signature of Contractor or A�orized Agent Signature of Owner(if owner is builder)
orize
TForms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
— PLEASE PROVIDEA 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/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 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
A- Permit#
W A S H I NGTON, U . S. Date Received:
3 2 1 E 5th Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits Ocityofl2a.us BUILDING PERMIT APPLICATION
3P1\
Project Address: ;Z NJ-- 4�60- gg
Phone: -71
Primary Contact: V1 Email:
Name Phone
y r��ekt'5 cl?
Property Mailing A dress Email
Owner city �zq State zip
fotu- A/V WA-
Name E"�Jtj- Au? Phone L152— '(� S(
Contractor Address 00 k Email
Information city iW OitlFT State z'P
rcontractor lAcense# Exp.Date:
Legal Description: Zoning: Tax Parcel# ProjectValue: (materials and labor)
$ --VWe:2 C1 �-!& —
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Residential Commercial 13 Industrial 13 Public 0
Demolition Fire El Repair Reroof&�;Toay over)
Permit
Classification For the following,fill out both pages of permit application:
(check New Construction 11 Exterior Remodel 0 Addition 1:1 Tenant Improvement
appropriate) Mechanical 0 Plumbing 11 Other 11
Will a fire sprinkl er system be installed Irrigation System? osed Bathrooms Proposed Bedrooms
or modified? Yes 13 No 13 Yes 13 No 13 1�!
Project Description IQ�PVVF- COAP
Is project in a Flood Zone: Yes 1:1 NoO 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 andthe fees will be forfeited.
Date F Si ture
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 n,floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Proposed For Office Use
Area Descriptions(SQ FT) Existing Proposed ss Value
Existing Structure(s)
Proposed Addition
Ten. ant Improvement?
Other work(describe)
Site Area Totals
Lot/Site Coverage Calculations
Lot Size(sq ft) Lot Coverage(sq ft) %Lot Coverage(Total lot coverage lot size)
Site Coverage (Sq Ft of all impervious) %of Site Coverage(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-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
Plumbing Fixtures
Indicate how many of each type of fixtu e to be installed or relocated
Plumbing Traps # Fuel gas piping #of Outlets:
Water Heater # Medical gas piping #of Outlets:
Water Line # Plumbing Vent piping #
Sewer Line # Industrial waste pretreatment
I interceptor(Grease Trap) Size
Other(describe):
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx