HomeMy WebLinkAbout611 W. 14th Street Address:
14 Ih Street
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PREPARED 11/25/13, 11:10:45 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 11/25/13
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ADDRESS . : 611 W 14TH ST SUBDIV:
CONTRACTOR LARRY'S ROOFING PHONE (360) 452-2215
OWNER SOMERS MICHAEL R PHONE
PARCEL 06-30-00-0-3-9285-0000-
APPI, NUMBER: 13-00001340 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 11/25/13 BLDG.FINAL
November 25, 2013 10:45:05 AM jlierly.
460-11117
..... --------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 13-00001340 Date 11/19/13
Application pin number . . . 131560
Property Address . . . . . . 611 W 14TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-9285-0000- 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 G300 (Location Code 0502)
----------- --------- - - - - ----
Application desc
TEAR OFF / INSTALL COMP
---- --- - ------- ----
Owner Contractor
------------------------ ------------------------
SOMERS MICHAEL R LARRY'S ROOFING
422 EAST FRONT STREET 352 AVIS ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452-2215
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Permit . . . . . . BUILDINGPERMIT - NO PR FEE 13
Additional desc . . TEAR OFF/INSTALL COMP KA
Permit Fee . . . . 165.75 Plan Check Fee .00
Issue Date . . . . 11/19/13 Valuation . . . . 6300
Expiration Date 5/18/14 .
Qty Unit Charge Per Extension
BASE FEE 95.75
5.00 14.0000 THOU BL-2001-25K (14 PER K) 70.00
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Other Fees . . . . . . STATE SURCHARGE 4.50
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 165.75 165.75 .00
Plan Check Total .00 .00 .00
Other Fee Total 4.50 -4.50 .00 .00
Grand Total 170.25 170.25 .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-'inspecti6ns have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined t ' application and know the same to be true and correct. All provisions
of laws.and ordinances governing this type of work will be compli Jwith whether specified herein or not.. The granting of a permit does
not presume to give authority to violate or cancel the a�y state or local law regulating construction or the performance of
construction.
lk.11- 13
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Bu i[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
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 I FAU/Ducts
Rough-In
Gas Line
Wood Stove I Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
-Footing/Slab
113locking&Hold Downs
ISkirting
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
L Building 417-4815
T:Forms/Building Division/Building Permit
THF- For City Use
CITY OF ORT ANGELES
P -L JJL� Permit# 13
WAS HINGTON, U . S. Date Received: //-/f-
321 E 51h Street Date Approved j/-0-
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:VermitsPci1yofVa.us
BUILDING PERMIT APPLICATION
Pr.qj���ress: cA q
Ph ne: 7ZI-S
Primary Contact: Email:
Name Phone
Property Mailing Address Email
Owner City 1)1 1 State
M zip
Name Phone
Contractor Address Email
Information city State
Contractors License# Exp.Date:
Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor)
$ (�00'
Residential cnrnm�ercial El Industrial El Public 11
Permit Demolition 11 Fire El Repair 11 Reroof(tear off/lay over) El
Classification For the following, fill out both pages of permit application:
(check New Construction 11 Exterior Remodel El Addition 11 Tenant Improvement
appropriate) -1 Mechanical El Plumbing 0 Other El
T��
Fire Sprinkler Sys Irrigation System? posed Bathrooms Proposed Bedrooms
Yes E3 No 0
Yes [3 No 0
Project Description
oz(no+V �30
Is project in a Flood Zone: Yes [3 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 appl*cation before the permit is
o
issued. I understand that if the permit is not picked up/issued within i8o IF f submittal,the application
will be considered abandoned and the fees will be forfeited.
I �— �n — 13 T(� ����0 a e_'�'
Date Print Name Signature
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 2d floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
For Office Use
Area Descriptions(SQ FT) Existing Proposed $$Value
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) %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/alte ation
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
Plumbin Fixtures
Indicate how many of each type of fixture 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
interceptor(Grease Trap) Size
Other(describe):
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