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Home My WebLink About615 W. 11th Street Address: 615 W 11th Street PREPARED 4/07/16, 8:22:15 INSPECTION TICKET PAGE2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/07/16 ------------------------------------------------------------------------------------------------ ADDRESS . : 615 W 11TH ST SUBDIV: CONTRACTOR : PHONE OWNER KENNEY MICHAEL S PHONE PARCEL 06-30-00-0-3-2280-0000- APPL NUMBER: 16-00000309 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -----------—-------------------------—------------------------------—-------------——---—- . BL99 01 4/07/16 6TLI, BLDG FINAL fV April 7, 2016 8:23:03 AM jlierly. mike 477-5387 ---- -------- -------- COMMENTS AND NOTES -------------------------------------- CO ) CITY OF PORT ANGELES PDEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 16-00000309 Date 3/02/16 Application pin number . . . 997796 Property Address . . . . . . 615 W 11TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-2280-0000- REPORT SALES TAX Application type description RE-ROOF Subdivision Name . . . . . . on your State excise tax form Property Use g . . . . . . . to the City of Port Angeles Property Zoning Application valuation . . 600 (Location Code 0502) Application desc REPLACE SOUTHERN PORTION OF ROOFING ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KENNEY MICHAEL S OWNER PO BOX 3873 SEQUIM WA 983825076 ----------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc . . TEAR OFF/INSTALL COMP Permit Fee 53.05 Plan Check Fee .00 Issue Date . . . . 3/02/16 Valuation . . . . 600 Expiration Date 8/29/16 Qty Unit Charge Per Extension ;= ==• BASE FEE 50.00 1.00 3.0500 HND BL-501-2K (3.05 PER C) 3.05 ---------------------------------------------------------------------------- Other Fees . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid . Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 53.05 53.05 .00 .00 Plan Check Total .00 .00 .00 .00 7 Other Fee Total 4.50 4.50 .00 .00 Grand Total 57.55 57.55 .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 isnot commenced within 180 days,if construction or work is suspended or abandoned o 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 IM 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 regulating construction or the performance of construction. Je Print Name Signature of Contractor or Au thori ed Agent 9 g 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: 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 AIR SEAL: Walls Ceiling - FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceilin 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 MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/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 1 For City Use CITY OF OR.T NG LES, t Permit# W A SHI N G}T O N, U. S. Date Received: 321 E 51h Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits@cityofpa.us BUILDING PERMIT APPLICATION Project Address: Phone: p Primary Contact: Email: Name Phone Property Mailing Address Email Owner _ City State Zi 4 76 Name Phone Contractor Address Email Information City State Zip Contractor License# Exp.Date: Legal Description: Zoning: Tax Parcel # Project Value: materials and labor) $ Residential' LSI`- Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair El, Reroof(tear off/lay over) Classification For the following,fill out both pages of permit application: (check New Construction ❑ Exterior Remodel 21 Addition ❑ Tenant Improvement ❑ appropriate) Mechanical ❑ Plumbing ❑ Other ❑ Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms or Existing? Yes 13 No D Existing? Yes 0 No In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwater cit o a.us Project Description o LIT Is project in a Flood Zone: Yes ❑ No❑ 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 18o days of submittal,the application will be considered abandoned and the fees will be forfeited. A rr'�ae' I 4*yn 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 i"d 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 # 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 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:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx