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Home My WebLink About728 W 6th Street Address: 728 W 611 Street PREPARED 7/12/16, 9:43:28 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/12/16 ------------------------------------------------------------------------------------------------ ADDRESS . : 728 W 6TH ST SUBDIV: CONTRACTOR HOME GUYS PHONE (360) 808-5597 OWNER ANTOLOCK NORMAN A PHONE PARCEL 06-30-00-0-1-5932-0000- APPL NUMBER: 16-00001028 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETEDRE LT RESULTS/COMMENTS ----------------------- - ----—------------------------------—----------------——------------ BL99 01 7/12/16 BLDG FINAL ' July 12, 2016 9:40:51 AM jlierly. 808-5597 -------------------------------------- COMMENTS AND NOTES -------------------------------------- x %mss CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 16-00001028 Date 7/06/16 Application pin number . .. . 767300 - Property Address . . . . . . 728 W 6TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-1-5932-0000- Application type description RE-ROOF on your state excise tax form Property Name . . . . . . to the City of Port Angeles .Pro ert Use Property Zoning . . . . . . . (Location Code 0502) Application valuation . . . . 4500 Application desc ( tear off/install comp ----------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ANTOLOCK NORMAN A HOME GUYS 814 GOLF COURSE RD 1714 WEST 6TH ST PORT ANGELES WA 983624940 PORT ANGELES WA 98363 (360) 808-5597 --------------------------------=--------- ----------`- -- - Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF/INSTALL COMP Permit Fee . . . . 137.75 Plan Check Fee .00 Issue Date . . . . 7/06/16 Valuation . . . . 4500 Expiration Date 1/02/17 (� Qty Unit Charge Per Extension v BASE FEE 95.75 3.00 14.0000 THOU BL-2001-25K (14 PER K) 42.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 - ------------------------------------------------------------------------ F 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 \Q Separate Permits are required forelectrical 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 t ovision of any state or local law regulating construction or the performance of constct'on. 6/ Alv evs,1; Date Print Name Signature of Contractor or Athorized 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 A,7l JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION- Footings OUNDATION:Footin s 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/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 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 For City Use CITY EDF" •- Permit# W A S H I N G T o N , U . S. Date Received: r 321 E 5th Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permitsRcityofpa.rc :.=TILDING PERMIT APPLICATION Project Address: �� (/ Phone: Primary Contact: Email: Name � Phone -,,, t l V Property Ma'in Ad ess , Email Owner t i� nc I S �.(I. p irr:) -Co City PA State U //C-� Zip , � ' J Name Phone ✓ .V& ' Cid v" S �� COritrdCtOT Add rp�ss/� ' 5� Email r�� 'jj /I�� v`�`C�� Information City 6 State l�f' �f -t/ zip Contractor License# lyto f-W fo�r;? -3 v14_0 Exp.Date: / , Legal Description: Zoning: Tax Parcel# Project Value:(materialc nn.?1„1..)r) $ Residential IQ Commercial ❑ Industrial ❑ Public ❑ Permit Demolition 11Fire 11Repair 11Reroof(tear off/lay over) f Classification For the following,fill out both pages of permit application: (check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ appropriate) Mechanical ❑ Plumbing ❑ Other ❑ Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms or Existing? Yes ❑ No ❑ Existing? Yes ❑ No ❑ In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwater ci o =a us Pro'ect Descri tion 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 d s of submittal,the application will be considered abandoned and the fees will be forfeited. 6 Pv Date Print Name � Signature