HomeMy WebLinkAbout809 W. 15th Street Address:
809 W 15th Street
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PREPARED 12/04/15, 9:54:26 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/04/15
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ADDRESS . : 809 W 15TH ST SU13DIV:
CONTRACTOR : PHONE -
OWNER STEPHEN THARINGER/Y YOKOTA PHONE
PARCEL 06-30-00-0-4-1585-0000-
APPL NUMBER: 15-00001111 RES REPAIR
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PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED* RESULT RESULTS/COMMENTS
--—----------—-----------------------------------------------------—------------------------
BL3 01 10/14/15 JLL BLDG FRAMING
10/14/15 AP October 14, 2015 8:24:29 AM jlierly.
Bill 461-2309
October 14, 2015 4:02:51 PM jlierly.
BLI 01 10/19/15 JLL BLDG INSULATION
10/19/15 AP October 19, 2015 12:21:19 PM jlierly.
bill feeley
October 19, 2015 3:55:02 PM jlierly.
BL99 01 12/04/15 L BLDG FINAL -
December 4, 2015 9:21:42 AM jlierly.
Bill 461-2309
----------------------- ------------- COMMENTS AND NOTES ------------------
% CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 15-00001111 Date 9/09/15
Application pin number . . . 266472
Property Address . . . . . . 809 W 15TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-1585-0000- REPORT SALES TAX
Application type description RES REPAIR
Subdivision Name . . . On your State excise tax form
. .
Property Use . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 22000 (Location Code 0502)
Application desc
Repair fire damage
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Owner Contractor
-
----------------------- ------------------------
STEPHEN THARINGER/Y YOKOTA OWNER
2747 TOWNE RD
SEQUIM WA 983827849
--------------------------------- ------------------------------------------
Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc . . FIRE AND WATER DAMAGE REPAIR
Permit Fee 375.75 Plan Check Fee 244.24
Issue Date . . . . 9/09/15 valuation . . . . 22000
v Expiration Date 3/07/16
Qty Unit Charge Per Extension
BASE FEE 95.75
20.00 14.0000 THOU BL-2001-25K (14 PER K) 280.00
Other Fees . . . . . . . . STATE SURCHARGE 4.50
------------------------- --------------------------------------------
Fee summary Charged Paid Credited Due
-Permit-Fee-Total 375.75 375.75 --------00 --------00
Plan Check Total 244.24 244.24 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 624.49 624.49 .00 .00
V'�1
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
i 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 the provisions of any state or local law regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Au rized 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:
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 b
AIR SEAL:
Walls
Ceiling
FRAMING:
f
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall Interior Braced Panel Onl
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pum /Furnace/FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
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
T:Forms/Building Division/Building Permit
HE
tT-T Y OF T For City
Use
J CIT � Li �
. VDate
#
WAS H I N G T O N, U. S.
eceived: Z S-
3 2 1 E 5t1,Street pproved
Port Angeles,WA 9836flP:360-417-4817 F:360-417-4711
Email:permitsC�cityofpa.us BUILDING PERMITATION
Project Address: 500 N19ST IS S' 'T'
Phone: 45�Z -!yl 1(>
Prima Contact: Ll ��Sm1� Email: Con c-t I i Y14 vsr% - (to w-, .
Name (`A DL1 (
YON " 1&00A Phone I n ren I
Property Mailing Address Email 4 L-G•
Owner
City State I/1f� Zip
Nan. � �1Y�T1/101n DIU Phone 4(ol + 2--mJ00)
Contractor Address n o_* O,f _ P�k - Email
Information city PSL kavcrq� state WA zip011IL2-
Contractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
F
$ 22 p00
Residential Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ❑ Fire Repair ❑ Reroof(tear off/lay over) ❑
Classification For the following. fill out both pages of permit application:
(check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑
appropriate) Mechanical ❑ Plumbing ❑ Other ❑
Will a fire sprinkler system be installed Irrigation S tem? Proposed Bathrooms Proposed Bedrooms
or modified? Yes 13 No Yes ❑ NoA
Project Description
t—t 9-6- 7b rmAS- #e wa QArnA $- CMV 7Z> wa
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 thea application before the e permit is
PP
issued. I understand that if the permit is not picked up/issued within i8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
�I 201 15- G Npv'Lo65 !�m I V'H
Date I Print Name Signature
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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,dfloor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Proposed 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/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fire lace/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 # 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):
TABUILDING\APPLICATION FORMS\Current BP Application\Building Permit4-17-13.docx
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CITY OF PORT ANGIvL1ES-CcrostMc2tonplan
The Issuance of this permit based upon these plana
specifications and other data shall not prevent the
building official from thereafter requirinu the QQ
correction of errors in said plans,specifications and
other data, or from preventing building operations
being carried on thereunder when in violation ofag
codes and or finances of this jurisdiction.
- ALL WO 'S JECT TO FIELD APPROVAIa
Date
By
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C-
HUCK
FELLEY
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