HomeMy WebLinkAbout903 S. Pine Street Address:
903 S Pine Street
PREPARED 9/10/15, 10:16:34 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/10/15
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ADDRESS . : 903 S PINE ST SUBDIV:
CONTRACTOR HUMBLE HOMES PHONE (360) 670-6175
OWNER JASON L MOGI PHONE
PARCEL 06-30-00-0-2-9545-0000-
APPL NUMBER: 15-00000684 RES ADDITION
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PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP .DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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BL6 01 9/10/15 J L BLDG POST/COLUMN FTG
September 10, 2015 10:17:36 AM jlierly.
Jason 461-9645
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT-BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 15-00000684 Date 7/23/15
Application pin number . . . 954056
Property Address . . . . . . 903 S PINE ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-9545-0000- REPORT SALES TAX
Application type description RES ADDITION
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . (Location Code 0502)
Application valuation 2000
Application desc
140 sf deck addition
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Owner Contractor
JASON L MOGI HUMBLE HOMES
903 S PINE ST 212 W 9TH ST
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 670-6175
Other struct info . . . . : HARD SURFACE AREA
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Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc 140 SF DECK ADDITION
Permit Fee . . . . 95.75 Plan Check Fee 62.24
Issue Date . . . . 7/23/15 Valuation 2000
Expiration Date 1/19/16
Qty Unit Charge Per Extension
BASE FEE 50.00
J15.00 3.0500 HND BL-501-2K (3.05 PER C) 45.75
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Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
June 22, 2015 1:52:36 PM banders.
OK
V J Public Works Utility Engineering has no requirements for
this plan review.
M -- - -- ----------------- ---------------
"�, -Other Fees STATE SURCHARGE 4.50
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Fee summary Charged Paid Credited Due
Permit Fee Total 95.75 95.75 .00 .00
Plan Check Total 62.24 62.24 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 162.49 162.49 .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 commencedwithin 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 the provisions of any state or local law regulating construction or the performance of
' construction.
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Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:For.ns/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:
Joists/Girders/Under Floor
Shear Wall/Hold Downs '
Walls I Roof/Ceiling
Drywall Interior Braced Panel Only)
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:
Footin /Slab
Blockin &Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction- R.W. PW /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
THEORT �jGE E� For City Use
CITY OF li 1 1 r 1.
Permit#
WASH I N G T o N, U. S. Date Received:
321 E Sth Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permitsOcityofpa.us BUILDING PER PPLICATION
Project Address: 1iO3 S. WA- 9 � 3 � Z-
=Phone:
D - 6, b--&l -75
Primary Contact: l f �Q Email: L-CL( 012 nb'll 1 bb, C h"1
NaPhone
me
i ire ri t re 6 1 3&b -7q 7 $84
Property Mailing Address Email
Owner ry 3 P.
d zcLdV1,00d i Lf 1 Vad,cork
City State zip
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Name ' Cct- `- Phone O j
Contractor Address Email2-1 l
LC-S S C l(no c e i-1 t:>+ I c (-Lboo . C-0
Information City br �.j State Q zip
Contractor License# CLS 601'1' coo%)Ia r Exp.Date: rT
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
$ /20
Residential 9 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 ET'�Addition ❑ Tenant Improvement ❑
appropriate) Mechanical 13 Plumbing ❑ Other 11Fire Sprinkler System Proposed .Irrigation System Proposedor 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.stormwaterOcityofpa.us
Project Description
Is project in a Flood Zone: Yes [3 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 i8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
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Date Print Name Si nature
Residential Structures
Existing Proposed Construction For Office Use
Area Descriptions(SQ FT) Floor area Floor area $Value new area
Basement b
First Floor t �1
Second Floor
Covered Deck/Porch/Entry
Deck(over 30" or i" floor)
Garage v
Carport
Other(describe)Jr( �eq) b
Area Totals j �-3'7—7
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
?J _ all structures I Z sq ft
Bite 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
Plumbin 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:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx
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