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Home My WebLink About932 W 11th Street Address: 932 W 11th Street PREPARED 5/22/14, 12:06:40 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/22/14 ------------------------------------------------------------------------------------------------ ADDRESS . : 932 W 11TH ST SUBDIV: CONTRACTOR : PHONE : OWNER Donna Trust PHONE : (360) 683-6559 PARCEL 06-30-00-0-3-5235-0000- APPL NUMBER: 14-00000569 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------- --------------------------------------------------------------------- BL99 01 5/22/j4 L BLDG FINAL May 22, 2014 9:11:08 AM pbarthol. Tom 460-0517 -------------------------- ---------- COMMENTS AND NOTES -------------------------------------- " CITY OF PORT ANGELES ��`� DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT-BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 14-00000569 Date 5/15/14 Application pin number . . . 040219 O Property Address . . . . . . 932 W 11TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-5235-0000- REPORT SALES TAX Application type description RE-ROOF on your state excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . COMMERCIAL NEIGHBORHOOD (Location Code 0502) Application valuation . . . . 6679 Application desc Remove existing, install 30# felt & shingles ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ Donna Trust OWNER 932 W 11TH ST PORT ANGELES WA 983637207 (360) 683-6559 ------------------------------------------ --------------------------------- Permit . . BUILDING .PERMIT - NO PR FEE Additional desc . . REMOVE EXISTING INSTALL Permit Fee . . . . 165.75 Plan Check Fee .00 Issue Date . . . . 5/15/14 Valuation . . . . 6679 Expiration Date 11/11/14 Qty Unit Charge Per Extension BASE FEE 95.75 5.00 14.0000 THOU BL-2001-25K (14 PER K) 70.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- %,A Fee summary Charged Paid Credited Due Permit Fee Total 165.75 165.75 .00 .00 Plan Check Total .00 .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 inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined is application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be com lie with whether specified herein or not. The granting of a permit does not presume to give authority to Xe or cancel the p vision of a state or local law regulating construction or the performance of construction. m ' Date Print Name Signature of Contractor or Authorized 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: 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 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 C TY o�PA, ,0 J, I, ,� For City Use Permit# l`f—S(� w A s H i N G4`T o N, U. S. Date Received: S-2-,) �{ 321 E 5th Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits Ocityofpa.us BUILDING PERMIT APPLICATION Project Address: Phone: Primary Contact: Email: Name DOW)CI Phone / _ b Property Mailing Address Email b Owner City Stateell Name V . Phone ew m Contractor Address �c v!; - Email Information city J•] Statezip G�Q Contractors License# Exp.Date: v Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor) $ (.61a= 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 11Exterior Remodel 1:1Addition 11Tenant Improvement ❑ appropriate) Mechanical ❑ Plumbing ❑ Other ❑ Fire Sprinkler System? Irrigation System? Proposed Bathrooms Proposed Bedrooms Yes [3 No O Yes 0 No E3 Project Description $,, Qb 1 p a 30 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 iSo d of submittal,the application will be considered abandoned and the fees will be forfeited. �- N Date Print Name Signature Residential Structures For Office Use Area Description(SQ FT) Existing Proposed $$value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or 2nd floor) Garage Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions(SQ FT) Existing Proposed $s Value Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) 0 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 # re air /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): T.\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 417-13.docx