HomeMy WebLinkAbout801 E 11th St - BuildingCITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 09 00000890 Date 8/31/09
Application pin number 132720
Property Address 801 E 11TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 3550 0000
Tenant nbr name SUSAN R GUNDERSON
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 4000
Application desc
TEAR OFF RE ROOF THE HOUSE
Owner Contractor
GUNDERSON SUSAN R
801 E 11TH ST
PORT ANGELES
T:Forms/Building Division/Building Permit
WA 983628006
OWNER
Structure Information 000 000 TEAR OFF RE ROOF HOUSE
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF RE ROOF HOUSE
Permit pin number 152660
Permit Fee 123 75 Plan Check Fee 00
Issue Date 8/31/09 Valuation 4000
Expiration Date 2/27/10
Qty Unit Charge Per Extension
BASE FEE 95 75
2 00 14 0000 THOU BL -2001 25K (14 PER K) 28 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 123 75 123 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 128 25 128 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 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 author to violate or c-ncel the provisions of any
state or local law regulating construction or the performance of construction.
Print Name Signature of Contractor or Authorized Agent
'2
v
.V, I I\
Signat re of Owner (if owner is b ilder)
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 Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Fumace 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
Parking Lighting
Landscaping
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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
Inspection Type
FINAL Date Accepted by
FINAL Date Accepted by
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653 I
Planning 417 -4750 I 1 n 1
Building 417 -4815 I �xpr (0-114-ti)
T.Forms /Building Division /Building Permit
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant -(IS e MJ
Property Owner
Property Owner's Address
Contractor
Contractor's Address
License Expires
PROJECT ADDRESS 8O/ /T/1
Parcel Number 63cre 0 j550
P Type Brief Description. Jtesidential Multi- family
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
X fte-roof
Heat System
Other
Floor Areas Existing (sq. ft.) proposed (sa. ft.)
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
Fer ve Use Only` O9
Date Received
Permit ()i D
Date Approved
Phone 4- 47 7 32 2 7
Phone L./S
Phone
E -mail
Lot Zoning
Commercial Industrial
XHouse garage other ,tear off re -roof lay over one layer
Heat pump wood burning stove gas fireplace pellet stove other
Inai-PJri a t
i_tt1 V'
per sq. ft.
of bedrooms
of full baths
of half baths
TOTAL VALUATION 4, boo
Total footprint of structures sq ft. T Lot size sq. ft. Lot coverage ok
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage
1 have read and completed this application and know it to be true and correct. 1 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 orking on cts.
Date a Ei' Print Nameo&tif Uf) i r) Signature '�ei,/', /,.,/,f
T:Forms :uil.ing Division /Bldg Permit.doc
~
.
Site Address:
80 C,
.(f
Installed By:
Owner/Business:
Owner/Business Address:
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
J!l FAN/WALL KW /" S-
Details/Description:
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles. WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. 5/19 3
S/z: z/9.:S
DATE
//~
"S~~
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
t& RESIDENTIAL
'0 COMMERCIAL
o NEW CONSTRUCTION
~ REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
Phone:
Sq. Ft.
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
01f1\ 03f1\
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
~)
f" - {I ZeJU ~
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
ElectricallnspeClor
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
WHITE - File by address
OLYMPIC PRINTERS INC.
PINK - Top: Eng, Bottom, Customer
Permit/Receipt No.
S/D .3
New Meters Date.!
- S/ZZ. Y-S
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
1.319
o Ditch Inspection O.K.
o Rough-in/cover O.K.
J)t T$.O.K. to connect service
~lfJ.jJ Final OX
Site Address:
gO/
Installer:
.
/~
Permit Fee
/"
GREEN - Top, Meter Dept.. Bottom, City H\ ~