HomeMy WebLinkAbout910 W 12th St - BuildingPREPARED 3/09/11 9 13 34 INSPECTION TICKET PAGE 16
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/09/11
ADDRESS 910 W 12TH ST SUBDIV
TENANT NBR DIANE C BARNES TRUSTEE
CONTRACTOR PHONE
OWNER DIANE C BARNES TRUSTEE PHONE (360) 465 2870
PARCEL 06 30 00 0 3 7110 0000
APPL NUMBER 11 00000111 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 3/09/11
BLDG FINAL
March 8 2011 9 36 38 AM pbarthol
Robert 360 465 2870
COMMENTS AND NOTES
V
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g -4- -EL
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application desc
RE ROOF THE HOUSE LAY OVER ONE LAYER
Owner
DIANE C BARNES TRUSTEE
910 W 12TH ST
PORT ANGELES
(360) 465 2870
Structure Information 000 000
Qty Unit Charge Per
Permit BUILDING PERMIT
Additional desc RE ROOF THE HOUSE
Permit pin number 181123
Permit Fee 80 50
Issue Date 2/04/11
Expiration Date 8/03/11
10 00 3 0500 HND
Other Fees
Fee summary Charged
WA 983637213
Permit Fee Total 80 50
Plan Check Total 00
Other Fee Total 4 50
Grand Total 85 00
T:Forms /Building Division /Building Permit
11 00000111 Date 2/04/11
794521
910 W 12TH ST
06 30 00 0 3 7110 0000
DIANE C BARNES TRUSTEE
RE ROOF
RS7 RESDNTL SINGLE FAMILY
1478
Contractor
OWNER
RE ROOF THE HOUSE
BASE FEE
BL -501 2K (3 05 PER C)
Plan Check Fee 00
Valuation 1478
80 50
00
4 50
85 00
NO PR FEE
Paid Credited Due
00
00
00
00
Extension
50 00
30 50
STATE SURCHARGE 4 50
00
00
00
00
r
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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 authority to violate or cancel the provisions of any state or local law regulating construction or the .erformance of
construction.
1 f/LX(k &if
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner builder)
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
1 Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
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 FINAL Date
MANUFACTURED HOMES
v Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping 1 SHORELINE.
FOUNDATION.
Footings
Stemwall
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
T:Forms /Building Division /Building Permit
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
FINAL Date Accepted by
Accepted by
Date Accepted By
93w
Applicant o/'f xa., P� Phone
Property Owner 64 O,aune Barn Phone
Property Owner's Address 9io u.) la POI 1 ACv\q c;
Contractor 5e-if Phone
Contractor's Address 14. lt/t (LhL ar L.si Aim 5 /fit V,4
License Expires E -mail
PROJECT ADDRESS
Parcel Number
protect nine Brief Description: '&2esidentlal Multi- family u Commercial o Industrial
Check all that apply
n New Construction
r,, Addition
n Remodel
n Repair
o Demolition
p e -roof )1.4-louse o garage o other o tear off 6 re -roof )Clay over one layer
o Heat System o Heat pump n wood burning stove o gas fireplace n pellet stove u other
o Other
Floor Areas eIstlnaJsq. RI dosed (sa. ft)
Basement
18) Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other __E(901/0-)
Ed Wd£S Z0 TTOi; b0 'aad
53b- g45 1555
G eoie-vws T fe -us -e (Di es son
7 7 BUILDING PERMIT APPLICATION
CITY OF PORT ANGELES
2- Attn. Building Permit Technician
321 E. Filth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
910 W !Q Port 4,i eJ's &JA
_4zA
Max. height of proposed structures ft Occupancy group
Will a lawn sprinkler system be installed Occupant load
Will a fire sprinkler system be installed? G Construction type
Lot
For City U O n
Date Received_Q2 1t
Permit IA— 1
It
Date Approved
(3w) 5 g•
iJ l c 9 R 2
Zoning
per sq. ft.
Print in ink
Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage
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
of bedrooms
of full baths
of half baths
I have read and completed this 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 working on projects.
Print Name Rd? Gr f j r i't ec, Signature '&e4/ L L`)0L/
Division /Bldg Permlt.doc
7 ?'y
SCa. S S Tcjx
TOTAL VALUATION izf f 8
00TLP8U09£T ON XHd 1. s aP10 WOdd
(2/4/2011) Linda Pangrle Re Diane Barnes roofing permit
From: Linda Pangrle
To Gerry
Date 2/4/2011 4 18 PM
Subject Re Diane Barnes roofing permit
Attachments: 910 W 12th St re -roof permit.pdf
Hi Gerry
I charged your credit card $85 00 (see the attachment) The permit is ready to
be picked up We are open until 5 pm tonight The door into the City Hall
lobby is closed but there is an open side door so people can come to the
Building Permit counter
Thanks for your help in this matter
Linda
Sent from my iPhone
Gerry <barnesaer @amail.com> 2/4/2011 3 59 PM
Linda again thank you for your help I am Gerald Barnes trustee for the Diane
Barnes Living trust I grant my permission for Bobbie Barnes to apply for a permit
to reroof mom s home Thank you Gerry Barnes 530 -945 -1555
Page 11
FROM Okie's Select
FAX NO. 13604847100
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R EI.6T NUMBEA
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A~
. PERMIT NUMBER
'.
TOTAL FEE
d~<O"
"~
-c. -. ~. .... ".
. '- . -. ~......
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LEGAL OCCUPANCY
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Addre'ss
PERMITS WITH WRONG AD
Owner Installation By "
Owner's Address. - Installers Add'ress
Day Phone Installers.Phone Y - . I
APPliz;;;~~:ade for Permit to in~tall Ele~trical Equipment' asfollows: ~ <:Jr.",- -< J ,I ~ - ~ ~
- .. Wiring Method;(JI'/-n.., LA /
, ' / "
NUMBER AMP 120V 240V NUMBER AMP .120\' 240V
USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 10QR FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT 3., V' SIGN
LIGHT , ,d 50 VOLTS "
OR LESS
CONVENIENCE -/' y- '" MOTOR ' ,
CONVENIENCE ..- MOTOR
APPLIANCE ;);. V, " , MOTOR
DISHWASHER .. FIRE ALARMS ,
DISPOSAL BURGLAR ALARM
RANGE I V MISC,
"
OVEN
WATER HEATER I V
" . "
LAUNDRY -'
DRYER I V .. REINSTALLATION LIGHT FIXTURE #
FURNACE i .. " SUB TOTAL FEE
GAS. OIL
FURNACE //J'KIt. :1/" ENERGY FEE
ELECTRIC . .. - " " "
BASIC FEE
ELECTRIC HEAT TOTAL FEE' " -,
ELECTRIC HEAT SIZE,OF SERVICE SWITCH OR CIRCUClREAKER
..
A.C. UNIT d {)O AMP, / PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONOJCTORS
" J.,I.., it .. 4L/tr" 7-/ /t AWG,~'j/" ,
SERVICE ,,-
, I SUB"TOTAL I" --(IZE OF GROUNO / .. ;hOd
SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this, permit 'will be done by the instal Ie! and irf:,form e with ~ Elect;ical Code,
Date Application made =71 J €f ,19.ff By _ I
.. I -. . V CONTRACTOR OR OWNER (OR A~THORIZED AGEND
.'
-"
Permission is hereby given tq. do the ~bo~e described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.' -
'~' ; , , ' DIRECTOR OF CITY LIGHT ',,' .. ,'"
By _ "dji/;j -,jI ~-~ A. jl." t1 0'" .
Date Permit Issued ~~ L~~o;;;::
.., +- PLAN'€APR ED" _ ".\ ""'--""'" ~
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has; been given by Inspector in
I Writing on Permit Placard, A, " Permits Phone: 457,,0411 Ex\. 158, '
. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER-
WHITE - Original CANARY - Duplicate PINK - Triplicate WHITE CARD -Inspector's Report
OLYMPIC PRINTERS. INC.
, ,
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REPORT OF IN'SPECTOR
DATE OF VISIT
MADE BY
REMARKS
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