HomeMy WebLinkAbout2035 W 12th St - BuildingPREPARED 7/01/09 8 21 32 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/01/09
ADDRESS 2035 W 12TH ST SUBDIV
TENANT NBR BARBARA S OWENS
CONTRACTOR JAYBIZ INC PHONE (360) 477 7846
OWNER BARBARA S OWENS PHONE (360) 457 5255
PARCEL 06 30 99 0 0 9230 0000
APPL NUMBER 09 00000174 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 7/01/09
JLL
BLDG FINAL TIME 01 00
June 30 2009 11 51 12 AM 1pangrle
BARBARA 457 5255
BLDG FINAL RE ROOF
AFTERNOON
COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 09 00000174 Date 2/23/09
Application pin number 159488
Property Address 2035 W 12TH ST
ASSESSOR PARCEL NUMBER 06 30 99 0 0 9230 0000
Tenant nbr name BARBARA S OWENS
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 3500
Application desc
TEAR OFF RE ROOF HOUSE
Owner Contractor
BARBARA S OWENS JAYBIZ INC
2035 W 12TH ST 919 W 7TH ST
PORT ANGELES WA 983635007 PORT ANGELES
(360) 457 5255 (360) 477 7846
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 142059
Permit Fee 123 75 Plan Check Fee 00
Issue Date 2/23/09 Valuation 3500
Expiration Date 8/22/09
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 r n i+ig yf a permit does not presume to give authority to violate or cancel the provisions of any
state or local law regulating construction or the per
T.Forms/Building Division/Building Permit
tstruction.
Date Prin/Name V Signature of C ra r or• Authorized Agent Signature of Owner (if owner is builder)
WA 98363
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 Furnace 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
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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
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
FINAL Date Accepted by
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
01- 0 1 -o
c
fi
■oer.A.
Nag Yr
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 TOT Csyi c
Property Owner Kcz�lna_v� eiv�
Property Owner's Address ,2p 3 s tom. i 7
Contractor TC� T (�nrn c 1' (To,/ 6o /'2. fir►
Contractor's Address q I LU 1 t S fi
License J A y I T V `e c_ Expires
PROJECT ADDRESS ,2r 2
Parcel Number
Lot
Phone
Phone 3 V 5' 7
Phone J 71 L
E -mail
For City Use Only
Date Received 2.- Z3- OQ
Permit nq tiLt
Date Approved
Zoning
Project Type Brief Description. Residential Multi family
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
XRe -roof X(House garage other (tear off re -roof lay over one layer
Heat System Heat pump wood burning stove gas fireplace pellet stove other
Other
Commercial Industrial
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq ft.
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $(S(j
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 ok
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
I have read and completed this application and know it to be true and correct. I .tfi authorized to apply f this permit and understand
that it is my responsibility to determine what permits are required, and to obtain ermits prior to working on rojects.
Date .23 Print Name cJ 6.4.1 C ature
I U
T Forms /Building Division /Bldg Permit.doc
ft. Occupancy group of bedrooms
Occupant load of full baths
Construction type of half baths
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N'?
17062
Port Angeles, WashlngtOn.___."l..a___:::'..!.:':.~r_.n___.___nnn..____n___, 19.::::.'/'
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, Or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do electricvk as listed below.
Address,r4r~~zi;~nnnn--_nn-mnn-mnnnm Occupancymnm______n_n___.mmn..____nnm___
~::~~:!:~~-Cl;?:~:::~~~:i::::::::.m~~:~~~;::::::::::::::...:..~::::::::::=:::::::::::::::::::::::::::::::::::::::
LIght Outlets....m__m__.......___________.._.._..
Service, volts ...nn_.................._......_.....
No. wires ......n_n_._...................._.n_
Receptacle Outlets....m..h_..........______...
Dryer, KW........___n___u..____.__..__..____
Size wires........._......_...._nhn......._..
Range, KW h__m_._.__________________
Water Heater:
Main fuse n..nn......................._.......
Enclosure n__.m__m...h.....
KW-m--m-m)'.mOJ,i. ---..--
Heat KW..__L/m.....mP.."........__..__
. .
Type of wiring:
Entrance Cable ......__..non..............
Motors: size, volts and phase:
Rigid Conduit ____mmmm
Metallic Tubing m_mm_
Current transformers:
No. & Size............................
SerA NO......n___..__...n................n..__..__
SerA NO.n.n_...................._.............n___
Ser. NO..n_u..___...........................__.____.
Type of Wiring:
Armored Cable ..mm_m....._............
Non-Metalltc ........._______................_
Knob & Tube......._______._..........._....~
Rigid Conduit _mm..........m__....._..
Metall1c Tubing .........mh.......m...
Raceway ________......................._._..._
Circuits, Light.........____.__.........___.___.......
Utility.._..__.m___....__..._.....______.........
I-Ieat ..._.._.._._..........._.......n.n.._......
Range ....._..._._._.__........._..................
Water Heater .......mn__............n...
Motor n_...............__nn.............___....
Dryer _._______........_.._________.......n.___.__.__
Furnace .n___._..n.............._.....__n__......
~~:~~~:~t~I::~;~~::S~'::~~:-__.-.~~~:::::::::~::~:~__~:~::~::
m.mmnnn_.___.__nm_m_...m.mm.nm.mmmnm___nnm.nnnm___m_mn___m_.Z'-':- ___m_m____.___n____nnm.mmmnnn.__.n.mmn
Pennit 00 Treas. Receipt . II/~ ~
$m.bn_..___..mnnnnnn___. NO.n..........nn___._______ By n n.mm.n___.W-.___.______f:S;::I.-,,!(.,.:...-<-...,.,...
NOTICE-Current must nDt, be turned on until Certificate of Inspection has been issued. It work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
'---
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
(
,.
"
"
ELECTRICAL PERMIT
N?
17062
\Address._____..____.....__..___.............................................__......_______._______._...___.__.................................Date..._.......____..____._........_......_....._________..
Owner........__._.......................___......___._.._.___...._.._...........__..............__............_...____....__.__.Tenant.________._._________..____.____.._.____.._.............___..____._.
Wiring Contractor ________._______.__......___........____._________._._.....n...._.._______._._______...______..._._...__................. By._................___...____...__.______.._...............__..
\ NOTICE-Current must not. be turned on until Certificate of Inspection has been issued. If work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.
I
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . . .
REQUEST:
Date 5 ~I ~o fo
Time "7' AM
Received by !J<'L<A.'-" E. (phone, person)
-rt...
Location of Work to be inspected 2-035" W. I Z- -
Name of person requesting inspection D L V1 "'l.' 'c, ~
Address of person requesting inspection c.er() Yv-.rd
I
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
17'f1S Phone No. 1/-17-"8</-'1
Permit No.
Sewer Excav. Oth~T0
INSPECTION NOTES:
Inspected: Date 5' - (-0(0 Time If A tV\.
Remarks: ;<efl<<.c.e.d I' cA" 31'(" p.F-. 6:.. +- u,r/J
I
By De.">.....; ">
Sf'D fI .
,
E.
RESTORATION REQUIRED. . . . .. YES
NO X
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1-' '-i 3'~J
V) ~ I
L '713' 2-" PilL t
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # 303'-1 b - {D (
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREELSUi>ERINTENDENT
(DATE)