HomeMy WebLinkAbout1228 W 15th St - Building Building Permit
1228 W 15`" St
13 - 139
. . CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT-BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 13-00000139 Date 2/04/13
Application pin number . . . 306816
Property Address . . . . . . 1228 W 15TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-3226-0000- REPORT SALES TAX
Application type description RE-ROOF
Subdivision Name . . . . . On your State eXC/Se tax (01771
Property Use . . . . . to the City of Port Angeles
Property Zoning . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . 520'0
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Application desc
TEAR OFF INSTALL COMP
Owner Contractor
------------------------ ------------------------
WESTABROOK ZELLER LARRY'S ROOFING
1228 W 15TH ST 352 AVIS ST.
PORT ANGELES WA 983637006 PORT ANGELES WA 98362
(360) 452-2215
---------------------------------.------------------------------------------
Permit . . . . . . BUILDING PERMIT - NO PR FEE
Additional desc . . TEAR OFF INSTALL COMP
Permit Fee . . . . 151.75 Plan Check Fee .00
Issue Date . . . . 2/04/13 Valuation 5200 .
Expiration Date 8/03/13 _.
Qty Unit Charge Per Extension
BASE FEE 95.75
4.00 14.0000 THOU BL-2001-25K (14 PER K) 56.00
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
---------------------------------------------- ----------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 151.75 151.75 00 .00
Plan Check Total .00 .00 00 .00
Other Fee Total 4.50 4.`50 -.00' .00
Grand Total 156,25 156.25 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 isnot 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 examines application and know-the same to.be true and correct. All provisions
. e
of laws and ordinances governing this type of work wil co pli d with whether specified herein or not. The granting of a permit does
not presume to give authority hviolate or cancel the r s any state or local law regulating construction or the performance of
constru tion.
Z- (I to 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.
L�
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
DrVwall 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 PRIORTO OCCUPANCY/USE
Inspection Type Date Accepted By 1
Electrical 417-4735
Construction-R.W. PW /Engineering 417-4831 )
Fire 417-4653 U(`�
Planning 417-4750 �►J
Building 417-4815
T:Forms/Building Division/Building Permit
THE N
GELE
CITY OF ORT S For City Use
1N A S H I N G T O N . U . S .
1. Permit# 3' 13
Date Received:
321 East S'h Street
Port Angeles, WA 98362 Date Approved
P: 360-417-4817 F: 360-417-4711
permits@cityofpa.us
Building Permit Application
Project Address:
Main Contact: jVA Phone #
E-Mail:
Property Name —� a �� Phone 40 _ q11
Owner Mailing Address 1 Email
t
City State WRA Zip
Contractor Name � � ; Phone _
Mailing Address I Email
City State
Contractor License # r J n Expiration:
Project Value: Zoning: Tax Parcel # J Lot#
$ Ste,
U
Type of Residential Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over)
For the following, fill out both pages of permit application:
New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical ❑ Plumbing ❑ Other ❑
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes ❑ No ❑
Project
Description
I have read and completed the application and know it to be true and correct.I am authorized to apply for this
permit. I understand that it is my responsibility to determine what permits are required and to obtain permits
prior to working on projects. I understand that the plan review fee is no efundable after plan review has
occurred. I understand that I will forfeit the review fee if I cancel or wit w the application before the
permit is issued. I understand that if the permit is not issued within 180 ay f receipt,the application will be
considered abandoned and the fees forfeit.
Date Print Name Signature
?-, 4 — L3
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1o�n cklol
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed $$value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
For Office Use
Area Descriptions(SQ FT) Existing Proposed $$Value
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe)
Area Totals
Lot/Site Coverage Calculations
Footprint(SQ FT) of all Structures: Lot Size: %Lot Coverage
SQ FT Site coverage(all impervious+ %Site Coverage
structures
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 #of Outlets:
Appliance Vent # 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
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 # Vent piping #
Sewer Line # Industrial waste pretreatment #
interceptor
Other describe
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PREPARED 4/01/13, 11:37:31 INSPECTION HISTORY REPORT PAGE 1
PROGRAM BP521L 0/00/00 THRU 0/00/00
CITY OF PORT ANGELES
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APPLICATION PROPERTY ADDRESS ASSESSOR PARCEL NUMBER ALTERNATE ID
STRUCTR PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR
------------------------------------------------------------------------------------------------------------------------------------
13 00000139 1228 W 15TH ST 06-30-00-0-4-3226-0000- 063000043226
000 000 BNOP 00 BUILDING PERMIT - NO PR FEE BL99 0001 BLDG FINAL 2/08/13 APPROVED JLL
REQ COMM: February 4, 2013 11:09:42 AM pbarthol.
REQ COMM: Tom 460-0517 / Larry's Roofing
RES COMM: February 8, 2013 4:29:50 PM jlierly.
PORT 4NCF!
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
o Ti (206) 457-0411 PERMIT NO.
DATE
ELECTRICAL PERMIT
Site Address: ElREADY FOR ElWILL CALL FOR
/
7l Lit/ INSPECTION INSPECTION
Installed By: !�� p-s c I � License Number: Phone:
/ it wl /
Owner/Business: Phone:
Owner/Business Address: Sq. Ft.
❑ RESIDENTIAL ❑ TEMPORARY SERVICE OVERHEAD SERVICE
❑ COMMERCIALPERMANENT SERVICE UNDERG U S,F CE
A BASEBOARD KW � El NEW CONSTRUCTION VOLTAGE: yY
❑ FURNACE KW ❑ REMODEL `? SINGLE PHA E
❑ FAN/WALL KW ❑ ADD/ALTER CIRCUITS ❑ THREE PHASE
❑ HEAT PUMP KW ❑ SERVICE UPGRADE/REPAIR SERVICE SIZE ? AMPS
❑ SIGN ❑ SPECIAL EQUIPMENT
(LIST BELOW)
Detai Is/Description:
a
AM
qP
W.S. No. SERVICE SIZE DATE ENGR.
CAPACITY:
❑ O.K. NOT O.K.
ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE
❑ INSTALL SERVICE POLE ❑ OTHER
❑ Ditch Inspection O.K.
A Rough-in/cover O.K.
Iiyy � O.K. to connect service
eFinal O.K.
Site Address: Permit/Recei t No.
2F2 /S D � z
Installer: / New Meters Date:
/4419-/v 0-,e LS 644i C.
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 i
or on the Building Permit. PHONE 457-0411, EXT. 224. / (¢-J
/ {_ NO OCCUPANCY OR USE ESTABLISHED UNDERTHIS PERMIT
Electrical Inspector Permit Fee
WHITE—File by address YELLOW—file by number PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall
OLYMPIC PRINTERS INC