HomeMy WebLinkAbout1622 W 15th St - BuildingPREPARED 9/07/11 9 11 38 INSPECTION TICKET PAGE 14
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/07/11
ADDRESS 1622 W 15TH ST SUBDIV
TENANT NBA SUSAN A RICHMOND
CONTRACTOR LARRY S ROOFING PHONE (360) 452 2215
OWNER SUSAN A RICHMOND PHONE (360) 460 0383
PARCEL 06 30 00 0 4 3605 0000
APPL NUMBER 11 00000964 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 9/07/11
BLDG FINAL
September 7 2011 8 37 57 AM 1pangrle
TOM 452 2215
BUILDING FINAL RE ROOFED THE HOUSE
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
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
RE ROOF THE HOUSE LAY OVER ONE LAYER
11 00000964
174972
1622 W 15TH ST
06 30 00 0 4 3605 0000
SUSAN A RICHMOND
RE ROOF
RS7 RESDNTL SINGLE FAMILY
3675
Owner Contractor
SUSAN A RICHMOND
1622 W 15TH ST
PORT ANGELES
(360) 460 0383
Structure Information 000 000
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
2 00
Other Fees
Fee summary Charged
T:Forms /Building Division /Building Permit
WA 983636845
BASE FEE
14 0000 THOU BL -2001 25K (14 PER K)
Permit Fee Total 123 75
Plan Check Total 00
Other Fee Total 4 50
Grand Total 128 25
BUILDING PERMIT NO PR FEE
RE ROOF THE HOUSE
192138
123 75 Plan Check Fee 00
9/06/11 Valuation 3675
3/04/12
rn ,�Jb�yPg
LARRY S ROOFING
352 AVIS ST
PORT ANGELES
(360) 452 2215
RE ROOF THE HOUSE
STATE SURCHARGE
Paid Credited
123 75
00
4 50
128 25
00
00
00
00
Date 9/06/11
WA 98362
Extension
95 75
28 00
4 50
Due
00
00
00
00
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 applica to nd know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be compli with wt eth specified herein or not. The granting of a permit does
not presume to give authority to violater cancel the provisions ny s or ;;al law regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS
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
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 by
AIR SEAL.
Walls
Ceiling I I
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 I FINAL Date Accepted by
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit As SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
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
Date Accepted By
q -7- I I
BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for projects that do not require plan review) II
Date Received (3'4- 11
Permit A. -AM
City of Port Angeles Please print in ink. Date Approved
Attn Building Permit Technician Approved by
321 E. 5th St. Port Angeles WA 98362
360 -417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express)
Hours Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8 30 -4 pm Fri 8 30 -12.30 pm
Contact person Om C Phone `t 6z
Property owner 0
Phone 4 0 363
rrl c
Property owner's mailing address `o�
Contractor's business name cc15
(or property owner's name if he /she is crolingiov ng
Project Address
Repair: (explain the oroiect)
Project Valuation
l S 1 b-
Contractor's mailing address -Se__ VI, 01S
Contractor's L &I license number
e work)
Phog z____ ?its
A046 e))12,_ 11
Expiti4n date
Project Type 'A Residential Commercial D Industrial D Multi- family
Project Business Name
(for commercial industrial, or multi family projects)
The following permits are usually issued over the counter immediately without the need for plan review
Complete only the portions of this permit that are relevant to your project.
Re -roof: house garage other
tear off re -roof IA lay over one layer
Licensed contractor: Sub it a copy of your re -roof bid.
Project Valuation (labor materials not including sales tax)
Re -side. house garage other
Project Valuation (labor materials not including sales tax)
*Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the
cost of materials, to reflect the value the repair adds to your property
Cost of materials x 2 Project Valuation
T Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011)
Page 1 of 2
Swimming Pool or Spa 24 deep). For prefabricated swimmina pool or spa projects that
do not reauire plan review:
Obtain the City of PA handout entitled Pools Spas follow the requirements
Project Valuation
Demolition. A demolition permit is needed when an entire building gets demolished
What will be demolished? house garage other
Note some demolition permit applications need to be reviewed by various City departments and may take
approximately .two weeks to obtain
(I) Agree to ensure that all utilities are /will be properly turned off (and capped off if needed)
prior to demolition.
Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to
be demolished Submit the map with this application.
Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA)
Demolition Permit Application.
Contact ORCAA at 360 -417 1466 to discuss whether or not an ORCAA Demolition Permit will also
be needed
l'yes no Will the debris be going to the Regional Transfer Station in Port Angeles?
d yes No If yes, will a licensed contractor be taking it there?
(I) If yes, obtain (from the City of PA) a copy of the Waste Disposal Application
Complete and submit the waste disposal application to the Building Permit Technician now
(or later if asbestos testing is needed)
Plumbing Permit: explain the project
Date
et
Page 2 of 2
Project Valuation
Mechanical Permit: (explain the oroiect)
Project Valuation
I have read and completed this application and know
and understand that it is my responsibily to det
working on projects.
to be true and correct. 1 am authorized to apply for this permit
what permits are required, and to obtain permits prior to
Signature J I
Print Name 101n e b
f'•
,Likelifl
'k
tik
A
Clallam County Assessor Treasurer Property Details 60588 SUSAN A RICHMON Page 1 of 1
Clallam County Assessor Treasurer
Property Search Results 60588 SUSAN A RICHMOND for Year 2011 2012
Property
Account_
Property ID
60588
Legal Description:
Geographic ID' 0630000436050000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space: N DFL N
Historic Property' N Remodel Property' N
Multi Family Redevelopment: N
Township: Section:
Range:
Location
Address: 1622 W FIFTEENTH ST Mapsco:
PORT ANGELES, WA
Neighborhood: x ref Cycle 5 Res Map ID' 3
Neighborhood CD* 10955130
Owner
Name: SUSAN A RICHMOND Owner ID*
Mailing Address: 1622 W 15TH ST Ownership:
PORT ANGELES, WA 98363 -6845
Exemptions:
Taxes and Assessment Details
Property Tax Information as of 09/06/2011
Amount Due if Paid on 21.
Property Image
Land
Roll Value History
Deed and Sales History
'Payout Agreement
Website version: 9 0.32.2200
LOT 6 BL 436
SURVEY V22 P25
48648
100 0000000000%
NOTE. If you plan to submit payment on a future date, make sure you enter the date and
click RECALCULATE to obtain the correct total amount due
Click on 'Statement Details' to expand or collapse a tax statement.
First Half j Second Half
Year Statement ID I Base Amt. 1 Base Amt. Penalty j Interest Base Paid Amount Due
0 Statement Details
2011 155160 $764 88 $764 81 $0 00 $0 00 $1529 69 $0.00
I Statement Details
2010 43442 $732.97 $732.99 $0 00 $0 00 $1465 96 $0.00
Values
Taxing Jurisdiction
Improvement Building
Sketch
This year is not certified and ALL values will be represented with N/A
Database last updated on: 9/6/2011 3:50 AM 2011 True Automation, Inc. All Rights
Reserved. Privacy Notice
http. /websrv8 clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =60588 9/6/2011
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. .;] y/S-
/ z../'l Z/lI
I'
DATE
Site Address:
~EADY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Phone:
OwnerfBusiness:
~
Phone:
Owner/Business Address:
Sq. Ft.
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
~ Overhead
o Underground/
Voltage /Zp/~t/D
~10 03.0
Service size r;;>,<;J.,) Amps
o Temporary
I){ Residential "..
Heat KW ..:>
)CI Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
~ New Construction
o Remodel
o Service update/alter/repair
Details/Description:
/VF-;j} /k;t.tSE.
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
hiW'- rt Rough-in/cover O.K.
~~ O.K. to connect service
~"tJ Final O.K. ~
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
New Meters
Site Address:
,
c.......
.-
.
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically en.ergized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT I}t::J
I~or A:l~ p:
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Half
OLYMPIC PAINTERS. INC.
IIIIIIIII"?
,-,
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
33.5'0
Ij- /<1- '11
.
ELECTRICAL PERMIT
DATE
Site Address:
o READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
D Residential
Heat KW
D Baseboard D Furnace/Boiler
D Heatpump D Other
D Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor ioad
(attach breakdown)
D New Construction
D Remodel
D Service update/alter/repair
~overhead
D underglJ$ Ih
Voltage ,. b"1~
~10 D 3.0
vice size /CfJO
,
D emporary
D Add/alter circuits
D Auxiliary power
(list below)
D Special equipment
(list below)
Amps
DetailslDescription:
.
.i'irf .
W.S. No. Service
Capacity: D O.K. D Not O.K.
D Ditch inspection O.K.
D Rough-in/cover O.K.
~~ O.K. to connect service
D Final O.K.
Size
Comments
Date
Hold for: D Easement D Letter
D Signed up for service/meter
D Meter Department notified for installation
D Fire Department notified of inspection
D Plan Review approved/pending
Site Address:
Installer:
w.
/5"'
Permit/Receipt No.
:1 S Elo
New Meters
I
Date:
/1-/'1-'(1
.
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Buiiding Permit. PHONE 457-0411, EXT.158 or EXT. 224.
. I ~ NO OCCUPANCY OR USE ESTABLISH EO UNOER THIS PERMIT ~ () ~
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.