HomeMy WebLinkAbout2116 W 16th St - BuildingPREPARED 9/01/10 8 15 40 INSPECTION TICKET PAGE 9
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/01/10
ADDRESS 2116 W 16TH ST SUBDIV
TENANT NBR AUDREY I CLAYTON
CONTRACTOR LARRY S ROOFING PHONE (360) 452 2215
OWNER AUDREY I CLAYTON PHONE (360) 452 4733
PARCEL 06 30 00 1 1 0435 0000
APPL NUMBER 10 00000930 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 9/01/10 JLL BLDG FINAL
August 31 2010 2 24 50 PM 1pangrle
f/ TOM 452 22I5
O //V'Jr�� BU2 DI FINAL RE ROOFED THE HOUSE
COMMENTS AND NOTES
Owner
T.Forms /Building Division /Building Permit
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
AUDREY I CLAYTON
2116 W 16TH ST
PORT ANGELES
(360) 452 4733
Structure Information 000 000
Qty Unit Charge Per
1 00
Other Fees
Fee summary Charged
Permit Fee Total 109 75
Plan Check Total 00
Other Fee Total 4 50
Grand Total 114 25
10 00000930
098480
2116 W 16TH ST
06 30 00 1 1 0435
AUDREY
RE ROOF
RESIDENTIAL MEDIUM DENSTY
2780
OVER ONE LAYER
WA 983635108
Permit BUILDING PERMIT
Additional desc RE ROOF THE HOUSE
Permit pin number 172270
Permit Fee 109 75
Issue Date 8/30/10
Expiration Date 2/26/11
BASE FEE
14 0000 THOU BL -2001 25K (14
Contractor
0000
I CLAYTON
LARRY S ROOFING
352 AVIS ST
PORT ANGELES
(360) 452 2215
RE RCOF THE HOUSE
NO PR FEE
PER K)
Paid Credited Due
I_
I
109 75 00
00 00
4 50 00
1f1.4 25 00
Date 8/30/10
WA 98362
Plan Check Fee 00
Valuation 2780
STATE SURCHARGE 4 50
00
00
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 ation and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be omplied vith ether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the pro n s or local law regulating construction or the performance of
construction
Extension
95 75
14 00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
\(\°1/4.e)'
Date Print Name Signature 01 Contractor or Authorized Agent Signature of Owner (if owner is builder)
Inspection Type
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.
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
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
Date
Inspection Type
Electrical 417 -4735
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Accepted By Comments
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 I ESA.
Landscaping 1 1 SHORELINE.
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
to Pa
Applicant 17fl!'
Property Owner
Property Ow er's A
�1d. ri (1c�1 t on
a51res
Contractor q((f� pt i 1 A
Contractor's Address f 3Z. Si fl
‘Lacra 100>L II Expires 11
PROJECT ADDRESS Zl (3. i0'
License
Parcel Number
Proiect Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
NI Re -roof
Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(36Q) 417 -4815 fax (360) 417 -4711
Existing (sq. ft.1)
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
T Forms /Building Division /Building permit application
1
Proposed (sg. ft.)
x Residential Multi family
.t I
II II uelr Sh+iteS oi)er ars1'304
1
House garage other
Heat pump ❑lwood- burning stove gas fireplace
ft. Occupancy group
Occupant Toad
Construction type
I have read and completed this application and know it to be true and correct. I am authorize
that it is my responsibility to determine wha ermi re required, and to obtain permits prior to
Date a-30- to Print Name [OM -•.c Signature
Phone
1 Pine
V' i;
one
el
E -mail
Lot
For City Use .Only
Date Received_ g -36 -1 O
Permit# 16 —d36
Date Approved
cds
Zoning
Commercial Industrial
tear off re -roof flay over one layer
pellet stove other
per sq ft.
TOTAL VALUATION
Total footprint of structures sq ft. T Lot size sq ft. Lot coverage
Site Coverage the amount of impervious sa rface on a parcel including structures paved driveways, sidewalks
and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage
It of bedrooms
of full baths
If baths
patios
o apply 'or this ermit and understand
rking or pacts.
•,*it
at. '70 -4 4 7- 0V; 7 #1
Cotriph z,116, 6 F733
ockr
,S I k
row.,
to ai
ct —So
yE_"
pf
611
inik14
135—
Clallam County Assessor Treasurer Property Details 61079 AUDREY I CLAYTON Page 1 of 6
Clallam County Assessor Treasurer
Property Search Results 61079 A UDR EY I CLAYTON for Year 2010 2011
Property
Account
Property ID
Geographic ID 0630001104350000 Agent Code
Type Real
Tax Area: 0010 PA 12' PORT ST CNTY H2 L Land Use Code 11
Open Space. N DFL N
Historic Property N Remodel Property N
Multi Family Redevelopment: N
Township Section.
Range
Location
Address. 2116 W SIXTEENTH ST Mapsco ()11
PORT ANGEI .ES WA /).:\S'
Neighborhood: Cycle 5 Res Map ID' 3
Neighborhood CD' 10955130 M
Owner
Name AUDREY I CLAYTON Owner ID 18527
Mailing Address: 2116 W 16TH ST Ownership: 100 0000000000%
PORT ANGEI.ES WA 98363 -5108
Taxes and Assessment Due
Property Tax Information as of 08/30/2,)10
Amount Due if Paid on. 'M.
61079 Legal Description. TX #3159 EX W 100' SUB
LOT 104
Exemptions SNR /DSBL
First Half Second Half
Year Statement ID Taxing Jurisdiction Base Due Base Due Penalty Interest Base
2010 43847 ST SCH STATE SCHOOL $26 02 $26 03 $0 00 $0 00 $E
2010 43847 CC -GEN COUNTY $13 86 $13 84 $0 00 $0 00 $e
2010 43847 PORT PORT $1 94 $1 95 $0 00 $0 00 9
2010 43847 PORT ANG PORT ANGELES $27 90 $27 89 $0 00 $0 00 $E
2010 43847 SD #121 SCHOOL DISTRICT #121 $0 00 $0 00 $0 00 $0 00 9
i 2010 43847 NTH OLY LIB NORTH OLYMPIC LIBRARY $4 02 $4 03 $0 00 $0 00 9
2010 43847 HOSP #2 HOSPITAL. #2 $5 68 $5 68 $0 00 $0 00 $1
2010 43847 WSMET PK DIST W LLIAM SHORE MET PARK DIST $1 81 $1 81 $0 00 $0 00 9
2010 43847 CITY STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $7
2010 43847 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 9
2010 43847 TOTAL. $118.05 $118.04 $0.00 $0.00 $22
2009 610792008 ST SCH STATE SCI OOL $25 82 $25 82 $0 00 $0 00 $E
2009 610792008 CC -GEN COUNTY $13 06 $13 07 $0 00 $0 00 $2
2009 610792008 PORT PORT $1 85 $1 85 $0 00 $0 00 9
2009 610792008 PORT ANG PORT ANGELES $24 50 $24 50 $0 00 $0 00 $4
2009 610792008 SD #121 SCHOOL DISTRICT #121 $0 00 $0 00 $0 00 $0 00 9
2009 610792008 NTH OLY LIB NORTH OLYMPIC LIBRARY $3 80 $3 79 $0 00 $0 00 _9
2009 610792008 HOSP #2 HOSPITAL. #2 $5 36 $5 36 $0 00 $0 00 $1
http.//vpn.clallam.net:8084/propertyaccess/Property aspx ?cid =0 &year= 2010 &prop_id =61 8/30/2010
/43/
FEE RECEIPT NUMBER
.
TOTAL FEE
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
/oi!.:lNUMBER
30<J:!i?
_lEeTS"
'3
CONT. Lie. NO. TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Day Phone J - Co,..., Installers Phone
Application is hereby made for Permit,to install Electrical ~quipment 85 follows:
MA'I\:n 1.; , h01'l\1'
(fMIN~ ff 1>7'1-1 P. k S"-<.v,'-'- ~ ,,^,oL +, jMII-J r.-
Site Address
Owner
Owner's Address
USE OF CIRCUIT
LIGHT
LIGHT
CONVENIENCE
CONVENIENCE
APPLIANCE
DISHWASHER
DISPOSAL
. RANGE
OVEN
WATER HEATER
LAUNDRY
DRYER
FURNACE
GAS. OIL
FURNACE
ELECTRIC
ELECTRIC HEAT
ELECTRIC HEAT
A.C. UNIT
FEEDER
SERVICE
PERMITS WI~H WRONG ADDRESSES ARE C.ANce<:o.. .
Installation By ---I? \.ech,,,, 0'""" e ~c..-,
Installers Address II III ~M--r P ka So C\M1 R~I
~~ l-(~'f?'f
+1,
S~'1\(,I(" -'
rc- ,f, e.~ ()( r~ <t:JP /
Wiring Method
NUMBER
CIRCUITS
AMP
PER
CIR
AMP
PER
CIR
FEE
240V
100A
30
240V
100A
30
NUMBER
CIRCUITS
120V
10
120V
10
FEE'
USE OF CIRCUIT
jJjLiJ
SIGN
50 VOLTS
OR LESS
MOTOR
~ 'b)
/T&..
'(
(J
~
A.. r 1'2.. utili
I ;; nd /I'
J. (/) .In, if /,rjffJ
l'
ro ",!, J:L...A /J OJ ,,,-
I
/.'Ji J)." n
MOTOR
" o-
j
7-
~
....
MOTOR
FIRE ALARMS
, I
\l( (,.,
BURGLAR ALARM
MISC.
. ,
REINSTALLATION LIGHT FIXTURE #
SUB TOTAL FEE
ENERGY FEE
BASIC FEE
TOTAL FEE
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
'I (()(") AMP I
SIZE OF SERVICE ENTRANCE CONDUCTORS
win AW.G.
, .'
SIZE OF ENTRANCE SWITCH
PHASE
I SUB-TOTAL
SIZE OF GROUND
Date Application made
I certify that the work to be performed under this permit will be done by the installer and in canfor
'3/
I
10
. '9.V,- By
CONTRACTOA OR OWNER (OR AUTHORIZE AGENT)
, " '\ ", '.
Permission is hereby given to do the above descrl~ed work, according fa the,concUtions hereon an(j according to the approved plans' and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port An eles.
, , I ECT OF CITY LIGHT
... '
.
Date Permit Issued
WARNING
OLYMPIC PRINTERS, INC.
.:Ij;o It 7
"
"
'.
Notify Department of City Light by Street Address and Per it 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
Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
"t'"
'\'.1 .
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
.
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