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Application Number 05- 00001131 Date 11/15/05
Application pin number 136237
Property Address 915 S CHASE ST
ASSESSOR PARCEL NUMBER 06 30 00 0 2 8950 0000
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 3177
Owner
ADA MS JOYCE I
915 S CHASE ST
PORT ANGELES
Per mit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF AND INSTALL COMP
Permit pin number 65409
Permit Fee 120 75 Plan Check Fee 00
Issue Date 11 /15 /05 Valuation 3177
Expiration Date 5/14/06
Qty Unit Charge Per
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
BASE FEE
2 00 14 0000 THOU BL -2001 25K (14 PER K)
Ot her Fees STATE SURCHARGE
Fee summary Charged Paid Credited Due
Permit Fee Total 120 75 120 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 125 25 125 25 00 00
WA 983627841
Contractor
EMERALD ROOFING INC
P 0 BOX 879
PORT ANGELES
(360) 452 4681
WA 98362
Extension
92 75
28 00
4 50
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 as 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 performance of
construction.
31gnture of Contractor or A Agent Date Signature of Owner (if owner is builder) Date
T \1102_15 building permit inspection record05.wpd [1/4/2005]
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
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
RESIDENTIAL
ELECTRICAL LIGHT DEPT
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES 1 NO
FINAL
FINAL
SEPA.
ESA.
SHORELINE.
DATE ACCEPTED BY.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION RW PW/ CONSTRUCTION RW
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I FIRE DEPT
PLANNING DEPT 417 -4750 jj y PLANNING DEPT
1.. —x I'
BUILDING 417 -4815 O 5 1 L t 0 71 BUILDING
I I I
1 1 I
1 I I
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for i e'view If you have an) questions, call
PERMITS (360) 417 -4815 FAX(360)417-4711
Applicant or Agent:
Owner l ,9 s P P
Address 9 .5 S 1 ?1/74 City P7`
Architect/Engineer
Contractor z_p Gli��_ t
Address _R C` r
PROJECT ADDRESSq/, e—
LEGAL DESCRIPTION Lot: Block:
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK.
Residential New Constr Re -roof
Multi family Addition Move
Commercial Remodel Demolition
Repair Sign
BRIEF DESCRIPTION OF THE PROJECT
//i k /4/
No of Stories. Lot Size.
Total lot coverage
PLANNING USE ONLY
BUILDING PERMIT APPLICATION
COMMERCL4L/RESIDENTIAL. Occupancy Group
Existing Sq Ft.
License Exp
City
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
one vS 4 .6
Phone 2 -4.5 1.
!o. S Zip i Z
Phone.
Subdivision.
ZONING
FOR OFFICIAL USE O LY
Date Rec. /I
Permit 3/
Date Approved
Date Issued. (7,)17.-/I
Phone r-
Zip I"k3
STZE/VALUATION
Stove SF /SF
Garage SF /SF
Deck SF /SF
Other TOT VALU TION 93 Z. 7
o /'T- d' c J__ e-7 447
Occupant Load. Construction Type:
Proposed Sq Ft. TOTAL Sq Ft.
APPROVALS
PLAN
BLDG
DPWU
FIRE
OTHER
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE IF a plan check fee is due it must be submitted at the tnnie the building permit application and construction plans are
submitted. All other permit fees are due at the time of penult issuance.
EXPIRATION OF PLAN REVIEW If no pemut is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2
of the International Building/Residential Code, 2003) No application can be extended more than once.
I hereby certify that 1 have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine hat permits are required not the City's, and that I must obtain such permits prior to work.
T Tolicies\BL 1102_13.wpd Apphcann: Date:
&netatd
:ROOFING
60'Mounf;Eleasaht.Crest Road
NPORTANGELES, ,WA.98362
(360).452 =4681 (360)
FAX '(360) 41' 5004
JOY6E ADAMS
91 5, SOUTH; CHASE:
PORT' :ANGELES,- WP. 983.62:
We herebysubmtt specifications.and estimates,for:
REROOF HOUSE
TEAR OFF EXISTING ROOFING TO SHEETING (2 LAYERS COMPOSITION OVER SOLID SHEETING)
PREP DECK FOR REROOF POUND DOWN AND PULL EXISTING FASTENERS
INSTALL #30 FELT TO ROOF AREA
INSTALL NEW METAL DRIP EDGE TO ALL GABLE EDGES
INSTALL COMPOSITION PER SPECS #1)30YR ARCHITECURAL (ELK OR PABCO)
#2)30YR PABCO PREMIER WITH 3-M ALGEA BLOCK
FLASH WALLS WITH METAL SHINGLES AS NEEDED
INSTALL NEW PLUMBING COVERS TO ALL PIPE VENTS
REPLACE EXISTING AF92 VENTS WITH NEW AF92'S
REPLACE EXISTING AF50 VENTS WITH NEW AF5O'S
INSTALL RIDGE CAP TO ALL RIDGES
CLEAN UP AND REMOVE ROOFING DEBRIS FROM JOBSITE
ALL COMPOSITION TO BE WIND NAILED (6 NAILS. PER FULL SHINGLE)
ALL WORK NOT ABOVE TO BE A CHANGE ORDER TIME- AND`MATERIAL)
MANUFACTURERS WARRANTY ON MATERIAL
FIVE YEAR WARRANTY ON WORKMANSHIP
BID INCLUDES ALL DUMP AND PERMIT FEES
#1) $2934.00 TAX 243.cwr$3177.52
#2) $2994.00 TAX 248.50 $3242.50
VV E PROPOSE hereby to furnish material and labor complete in accordance with the above specifications, for the sum of
dollars
Payment to be made as follows:
ON COMPLETION
All material is guaranteed to be as specified. All work to be completed in a professional
manner according to standard practices. Any alteration or deviation from above specifications
involving extra costs will be executed only upon written or verbal orders, and will become an
extra charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control. -Owner to carry fire, tornado, and other necessary insurance.
Our workers are fully covered by Worker's Compensation insurance.
ACCEPTANCE OF PROPOSAL The above prices,
specifications and conditions are satisfactory and are hereby accepted. You are
authorized to do the work as specified. Payment will be made as outlined above.
Date of Acceptance:
N. CUF
Authorized
Signature
Note: This proposal may be
withdrawn by us if not accepted within
Signature
Signature
PHONE,
4'5'2 =7,595
,JOB S NAME LOCATION
.JOB.NUMBER,
DATE
.3/2;4/2005.
JOB PHONE.
90
days.
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. ('33~3 (,0
/0-;:2/-1/
DATE
Site Address:
o READY FOR
INSPECTION
License Number:
WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/lndustrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
}8l. Service update/aiter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
o Overhead
o Underground
Voltage
o 10 030
Service size
o Temporary
Amps
Details/Description:
LfnfiU_UI1
vn.e f;;;J
.
W.S. No. Service
Capacity: 0 O.K. 0 Not OK
o Ditch inspection O.K.
o Rough-in/cover O.K.
~ O.K. to connect service
'9 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
Installer:
Permit/Receipt No.
Site Address:
:3
Date:
IC-d/- q I
New Meters
.
Notify the Department of ity 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 Inspe~to in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224.
1's / j. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT _~D, 0 {;)
I~or Amount paid
WHITE - file b address YELLOW - fIle by number PINK - Top. Eng, Bottom: Customer GREEN - Top. Inspector, Bottom. CIty Hall
OLYMPIC PRINTERS. INC.