HomeMy WebLinkAbout1150 Grant Ave - Building CITY OF PORT ANGELES
1117 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
��i 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001349 Date 11/30/11
Application pin number 877321
Property Address 1150 GRANT AVE REPORT SALES TAX
ASSESSOR PARCEL NUMBER; 06-30-14-5-6- 0200 -0000-
Application type description RE -ROOF on your state excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning UNKNOWN (Location Code 0502)
Application valuation 5064
Application desc
TEAR OFF /INSTALL COMP
Owner Contractor
DAVIS ELMER E LARRY'S ROOFING
PO BOX 92 352 AVIS ST.
PETERSBURG AK 998330092 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 11/30/11 Valuation 5064
Expiration Date 5/28/12
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
61/"\a,( 0,.2.1I
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 compli tk whether specified herein or not. The granting of a permit does
not presume to give authority to v ate or cancel the-prok ions ate or local law regulating construction or the performance of
construction.
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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 ,1
O
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
VI
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
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 FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
P LANNING DEPT. Separate Permit #s SEPA:
P arking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction- R.W. PW Engineering 417 -4831 'N
Fire 417 -4653 I�
Planning 417 -4750 r l am
Building 417 -4815 1 171 ..1Lc.
T.nrrnc /R■Iilriinn niuiinn /Ruildina Permit
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BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for projects that do not require plan review.)
Date Received t/
Permit /1-7349
City of Port Angeles Please print in ink. Date Approved
Attn: Building Permit Technician Approved by
321 E. 5 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: 111) CIRS Phone: 46ve
Property owner: Mr 4 Mrs paof' 7 Phone: 967"` 4/16,3
Property owner's mailing address:
Contractor's business name: 7J 3 Q0Sion Phone: z
(or property owner's name if he /sTie is doing /overseeing tie work`1z C.l�b�
Contractor's mailing address: .s #V 8S
Contractor's L &I license number: Qom' Expiration date:
r I 0 e6L 1 �U
Project Address: I l S) c
Project Type: Residential 0 Commercial o Industrial o 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: X house D garage m other
tear off re -roof D lay over one layer
Licensed contractor: S mit a copy of your re -roof bid.
Project Valuation (labor materials, not including sales tax)
Re -side: Q house D garage D other
Project Valuation (labor materials, not including sales tax)
Repair: (explain the project)
Project Valuation
*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
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date 8 - :;)-07
Time It..-So p",,- Received by D~~",:s E (phone, person)
Location of Work to be inspected i I ~c) C),.-",-"",'..,- A JI2.- .
Name of person requesting inspection De"" V\ ,'<:, ~,
Address of person requesting inspection Gz:.-.r(J Vo-r& (7 Gl- is Phone No, 4-/7 -4S'<{~
I
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav, Oth~"'-i-~
INSPECTION NOTES:
Inspected: Date &-&--07 Time
Remarks: e ,,; v-e..d. OvliL. S<:..,r- 11'''- 02-
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RESTORATION REQUIRED . . . . .. YES
NO ><:'
6n<'^- {- Ave. . ~
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order i $.o3'{[.,-2.i Z.
o COMPLETE
o INCOMPLETE
I~o.ntinll~.nn.reverse.sic:te if necessary)
STREET SUPERINTENDENT
(DATEl