HomeMy WebLinkAbout1140 W 9th St - BuildingPREPARED 6/11/08 9 32 58 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/11/08
ADDRESS 1140 W 9TH ST SUBDIV
TENANT NBR TODD SHERFICK
CONTRACTOR ANGELES PLUMBING PHONE (360) 452 8525
OWNER TODD R SHERFICK PHONE (360) 509 0890
PARCEL 06 30 00 0 3 0240 0000
APPL NUMBER 08 00000435 RES REMODEL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 01 6/11/08
a
PLUMBING ROUGH IN
June 11 2008 8 24 47 AM 1pangrle
MARK 477 0626
ROUGH IN PLUMBING
COMMENTS AND NOTES
Application Number 08 00000435
Application pin number 262615
Property Address 1140 W 9TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 0240 0000
Tenant nbr name TODD SHERFICK
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning
Application valuation
CITY OF PORT ANGELES
DEPARTP TT OF COMMUNITY DEVELOPMENT 'UILDING DIVISION
321 EAST 5TH STREET I'ORT ANGELES, )8362
RS7 RESDNTL SINGLE FAMILY
4100
Application desc
REPLACE WATER PIPES MOVE TUB SINK H2O HTR ETC
Owher Contractor
TODD R SHERFICK ANGELES PLUMBING
1140 W 9TH ST P 0 BOX 1151
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(360) 509 0890 (360) 452 8525
Structure Information 000 000 REPLACE PLUMBING MOVE BATH FIXTURES
Permit MECHANICAL PERMIT
Additional desc TWO VENT FANS
Permit pin number 124479
Permit Fee 64 50 Plan Check Fee 00
Issue Date 4/11/08 Valuation 0
Expiration Date 10/08/08
Qty Unit Charge Per Extension
BASE FEE 50 00
2 00 7 2500 ECH ME VENT FAN 14 50
Permit PLUMBING PERMIT
Additional desc REPLACE WATER LINES ETC
Permit pin number 124487
Permit Fee 100 00 Plan Check Fee
Issue Date 4/11/08 Valuation
Expiration Date 10/08/08
Qty Unit Charge Per
BASE FEE
3 00 7 0000 ECH PL EA FIXTURE ON ONE TRAP
1 00 7 0000 ECH PL- EA INSTALL WATER PIPE
1 00 15 0000 ECH PL- EA BLDG SEWER
1 00 7 0000 ECH PL- EA WATER HEATER
Other Fees
Fee summary Charged Paid Credited Due
Date 4/11/08
STATE SURCHARGE 4 50
Permit Fee Total 164 50 164 50 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
T Forms /Building Division/Building Permit (l0 /01 /07).wpd
00
0
Extension
50 00
21 00
7 00
15 00
7 00
Lk/21/V
g /4
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 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 ny state or local law regulating construction or the performance of
construction
Date Print Name e of Contractor or Authorized Agent Signature of Owner (if owner is builder)
CALL 417 -4815 FOR B DING INSPECTIONS CALL 417 -4735 FOR EL RICAL 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
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
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
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 H's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING
I FIRE
I PLANNING DEPT 417 -4750
I BUILDING 417 -4815
T Forms /Building Division /Building Permit (10 /01 /07).wpd
BUILDING PERMIT INSPECTION RECORD
DATE ACCEPTED
YES I NO
I FINAL DATE ACCEPTED BY.
FINAL
SEPA.
ESA.
SHORELINE.
COMMENTS
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE I ACCEPTED
I YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
417 -4807 PW ENGINEERING
417 -4653 I I I I FIRE DEPT
I I I PLANNING DEPT
I I I BUILDING
CITY OF PORT ANGELES
DEPARTP TT OF COMMUNITY DEVELOPMENT '1UILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, 38362
Page 2
Application Number 08 00000435 Date 4/11/08
Application pin number 262615
Grand Total 169 00 169 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 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.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T.Forms /Building Division/Building Permit (10 /01 /07).wpd
CALL 417 -4815 FORE )ING INSPECTIONS. CALL 417 -4735 FOR EL RICAL INSPECTIONS
(ALL 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.
FOUNDATION•
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDG S.)
PLUMBING
UNDER FLOOR 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 N's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING
FIRE
I PLANNING DEPT
BUILDING
INSPECTION TYPE DATE
417 -4735
417 -4807
417 -4653
417 -4750
417 -4815
T Forms /Building Division /Building Permit (10 /01 /07).wpd
BUILDING PERMIT INSPECTION RECORD
ACCEPTED
YES I NO
31 1—
FINAL DATE
FINAL DATE
SEPA.
ESA.
I I
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
PLANNING DEPT
61 tb
BUILDING
COMMENTS
DATE
ACCEPTED BY.
ACCEPTED BY.
ACCEPTED
YES
NO
w
0
Applicant or Agent
Property Owner 6
Property Owner's Address /t4? S%
Contractor /Engineer 4,06. ji
Contractor /Engineer's Address
License
PROJECT ADDRESS 114x) L S/
Parcel Number
Project Type Brief D
Check all that apply
New- Constr..uctio
Addition
,s Remodel
Repair
Re -roof
Demolition
Heat System
Other
Floor Areas
Basement
1St Floor
2nd Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
BUILDING PERMIT
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
escription.
Existing (sq. ft.) Proposed (sq. ft.)
Max height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
Pa-k 6, av `me- Vh ®he
scut). coma
APPLICATION Print in nk 11
fV Alfe4, +tip. couvrtve
For City Use Only
Date Received 4 'I (-Q7
Permit ()9)- 9 z VZ
-At-Date Approved
Phone
Phone 36 2 SZ7 7
Phone
Expires
Lot Zoning
Commercial Multi- family Industrial
/Qe ®GA�,� I e..ii7Pa? 11,%1 To
LiltiV1227 1.177/V7 Sl ptvty, Z r/ IAk'J 41.0/J71(46
APP D4liri.A4),en. r» tome DAx,6 FAiv5 847 lq�>vpev
l
Heat pump wood burning stove gas fireplace pellet stove other
per sq ft.
TOTAL VALUATION 4 100
Total footprint of structures sq ft. Lot size sq ft. Lot coverage
of bedrooms
of full baths
of half baths
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on
projects.
Date l —n 6 6 Print Name 0 n f c h c I C 6 Si na 2 /le
T Forms /Building Division /Bldg Permit Appl. 2006 Code doc
PREPARED 9/24/07 10 35 23
INSPECTION TICKET PAGE 18
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/24/07
ADDRESS 1140 W 9TH ST SUBDIV
TENANT NBR CLINT AUSTIN
CONTRACTOR PENINSULA CONTRACTING /ROOFING PHONE (360) 477 2949
OWNER DARREL D AUSTIN PHONE (360) 460 1377
PARCEL 06 30 00 0 3 0240 0000
APPL NUMBER 07 00001077 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 „9,24/0
JLL
BLDG FINAL
09/21/2007 09 28 AM LPANGRLE
EVAN 477 2949
BLDG FINAL RE ROOF
COMMENTS AND NOTES
o rizoo9F
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 07 00001077 Date 9/18/07
Application pin number 598685
Property Address 1140 W 9TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 0240 0000
Tenant nbr name CLINT AUSTIN
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 3850
Owner Contractor
DARREL D AUSTIN
1140 W 9TH ST
PORT ANGELES
(360) 460 1377
WA 983635626
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF AND REROOF
Permit pin number 111195
Permit Fee 123 75 Plan Check Fee 00
Issue Date 9/18/07 Valuation 3850
Expiration Date 3/16/08
Qty Unit Charge Per Extension
BASE FEE 95 75
2 00 14 0000 THOU BL -2001 25K (14 PER K) 28 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 123 75 123 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 128 25 128 25 00 00
Separate Permits are required forelectrical 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
fora 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
construct h
67 (1/7e,/1/(
Signature of Contractor or Authorized Agent Date
T Policies \I 102_15 building permit inspection record05.wpd 1/4/2005)
PENINSULA CONTRACTING /ROOFING
2358 E 3RD AVE
PORT ANGELES WA 98363
(360) 477 2949
Signature of Owner (if owner is builder) Date
Q CALL 417-4S15 FOR BUILDING INSPECTIONS: CALL 417-473 FOR ELECTRI CAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL AN!' WORK BEFORE
INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION 0
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
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
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING &HOLD DOWNS
SKIRTING
BUILDING PERMIT INSPECTION RECORD
DATE I ACCEPTED
YES
NO
I FINAL
FINAL
COMMENTS
DATE ACCEPTED BY.
DATE ACCEPTED BY.
PLANNING DEPT SEPARATE PERMIT It's SEPA.
PARKING /LIGHTING ESA.
LANDSCAPING I SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE I ACCEPTED
I YES I NO I
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I I I FIRE DEPT
I PLANNING DEPT 417 -4750 I I I I PLANNING DEPT I I
I BUILDING 417 -4815 ti 119 I O'7 �l T 0 I I BUILDING I I I I
T \Policies \1102 15 building permit inspection record05 wpd [1/4/2005)
SN
pE roKrgg
e es
i
WIT" 3/
NNW
Owner's Address
Residential
Multi- family
Commercial
Repair
COMMERCIAL/RESIDENTIAL.
Existing Structure(s) basement
1" floor
2nd floor
3` floor
Accessory Structures
Existing Structure(s) TOTAL
LOT COVERAGE
Lot size Sq. Ft.
Existing Structure(s) Sq. Ft. Footprint
Proposed Structure(s) Sq. Ft. Footprint
TOTAL Structure(s) Sq. Ft. Footprint
Total Lot Coverage
Date
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application, prescriptive energy
form, plans, specs, and a 8'Az" x 11" site plan MUST BE COMPLETE to be
accepted for review (360) 417 -4815 FAX (360) 417 -4711
Residential projects. submit two sets of plans
Comme al projec s: submit three sets of plans EvaV1 B
Applicant or Agent
1 �tu o -41 Pllone 40-7.-
Owner I l 14 f ,4 J C t w� Phone /639
Contractor/Engineer �t?n.� a'i'l c� t
g' f' Cov.`ivCr e( �t State License Pe/vi I.vtc Gj j /f1.6Expires
Contractor/Engineer's Address I
PROJECT ADDRESS it 0 9
LEGAL DESCRIPTION Lot:. Block:
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK
New Constr,Re -roof
Addition Move
Remodel Demolition
Sign Other
BRIEF DESCRIPTION OF THE PROJECT
a✓1A
Sq.
Sq
Applicant
Stove
Garage
Deck
T'1FORMS \BUILDING DIVISION\BIdgPermitAppl. -2006 CODE backup.wpd
Subdivision.
Occupancy Group: Occupant Load.
-ep ace S S 1
Sq. Ft. Proposed Structure(s) basement
Sq Ft. 1" floor
Sq. Ft. ,2n floor
Sq. Ft. 3` floor
Ft. Accessory Structures
Ft. Proposed Structure(s) TOTAL
TOTAL of existing proposed structures
Maximum Height of Proposed Structure(s)
Are you planning to install a lawn sprinkler system?
(Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq Ft.)
Phone
ZONING
Construction Type:
FOR OFFICIAL USE ONLY
Date Rec. 13 0- 7
Permit it 0 7— )O
Date Approved: C i 18 -67
Date Issued:
SIZENALUATION
/4HU SF /SF
SF /SF
SF /SF
TOTAL VALUATION S 6
rOo`7- l 5 ineef
Sq. Ft.
Sq Ft.
Sq. Ft.
Sq. Ft.
Sq Ft.
Sq Ft.
Sq Ft.
Ft.
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. The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are
due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW An application for a permit for any proposed work shall be deemed to have been abandoned 180
days after the date of filing unless such application has been pursued in good faith or a permit has been issued, except that the building
official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial
projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006 105.3.2)
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 what per /t are required, and that I must obtain
such permits prior to work.
Mobile Homes
Re- Roofing
New Construction
Flat Roofs
PENINSULA ROOFING
Evan Bradow
477 2949
417 1039
Licensed Bonded Insured
Job Location:
To:
PENINSCILO ROOFING
33 tax Date
tAr
79 erJ 5 (4
4C444 4
PREPARED 1/31/07 8 22 04 INSPECTION TICKET
CITY OF PORT ANGELES
ADDRESS 1140 W 9TH ST
CONTRACTOR
OWNER AUSTIN DARREL D
PARCEL 06 30 00 0 3 0240 0000
APPL NUMBER 07 00000047 DEMOLITION
PERMIT DEMO 00 DEMOLITION
REQUESTED INSP
TYP /SQ COMPLETED RESULT
BL99 01 1/31/07
Y)
DESCRIPTION
RESULTS /COMMENTS
INSPECTOR JAMES L LIERLY
SUBDIV
PHONE
PHONE
BUILDING FINAL
01/30/2007 02 34 PM PERMITS
LINDA 460 5914
DEMO FINAL
COMMENTS AND NOTES
PAGE 20
DATE 1/31/07
Owner
AUSTIN DARREL D
1140 W 9TH ST
PORT ANGELES
Construction Type
Occupancy Type
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 07 00000047
Application pin number '651252
Property Address 1140 W 9TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 0240 0000
Application type description DEMOLITION
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Contractor
OWNER
WA 983635626,
DEMOLITION
DEMO OLD GARAGE
93492
50 00 Plan Check Fee 00
1/18/07 Valuation 0
7/17/07
Per
Charged
Structure Information 000 000
TYPE V NON RATED
GARAGES CARPORTS SHEDS
50 00
00
50 00
BASE FEE
Paid Credited
50 00 00
00 00
50 00 00
Date 1/18/07
Extension
50 00
Due
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
fora 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
constructs
h 54
Signature of Contractor or Authoriz1 Agent Date Signature of Owner (if owner is builder) Date
T \Policies \l 102_1 5 building permit inspection record05.wpd [11412005]
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 4I7 -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
FOUNDATION:
FOOTINGS
SHEAR WALLS 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
I CEILING
I FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
BUILDING PERMIT INSPECTION RECORD
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I I I
PLANNING DEPT 417 -4750 J 1 i 1 I
BUILDING 417 -4815 I 1 3 viol
T.\Poli \1102 15 building permit inspection record05.wpd [1/4)2005]
\'ES NO
FINAL
FINAL
SEPA.
ESA.
SHORELINE:
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
COMMENTS
DATE ACCEPTED BY.
DATE ACCbP1t;DBY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE I ACCEPTED
I YES I NO
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
Applicant or Agent: L l 1.1 d 4 C'a �/1 T�
Owner
ltcn._ 644C1
Address-4 13 af City
Architect/Englneer•
Contractor State License
City Zip
PROJECT ADDRESS PO u el �p r A-, S 4 ft?LONING
LEGAL DESCRIPTION Lot: 9 'L/t Block: Subdivision.
CLALLAM COUNTY PARCEL NUMBER.
Address:
TYPE OF WORK.
Residential New Constr Re -roof Stove
Multi family Addition Move Garage
Commercial Remodel Demolition Deck
Repair Sign Other
BRIEF DESCRIPTION OF THE PROJECT
COMMERCIAL/RESIDENTIAL. Occupancy Group
No of Stories. Lot Size: Existing Sq. Ft.
Total lot coverage
PLANNING USE ONLY
BUILDING PERMIT APPLICATION
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
T•\•ORMS\B1dgPennitform.wpd Applicant: Date:
Occupant Load.
Proposed Sq Ft.
Phone:
SIZE/VALUATION
SF /SF
4,45g-- SF /SF
SF /SF
TOTAL VALUATION
Exp Phone:
FOR OFFICIAL USE ONLY
Date Rec.
Permit v 9
Date Approved:
Date Issued:
Phone: 3 (nn -1(P0 9J f
Phone: 1 it
Zip 9 2
0
Construction Type.
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 time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the tune 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 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 what permits are required ,not the City's, and that I
must obtain such permits prior to work.
Rev 07/11/02
AHERA Certified Inspector
Certification
his approved permit must
be available at the job site
Notification of Demolition Permit
It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos
containing materials have been removed from the area to be demolished. Work shall not commence on an asbestos project
or demolition unless the owner or operator has obtained written approval from ORCAA. A written application for a
demolition shall include a certification that there is no known asbestos containing material remaining in the area of the
structure.
Project Site Address. 1 Ltb (.0q‹-1/2- 1 County- C W6
City s r State: to Zip i `,�6
Starting D ate. C (4 cD C C O 7 Completion Date 4 I 0 0
p
here is a 10 working day advance notifhtion period from receipt of permit application)
Property O vmer•..y Q t Telephone. 3(d) Woo `€9 y Fax:
Mailin Address:.,!.- T3 r' °t-�° Lri
City s State (.t) A— Zip*a% 2
Demolition Contractor Li State License
Mailing Address: 0
City State: Zip.
Contact Person. L tan 4 G y C. c N`- -i Telephone (f %r�() C" 9±y Fax.
YES NO 0
Demolition by Wrecking or Dismantling? ($25 00 fee) check #J��0/ 2
yes, attach fire department request for training fire)
Fire Demolition? (If y p q g
Renovation, Alteration, Remodeling, Maintenance, or other Construction?
Asbestos found or suspected*
An ORCAA `Notice of Intent to Remove or Encapsulate Asbestos' form and appropriate fee must be submitted prior to any asbestos
removal work. Asbestos removal projects involving demolition must be preformed by a Certified Asbestos Contractor and all friable or
potentially friable asbestos must be removed before any demolition begins. Refer to ORCAA Regulation 1 Article 14 for additional
requirements that may apply
Asbs Survey Completed by
7
Enclose $25
ocessing F
2940 B Limited Lane NW Olympia, Washington 98502
360 -586 -1044 800 -422 5623 fax 360 -491 -6308
homepage: www.orcaa.org email: inforruorcaa.org
4 rIY_P O,
fi-
i
Certification of the Asbestos Survey must
accompany this form
r
(0Gt (1_
PREPARED 11/21/08 8 39 29 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/21/08
ADDRESS 1140 W 9TH ST SUBDIV
TENANT NBR TODD SHERFICK
CONTRACTOR EVERWARM PHONE (360) 452 3366
OWNER TODD R SHERFICK PHONE (360) 509 0890
PARCEL 06 30 00 0 3 0240 0000
APPL NUMBER 08 00000899 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01
11/21/08
MECHANICAL FINAL TIME 01 00
November 19 2008 8 36 46 AM 1pangrle
TODD 509 0890
MECHANICAL FINAL PELLET STOVE
AFTERNOON
COMMENTS AND NOTES
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
PELLET STOVE
Owner
TODD R SHERFICK
1140 W 9TH ST
PORT ANGELES
(360) 509 0890
Fee summary
WA 98363
T.Forms /Building Division'Building Permit (05/13/08).wpd
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
08 00000899
350272
1140 W 9TH ST
06 30 00 0 3 0240 0000
TODD SHERFICK
MECHANICAL APPL PERMIT
RS7 RESDNTL SINGLE FAMILY
4800
Contractor
EVERWARM
257151 HWY101
PORT ANGELES
(360) 452 3366
Permit MECHANICAL PERMIT
Additional desc PELLET STOVE
Permit pin number 130815
Permit Fee 60 65 Plan Check Fee 00
Issue Date 7/25/08 Valuation 0
Expiration Date 1/21/09
Qty Unit Charge Per
BASE FEE
1 00 10 6500 ECH ME OTHER APPL N/R
Charged Paid Credited
Date 7/25/08
WA 98362
Due
Permit Fee Total 60 65 60 65 00 00
Plan Check Total 00 00 00 00
Grand Total 60 65 60 65 00 00
Extension
50 00
10 65
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 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 (j
7 ZS 77) f ,ei, /6 9
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES CALL 417 -4886 FOR BACKFLOW PREVENTION INSPECTIONS
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 AND APPROVED PLANS AT THE JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
FOUNDATION:
FOOTINGS
SHEAR WALLS 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's
PARKING/LIGHTING
LANDSCAPING
BUILDING PERMIT INSPECTION RECORD
YES NO
I FINAL DATE ACCEPTED BY
FINAL DATE
SEPA.
ESA.
SHORELINE
ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE w
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
1 4 1
LIGHT DEPT
CONSTRUCTION R.W PW/ I CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I I I FIRE DEPT I
I PLANNING DEPT 417 -4750 I I I I PLANNING DEPT I I. I
I BUILDING 417 -4815 I I I I BUILDING I I. I
T 17 cn11 ❑,i, rh n/RI I. Per it (05 /13 /081.wwod
Applicant or Agent
Property Owner TOPP 5<,6 /l=lG✓�
Property Owner's Address //10 w 9 Si PQ
Contractor /Engineer Ezi,eiLt
Contractor /Engineer's Address
License
PROJECT ADDRESS j 14-D w 9' S/ f A
Parcel Number Lot Zoning
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Re -roof
Demolition
-Heat System.
Other
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
Phone
Phone ,,Spy} --D g Je)
Phone
Expires
,Residential Commercial Multi- family Industrial
Heat pump wood burning stove gas fireplace ,(pellet stove other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq ft.
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
For City Use Only
Date Received 5' --1
Permit# OR, $9R
Date Approved
TOTAL VALUATION 9 5 D
sq ft. Lot size sq ft. Lot coverage
of bedrooms
of full baths
of half baths
I have read -and completed this application and know it to be true and correct. .l:am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on
projects.
Date 'b Print Name I 6,9/7 L 9t-2plli(-6 Sign gte(
T Forms /Building Division /Bldg Permit Appl. -2006 Code doc