HomeMy WebLinkAbout801 E 10th St - Buildingof FORT,
v,
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 06 00000830 Date 7/31/06
Application pin number 906600
Property Address 801 E 10TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 2 8445 0000
Tenant nbr name MELINDA SZATLOCKY
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning
Application valuation 1654
Owner Contractor
MICHAEL /MELINDA SZATLOCKY OWNER
32 SOUTHRIDGE RD
PORT ANGELES WA 983639439
Permit BUILDING PERMIT NO PR FEE
Additional desc
Permit pin number 83691
Permit Fee 86 60 Plan Check Fee 00
Issue Date 7/31/06 Valuation 1654
Expiration Date 1/27/07
Qty Unit Charge Per Extension
BASE FEE 50 00
12 00 3 0500 HND BL -501 2K (3 05 PER C) 36 60
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 86 60 86 60 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 91 10 91 10 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 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.
itaatA 7/30100°
Signature of Contractor or Authorized Agent Date Signature of Owner (if owndrls builder) D
T•\Policies \1102_15 building permit inspection record05 wpd [1/4/2005]
0/,
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 8's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T \Policies \I 102_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 I NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
a
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 I NO
I I I
I I I
I I I
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. I our 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:
Owner VVleif VI✓rt Ck `--5/ lL I l`JCE6 A
Address: L City v
3 -t4
Contractor 7 LA f 1, State License
City
Architect/Enaineer
Address:
PROJECT ADDRESS g P I
LEGAL DESCRIPTION Lot: Block.
CLALLAM COUNTY PARCEL NUMBER.
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
ESAIWetland(s) Yes No SERA Checklist required? Yes No Other
Phone:
Phone.
Subdivision.
Phone:
Exp
Zip
Phone:
Zip
ZONING
STZF/VALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION)\ 16 .5
Occupant Load. Construction Type:
Proposed Sq Ft. TOTAL Sq Ft.
FOR OFFIC U ONLY
Date Rec. 7 /3/Pe•
Permit 44:
Date Approved: /'7
Date Issued: '/3//0- =6
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 maybe revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordmator 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 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 I 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. T•1FORMS�B1dgPerrnitform.wpd ApplicanC C Date: Y-3.
Cust No
4
Job No
Sold To
CASH
LN# SHIPPED
1 98
2
3
4 12
5 6
6 1
7 1
8 1
9 2/
10
11
12
13
14
15
16
17
18
19
20
21
22
23
29
TOT WT 3434 00
Purchase Order
ORDERED UM
EA
6 0 RL
3L. EA
EA
EA
EA
EA
EA
EA
1 EA
SKU
P627PG
ASTM30
P650PG
V300S
WV24BK
CR3DGAL
CR4DGAL
NV45AB2..r"
P620B
ATOP
HARTNAGEL BUILDING SUPPLY INC.
833 E. FRONT ST
PORT ANGELES, WA 98362
TOLL FREE 1- 888 452 -6252
PHONE (360) 452 -8933
VISIT US ONLINE AT WWW HARTNAGELS COM
WE APPRECIATE YOUR BUSINESS
Reference I Terms
CASH /CHECK /BANKCARD
Ship To
801 E 10TH CORNER OF 10TH AND
FRANCIS 670 -9963
SZATLOCKY
DESCRIPTION
PAB PREM 30 PEWTER GRAY [4]Y
ASTM 2 SQ 30# FELT
PAB 9 SHADOW CAP- PEWTER GRAY
CORAVENT 9 RIDGEVENT
W- VALLEY 24 BLACK
BOSTITCH 1 -1/4 GAL COIL ROOF
BOSTITCH 1 -1/2 GAL COIL ROOF
HITACHI COIL ROOF NAILER
PAB GG -20 BLACK 20YR[3]Y
ROOF TOP DELIVERY PER SQ
VERIFY ROOF PITCH AND ACCESS
CUSTOMER MUST PROVIDE TOE
BOARDS FOR ROOF PITCH OF 4/12
OR GREATER, OR HOOKS AND
BOARDS FOR ROOF PITCH 8/12
OR GREATER OR WE WILL
PROVIDE FOR THE COST OF
MATERIAL PLUS $40 00 PER
HOUR! STEEP PITCH AND UNUSUAL
ACCESS CONDITIONS WILL BE
BILLED ON AN INDIVIDUAL BASIS
REFLECTING OUR INCURRED COST
9 1 2
PAYMENT RECEIVED
PAID IN FULL
BANKCARD PAYMENT
BKCRD #2408
SLSPR
TAX
SUGG
370 00
Clerk
15
15 Kevin Hanson
H4 HARTNAGELS -CASH RETAI
UNITS PRICE /PER EXTENSION
98 12 64 /EA 606 72
6 22 99 /RL 137 94
3 31 38 /EA 94 14
12 9 99 /EA 119 88
6 32 99 /EA 197 99
1 39 99 /EA 39 99
1 56 99 /EA 56 99
1 325 00 /EA 325 00
2 12 80 /EA 25 60
1 50 00 /EA 50 00
1 793 15 TAXABLE 1654 20
NON TAXABLE 0 00
SUBTOTAL 1654 20
1 793 15
TERM#569
PAGE NO 1
Date I Time
7/30/06 12 53
Received By
DOC# J31156
INVOICE
TAX AMOUNT 138 95
TOTAL AMOUNT 1793 15