HomeMy WebLinkAbout1012 W 10th St - BuildingPREPARED 9/23/09 8 28 50 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/23/09
ADDRESS 1012 W 10TH ST SUBDIV
TENANT NBR GENE A BLANTON JR
CONTRACTOR PHONE
OWNER GENE A BLANTON JR PHONE (360) 928 2165
PARCEL 06 30 00 0 3 1808 0000
APPL NUMBER 09 00000736 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 9/23/09 JLL
LS
BLDG FINAL
September 23 2009 8 24 13 AM 1pangrle
GENE 928 2165
BLDG FINAL RE ROOF
COMMENTS AND NOTES
if
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 09 00000736 Date 7/27/09
Application pin number 593408
Property Address 1012 W 10TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 1808 0000
Tenant nbr name GENE A BLANTON JR
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning COMMERCIAL NEIGHBORHOOD
Application valuation 6400
Application desc
TEAR OFF RE ROOF HOUSE
Owner Contractor
GENE A BLANTON JR OWNER
223 FRESHWATER PARK
PORT ANGELES WA 983639626
(360) 928 2165
Structure Information 000 000 TEAR OFF RE ROOF HOUSE
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF RE ROOF HOUSE
Permit pin number 150599
Permit Fee 165 75 Plan Check Fee 00
Issue Date 7/27/09 Valuation 6400
Expiration Date 1/23/10
Qty Unit Charge Per Extension
BASE FEE 95 75
5 00 14 0000 THOU BL -2001 25K (14 PER K) 70 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 165 75 165 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 170 25 170 25 00 00
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02
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 1 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.
7747/°9 4.6
Date Print Name Signature of Contractor or Authorized Agent
T:FormsBuilding Division/Building Permit
Signature of Owner (if owner is builde
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
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
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 Fumace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping SHORELINE.
T:Forms /Building Division /Building Permit
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
Deck
Shed
Other
PROJECT ADDRESS
Parcel Number
Max. height of proposed structures
Will a lawn sprinkler system be installe
Will a fire sprinkler system be instal?
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
Applicant NAM nl Phone 9 ZR 2- a_c
Property Owner 'K Phone
Property Owner's Address 22 3_. &I-k p pi_ d oe 363
Contractor CvE 015" t A l.A- Phone
Contractor's Address
License Expires E -mail
1O Z Liu 6ST (O•
Proiect Type Brief Description. Residential Multi- family Commercial Industrial
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
p-Re -roof House garage other iktear off re -roof lay over one layer
Heat System Heat pump wood burning stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Posed (sq. ft)
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
TOTAL VALUATION 00
Total footprint of structures sq ft. T of size sq ft. Lot coverage ok
Site Coverage the amount of impervious s ace o. parcel including structures pav- drive sidewalks patios
and other impervious surfaces (see PAMC 135 for exemptions) Site coverage ok
2
Occupancy group
Occupant load
Construction type
For City Use Only
Date Received `7 2:1 (3
Permit X19 '136.
Date Approved
Lot Zoning
per sq ft.
FY1 a rt'a C 3 ZOO
o v 32-00
•f bedrooms
o ull baths
of h: f 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 urderstand
that it is my respon bility to determine what wwhat permits are required, and to obtain permits prior tfa'yvorking on pr s.
Date Z-7it% Tint N ame6lAu W) t)" Signature
T Form ivision /Bldg Perm it.doc
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