HomeMy WebLinkAbout3908 Fairmount Ave - BuildingPREPARED 10/23/09 8 21 20 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/23/09
ADDRESS 3908 FAIRMOUNT AVE
TENANT NBR DELORES J LESKINOVITCH
CONTRACTOR CLALLAM BUILDERS EXVTNG INC
OWNER DELORES J LESKINOVITCH
PARCEL 06 30 08 5 8 0450 0000
APPL NUMBER 09 00000996 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
SUBDIV
PHONE (360) 808 4225
PHONE
BL99 01 10/23/09 JL BLDG FINAL
October 22 2009 4 21 01 PM 1pangrle
JEFF 808 4225
BLDG FINAL RE ROOF (DUPLEX)
THE PERMIT IS STORED BY THE DAILY NEWS ORANGE RECEPTACLE
AT 3908 FAIRMOUNT AVE
COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 09 00000996 Date 9/30/09
Application pin number 134932
Property Address 3908 FAIRMOUNT AVE
ASSESSOR PARCEL NUMBER 06 30 08 5 8 0450 0000
Tenant nbr name DELORES J LESKINOVITCH
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 1800
Application desc
RE ROOF THE HOUSE LAY OVER ONE LAYER
Owner Contractor
DELORES J LESKINOVITCH CLALLAM BUILDERS EXVTNG INC
82 HENRY BOYD RD 2353 E 6TH AVE
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 808 4225
Structure Information 000 000 RE ROOF HOUSE LAY OVER ONE LAYER
Permit BUILDING PERMIT NO PR FEE
Additional desc RE ROOF HOUSE
Permit pin number 154286
Permit Fee 89 65 Plan Check Fee 00
Issue Date 9/30/09 Valuation 1800
Expiration Date 3/29/10
Qty Unit Charge Per Extension
BASE FEE 50 00
13 00 3 0500 HND BL -501 2K (3 05 PER C) 39 65
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 89 65 89 65 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 94 15 94 15 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.
7/ e7 1 +r\ 1,(r)v
Date Print Name Signature of at or or Authorize gent Signature of Owner (if owner is builder)
T:Forms/Building Division/Building Permit
R c6 f
io -z3 -o9
FOUNDATION
Footings
Stemwall
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 COVE=R, 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
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 Furnace FAU Ducts
Rouqh -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
Accepted By Comments
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I 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
0
O
-x SU
Applicant C 1 derS
Property Owner Snry 117.4
l
Property Own s Address =te>7ru &yr), e. PPr
Contractor Cl Cr�, Ir �A— A e
i rS
Contractor's Address 3 fh
License C (hi g Fr) U Expires p//
PROJECT ADDRESS
.�?�n r )lJ'Q(
Parcel Number 06`00 er5bd 45f.) Lot
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
D olition
e -roof
Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
T /Building Division /Bldg Permit.doc
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
Residential Multi- family
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
Phone 3C6
Phone •3(i 6
W f\ ciSS3bz,
Phone 16'0
/0 E -mail
For City Use Only'
Date Received CI —25
Permit# (q' 9 gre,
Date Approved
--D ,25S
Commercial
Zoning
2
aeHouse garage other tear off re -roof wriy over one layer
❑Heat pump wood burning stove gas fireplace pellet stove other
per sq ft.
TOTAL VALUATION
Total footprint of structures '2Qt)O sq ft. T Lot size sq ft. Lot co
Site Coverage the amount of impervious surface on a parcel including structures paved driveways
and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site co
of bedrooms
of full baths
of half baths
8)
r 25
Industrial
v` t e
goo
verage °/0
sidewalks, patios
verage
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 i y re ponsibility to determine what permits are required, and to obtain permits prior to working or jects.
P
Date v Print Name P 1� ��.If 060 Signature /L