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Home My WebLink About1320 W 11th St - Building a CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION n 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001205 Date 10/25/11 Application pin number 803340 Property Address 1320 W 11TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 5620 -0000- Application type description RE -ROOF on your state excise tax form Subdivision Name Property Use to the City of Port Angeles Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 8000 Application desc TEAR OFF /INSTALL COMP Owner Contractor ROGERS JAMES T /KAREN AN DEN CONSTRUCTION 1320 W 11TH ST 237 W ALDER ST PORT ANGELES WA 983635508 SEQUIM WA 98382 (360) 670 -6979 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF /INSTALL COMP Permit pin number 195263 Permit Fee 179.75 Plan Check Fee .00 Issue Date 10/25/11 Valuation 8000 Expiration Date 4/22/12 Qty Unit Charge Per Extension BASE FEE 95.75 \X 6.00 14.0000 THOU BL-2001-25K 001 -25K (14 PER K) 84.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due J Permit Fee Total 179.75 179.75 .00 .00 l/ Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 184.25 184.25 .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 complie with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the pr visions 6f a y"sate or local law regulating construction or the performance of construction. t to z 5 J/ c��/4 xI J4st/ (41reze!i41/6. f Date Print Name Signature of Contractor or Au orized Agent Signature of Owner (if owner is builder 9 9 9 T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD \Nsl PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS r 0 Building Inspections 417 4815 Electrical Inspections 417 4735 r./ 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: r Under Floor Stab Rough -In `v�l Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by 1 AIR SEAL: C� Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) INSULATION: Slab Wall Floor Ceiling 1 n 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 PLANNING DEPT. Separate Permit #s SEPA: Parking 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 (b Fire 417 -4653 Planning 417 -4750 Building 417 -4815 t 1 T:Forms /Building Division /Building Permit 1 CO H H N 0 H H W W U H a m 1�a al ��A` 0 I H o C 0 I ra a 'te H 1 H H a n z z 1 a w 0--.0t 0 0 1 0 0 0 1 0 w 0 UZ maa N' 0 0 -1� H I 1 1f1 a 0 =-.4 E 1 0 as 0 z H a z 0x a H 0 0 H 1 E. H I H 0 0 0 0 1 Z 0 a H 0 0 1 0 0 0, Ft Z a a l r z 0 00 1 0 z X HHII G a on a� x w 0 E z 0 0 0 1 I 0 a 0 H N r z Q1 H H a ,4 x 0 a a E 0 1 1 0 0 0 0 N z a O I z O H Q> x H 0 o W a o o n z o 1 1 0 a W z 0 0 z[do4, 1 o a o I E. H KC 0 0 1 H H X N a 1 U I ON H it1 O HUH,n W I wa N 1 0 a 1 a 1 III m 0 0 F Z 0 0 N o I Z H W a 0 H O pc 1 N I H CO 1 0 U 17 0 0 1 Q v1 0 0 4 w z (0101Hnn a 1 0 0 0 0 1 "1.J W W 0 H W 1 00 000 1 a0 H H H H 0 1 N (7 1 1 U] 0 1 Z O Z O l0 H 1 0M a 0 N 1 H a 0 H I 0 0 a 0 0 1 Cy Z Hi 0 W O 0 0 0 1 0 W 1 z a u 0 n 124 1 0 0 1 0 0 w 1 0 0 0 1- 0 0XXawz 0 0 1 Hi a 1 a H W U a 1 0 wHln a o, w u a 0 0 a a y 1 0.l N 0 BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM (To be used for projects that do not require plan review.) Date Received /a• <'7( Permit 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: Phone: \jot-{� 9� 6 70- 617`(. Property owner: Nj T‘.6 Phone: 360---460- X 15 Property owners mailing a dress: 1 f e t r linbde s 56362— Contractor's business name: A, Phone: (or property owners name if he /she is doing /overseeing the work) 36, 76 61 Contractor's mailing address: /I e2 3 7 S' c lJ F nrt f8 ?s' Contractor's L &I license number: L f Expiration date: /QAD� C e- /26/ zi Project Address: 11 S Pay- A i le-5 Li 9a3‘ Project Type: residential Commercial Industrial E Multi- family 1 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: zrhouse D garage D" other 2r tear off re -roof lay over one layer Licensed contractor: Submit a copy of your re -roof bid. Project Valuation c (labor materials, not including sales tax) Re -side: D 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) Pagel of Swimming Pool or Spa 24" deep): For prefabricated swimming pool or spa proiects that do not require plan review: Obtain the City of PA handout-entitled "Pools Spas" follow the requirements. Project Valuation Demolition: A demolition permit is needed when an entire building gets demolished. What will be demolished? house garage other Note: some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. Agree to ensure that all utilities are /will be properly turned off (and capped off if needed) prior to demolition. Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to be demolished. Submit the map with this application. (1) Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA) Demolition Permit Application. Contact ORCAA at 360 -417 -1466 to discuss whether or not an ORCAA Demolition Permit will also be needed. /yes no Will the debris be going to the Regional Transfer Station in Port Angeles? .dyes No If yes, Will a licensed contractor be taking it there? If yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the Building Permit Technician, now (or later if asbestos testing is needed). Plumbing Permit: (explain the project) Project Valuation Mechanical Permit: (explain the project) Project Valuation I have read and completed this application and kn• it be true and correct. I am authorized to apply for this permit and understand that it is my responsibility tudar i 'at permits are required, and to obtain permits prior to working on projects. Date /'-z Signature Print Name k./6ra b. 4 Page An Den Construction John Jensen 237 W. Alder St. Sequim, WA 98382 (360)670 -6979 ANDENC*984DK Jim and Karen Rogers 1320 w. 11th St. Port Angeles, WA 98362 Roof Bid ttaroff and installation Materials for roof 3,500.00 Labor 4,500.00 Subtotal 8,000.00 Tax (8.6 688.00 Total 8,688.00