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Home My WebLink About1010 E 4th StreetAddress: 1010 E 4th Street PREPARED 6/02/17, 8:58:25 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/02/17 ------------------------------------------------------------------------------------------------ ADDRESS . : 1010 E 4TH ST SUBDIV: CONTRACTOR LARRY'S ROOFING PHONE (360) 452-2215 OWNER WINDY FERGUSON PHONE (734) 385-3143 PARCEL 06-30-00-0-1-7740-0000- APPL NUMBER: 17-00000692 RESIDENTIAL RE -ROOF ---------------------------------------------------------------------------------------------- PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEB REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 6/02/17 J BLDG FINAL Tom 460-0517 --------------- ----- ------ ---------- COMMENTS AND NOTES 1-:�- �pci1 torn � qft St PREPARED 6/02/17, 13:25:44 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/02/17 -- --------- ---------- ADDRESS . : 1010 E 4TH ST SUBDIV: CONTRACTOR LARRY'S ROOFING PHONE (360) 452-2215 OWNER WINDY FERGUSON PHONE (734) 385-3143 PARCEL 06-30-00-0-1-7740-0000- APPL NUMBER: 17-00000692 RESIDENTIAL RE -ROOF PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 6/02/17LL BLDG FINAL Tom 460-0517 ------------------------------------ COMMENTS AND NOTES CITY OF PORT ANGELES C DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 17-00000692 Date 5/30/17 Application pin number . . . 366048 Property Address . . . . . . 1010 E 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -7740 -0000 - Application type description RESIDENTIAL RE -ROOF Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 3200 ---------------------------------------------------------------------------- Application desc TEAR OFF/INSTALL COMP ---------------------------------------------------------------------------- Owner Contractor ------------------------ WINDY FERGUSON ------------------------ LARRY'S ROOFING 1010 E 4TH ST 352 AVIS ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (734) 385-3143 (360) 452-2215 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc . . TEAR OFF/INSTALL COMP Permit Fee . . . . 123.75 Plan Check Fee .00 Issue Date . . . . 5/30/17 Valuation . . . . 3200 Expiration Date . . 11/26/17 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 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 isnot 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 examine this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be co p 'ed with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the rovisio s of any state or local law regulating construction or the performance of construction. ftz�1_ Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 1:1-orms/Building Division/Building Permit 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Electrical 417-4735 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 / Furnace / 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: Parkin / Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW I En ineerin 417-4831 Fire 41.7-4653 Planning 417-4750 Building 417-4815 THE C~�aC rr v OF W A S H I 321 E 51h Street z S Bpi G T 0 N, U. S. Port Angeles, WA 9836 P: 360-417-4817 F: 360-417-4711 Email: permits@ciMfoa.us For City Use Permit# n -��z Date Received: Date Approved r`7 Project Address: lQ (0 . ` r Primary Contact: Phone: q6Q (K Email: Name (1_ �J � ' `j n ,d Phone Property Owner MailingAddress(� Email City State Zip Name J I I V- Phone 4s -z zz6 Contractor Address Email Information city State Zip Contractor License# Z'1« f _ QaLn Exp. Date:w�� Q Legal Description: Zoning: ax Parcel # Project Value: (materials and labor) $ -Roo-_ Residential YR Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof (tear off/lay over) Classification �i (check appropriate) For the following, fill out both pages of permit application: New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical ❑ Plumbing ❑ Other ❑ Fire Sprinkler System Proposed or Existing? Yes ❑ No ❑ Irrigation System Proposed or Existing? Yes 0 No ❑ Proposed Bathrooms Proposed Bedrooms In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwater ci ofpa.us Project Description Is project in a Flood Zone: Yes E3 No❑ Flood Zonae Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ I have read and completed the 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 work. I understand that plan review fees are not refundable after review has occurred. I understand that.l will forfeit review fees if I withdraw the application before the permit is issued. I understand that if the permit is not picked up/issued within a8o days of submittal, the application will be considered abandoned and the fees will be forfeited. Date M Print Name Signature T:\Forms\2015 CEO Form UpGates\#3uttatng & eermsttmg\tsr\tsuttatng rermtt cui u,riz).uu" Residential Structures Area Descriptions (SQ FT) Existing Floor area Proposed floor area Construction $ Value new area For Office Use Basement First Floor Second Floor Covered Deck/Porch/Entry Deck (over 30" or z" floor) Garage Carport Other (describe) Area Totals Commercial Structures Area Descriptions (SQ FT) Existing Floor area Proposed Floor area Construction $ Value new area For Office Use Existing Structure (s) Proposed Addition Tenant Improvement? Other work (describe) Site Area Totals Lot/Site Coverage Calculations Lot Size (sq ft) Lot Coverage (sq ft) foot print of all structures s ft %Lot Coverage (Total lot cov _ lot size) Max Bldg Height Site Coverage (Sq Ft of all impervious) % of Site Coverage (total site cov _ lot size) Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: # Haz/Non-Haz Piping Outlets: Appliance Exhaust Fan # Heater. (Suspended, Floor, Recessed wail) # Boiler/Compressor Size: # Heating/Cooling appliance repair/alteration # Evaporative Cooler (attached, not portable) # Pellet Stove/Wood-burning/Gas Fireplace/Gas Stove/Gas Cook Stove/Mise. # Fuel Gas Piping # of Outlets: Ventilation Fan, single duct # Furnace/Beat Pump/ Forced Air Unit Size: # Ventilation System # Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Water Heater # Plumbing Vent piping # Medical gas piping # of Outlets: Water Line # Fuel gas piping # of Outlets: Sewer Line # Industrial waste pretreatment interceptor Grease Trap) Size Other (describe): T:\Forms\2015 CEO Form UpGates\#3uttatng & eermsttmg\tsr\tsuttatng rermtt cui u,riz).uu"