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Home My WebLink About1019 G StreetAddress: 1019 G Street s r PREPARED 12/20/16, 9:24:53 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/20/16 ------------------------------------------------------------------------------------------------ ADDRESS 1019 G ST SUBDIV: CONTRACTOR VAUGHAN'S CONSTRUCTION PHONE (360) 477-2626 OWNER BORTE JAMES F/BRENDAC PHONE PARCEL 06-30-00-0-3-1550-0000- APPL NUMBER: 16-00001775 RE -ROOF PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 12/20/16 BLDG FINAL December 20, 2016 9:22:23 AM jlierly. 477-2626 ----------------------- --- ------------------------- --------- COMMENTS AND NOTES ------------ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 16-00001775 Date 11/30/16 Application pin number . . . 424550 Property Address . . . . . . 1019 G ST ASSESSOR PARCEL NUMBER: .06 -30 -00 -0 -3 -1550 -0000 - Application type description RE -ROOF Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 9900 --------------------------------------------------------------------------- Application desc BASE FEE Res Re -roof ---------------------------------------------------------------------------- 95.75 Owner THOU BL -2001-25K (14 Contractor -------------------=---- BORTE JAMES F/BRENDAC ------------------------ VAUGHAN'S CONSTRUCTION 1019 S G ST . . . . . . STATE SURCHARGE 2512 E RYAN DRIVE PORT ANGELES WA 983635527 PORT ANGELES WA 98362 (360) 477-2626 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc RES RE -ROOF ----------------- Permit Fee Total Permit Fee . . . . 207.75 Plan Check Fee .00 Issue Date . . . . 11/30./16 Valuation . . . . 9900 Expiration Date . . 5/29/17 V Qty Unit Charge Per Extension Q N 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 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) i.rvunaiouuumy umblumommmy rermn BASE FEE 95.75 8.00 14.0000 THOU BL -2001-25K (14 PER K) 112.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50. k---------------------------------------------------------------------------- [� Fee summary Charged Paid - Credited Due ----------------- Permit Fee Total -------------------- 207.75 207.75 -------------------- .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 212.25 212.25 .00 .00 Q N 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 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) i.rvunaiouuumy umblumommmy rermn 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 Pum / Furnace / FAU / Ducts Rough -in Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts MANUFACTURED HOMES: Footing / Slab ckin & Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parkin / Lighting Landscaping FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 A CITY OF Permit# [� — \ �+ `15 WASH 1 N G T O N, U.S. Date Received: 1 l 1 -3-11 /6 321 E 51hStreet Date Approved l u (� Port Angeles, WA 9836 P: 360-417-4817 F: 360-417-4711 Email: permitsOcityofpa.us BUILDING PERMIT APPLICATION Project Address: �C 9 ` I Phone: 3G 0 L Primaq Contact�el Email: tis Nam "R 6 Phone 0.-79 Property Mailin Address Email Owner L 5 ..r. y 1 - State Zi Natie 1 ]� �D.✓` V�1 l V 16Y1 Phone r� ��Lil(¢ of Addre S a Email �'`~^ IL _ v a k a c Contractor a►. G, - InformationCity Cityri>ar State vS1�t vip C1 83 6 a Contractor License# LAG sga to h) Exp. Date: LS' a o ,f g Legal Description: Zoning: Tax Parcel # Pro*ect Value: (materials and labor) $ �1�0 Residentia Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof (tear off/lay over) lClassification For the following, fill out both pages of permit application: (check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ appropriate) Mechanical ❑ Plumbing ❑ Other ❑ Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms or Existing? Yes ❑ No ❑ Existing? Yes ' ❑ No 13 In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwater ci o a.us Project Description 0 Is project in a Flood Zone: Yes ❑ No❑ Flood Zone 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 I 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 i8o days of submittal, the application will be considered abandoned and the fees will be forfeited. Date 2 g Za tic Print Name Y,,-` ,� .` v Signatur 44a v U T:\Forms\2015 CED Form Updates\Building & Permitting\BP\Building Permit 20150415.docx 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 ed 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) all structures foot print of 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 wall) # Boiler/Compressor Size: # Heating/Cooling appliance repair/alteration # Evaporative Cooler (attached, not portable) # Pellet Stove/Wood-burning/Gas Fireplace/Gas Stove/Gas Cook Stove/Misc. # Fuel Gas Piping # of Outlets: Ventilation Fan, single duct # Furnace/Heat 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 CED Form Updates\Building & Permitting\BP\Building Permit 20150415.docx