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HomeMy WebLinkAbout1021 E. 5th StreetAddress: 1021 E 51h Street PREPARED 3/13/14, 10:51:15 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY "' DATE 3/13/14 ------------------------------------------------------------------------------------------------ ADDRESS . : 1021 E STH ST SUBDIV: CONTRACTOR LARRY'S ROOFING PHONE (360) 452-2215 OWNER ORSBORN ROLAND E PHONE PARCEL 06-30-00-0-1-7775-0000- APPL NUMBER: 14-00000263 RE -ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------------------- — ------ — — -------------------------- — --------- — — ------ — BL99 01 3/13/14 J L BLDG FINAL March 13, 2014 10:53:04 AM pbarthol. I Tom 460-0517 -------------------------------------- COMMENTS AND NOTES -------------------------------------- CK CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 14-00000263 Date 3/05/14 Application pin number . . . 646634 Property Address . . . . . . 1021 E 5TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -7775 -0000 - Application type description RE -ROOF Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 12410 ---------------------------------------------------------------------------- Application desc TEAR OFF/INSTALL COMP ---------------------------------------------------------------------------- Owner Contractor ORSBORN ROLAND E LARRY'S ROOFING 1021 E 5TH ST 352 AVIS ST. PORT ANGELES WA 983624114 PORT ANGELES WA 98362 (360) 452-2215 Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc . . TEAR OFF/INSTALL COMP Permit Fee . . . . 249.75 Plan Check Fee .00 Issue Date . . . . 3/05/14 Valuation . . . . 12410 Expiration Date . . 9/01/14. Qty Unit Charge Per Extension BASE FEE 95.75 11.00 14.0000 THOU BL -2001-25K (14 PER K) ---------------------------------------------------------------------------- 154.00 Other Fees . . . . . . . . STATE SURCHARGE ---------------------------------------------------------------------------- 4.50 Fee summary Charged Paid Credited ----------------- Due ---------------------------------------- Permit Fee Total 249.75 249.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 254.25 254.25 .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 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 req fired inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined thl a lication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will b mplie withwhether specified herein or not. The granting of a permit does not presume to give authority to vio to or cancel the pro isl nsVanyate 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) T:Forms/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: FINAL Date Accepted b 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: FINAL Date Accepted b Heat Pum / 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: ESA: SHORELINE: Parkin / Lighting Landscaping FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW / Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit ORT NLGE -, 1�-S CITY OF eAj L W A S H I N G T O N. U. S. 321 E Slh Street Port Angeles, WA 9836 P: 360-417-4817 F: 360-417-4711 For City Use Permit# l q - 2-(-P> Date Received: 3 --`7" l `( Date Approved 3 " C�' Email: permitsQcitvofpa.us BUILDING PERMIT APPLICATION . Project Address: 1 ©-?_�4 Z - Prima Contact: Tom Phone: Email: Property Owner Name A) c O cs - 'n Phone — I MailingAddreqq �p_\ �Email City State Contractor Information Name Name Phone Address \ 3� (J Email city State zip Contractors License# Exp. Date: Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor) $ i2_1 40, ' Permit Classification (check Residential ❑ Commercial ❑ Industrial ❑ Public ❑ Demolition ❑ Fire ❑ Repair ❑ Reroof (tear off/lay over) For the following fill out both pages of permit application: New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ ----r--�--- _-__ _ — - Mechanical Plumbing '❑u Other_ ❑ Fire Sprinkler System? Yes 0 No 0 Irrigation System? Yes D No D Proposed Bathrooms Proposed Bedrooms Project Description 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 peris not picked up/issued within i8o days 6f submittal, the application will be considered abandoned and the Nes will be forfeited. Date Print Name Signature Residential Structures Area Description (SQ FT) Existing Proposed ss value For Office Use Basement First Floor Second Floor Covered Deck/Porch/Entry Deck (over 3o° or 2. floor) Garage Carport Other (describe) Area Totals Commercial Structures Area Descriptions (SQ FT) Existing Proposed S$ Value For Office Use Existing Structure (s) Proposed Addition Tenant Improvement? Other work (describe) Site Area Totals Lot/Site Covera a Calculations 'Lot Size (sq ft) Lot Coverage (sq ft) %Lot Coverage (Total lot coverage T lot size) Site Covera e S Ft of all im ervious) T - t. Cover g—( q 1L p % of Site Coverage (total site coverage T lot size) ft �( —� 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 Fire lace/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 # Fuel gas piping # of Outlets: Water Heater # Medical gas piping # of Outlets: Water Line # Plumbing Vent piping # Sewer Line # Industrial waste pretreatment —interceptor Grease Trap) Size Other (describe): r:\BUILDING\APPLILA71UN PUKMJ\LUrrenc Dr nppuwuou\Du.•u•.•r, • _• •••••