HomeMy WebLinkAbout1025 W. 10th StreetAddress:
1025 W 10th Street
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PREPARED 6/03/15, 8:46:50 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/03/15
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ADDRESS . : 1025 W 10TH ST SUBDIV:
CONTRACTOR : PHONE :
OWNER BREITHAUPT,JUNE/DEUTSCH,LEEANN PHONE : (360) 452-6432
PARCEL 06-30-00-0-3-0168-0000-
APPL NUMBER: 15-00000585 RE -ROOF
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PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 6/03/15 L BLDG FINAL
June 3, 2015 8:46:57 AM jlierly
duffy
--------- —-------------- ----------- COMMENTS AND NOTES ------
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . .
15-00000585
Date 6/01/15
Application pin number . . .
273345
Property Address . . . . . .
1025 W 10TH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -0 -3 -0168 -0000
-
Application type description
RE -ROOF
Subdivision Name . . . . . .
Property Use . .
Property Zoning . . . . . . .
RS7 RESDNTL SINGLE
FAMILY
Application valuation . . . .
7620
Application desc
--
- ---
RES tearoff 301b felt 30 yr shingle
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Owner
Contractor
BREITHAUPT,JUNE/DEUTSCH,LEEANN
OWNER
1025 W 10TH STREET
PORT ANGELES WA 98363
(360) 452-6432
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Permit . . . . . . BUILDING.PERMIT
- NO PR FEE
Additional desc . . RES TEAROFF
30YR SHINGLE
Permit Fee . . . . 179.75
Plan Check
Fee
.00
Issue Date . . . . 6/01/15
Valuation
. . . .
7620
Expiration Date 11/28/15
Qty Unit Charge Per
Extension
BASE
FEE
95.75
6.00 14.0000 THOU BL -2001-25K
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(14 PER K)
84.00
Other Fees . . . . . . . . .
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STATE SURCHARGE
4.50
Fee summary Charged
Paid Credited
Due
Permit Fee Total 179.75
179.75
.00
.00
PlanCheck Total .00
.00
.00
.00
Other Fee Total 4.50
4.50
.00
.00
Grand Total 184.25
184.25
.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 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.
—(T
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
r: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:
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Fire 417-4653
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
THE 1
CITY OF
W A S H I
A-
N
' G T O N, U. S.
321 East S"' Street
Port Angeles, WA 98362
P: 360-417-4817 F: 360-417-4711
permits@cityofpa.us
For City Use
Permit# fjr�'
Date Received: Zu- l�
Date Approved
Buildina Permit Application
Project Address:
Main Contac : �
Phone #
E -Mail: 260_4ASa-9S-
Property
Name -:y 1
cam_ �`� YT
Phone
�6U��IS 13c�
Owner
Mailing Address
to
Email
ci
State Zi
Contractor
Name-,)+� \ r-- ,
Phone ` r
Mailing Address
Email
city
State Zip ( ,
Contractor License # _
Expiration:
Project Value:
Zoning:
Tax Parcel #
Lot #
$
Type of
Residential 15 Commercial ❑ Industrial ❑ Public ❑
Permit
Demolition ❑ Fire ❑ Repair 19 Reroof (tear off/lay over) ❑
For the following, fill out both pages of permit application:
New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical ❑ Plumbing ❑ Other ❑
Existing Fire Sprinkler System?
Maximum height of structure
Proposed Bedrooms
Proposed Bathrooms
Yes ❑ No ❑
Project
"
Description
I have read and completed the application and know it to be true and correct. I am authorized to apply for this
permit. I understand that it is my responsibility to determine what permits are required and to obtain permits
prior to working on projects. I understand that the plan review fee is not refundable after plan review has
occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the
permit is issued. I understand that if the permit is not issued within 180 days of receipt, the application will be
considered abandoned and the fees forfeit.
Date
Print Name
Signature