HomeMy WebLinkAbout1034 W 14th Street Address:
1034 W 14th Street
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PREPARED 1/27/17, 8:58:47 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/27/17
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ADDRESS 1034 W 14TH ST SUBDIV:
CONTRACTOR : PHONE
OWNER DOUGLAS/JENNIFER DUNCAN JTROS PHONE
PARCEL 06-30-00-0-4-1340-0000-
APPL NUMBER: 16-00001168 RE-ROOF
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PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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BL99 01 1/27/17LL BLDG FINAL
January 27, 2017 9:02:27 AM jlierly.
1v i Doug 808-0146
-------------------------------------- COMMENTS AND NOTES --------------------------------------
%�► CITY OF PORT ANGELES
� DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
t. r�
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 16-00001168 Date 8/05/16
Application pin number . . . 768576
Property Address . . . . . . 1034 W 14TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-1340-0000-
Application type description RE-ROOF on your state excise tax fonn
Subdivision Name . . . . . .
Property Use to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 3950
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Application desc
TEAR OFF INSTALL COMP
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Owner Contractor
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DOUGLAS/JENNIFER DUNCAN JTROS OWNER
1034 W 14TH ST
PORT ANGELES WA 983637215
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Permit . . . . . . BUILDING PERMIT - NO PR FEE
Additional desc TEAR OFF INSTALL COMP
�.^ Permit Fee . . . . 123.75. Plan Check Fee .00
Issue Date . . . . 8/05/16 Valuation . . . . 3950
Expiration Date 2/01/17
Qty '- Unit"Charge Per-.. _ Extension _....
BASE FEE 95.75
2.00 14.0000 THOU BL-2001-25K (14 PER K) 28.00
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Other Fees STATE SURCHARGE 4.50
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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
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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 1B0 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.
A isl-16�2
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Date Print Name Signature of Contractor or Authorized Agent Si ure of Owner((if owner is builder)
:j_
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:
Footings
Stemwal I
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/Ceilin
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 /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
y THE For Cit Use
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CIOF TY
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� Permit#
WAS H 1 N G T O PI, U. S. Date Received: &1!5- p
321 E Sth Street Date Approved �r`!b
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits@cityofpa.us BUILDING PERMIT APPLICATION
Project Address: /0
le"5 ,Dvn cef11 Phone: J(,10 0
Primary Contact: Email-
NameT Phone '3&O SQg 61ya
Property Mailing Ad s Email
Owner f03 / �h �f
Cityc6U State Zip 3
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Name Phone
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Contractor Address Email
Information city State Zip
Contractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
$
Residential Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) L�
Classification 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 I Proposed Bedrooms
or Existing? Yes ❑ No ❑ Existing? Yes ❑ No ❑
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwaterOc4ofpa.us
Project Description / eG.(- O Z- 4-\16(-S
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Is project in a Fl od Zone: Yes ❑ f Noff 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.
U "J
Date Print Name Si at
Residential Structures
Existing Proposed Construction For Office Use
Area Descriptions(SQ FT) Floor area. Floor area $Value new area
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or nd floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Area Descriptions(SQ FT) Existing Proposed Construction For Office Use
Floor area Floor area $Value new area
Existing Structure(s)
Proposed Addition v
Tenant Improvement?
A i .
Other work(describe)
Site Area Totals
Lot/Site Coverage Calculations
Lot Size(sq ft) Lot Coverage(sq ft)foot print of %Lot Coverage(Total lot cov_lot size) Max Bldg Height
all structures sq ft
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 # Pellet Stove/Wood-burning/Gas #
portable) Fireplace/Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct #
Furnace/Heat Pump/ Size: # Ventilation System #
Forced Air Unit
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