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Home My WebLink About1121 S. Pine Street Address: 1121 S Pine Street PREPARED 5/23/16, 9:13:28 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/23/16 ------------------------------------------------------------------------------------------------- ADDRESS . : 1121 S PINE ST SUBDIV: CONTRACTOR J GRICE CONSTRUCTION LLC PHONE (360) 452-1708 OWNER CHERYL VEBLEN PHONE PARCEL 06-30-00-0-3-4750-0000- APPL NUMBER: 16-00000448 RES FOUNDATION ONLY ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL1 01 4/22/16 JLL BLDG FOUNDATION FOOTING 4/22/16 AP April 22, 2016 8:32:09 AM jlierly. Jayson April 22, 2016 4:38:30 PM jlierly. BLFW O1 5/02/16 PB BLDG FOUND FTG/STEM WALL 5/04/16 AP May 2, 2016 12:14:32 PM pbarthol. Jayson 460-2673 May 4, 2016 10:13:28 AM pbarthol. 2 BL99 01 5/23/16Jo BLDG FINAL May 23, 2016 9:03:35 AM jlierly. Jayson 460-2673 -------------------------------------- COMMENTS AND NOTES ------ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDMG DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 16-00000448 Date 4/07/16 Application pin number . . . 367936 Property Address . . . . . . 1121 S PINE ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-3-4750-0000- Application type description RES FOUNDATION ONLY on your state excisetaxform Subdivision Name . . . . . to the City of P� Property Use . . . . . . . y rt Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) valuation . . . . 16000 --------------------------------------------------------------------------- tti_ Application desc REPLACING FOUNDATION UNDER EXISTING BUILDING_____- ____________________________________________________________________ - ia, .F C,,' "_. Owner Contractor ° , ------------------------ ----------- ---------- CHERYL VEBLEN J GRICE CONSTRUCTION LLC 1121 S PINE ST 223 MARSDEN RD PORT ANGELES WA 983627520 PORT ANGELES i WA 98362 i II _. (360) 452-1708 Permit . . . . . . BUILDING PERMIT -RESIDENTIAL i t := Additional desc Permit Fee 291.75 Plan Check Fee 189.64 Issue Date . . . . 4/07/16 Valuation . . . . 16000 ,- Expiration Date 10/04/16 - =-- Qty Unit Charge Per Extension BASE FEE 95.75 ----- -- - ---- -14.0014.0000 THOU BL-2001-25K (14 PER K) ----196.00 Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ----------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 291.75 291.75 .00 .00 r _ L Plan Check Total 189.64 189.64 .00 .00 Other .Fee Total 4.50 4.50 .00 .00 //mak•- ,- Grand Total 485.89 485.89 .00 .00 -" r 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. Iq Date Print Name Signature of Contr ctor 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: 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: I 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 /Li hting 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 THSFor City Use �( CITY OFP110— T NG `' -V v Permit# W A S H 1 N_ G T O N, U . S. Date Received: .3 vj 321 E 51h Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permitsOcityofpa.us BUILDING PERMIT APPLICATION Project Address: 11a I E fin-e , Phone: Primary Contact: i C e Email: Name Phone �' 5J G L Property Mailing Addresg Email Owner City C t hLk State /,A. Zip Name ` (_C Phone 3(pv' Contractor Address / Email Information `3 S de Y^ f i(f fi' I 0V 116yi, 6O City State Zip (i3 Z Contractor License J C Exp.Date: ?_3- )6 l r U Legal Description: Zoning: Tax Parcel# Project Value::(materials and labor) Ld1 d $ mo .vu Residential Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ 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 Proposed Bedrooms or Existing? Yes ❑ No [3Existing? Yes ❑ No ❑ In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwater@ citKofpa.us Project Descri tion ;fid{, . 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 �rinFtName Si ature r OVA C11-Y OF PORT ANGELES-Constriction Plans The Issuance of this permit based upon these plans specifications and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans,specifications and other data, or from preventing building operations being carried on thercuric cr when in violation of all codes and ordinances of 's jurisdiction. ALL WORK ECT—0 IELDAPPROVAL . __. Date tS Izoi Z' �.._.. viia'A urndir zeri mS CO�eL{�D-4 64P Mam �cr, S1r,t-A r a X$ too R-A p�S x.o 14,11 Or LArsir ilkbf 13 ea.rh CPQ b6rhD�Y ! l 33 i3@ei fns p-r I 41K 10 4i1 V%0r � 5 .310" Irl'►fl(' (� b Rev", —4cale mad ■■ � Nig M1, IN r N(7 V iYi: Nv Y w � � r .s :fir '