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Home My WebLink About1209 W. 10th StreetAddress: 1209 W 10th Street PREPARED 1/14/14, 10:38:37 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/14/14 ---------------------------------------------------------------------------------------- ADDRESS . : 1209 W 10TH ST SUBDIV: CONTRACTOR : PHONE OWNER MARY E DAUGHERTY PHONE PARCEL 06-30-00-0-3-0385-0000- APPL NUMBER: 13-00000509 RES ADDITION PERMIT: BPR 00 BUILDING PERMIT - R.BSIDENTTAT ----- -- - REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------- BL1 01 — ------- 6/26/13 — -------------- JLL — ------------------ —------------------------ BLDG FOUNDATION FOOTING — ----- 6/26/13 AP June 26, 2013 8:36:34 AM pbarthol. Tom 477-4480 June 26, 2013 4:13:18 PM jlierly. BL3 01 7/26/13 JLL BLDG FRAMING 7/26/13 DA July 26, 2013 8:32:04 AM pbarthol. Tom 461-1744 July 26, 2013 3:58:00 PM jlierly. No answer at door recall/jll BL3 02 7/29/13 JLL BLDG FRAMING 7/29/13 AP July 29, 2013 8:51:38 AM pbarthol. Tom 461-1744 July 29, 2013 4:02:59 PM jlierly. f , BL99 01 1/14/14 JLL ' BLDG FINAL January 14, 2014 10:08:34 AM pbarthol. Tom 417-1744 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------- ME99 01 1/14 14 — ---- —---------- — MECHANICAL FINAL January 14, 2014 10:09:06 ----------------------------- AM pbarthol. — -------- {- Tom ----------- PERMIT: ------------ PL 00 PLUMBING PERMIT ------44 --------------------------------------------------- REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------ PL99 01 1/14.14 JLLPLUMBING — - —---------------------- FINAL —--------- --- — --------- January 14, 2014 10:09:19 AM pbarthol. Tom 417-1744 ------------------------------- COMMENTS AND NOTES -------------------------------------- ^► CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 13-00000509 Date 6/11/13 Application pin number . . . 480953 Property Address . . . . . . 1209 W 10TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -0385 -0000 - Application type description RES ADDITION Subdivision Name . . . . . . Additional desc . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 2040 ---------------------------------------------------------------------------- Application desc 2040 add 24 sf bathroom ---------------------------------------------------------------------------- 12/08/13 Owner ------------------------ MARY E DAUGHERTY 1209 W 10th st PORT ANGELES WA 98363 Contractor ------------------------ OWNER REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) --- Structure Information 000 000 24 SF BATH ADDITION --- Other struct info . . . . .. HARD SURFACE AREA --------------------------------- Permit . . . . . . ------------------------------------------ BUILDING PERMIT -RESIDENTIAL Additional desc . . 24 FT BATH ADDTION Permit Fee . . . . 109.75 Plan Check Fee 71.34 Issue Date . . . . 6/11/13 Valuation . . . . 2040 Expiration Date . . 12/08/13 Qty Unit Charge Per Extension BASE FEE 95.75 1.00 14.0000 THOU BL -2001-25K (14 PER K) 14.00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . EXHAUST FAN Permit Fee . . . . 60.65 Plan Check Fee .00 Issue Date . . . . 6/11/13 Valuation . . . . 0 Expiration Date 12/08/13 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 10.6500 ---------------------------------------------------------------------------- EA ME -VENT SYSTEM.(NON-HVAC) 10.65 Permit . . . . . . PLUMBING PERMIT Additional desc . . BATH ADDITION Permit Fee . . . . 78.00 Plan Check Fee .00 Issue Date . . . . 6/11/13 Valuation . . . . 0 Expiration Date 12/08/13 Qty Unit Charge Per Extension BASE FEE 50.00 3.00 7.0000 EA PL -PLUMBING TRAP 21.00 1.00 7.0000 ---------------------------------------------------------------------------- EA PL -WATER LINE 7.00 Special Notes and Comments Electrical load calculations and electrical permits are 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 provisi s of any stat or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorize 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 / Stab 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 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number . . . . . 13-00000509 Date 6/11/13 Application pin number . . . 480953 ---------------------------------------------------------------------------- Special Notes and Comments required. Public Works Utility Engineering has no requirements for this plan review. Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 248.40 248.40 .00 .00 Plan Check Total 71.34 71.34 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 324.24 324.24 .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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) (: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 Pump / Furnace / FAU / Ducts Rou h-ln 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 CIT --ORT NGELE IWASH I N C T O N, U.S. 321 East S'h Street Port Angeles, WA 98362 P: 360-417-4817 F: 360-417-4711 permits@cityofpa.us For City Use Permit# Date Received: 13 I Date Approved Building Permit Application Project Address: f�" PJ I ; O Main Contact:�.� Phone # y77- YIro E -Mail: d �,r, i • Property Name /1il /'�l ,DGfd6NE�f% Phone l•In.� Owner Mailing Adddi ess Email city State Zip Contractor Name / Phone MallingAddres§ Email city State Zip Contractor License # Expiration: Project Value: t j Zoning: Tax Parcel # Lot # Type of Residential Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof (tear off/lay over) ❑ For the following, fill out both pages of permit application: New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical iff Plumbing ,K Other ❑ Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes ❑ No Project e�a� 3 ovf- 6� �U.f-� . 6�y Description `,r' �s�.•- :1..��-�7 _ 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 -/Z /3 Print Name -lf ;A41FTs ,4:r JWVr,w-0-7 Signatur 2= J Residential Structures Area Description (SQ FT) Existing Proposed $$ value For Office Use Basement SQ FT Site coverage (all impervious + Proposed Addition % Site Coverage �% structures First Floor / # Other work (describe) # Second Floor Area Totals Pellet Stove/Wood-burning/Gas Fireplace/Gas Stove Gas Cook Stove/Misc. # Fuel Gas Piping Covered Deck/Porch/Entry Ventilation Fan, single duct # Furnace/Heat Pump/ Forced Air Unit Size: Deck Ventilation System # Garage S70 Carport Other (describe)��,, /00 Area Totals AZ -J' Commercial Structures Footprint (SQ FT) of all Structures: Area Descriptions (SQ FT) Existing Proposed $$ Value For Office Use Existing Structure (s) AT �Ilp SQ FT Site coverage (all impervious + Proposed Addition % Site Coverage �% structures Tenant Improvement? < # Other work (describe) # Evaporative Cooler (attached, not portable) Area Totals Pellet Stove/Wood-burning/Gas Fireplace/Gas Stove Gas Cook Stove/Misc. # Lot/Site Coverage Calculations Footprint (SQ FT) of all Structures: Lot Size: % Lot Covera e # o a AT �Ilp SQ FT Site coverage (all impervious + # % Site Coverage �% structures Boiler/Compressor < 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 # of Outlets: Appliance Vent # 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 # / Fuel gas piping # of Outlets: Water Heater # Medical gas piping # of Outlets: Water Line # Vent piping # Sewer Line # Industrial waste pretreatment interceptor # Other (describe): 1: \esu1wirvt,\errL1Lw rwry ruxma\esu1LU1rv13 rcKmrr Usu iZ.uuex r',� CITY OF POM AN13CLFS — C0ns",'Cl`!rr! jj The k-,jan�ce ol -I) is permit h^FM upon "llese plans, and ofliar data s!mq o0t PMV-11t the huilding, of icial frc.-In iw!2afle, ,equ;!�-g the corre-,�.:" of ';'rOs in js�id p`--� specifications and oilier data, ,r frorn prel-leking bu'llolling operations bz".e- carried (in U jereundw 'up"r in (If t'lisijrisdibion. o, all codes aJ Daw IA.; &6l �eo iV, Gi C> 9� vkb <71 k -n �' mp YS %¢ `r; � k i� � )F d t ". ,� � � � ��'d %f , 1 8 .� �.' }'..� �x ss yy. ��: f � � � i :fir � �r� y y� � L X i S =} 4� C ' v'+ � � � tf ,Y `pt . � a h: 'fi -.�r. 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