HomeMy WebLinkAbout1221 Caroline Street Address:
1221 Caroline Street
PREPARED 3/10/15, 11:31:12 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/10/15
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ADDRESS . : 1221 CAROLINE ST SUBDIV:
CONTRACTOR ACE MICHAELS INC PHONE (360) 460-6172
OWNER JACK ESTES PHONE (917) 587-9095
PARCEL 06-30-00-5-3-0665-0000-
APPL NUMBER: 15-00000184 SIDING
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PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
---------------------------------— -'
BL99 01 3/10/15 JLL BLDG FINAL
March 10, 2015 10:04:52 AM pbarthol.
Mike 460-6172
----------------------------- ----- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
1
Application Number . . . . . 15-00000184 Date 2/26/15
Application pin number . . . 673896
Property Address . . . . . . 1221 CAROLINE ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-3-0665-0000- REPORT SALES TAX
Application type description SIDING on your state excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 1800
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Application desc
REPLACE 300SQ FT SIDING NW SIDE OF HOUSE
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Owner Contractor
JACK ESTES ACE MICHAELS INC
201 W 89TH ST #6F 1329 W. 10TH ST.
NEW YORK NY 10024 PORT ANGELES WA 98363
(917) 587-9095 (360) 460-6172
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Permit . . . . . . BUILDING PERMIT - NO PR FEE
Additional desc . . RPL 300SQ SIDING NW SIDE
Permit Fee . . . . 89.65 Plan Check Fee .00
Issue Date 2/26/15 Valuation . . . . 1800
Expiration Date 8/25/15
Qty Unit Charge Per Extension
BASE FEE 50.00
13.00 3.0500 HND BL-501-2K (3.05 PER C) 39.65
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Other Fees . . . . . . . . . STATE SURCHARGE 4.50
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Fee summary Charged Paid Credited Due
Permit Fee Total 89.65 89.65 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 94.15 94.15 .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 c<cel the provisions of any state or local law regulating construction or the performance of
construction.
C9 - C.
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:
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 FINAL Date Accepted b
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:
Heat Pum /Furnace/FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
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
T:Forms/Building Division/Building Permit
CIT PR'I'
CITY OF �jGELES For City Use
F Permit# /S Ve
W A S H I N GST O N, U . S.
Date Received: '�-
321 E 51h Street Date Approved ':�q- atv-iS
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits Pcitvofpa us BUILDING PERMIT APPLICATION
Project Address: /a a l C o I&& P�r
Phone: d Co 17
Primafy Contact: c_ Civ Email:
Name Phone
.sAey' �`5 cS c( l - 58? - 1 q
0?5
Property Mailing Address Email
Owner I a 1 I Laro�t
City State Zip
Name Phone
Contractor Address j Email
Information City State Zip
Contractors License# Exp.Date:
Legal Description: Zoning: Tax Parcel # Project Value: Lmaterials and labor)
$ 00 °
Residential 0 Commercial ❑ Iridustrial ❑ 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? Irrigation System? Proposed Bathrooms Proposed Bedrooms
Yes ❑ No ❑ Yes ❑ No ❑
Project Description
Is project in a Flood Zone: Yes ❑ NoB 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 18o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
Date Print Name �'�J��l,j, Signature
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 i" floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Construction For Office Use
Area Descriptions(SQ FT) Existing Proposed $Value new
Floor area Floor area area
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe)
Site Area Totals
Lot/Site Coverage Calculations
Lot Size (sq ft) Lot Coverage(sq ft) %Lot Coverage(Total lot cov_lot size) Max Bldg Height
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 7f I I
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 :�-
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx