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HomeMy WebLinkAbout1225 W 10th StreetAddress: 11225 W 10th Street PREPARED 8/02/16, 8:06:54 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/02/16 ------------------------------------------------------------------------------------------------- ADDRESS . : 1225 W 10TH ST SUBDIV: CONTRACTOR EMERALD ROOFING INC PHONE (360) 452-4681 OWNER SARAH E PEDEN PHONE (360) 461-5677 PARCEL 06-30-00-0-3-0365-0000- APPL NUMBER: 16-00001115 RE -ROOF PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------- -- ----------------------------- ------- BL99 01 8/02/16, J BLDG FINAL August 2, 2016 8:09:28 AM jlierly TrviS 460-4471 ------------------------- ------------ COMMENTS AND NOTES -- CITY OF PORT ANGELES - �1109� DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 REPORT SALES TAX on your state excise tax fonn 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 Contfactor or Authorized Agent Signature of Owner (if owner is builder) Application Number . . . . . 16-00001115 Date 7/27/16 Application pin number . . . 241720 Property Address . . . . . . 1225 W 10TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -0365 -0000 - Application type description RE -ROOF Subdivision Name . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 6700 Application desc ---'------------------------------------------------------------------------- tear off/install comp Owner Contractor ------------------------ ------------------------ SARAH E PEDEN EMERALD ROOFING INC 1225 W 10TH ST P. O. BOX 879 PORT ANGELES WA 983635619 PORT ANGELES WA 98362 ---------------------------------------------------------------------------- (360) 461-5677 (360) 452-4681 Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc TEAR OFF/INSTALL COMP Permit Fee . . . . 165.75 Plan Check Fee .00 Issue Date . . . . 7/27/16 Valuation . . . . 6700 Expiration Date . . 1/23/17 © Qty Unit Charge Per Extension BASE FEE 95.75 5.00 14.0000 THOU BL -2001-25K (14 PER K)--- 70.00 „ -- ------------------------------------------- - Other Fees . . . . . . . . . STATE SURCHARGE - - 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited ------------------------------------- Due -------------------- Permit Fee Total 165.75 165.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 170.25 170.25 .00 .00 REPORT SALES TAX on your state excise tax fonn 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 Contfactor or Authorized Agent Signature of Owner (if owner is builder) 4 a 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: 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 IBlocking & 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 I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 THE RIC CITY OF W A S H 1 321 E 51h Street ANGW% N G T O PI, U. S. Port Angeles, WA 9836 P: 360-417-4817 F: 360-417-4711 Email: permits@cityofpa.us For City Use Permit# Date Received: Date Approved 7- BUILDING PERMIT APPLICATION Project Address: Primary Contact: IR"i V& Phone: 4i�vO_ Email: Name 6� Phone 0R"✓ t pGnt2 !� Property Owner Mailing Address 22 5 10 Email City/'��, State Zip Name Phone Contractor Address ^ n Q� nq (/ lC� ` Email Information city state k".1 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) Classification (check appropriate) For the following, fill out both pages of permit application: New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical ❑ Plumbing ❑ Other ❑ Fire Sprinkler System Proposed or Existing? Yes ❑ No ❑ Irrigation System Proposed or 1 Existing? Yes ❑ No ❑ Proposed Bathrooms Proposed Bedrooms In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwater ci o a.us Project Description 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 18o days of submittal, the application will be considered abandoned and the fees will be forfeited. 7-27-�PtL/( l� Date 5 Print Name Si re T:\Forms\2015 CED Form Updates\Building & Permitting\BP\Building Permit 20150415.docx Residential Structures Area Descriptions (SQ FT) Existing Floor area Proposed Floor area Construction $ Value new area For Office Use Basement First Floor Second Floor Covered Deck/Porch/Entry Deck (over 30" or 2°d floor). Garage Carport Other (describe) Area Totals Commercial Structures Area Descriptions (SQ FT) Existing Floor area Proposed Floor area Construction $ Value new area For Office Use 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) all structures foot print of 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 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 # 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