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HomeMy WebLinkAbout1616 W 13th Street Address: 11616 W 13th Street PREPARED 6/02/14, 10:24:13 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/02/14 ------------------------------------------------------------------------------------------------ ADDRESS . : 1616 W 13TH ST SUBDIV: CONTRACTOR : PHONE : OWNER Donna Trust PHONE : (683) 6559 PARCEL 06-30-00-0-4-0215-0000- APPL NUMBER: 14-00000568 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL99 01 6/02/14 JLL BLDG FINAL _ June 2, 2014 9:07:43 AM pbarthol. Tom 460-0517 -------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION 4` m 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~ 1v� Application Number . . . . . 14-00000568 Date 5/15/14 Application pin number . . . 915368 C Property Address . . . . . . 1616 W 13TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4-0215-0000- REPORT SALES TAX Application type description RE-ROOF 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 . . . . 5405 ---------------------------------------------------------------------------- Application desc Removing existing, install 30# felt of shingles ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ Donna Trust OWNER 1616 W 13TH ST y� PORT ANGELES WA 98362 ` (683) 6559 ---------------:--------------------------_--------------------------------- Permit . . . . BUILDING'PERMIT NO PR FEE Additional desc . . REMOVE EXISTING INSTALL Permit Fee . . . . 151.75 Plan Check Fee .00 Issue Date . . . . 5/15/14 Valuation . . . . 5405 (, Expiration Date 11/11/14 a� Qty Unit Charge Per Extension A BASE FEE 95.75 v 4.00 14.0000 THOU BL-2001-25K (14 PER K) 56.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 30.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 151.75 151.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 30.00 30.00 .00 .00 Grand Total 181.75 181.75 .00 .00 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 t 's application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be compli with whether specified herein or not. The granting of a permit does not presume to give authority tfXiolate or cancel the p ision o ny 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) 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 THE T 1�. i�Es For City Use CITY OF' , ,. Permit# /"/ V A S H I N G T O N, U . S. Date Received: 321 E Sth street Date Approved S^-15-- Ze 141 Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits Ocityofpa.us BUILDING PE12MIT APPLICATION Project Address: I� Phone: 0 —o Primag Contact: l01^r� b Email: Name � ��� Phone V0 (�}�� Property Mailing Address Email Owner City State Zip Name ` + Phone `l J A Contractor Address _ Email Information City 11L, State fsv Zip Contractors License# Exp.Date: �+9 Legal Description: Zoning: Tax Parcel# Project V ue: (materials and labor) $ 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? Irrigation System? Proposed Bathrooms Proposed Bedrooms Yes ❑ No ❑ Yes ❑ No ❑ . Project Description ex1 a (� 1 -3p *- 4;-,Jf 4 Ih fz 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 ays of submittal,the application will be considered abandoned and the fees will be forfeited. S 1S- Date Print Name Signature Residential Structures For Office Use Area Description(SQ FT) Existing Proposed $$value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or 2'd floor) Garage Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions(SQ FT) Existing Proposed $$Value Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) Site Area Totals Lot/Site Covera a Calculations Lot Size(sq ft) Lot Coverage(sq ft) %Lot Coverage(Total lot coverage_lot size) Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site coverage 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 # 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