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Laurel Street Address: 2717 S Laurel Street PREPARED 1/28/16, 9:16:31 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/28/16 ------------------------------------------------------------------------------------------------ ADDRESS . : 2717 S LAUREL ST SUBDIV: CONTRACTOR THURMAN SUPPLY PHONE (360) 457-8591 OWNER ZACHARY B AVICHOUSER PHONE (208) 658-3830 PARCEL 06-30-15-2-2-0225-0000- APPL NUMBER: 16-00000087 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------- ME99 01 1/28/16 MECHANICAL FINAL January 28, 2016 8:38:48 AM jlierly PfN ---------------------- ')----------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 16-00000087 Date 1/20/16 Application pin number . . . 511383 Property Address . . . . . . 2717 S LAUREL ST ASSESSOR PARCEL NUMBER: 06-30-15-2-2-0225-0000- REPORT SALES TAX Application type description RES MECHANICAL PERMIT Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 3266 (Location.Code 0.502) ----------------------------------------------------------------------------- Application desc PELLET STOVE INSERT ---------------------------------------------------------------------------- Owner Contractor -------------------- --- ------------------------ ZACHARY B AVICHOUSER THURMAN SUPULY 2717 S LAUREL ST 1807 E. FRONT ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (208) 6S8-3830 (360) 457-8591 ----------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc PELLET STOVE Permit Fee . . . . 60.65 Plan Check Fee .00 Issue Date . . . . 1/20/16 Valuation . . . . 0 Expiration Date 7/18/16 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 10.6SOO EA ME-STOVE/FIREPLACE/MISC. APP. 10.65 ----------------------------------------------------------------------------- Special Notes and Comments Per Washington State Code 51-51-315, installation of Carbon Monoxide detector(s) is required if you are installing or replacing a fuel burning appliance (wood, pellet, gas)and must be in place prior to the final inspection of this permit. They are required to be J place directly outside of each sleeping area and at least one on each floor of the house, --- ------- ------- ---- -------- --- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60.65 60.65 00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 60.65 60.65 .00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This perm it becomes 60 null and void if work or construction authorized is not commenced within 180 d S,if cons ruct n or work is suspended or abandoned for a period of 180 days after the work has commenced,or if required ins cti shaven een requested within 180 days from the last inspection. I hereby certify that I have read and examined this appli tion nd know th ame to be true and correct. All provisions of laws and ordinances governing this type of work will be complied wit wheth r specifie rein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions o a state local r gulating construction or the performance of construction. y "I 15- Date Print Name Signature of Contracfo/r 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 Sternwall 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: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump/Furnace I FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood I Ducts MANUFACTURED HOMES: Footing/Slab F Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s ISEPA: Parking/Lighting ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 I Building 417-4815 THE For City Use CiTY OF Permit# W A S H I N G T 0 N. U. S. Date Received: 321 E 51h Street - Date Approved Z', aZ2-16, Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits0cityofDa.us BUILDING PERMIT APPLICATION Project Address: 2.,71 Phone: Primary Contact: Email- Na lga4 ZZZ Z�2 I r> &4,S-&v1 Phone �7,G S6 5 Property ess Email Owner City),// ' State lv2j!f� �A2n :�] Name-,-7' Phone - - ---.-- //v1//")/1-,m 9Y 2' 7 27 A - V Contractor .4dxess Email -Info rmation Cit State Zip ?Otl; Contractor License# Zn,�JL Exp.Date: Legal Description: Zoning: Parcel # Project Value: (materials and labor) $ Residential :��Commercial 13 Industrial El Public 11 Permit Demolition 11 Fire 11 Repair El Reroof(tear off/lay over) El Classification For the following,fill out both pages of permit application: (check New Construction 1:1 Exterior Remodel 11 Addition 11 Tenant improvement El appropriate) Mechanical)3 Plumbing 11 Other 1:1 Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathroo oposed Bedrooms or Existing? Yes 13 No 0 1 Existing? Yes E3 No 0 In additionto standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwaterPcityofpa.us Project Description - x -J& 7 1,O-e M. In Is project in a Flood Zone: Yes E3 N[fo Flood Zone Type: ru,t If in a Flood Zone, what is the value of tf ructure 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 s b i al,the ap I* ation will be considered abandoned and the fees will be forfeited. U77 7 VI/ Date Print Name 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 2 d floor) Garage Carport Other(describe) Area Totals Commercial Structures Area Descriptions(SQ FT) Existing Proposed Construction For Office Use Floor area Floor area $Value new 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)foot print of %Lot Coverage(Total lot cov+lot size) Max Bldg Height all structures- sq ft Site Coverage(Sq Ft of all impervious) %of Site Coverage (total site cov+lot size) Mechanical Fixtures Indicate how many of each type of ture to be installed or relocated as part of this project. Air Handler I Size: # Haz/Non-Haz Piping Outlets: Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # I 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 fixtu e 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 Other(describe): I interceptor(Grease Trap) Size T:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx Address: 2717 S Laurel Street PREPARED 6/14/13, 10:27:12 INSPECTION TICKET PAGE '7 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/14/13 ------------------------------------------------------------------------------------------------ ADDRESS . : 2717 S LAUREL ST SUBDIV: CONTRACTOR LARRY'S ROOFING PHONE (360) 452-2215 OWNER BERNICE M LAUNDAGIN AND KATHRY PHONE PARCEL 06-30-15-2-2-0225-0000- APPI, NUMBER: 13-00000643 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------------------------------------- --------------------------------------- BL99 01 6/14/13 JLI�,n BLDG FINAL %Q� June 14, 2013 9:08:21 AM pbarthol. TOM 46 _0517 -------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 13-00000643 Date 6/12/13 Application pin number . . . 598519 Property Address . . . . . . 2717 S LAUREL ST ASSESSOR PARCEL NUMBER: 06-30-15-2-2-0225-0000- Application type description RE-ROOF REPORT SALES TAX Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY to the City of Port Angeles -----Application-valuation----------------5638------- -------- -------------- (Location Code 0502) ----------- --------- - - - - ---- Application desc TEAR OFF / INSTALL COMP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BERNICE M LAUNDAGIN AND KATHRY LARRY'S ROOFING 7478 GINGER CRT 352 AVIS ST. PLEASANTON CA 94588 PORT ANGELES WA 98362 (360) 452-2215 --------------------------------4------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc . . TEAR OFF/INSTALL COMP Permit Fee . . . . 151.75 Plan Check Fee .00 Issue Date . . . . 6/12/13 Valuation . . . . . 5638 Expiration Date . . 12/09/13 Qty Unit Charge Per Extension BASE FEE 95.75 4.00 14.0000 THOU BL-2001-25K (14 PER K) 56.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 151.75 151.75 .00 .00 Plan Check Total .00 .00 .00 -.3 Other Fee Total 4.50 4.50 .00 .00 Grand Total 15G.25 156.25 .00 .00 Separate Permits are required forelectrical 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 H t' nd know the same to be true and correct. All provisions of laws and ordinances governing this type of work will b H X.S"Ica 'on a 'e c it vhethpr specified herein or not. The granting of a permit does not presume to give authyTrN to viola or cancel the provis9i"'epcf a y st e or local law regulating construction or the performance of construction. 6- (2-, I-S TOM "j- 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 by 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 Pump/Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: .Parking/Lighting ESA: ,Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 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 T:Forms/Building Division/Building Permit THE For City Use CITY OF Permit# W A S H I NGTON . U . S . Date Received: 1'3 321 East SlhStreet Port Angeles, WA 98362 Date Approved P: 360-417-4817 F: 360-417-4711 permitsCa)cityofpa.us Building Permit Application Project Address: Main Contact: Phone # )kz— [011) -Mail: Property Name ne Owner Mailing Address ;n n tMail city state Zip Contractor Name Phone do') i Mailing Address Email City State Zip Contractor License # vt o%J) Expiration: -13 - cm r I I I Project Value: Zoning: Tax Parcel # Lot# $ Typeof Residential Commercial 0 Industrial 11 Public Permit Demolition 11 Fire 0 Repair 11 Reroof(tear off/lay over) For the following, fill out both pages of permit application: New Construction 11 Remodel 11 Addition Tenant Improvement Mechanical 11 Plumbing 11 Other 1:1 Existing Fire Sprinkler System? height of structure oposed Bedrooms � Proposed Bathrooms Yes 11 No 17 1 1 Project UnolK, W!5fini CA 3 ik J�i iv6 Description 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 Print Name Signatur 13 Residential Structures For Office Use Area Description (SQ FT) Existing Proposed $$value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck Garage Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions (SQ FT) Existing Proposed $$Value Existing Structure(s) Proposed Addition Tenant Improvement? i Other work(describe) Area Totals Lot/Site Coverage Calculations Footprint(SQ FT) of all Structures: Lot Size: %Lot Coverage SQ FT Site coverage (all impervious+ %Site Coverage structures) 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) # Boil er/Compress or 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 # Vent piping # Sewer Line # Industrial waste pretreatment # interceptor Other(describe): T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX