HomeMy WebLinkAbout3011 Regent Street Address:
3011 Regent Street
PREPARED 2/26/16, 9:09:50 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/26/16
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ADDRESS . : 3011 REGENT ST SUBDIV:
CONTRACTOR : PHONE
OWNER PRUSS JOHN F PHONE
PARCEL 06-30-15-5-6-1400-0000-
APPL NUMBER: 16-00000276 RE-ROOF
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PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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BL99 01 2/26/16 A, BLDG FINAL
February 26, 2016 9:12:05 AM jlierly.
Travis 460-4471
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 16-00000276 Date 2/25/16
Application pin number . . . 14811G
Property Address . . . . . . 3011 REGENT ST
ASSESSOR PARCEL NUMBER: 06-30-15-5-6-1400-0000- REPORT SALES TAX
Application type description RE-ROOF
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . .
Property Zoning . . . . . . . to the City of Port Angeles
Application valuation . . . . 13700 (Location Code 0502)
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Application desc
TEAR OFF COMP, INSTALL COMP
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Owner Contractor
------------------------ ------------------------
PRUSS JOHN F OWNER
3011 S REGENT ST
PORT ANGELES WA 983626949
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF/INSTALL COMP
Permit Fee . . . . 263.75 Plan Check Fee .00
Issue Date . . . . 2/25/16 valuation . . . . 13700
Expiration Date 8/23/.16
Qty Unit Charge Per Extension
1. .-�i BASE FEE 95.75
12.00 14.0000 THOU BL-2001-25K (14 PER K) 168.00
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Other Fees . . . . . . . .� . STATE SURCHARGE 4.50
K_�-t- ----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 263.75 263.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 268,25 268,25 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 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 ceg t' PAGtio r the performance of
construction. _91al ing co
2-Z54 .
Date Print Name Signature of Contractor or thorized Agent Signature of Owner(if owner is uilder)
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 I 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/Fumace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
jSkirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting ESA:
Landscaping SHORELINE:
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
TH For City Use
'ORUT AN G� -E, LE,)- ,
crl�y OF
'7
P Permit# '�7
WASH I NGTON. U. S.
Date Received:
321 E Sth Street Date Approved g 5- - 1 (0
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits0cityofVa.us BUILDING PERMIT APPLICATION
ProjectAddress: OLT
--i'k,w I Phone: L&O 0 lyq-7�
Primary Contact: Email:
Name Phone
Property Mailing Address Email
Owner
city State Zip
Name one
U—ME"bb RVOFIA)�? Ph 9&0 q5�2-- Li6EI
Contractor Address Email
Information city State Zip
C??362
Contractor License# Exp.Date:
Legal Description: Zoning: ax Parcel# Project Value: (materials and labor)
$ 13, 290
Residential 13�- Commercial El Industrial 11 Public 11
Demolition Fire 11 Repair 0 Reroof(JLear
Permit ,.o
Aay over) 4
Classification For the following,fill out both pages of permit application:
(check New Construction 13 Exterior Remodel Addition 11 Tenant improvement E]
appropriate) Mechanical 11 Plumbing 11 Other
Fire Sprinkler System ProposedT—irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms
or Existing? Yes E3 No 13 1 Existing? Yes 13 No [3 1
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater&9WW,R§
Project Description 6--F( CQA4f0,S1-0VA-) 1A)57—AV, Co(�t-P05MOA-)
Is project in a Flood Zone: Yes 13 NoE3 Flo d Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $
1 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 iL8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
2-
,26
Date Print Name SigiWure
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 fixture 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
I interceptor(Grease Trap) Size
Other(describe):
T:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx