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Chambers Street Address: 316 S Chambers Street PREPARED 5/31/16, 10:08:22 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/31/16 --------------------------------------------------------------------------------- -------------- ADDRESS . : 316 S CHAMBERS ST SUBDIV: CONTRACTOR STANGER ROOFING PHONE (360) 461-1957 OWNER GARY AND APRIL HEILMAN PHONE (360) 775-9237 PARCEL 06-30-00-5-4-0255-0000- APPI, NUMBER: 16-00000766 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL99 01 5/31/16 to BLDG FINAL May 31, 2016 10:06:46 AM jlierly. 775-9237 gary --------------------- ----------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 -uzz�_ _' Application Number . . . . . 16-00000766 Date 5/26/16 Application pin number . . . 530508 Property Address . . . . . . 316 S CHAMBERS ST ASSESSOR PARCEL NUMBER: 06-30-00-5-4-0255-0000- 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 . . . . 4000 ------------------------------------------------------------------------ Application desc W.- 'I install comp over 1 layer ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GARY AND APRIL HEILMAN STANGER ROOFING ' 726 GEORGIANA ST 3922 REDDICK RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 775-9237 (360) 461-1957 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc COMP OVER 1 LAYER 4— Permit Fee . . . . 123.75 Plan Check Fee .00 Issue Date 5/26/16 Valuation . . . . 4000 Expiration Date 11/22/16 Qty Unit Charge Per Extension BASE FEE 95.75 2.00 14.0000 THOU BL-2001-25K (14 PER K) 28.00 - - - - - - - - ----- --------- ---- other-Fees . .-.-.-.-.-.-.-.--STATE-SURCHARGE----------------4.50----- ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Q') Permit Fee Total 123.75 123.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 V') Grand Total 128.25 128.25 .00 .00 -.3 _J> 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 a cal law regulating construction or the performance of construction. N-S'/ /Jr- JZ6 Z, -Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDINGPERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backfiow 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 I 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 -6as 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: .1-andscaping 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 C TY I OF P� Permit# /6 A S H I N G T 0 N, U. S. Date Received: �5 A- 321 E Slh Street Date Approved 5- aac-a- Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits0ci1yofpa.us BUILDING PERMIT APPLICATION Project Address: 'VIC Phone: -7 7--5-'- c? 2- 3:7- Primary Contact: OLC Email: Name Phone L-e. Property Mailin Email Owner TM'Tt-C'.' City/9 State Zip /-'b Name_- Phone Contractor Address Email Information city -e- State Zip FContractor License#. Exp.Date: Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor) ;W $ C3 Residential Commercial Industrial Public 13 Permit Demolition El Fire El Repair 11 Reroof(tear off/lay over) Classification For the following,fill out both pages of permit application: (check New Construction 11 Exterior Remodel 11 Addition 11 Tenant Improvement appropriate) Mechanical El Plumbing 11 Other 1:1 ----L --FIr-rigation System Proposed or Proposed Bathro posed Bedrooms Fire Sprinkler System Proposed or Existing? Yes 0 No 0 1 Existing? Yes [3 No 0 In addition to standard hard copy submittals please send a PDF copy of all Storrawater plans and Engineering to www.stormwaterO a.us Project Description C X-le-11-1 Is project in a Flood Zone: Yes 13 NoO Flood 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 i8o days of submittal,the application will be considered abandoned and the fees will be forfeited. Dal Print Name Si Anature 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 I 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 xture 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/ Siz # Ventilation System # Forced Air Unit I I 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 interceptor(Grease Trap) Size Other(describe): T:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx