HomeMy WebLinkAbout3524 Galaxy Place Address:
alaxy Place
PREPARED 6/06/14, 9:12:16 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/06/14
------------------------------------------------------------------------------------------------
ADDRESS . : 3524 GALAXY PL SUBDIV:
CONTRACTOR : PHONE
OWNER PRICE WILLIAM L/EILEEN J PHONE
PARCEL 06-30-15-7-5-0040-0000-
APPL NUMBER: 14-00000664 INSPECTION ONLY
------------------------------------------------------------------------------------------------
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--------------------- -------------------------------------------------------------------
BL99 01 6/06/14 BLDG FINAL
1� June 6, 2014 8:50:58 AM pbarthol.
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 14-00000664 Date 6/05/14
Application pin number . . . 996520
Property Address . . . . . . 3524 GALAXY PL
ASSESSOR PARCEL NUMBER: 06-30-15-7-5-0040-0000- REPORT SALES TAX
Application type description INSPECTION ONLY
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
FINAL INSPECTION FOR PERMIT 09-114
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
PRICE WILLIAM L/EILEEN J OWNER
P 0 BOX 3025
PORT ANGELES WA 98362
---------------------------------- -----------------------------------------
Permit . . . . . . BUILDING� PERMIT - NO PR FEE
Additional desc FINAL INSPECTION-PERMIT 9-114
Permit Fee 50.00 Plan Check Fee .00
Issue Date . . . . 6/05/14 Valuation . . . . 0
Expiration Date 12/02/14
Qty Unit Charge Per Extension
BASE FEE 50.00
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 54.50 54.50 .00 .00
Separate Permits are required for electricalwork,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.
tate Print Name SignM-u)re of Contractor o4uthorized 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 417-4736
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 FINAL Date Accepted by
AIR sEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls I Roof I 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 —f— 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 D`V
For City Use
CITY OF NGELES
P. A
Permit#
W ASH ] NGTON . U . S .
Date Received:
321 East 51h Street
Date Approved
Port Angeles, WA 98362 4a �'
P: 360-417-4817 F: 360-417-4711
permits@),cityofpa.us
Building Permit Application
ProjectAddress:
G-Aa-A k-'>� )�-L T P4 r.Z
Main Contact: Phone#
E-Mail:
Nam Phone.
Propeity e +"'P
Owner pl%&A" Einail 7Z S
MailingAddress
S-vs"6 'Cool
city State Zip
W A"2 S83-,c Z-2Z,
Contractor ��e Phone
t Q PA.) -3-6 C -tp�-7 (26G
MailingAddress Emall
—�-Z--;�.S (-,0
Ci State zip
�C>'tZT ksC- E-7.?-.e F-"-S WA 9834�2
Contractor License# Expiration:
Tax Parcel# L t#
Project Value: Zick-��
$ G-)'09 I .
Type of Residential commercial 13 Industrial 13 Public
Permit Demolition [3 Fire E3 Repair 0 Reroof(tear off/lay ever)
For the following,fill out both pages of permit application:
New Construction 11 Remodel IJ Addition 0 Tenant Improvement
Mechanical 0 Plumbing Q Other
Existing Fire Sprinider System? heig.ht of structure )sed Bedrooms Proposed Bathrooms
Yes [3 No 13 P�-imum--
Project E>E7
Description - 09 - x
I have read and,completed the application and know it to be true and correcL I am authorized to apply for this
permiL I understand that it is my responsibility to determine what permits.are required and to obtain permits
prior to worldng 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 forfelL
Sm
bate Print Name Ignature