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Home My WebLink About3904 Fairmount Avenue Address: 3904 airmount Avenue PREPARED 1/26/16, 9:07:18 INSPECTION TICKET 8 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/26/16 ------------------------------------------------------------------------------------------------ ADDRESS . : 3904 FAIRMOUNT AVE SUBDIV: CONTRACTOR EMERALD ROOFING INC PHONE (360) 452-4681 OWNER SMITH SANDRA LYNN PHONE PARCEL 06-30-08-5-8-0400-0000- APPL NUMBER: 16-00000074 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL99 01 1/26/16 JLL/-N BLDG FINAL January 26, 2016 9:07:37 AM jlierly. Travis 460-4471 -------------------------- ----------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY a ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 16-00000074 Date 1/19/16 Application pin number . . . 863648 Property Address . . . . . . 3904 FAIRMOUNT AVE ASSESSOR PARCEL NUMBER: 06-30-08-5-8-0400-0000- REPORT SALES TAX Application type description RE-ROOF on your state excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeiles Property zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 7000 (Location Code 0502) ---Ap_p_l_i_c_a_t_i_o_n__d_e_s_c_------------------------------------------------------- tear off / install comp 4----------------------------------------------------------------------------- t Owner Contractor ------------------------- ------------------------ SMITH SANDRA LYNN EMERALD ROOFING INC PO BOX 3135 P. 0. BOX 879 PORT ANGELES WA 983620340 PORT ANGELES WA 98362 (360) 452-4681 -------------------------- - -- -------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc TEAR OFF / INSTALLCOMP Permit Fee . . . . 165.75 Plan Check Fee .00 Issue Date . . . . 1/19/16 valuation . . . . 7000 Expiration Date 7/17/16 Qty unit charge Per Extension BASE FEE 95.75 5.00 14.0000 THOU BL-2001-25K (14 PER K) 70.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . .. . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 165.75 165.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 170.25 170.25 .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 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. M- lb 1�ifvm, ACIPF Date Print Name Signature of Coer-actor nr A 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 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 MECHANICAIT Heat Pump/Furnace/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 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 1 Building 417-4815 THE For City Use CITY OF Permit# 7�4 W ASH I NGTON . U. S. Date Received: IL 19? - If-II, 321 E 51h Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F.3-60-417-Ml Email:permits0cilyoft2am BUILDING PERMIT APPLICATION ProjectAddress: 3Vq 14(k-m Oa(,VT— Phone: OGO— WO- qq7l PHT��Contact: -rMV6 QaIF41T Email: Na15,,,,wA 5m -rj4 Phone Property, Maili� Add —O-wner Email City State Zip Nrtl,)C Phone 10Z_ Con trac tor Addre 0 '6>0Y 'VI Email city eA_ State zip Contractor License# _J E-p.Date: Legal Description: Zoning: Tax Parcel # Proj ect Value: (materials and labor) $ 7 Residential Eq Commercial El Industrial El---------Public 11 Permit Demolition 11 Fire 1:1 Repair El (Ieroo�<tear off/lAy over) 11 .__4 C-la-s—sification For the following,fill out both pages of permit application: (check New Construction 11 Exterior Remodel 11 Addition 11 Tenant Improvement 11 appropriate) Mechanical El Plumbing 1:1 Other 1:1 Fire Sprinkler System Proposed I Irrigation System Proposed or Proposed Bathrooms I Proposed Bedrooms or Existing? Yes [3 No 13 Existing? Yes 0 No E I In-addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwater@citLofpa.us Project Description Is project in a Flood Zone: Yes E3 NoO 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 18o days of submittal,the application will be considered abandoned and the fees will be forfeited. 1 — ib4 �-rwt)(5 QUC07-- Date Print Name Si ature 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 nd 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-man of e h type of xture to be installed or relocated as part of this project. Air Handler # 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 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