HomeMy WebLinkAbout3911 S Albert Street Address:
3911 S Albert Street
PREPARED 11/15/16, 9:42:19 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 11/15/16
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ADDRESS 3911 S ALBERT ST SUBDIV:
CONTRACTOR : PHONE :
OWNER RYAN TUCKER PHONE : (360) 460-2728
PARCEL 06-30-15-5-4-0360-0000-
APPL NUMBER: 16-00001656 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 11/15/16 BLDG FINAL
N.,ember 15, 2016 9:15:25 AM jlierly.
Ryan 460-2728
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 16-00001656 Date 11/03/lG
Application pin number . . . 307072
Property Address . . . . . . 3911 S ALBERT ST
ASSESSOR PARCEL NUMBER: 06-30-15-5-4-0360-0000- 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 . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 7000 (Location Code 0502)
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Application desc
RES TEAR OFF/INSTALL COMP
--- ---- ----------- ----
Owner Contractor
------------------------ ------------------------
RYAN TUCKER OWNER
3911 ALBERT ST
PORT ANGELES WA 983621948
(360) 460-2728
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Permit . . . . . . BUILDING PERMIT - NO PR FEE
Additional desc . . TEAR OFF/INSTALL COMP
Permit Fee . . . . 165.75 Plan Check Fee .00
Issue Date . . . . 11/03/16 Valuation . . . . 7000
Expiration Date . . 5/02/17
Qty unit charge Per Extension
BASE FEE 95.75
5.00 14.0000 THOU BL-2001-25K (14 PER K) 70.00
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Other Fees . . . . . . . . . STATE SURCHARGE 4.50
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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
13 Grand Total 170.25 170.25 .00 .00
A
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 reg ing construction or the performance of
construct on.
2/ 117311 -7_Lc.Aer-
Date Print NarT6) 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/Wate
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
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
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. PIN /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T i r= 0=% Im kra;s oc=IPM:W :17-2 k=3 Fo, r;ity Use
� V"A
CITY
OF
r
-44 Permit# 41-1
W A S H I N G T 0 N, U. S. Date Received: -5
321 E Sth Street DateApproved
Port Angeles,WA 9836 f
P:360-417-4817 F:360-417-4711
Email:Vermits0ciW-ofl2a.us BUILDING PERNUT "PLICATION
Project Address: ;q
_7Z
Phone: 360 - 9690
Primary Contact: E ' : R ,A"!!X
J'CCr
Name C,4 MoneC/-
R4e r
Property MaflingAd&�ss Email
Owner C)
City State zip
VO4 U36 .3
Name Phone
Contractor Address Email
Information City State 7i FP _
Contractor]License# Ep.Date:
P ]Lon: Project Valu
Wal Descri t* � � Zoning: Tax Parcel# e: (materials and labor)
Lo 15-711 51-ga FT4 _30-15-5t10360
M n, 66
a-A vowk5 Z, 0 Ilk 5 1 1 S *711000
Residential Commercial 11 Industrial 11 Public El
Permit Demolition Fire 11 Repair 11 Reroof(tear off/lay over)
Classification For the following.fUl:out both pages of permit application:
(check New Construction El , Exterior Remodel 11 Addition El Tenant Improvement 0
appropriate) Mechanical Plumbing 1:1 Other rl
Fire Sprinkler§�tem Proposed Irrigation System Proposed or roposed Bathroo oposed Bedrooms
or Eidsting? Yes [3 No 0 Existing? Yes 0 No 0
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwaterockyofJRa.us
-Project Description qQ�� OLSD�J_
Is project in a Flood Zone: Yes 0 Noff 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 ha's
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.
09
Date PElme Signature
Residential Structures
Existing Proposed Construction For Office Use
Area Descriptions(SQ FT) Floor area Floor area $Value Ae_warea
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 3o". or 2d floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Area Descriptions(SQ FT) E3dsting Proposed Construction For Office Use
Floor area Floor area $Value new area
E)dsting Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe).
SiteArea Totals
Lot/Site 6overage Calculations
Lot Size(sq ft) Lot Coverage(sq ft)foot print of %Lot Coverage(Total lot coy 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
Indkate 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
ration
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 # Water Heater #
Plumbing Vent piping Medical gas piping #of Outlets:
Water Line # Fuel gas piping #of Outlets:
Sewer Line # Industrial waste pretreatment
intercepto (Grease Trap) Size
Other(describe):
T-.\Forms\2015 CED Form Updates\Building&Pertnitting\BP\BiifldingPermft2OlSO4lS.docx