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Ennis Street Address: 409 S Ennis Street cp S PREPARED 8/13/15, 9:43:28 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/13/15 ------------------------------------------------------------------------------------------------ ADDRESS . : 409 S ENNIS ST SUBDIV: CONTRACTOR LARRY'S ROOFING PHONE (360) 4S2-2215 OWNER GOLDEN PEACH INVESTMENTS LLC PHONE PARCEL 06-30-99-0-1-8110-0000- APPL NUMBER: 15-00001005 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------- 8/13/15 BLDG FINAL BL99 01 ---AL— ---------------------------------------------------------------------- August 13, 2015 9:36:09 AM jlierly. 460-0517 tom -------------------------- --------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION CIF ) 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 15-00001005 Date 8/10/15 Application pin number . . . 154255 .Property Address . . . . . . 409 S ENNIS ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-99-0-1-8110-0000- on your state excise tax form Application type description RE-ROOF Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . .. . . . .(Location Code 0502) Property Zoning . . . . . . . UNKNOWN Application valuation . . . . 5735 ---------------------------------------------------------------------------- Application desc - ------TEAR OFF/INSTALL TORCHDOWN ---- ----------- --------- Owner Contractor ------------------------ ------------------------ GOLDEN PEACH INVESTMENTS LLC LARRY'S ROOFING 15327 210TH AVE NE 352 AVIS ST. WOODINVILLE WA 98077 PORT ANGELES WA 98362 (360) 452-2215 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc . . TEAR OFF/INSTALL TORCH DOWN Permit Fee . . . . 151.75 Plan Check Fee .00 Issue Date . . . . 8/10/15 Valuation . . . . 5735 Expiration Date . . 2/06/16 Qty Unit Charge Per Extension BASE FEE 95.75 4.00 14.0000 THOU BL-2001-25K (14 PER K) 56.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ------- ---- -------- --- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 151.75 151.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 156.25 156.25 .00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void ifwork or construction authorized is not commenced within 180 days,ifconstruction orwork is suspended orabandoned 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 go erningl4is type of work will be complied with whether specified herein or not. The granting of a permit does .5 not presume to give aut ty to 0 or cancel thyvi,,*ons any state or local law regulating construction or the performance of construction. Date Print Name 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 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/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 I 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 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 For City Use CITY OF RT ANGI�LIFS -A- Jc- Permit# W A S H I N G T 0 N, U. S. Date Received: 321 E Slh Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits(&cityofpa.us BUILDING PERMIT APPLICATION I Project Address: Phone: ZKOD — 0� I Primary Contact: Email: Name Phone Property Mailing Address Email Owner City State Zip Name Phone Contractor Address Email Information �Y - State 6A Zip Contractor License# sb� (A( —()%L� Exp.Date: Legal Description: Zoning: I'tax Parcel# Project Value: (materials and labor) i' Residential 13 Commercial 11 Industrial El Public 11 Permit Demolition 1:1 Fire 11 Repair 11 Reroof(tear off/lay over) Classification For the following,fill out both pages of permit application: (check New Construction El Exterior Remodel El Addition 1:1 Tenant Improvement 1:1 appropriate) Mechanical 11 Plumbing 11 Other 11 F- Fire Sprinkler System Proposed Irrigation System Proposed or posed Bathr roposed Bedrooms or Existing? Yes 0 No 13 1 Existing? Yes 0 No [3 In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.storMHAterQcitvofba.us f\ 0 J010)A Project Descri tion ix + J Is project in a Flood Zone: Yes 0 No[3 Flood Zone Type: Ifin 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 appAcation before the permit is issued. I understand that if the permit is not picked up/issued within 18o of submittal,the application will be considered abandoned and the fees will be forfeited. Date Print Name Signature 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"floor) Garage Carport Other(describe) Area Totals Commercial Structures Area Descriptions(SQ FT) Existing Proposed , Construction For Office Use Floor area Floor.area $Value ng3t 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 instaRed or relocated as part of this project. Air Handler I Size: # Ha z/No n-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 Plumbing Fixtures Indicate how many of each type of flx 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, Z, interceptor(Grease Trap) Size Other(describe): T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx