HomeMy WebLinkAbout4304 Old Mill Road Address:
4304 Old Mill Road
PREPARED 6/24/16, 8:29:12 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/24/16
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ADDRESS 4304 OLD MILL RD SUBDIV:
CONTRACTOR : PHONE
OWNER RICHARD G AND BONNIE BRADLEY PHONE
PARCEL 06-30-22-2-2-9050-0000-
APPI, NUMBER: 16-00000931 INSPECTION ONLY
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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 6/24/16 BLDG FINAL
June 24, 2016 8:30:43 AM jlierly.
Rick 460-6172
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING-DIVISION,
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 16-00000931 Date 6/23/1G
Application pin number . . . 998226
Property Address . . . . . . 4304 OLD MILL RD REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-22-2-2-9050-0000-
Application type description INSPECTION ONLY on your state excise tax fonn
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
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Application desc J;,-
final inspection for permit number 06-532 '0-
;7-------------------------------------------------------------------------- - -----
Owner Contractor
------------------------ ------------ -----------
RICHARD G AND BONNIE BRADLEY OWNER
4304 OLD MILL RD
PORT ANGELES WA 983621908 .
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Permit . . . . . . BUILDING PERMIT - NO PR FEE
7---------------
Additional desc . . FINAL INSPECTIO FOR #06-532
Permit Fee . . . . 50.00 Plan Check Fee .00
Issue Date . . . . 6/23/i6 Valuation . . . . 0
Expiration Date 12/20/16
Qty Unit Charge Per Extension
BASE FEE 50.00
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Other Fees . . . . . . . . . STATE SURCHARGE 4.50
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Fee summary Charged Paid Credited Due
6� ----------------- ---------- ---------- ----------- ----------
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 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 tihe
last inspection. I hereby certify that I have read and examined this application and know the same to be true and corred. 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 provisio f 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 4174815 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
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
TIR-SEAL-
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall(Interior Braced Panel Only)
T-Bar
INSULATION:
'§Iab
Wall/Floor/CeiFing
MECHANICAL:
Heat Pump/Furnace FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood I Ducts
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
jSkirting
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
THF- 5 For City Use
CITY OF 9TY
P-
Permit# x, -
W A S H I N G T 0 N, U. S. Date Received:
321 E 51h Street Date Approved ')0-3
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits Ocityofpa.us BUILDING PERMIT APPLICATION
Project Address:
hone:
Primary Contact: Email:
Name Phone
Property Mail* Address
Ile
Email
V
Owner TZ,5a-/
City - State Zip
Name Phone
Contractor Address Email
Information city State Zip
rcontractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
Residential El Commercial 11 Industrial 11 Public 1:1
Demolition 11 Fire El Repair 11 Reroof(tear off/lay over)
Permit
Classification For the following,fill out both 12ages of permit application:
(check New Construction .11 Exterior Remodel' [] Addition 11 Tenant Improvement 11
appropriate) I Mechanical 1:1 Plumbing 1:1 Other 11
Fire Sprinkler System Proposed FI-rrigation System Propos��roposed Bathrooms I Proposed Bedrooms
or Existing? Yes E3 No 0 1 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.stormwaterOcky0pa.us
Project Description
V
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? $
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.
Date PrintName Signat
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 new area
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe)
Site Area Totals
Lot/Site Coverage Calculations
Lot Coverage(sq ft)foot print of %Lot Coverage(Total lot cov lot size) Max Bldg Height
Lot Size(sq ft-T
6 1
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 fixture 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/Compress e: # Heating/Cooling appliance #
repair/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-buming/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 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 201SO41S.docx