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Park Avenue Address: 533 E Park Avenue PREPARED 6/14/17, 10:11:01 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/14/17 -----------------------------------------------------------------------7------------------------ ADDRESS . : 533 E PARK AVE SUBDIV: CONTRACTOR EARTH TECH CONSTRUCTION LLC PHONE (360) 670-8811 OWNER JOHN RICHARD M FORSTER PHONE PARCEL 06-30-10-4-3-0230-0000- APPL NUMBER: 15-00000958 RE-ROOF ------------------------------------------------------------------------------------------------ PERNIT: BNOP 00 BUILDING PERNIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------- ---------------------------------------------- BL99 01 6/14/17 BLDG P INAL TIME: 17:00 Jason 670-8811 --------------------- -------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 15-00000958 Date 7/30/15 Application pin number . . . 839624 Property Address . . . . . . 533 E PARK AVE ASSESSOR PARCEL NUMBER: 06-30-10-4-3-0230-0000- REPORT SALES TAX Application type description RE-ROOF Subdivision Name . . . . . . on your state excise tax fonn Property Use .. . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY . (Location Code 0502) Application valuation . . . . 12998 ---------------------------------------------------------------------------- Application desc TEAR OFF/INSTALL COMP ----------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JOHN RICHARD M FORSTER EARTH TECH CONSTRUCTION LLC 533 E PARK AVE 232 W 8TH ST PORT ANGELES WA 983626937 PORT ANGELES WA 98362 (360) 670-8811 ---------------------------------7------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc . . TEAR OFi/INSTALL COMP Permit Fee . . . . 249.75 Plan Check Fee .00 Issue Date . . . . 7/30/15 Valuation . . . . 12998 Expiration Date 1/26/16, Qty Unit Charge Per Extension BASE FEE 95.75 11.00 14.0000 THOU BL-2001-25K (14 PER K) . 154.00 ----------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 249.75 249.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 254.25 254.25. .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 ISO days after the work has commenced, or if required inspectioris 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. /-S— Jn V-1 Date Print Name Sig nature,6/f�Contractor or Authorized Agent Signature of Owner(if owner is builder) MForms/Building Division/Buliding 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 I 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/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab ,Blocking&Hold Downs ISkirting PLANNING DEPT. Sepa rate 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 L Building 417-4815 T:Forms/Building Division/Building Permit - THE For City Use CITY OF OR GELES P TAN Permit# WASH I NGTON, U . S. Date Received: Z-3e 321 E 51h Street Date Approved ;Z- Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permitsOciiyofpa.us BUILDING PERMIT APPLICATION Project Address: �-5 Ph ne: 0-10- Primary Contact: Eex� Email: Name Phone 44 �k r<P--a�—IczAc Property Mailing Addreas Email -Z 5---- L Owner Citv State Zip 2� Name,_�;L Phone Contractor Address Email-�— Information Cityl--�' r State ��c:" Zil9�94�'2 Contractor Lice A-0 Exp.Date: Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor) $ k ? . , C�O� a , -10 Residential Commercial 1:1 Industrial 1:1 Public 1:1 Demolition 11 Fire El Repair�j�eroof(tear off/lay over) 11 Permit Classification For the following,fill out both pages of permit application: vi (check New Construction 1:1 Exterior Remodel 11 Addition 0 Tenant Improvement El appropriate) I Mechanical 11 Plumbing 1:1 Other 11 Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms I Proposed Bedrooms or Existing? Yes 0 No 0 1 Existing? Yes 0 No 0 1 In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.storMMAter�@cityofPa.us Project Description VJ Is project ina Flood Zone: Yes [3 NoO Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ 1 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 iL8o days of submittal,the application will be considered abandoned and the fees will be forfeited. Datle — -%)s in Nt Si na�ure�e-:�z� Print Nake I 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 YE) 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 installed or relocated as part of this project. Air Handier Size: # Haz/Non-Haz Piping Outlets: Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) # Boiler/Compressor Size: Heating/Cooling appliance # 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 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:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx