HomeMy WebLinkAbout604 B Street Address:
604 B Street
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT-BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00000569 Date 5/22/15
Application pin number . . . 972018
Property Address . . . . . . 604 B ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-5708-0000- REPORT SALES TAX
Application type description SIDING on your state excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 7500
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Application desc
REPLACE SIDING AND SOFFETS
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Owner Contractor
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RUTH REPLOGLE HATHAWAY CONSTRUCTION INC
604 B ST 624 E. 7TH ST.
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 808-1839 o (360) 457-5627
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Permit . . . . . BUILDING PERMIT - NO PR FEE
Additional desc . RPL SIDING AND SOFFETS
Permit Fee . . . . 179.75 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 7500
Expiration Date 11/18/15
Qty Unit Charge Per Extension
BASE FEE 95.75
6.00 14.0000 THOU BL-2001-25K (14 PER K) 84.00
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Other Fees . . . . . . . . . STATE SURCHARGE 4.50
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Fee summary Charged Paid 'Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 179.75 179.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 184.25 184.25 .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.
Date Print Name Signature oQntrartor 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/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 I 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: 0 For City Use
C I T Y 0 Fp. � RT ANGELES
Permit#
W A S H I N G T 0 N, U . S. Date Received: 37-Z-/
— �7--,:
321 E 51h Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F: 360-417-4711
Email:permits(@cityofpa.us BUILDING PERMIT APPLICATION
Is. Ah)6c—e-C-7s. 4(,'4
Project Addres S7� 1
Phone: if-3
Ro�J 11,A-t-AA&vA�J
Primary Contact. Email: )W xh a-Wa- rCO3vsrJ-&,c-tJ ce,(AjC P1
Name Pa-ra R67PLO&-L-E Phone o6O6— /293'7
Property Mailin ddress Email
V4 �T- 9 S-C
Owner
City PA- State zip 63,6,
Name A-Aq9A&uAq COW5�-r- fil),- Phone -IL-5-7— 'Tt 27
Contractor Address 7 -t` Email
Information city State Zip 4qom-2-
Contractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
$
Residential 14- Commercial 1:1 Industrial 11 Public
Permit Demolition 11 Fire 1:1 Repair 1:1 Reroof(tear Off/lay over) akc-!�i'067
Classification For the following,fill out both 12ages of permit application:
(check New Construction 11 Exterior Remodel '0 Addition 1:1 Tenant Improvement 11
appropriate) I Mechanical 11 Plumbing 1:1 Other 11
Will a fire sprinkler system be installed Irrigation System? Proposed Bathrooms Proposed Bedrooms
or modified? Yes 0 No 9- Yes 13 No 10
-1. A I- - --t.
Project Description 15 51-D11W- AA,0
Is project ina Flood Zone: Yes 0 NoI31 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, Print Name Si
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed ss value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or 2'd floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Proposed For Office Use
Area Descriptions(SQ FT) Existing Proposed ss Value
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) %Lot Coverage (Total lot coverage lot size)
Site Coverage (Sq Ft of all impervious) %of Site Coverage(total site coverage-- lot size)
Mechanical Fixtures
Indicate how many of each type of fixt re 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/Compressor Size: # Heating/Cooling appliance #
repair/alte ation
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fire lace/ as 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 # Fuel gas piping #of Outlets:
Water Heater # Medical gas piping #of Outlets:
Water Line # Plumbing Vent piping #
Sewer Line # Industrial waste pretreatment
interceptor(Grease Trap) Size
Other(describe):
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx