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Alder Street Address: 604 S Alder Street PREPARED 9/05/13, 11:11:03 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/05/13 ------------------------------------------------------------------------------------------------ ADDRESS . : 604 S ALDER ST SUBDIV: CONTRACTOR : PHONE : OWNER KATHRYN WOODCOCK PHONE : (404) 276-6283 PARCEL 06-30-11-5-5-0865-0000- APPI, NUMBER: 13-00000684 RE-ROOF ------------------------------------------------------------------------------------------------ PER14IT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL99 01 9/05/13 1 BLDG FINAL September 5, 2013 11:03:03 AM jlierly. ---------------------- ---------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY &ECONOMIC DEVELOPMENT-BUILDING DIVISION (W 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 13-00000684 Date 6/20/13 Application pin number . . . 246272 Property Address . . . . . . 604 S ALDER ST ASSESSOR PARCEL NUMBER: 06-30-11-5-5-0865-0000- Application type description RE-ROOF REPORT SALES TAX Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY to the City of Port Angeles -----Application-valuation----------------8796-------- ------- -------------- (Location Code 0502) ----------- --------- - - - - ---- Application desc TEAR OFF/INSTALL COMP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KATHRYN WOODCOCK OWNER 604 S ALDER ST PORT ANGELES WA 98362 (404) 276-6283 ----------------------------------I------------------------------------------ Permit . . . . . .. BUILDING PERMIT - NO PR FEE Additional desc . . TEAR OFF/INSTALL COMP Permit Fee . . . . 193.75 Plan Check Fee .00 Issue Date . . . . 6/20/13 Valuation . . . . 8796 Expiration Date 12/17/13 Qty Unit Charge Per Extension BASE FEE 95.75 7.00 14.0000 THOU BL-2001-25K (14 PER K) 98.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.SO ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 193.75 193.75 .00 .00 Plan Check Total .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 198.25 198.25 .00 .00 Separate Permits are required for electrical 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. k3 Kc&w� wc�)A�2�_k Cate Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) TForms/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/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 417-475�O Building 417-4815 T:Forms/Building Division/Building Permit THE: , 1� For City Use CITY OF ORT ANGI�L , S Permit# 3 -67ff) WASHI NGTON, U . S. Date Received: (3 321 E 51h Street Date Approved Port Angeles,WA9836 P:360-417-4817 F:360-417-4711 Email:permits(@cityofpa.us BUILDING PERMIT APPLICATION ProjectAddress: (004 <5 ' R(Ja-s-t- 4" �k Phone: -77k (c) —S3 Primary Contact: Email: U)CA-%�coc\�—'�6p-�Cpc�'�co Nam Phon'104-2:7 6 6-Z-��3 Property Maili Address E-Q W C7 _D �Co C'�Ok pCL ,Co V Owner City r�;0 L� vvo-��s�-�-- - N PC) State zip(:7T 36 Name Phone Contractor Address Email Information city 01-7 CL, S State m-crq&)Q�66R Vo V-k-- �J zip 9`�53 G-Z Contractors License# —TE p.Date: Legal Description: Zoning: Tax Parcel# Pir ct Value: (materials and labor) � $ O�7 9 to i ':�0 Residential '1� Commercial 11 Industrial El Public El Permit Demolition El Fire 1:1 Repair 11 Reroof(tear off/lay over) Classification For the following,fill out both pages of permit application: (check New Construction 11 Exterior Remodel 11 Addition 11 Tenant Improvement Ea/ appropriate) I MeC anical 0 Plumbing 0 Other 1:1 Fire Sprinkler S tem? Irrigation Syste�n? ��ed Bathr Proposed B d s Yes 13 No W � Yes 0 No [3/ Project Description Is project in a Flood Zone: Yes 0 Nou 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 18o days of submittal,the application will be considered abandoned and the fees will be forfeited. Date Print Na e Signatu�r Residential Structures For Office Use Area Description(SQ FT) Existing Proposed $$value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or 2 nd floor) Garage Carport Other(describe) Area Totals Commercial Structures 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 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/Compressor Size: # Heating/Cooling appliance # ation 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 # 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