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Home My WebLink About625 Lopez Avenue Address: 625 Lopez Avenue PREPARED 3/09/15, 14:02:53 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/09/15 ------------------------------------------------------------------------------------------------ ADDRESS . : 625 LOPEZ AVE SUBDIV: CONTRACTOR EMERALD ROOFING INC PHONE (360) 452-4681 OWNER JAMESTOWN S'KLALLAM TRIBE PHONE PARCEL 06-30-10-5-2-0600-0000- APPL NUMBER: 15-00000215 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL99 01 3/09/15 JLL BLDG FINAL March 9, 2015 12:24:26 PM pbarth0l. Travis 460-4471 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 4/09/15, 15:04:39 INSPECTION HISTORY REPORT PAGE 1 PROGRAM BP521L 0/00/00 THRU 0/00/00 CITY OF PORT ANGELES --------------------------------------------------------------------------- ------ APPLICATION PROPERTY ADDRESS ASSESSOR PARCEL NUMBER ALTERNATE ID STRUCTR PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR ------------------------------------------------------------------------------------------------------------------------------------ 15 00000215 625 LOPEZ AVE 06-30-10-5-2-0600-0000- 063010520600 000 000 BNOP 00 BUILDING PERMIT - NO PR FEE BL99 0001 BLDG FINAL 3/09/15 APPROVED JLL REQ COMM: March 9, 2015 12:24:26 PM' pbarthol. REQ COMM: Travis 460-4471 RES COMM: March 9, 2015 5:15:25 PM jlierly. = CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 15-00000215 Date 3/09/15 Application pin number . . . 413030 �\ Property Address . . . . . . 625 LOPEZ AVE 1 ASSESSOR PARCEL NUMBER: 06-30-10-5-2-0600-0000- REPORT SALES TAX Application type description RE-ROOF on your state excise tax form Property Name . . . . . . to the City of Port Angeles Pro ert Use .,Ie 0502) Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (LOCa�sIOn Code Application valuation . . . . 6138 Application desc TEAR OFF / INSTALL COMP Owner Contractor JAMESTOWN S'KLALLAM TRIBE EMERALD ROOFING INC 1033 OLD BLYN HWY P. 0. BOX 879 SEQUIM WA 98382 PORT ANGELES WA 98362 (360) 452-4681 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc . . TEAR OFF/INSTALL COMP Permit Fee . . . . 165.75 Plan Check Fee .00 Issue Date . . . . 3/09/15 Valuation . . . . 6138 Expiration Date 9/05/15 Qty Unit Charge Per Extension BASE FEE 95.75 5.00 14.0000 THOU BL-2001-25K (14 PER K) 70.00 ----------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 165.75 165.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 170.25 170.25 .00 .00 1 O e 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 1� 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. 3 VIs Date Print Name Signature of Contractor or uthorized 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 b 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 Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit THE TORT NGELS For City Use CITY OF Permit# / �Z� W A S H i N G4^T Q N, U . S. Date Received: -5/s 321 E Slh Street Date Approved 3 Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits(@cityofpa.us BUILDING PERMIT APPLICATION Project Address: `J, �� Lopee Phone: q 6 v LN71 Primary Contact: V ( SN� Email: Name MC-� -WA) S t lZ L ` ` 'f Ml"UO^ Phone Property Mailing Address '1 Email Owner City State w� Zip Name MFXV �. t ��/`��t 1 N Phone q/2 !t7 Contractor Addres 'U5 Email Informationy Cit State Zip y3,4 Contractors License# Exp.Date: Legal Description: Zoning: Tax Parcel # Project Value:Imaterials and labor) $ 61 Residential Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ eroof tear o ay over) Classification For the following, fill out both pages of permit application: (check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ appropriate) Mechanical ❑ Plumbing ❑ Other ❑ Fire Sprinkler System? Irrigation System? Proposed Bathrooms Proposed Bedrooms Yes 0 No Yes 0 No 0 Project Description ® 2C7j� Is project in a Flood Zone: Yes ® No❑ 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. 4'4U15 6�acl�t— '. ;� (�� -- Date Print Name Sign4 re Residential Structures For Office Use Area Description(SQ FT) Existing Proposed $$value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or z" floor) Garage Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions(SQ FT) Existing Proposed $$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 # 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 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