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Home My WebLink About850 Church Avenue Address: 850 Church Avenue PREPARED 3/19/14, 10:21:55 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/19/14 ------------------------------------------------------------------------------------------------ ADDRESS : 850 CHURCH AVE SUBDIV: CONTRACTOR LARRY'S ROOFING PHONE (360) 452-2215 OWNER ROBERT & VIRGINIA A DRYVER PHONE (360) 452-6615 PARCEL 06-30-15-4-4-9020-0000- APPL NUMBER: 14-00000307 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----- -----—----- BL99 01 3/19/14 JLL BLDG FINAL March 19, 2014 10:15:56 AM pbarthol. Tom 460-0517 -—-—-------—------- -------- COMMENTS AND NOTES -------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION =� 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 14-00000307 Date 3/13/14 Application pin number . . . 225592 Property Address . . . . . . 850 CHURCH AVE ASSESSOR PARCEL NUMBER: 06-30-15-4-4-9020-0000- REPORT SALES TAX W Application type description RE-ROOF d Subdivision Name . . . . . . on your state excise tax form Property Use to the City of Port Angeles Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 12300 (Location Code 0$02) ---------------------------------------------------------------------------- Application desc tear off comp ---------------------------------------------------------------------------- Owner Contractor ROBERT & VIRGINIA A DRYVER LARRY'S ROOFING 850 CHURCH AVE 352 AVIS ST. PORT ANGELES WA 983626753 PORT ANGELES WA 98362 (360) 452-6615 (360) 452-2215 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING: PERMIT - NO PR FEE Additional desc . . TEAR OFF COMP ; Permit Fee . . . . 249.75 Plan Check Fee .00 Issue Date . . . . 3/13/14 Valuation . . . . 12300 Expiration Date 9/09/14 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 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 examinedhis application and know the same to be true and correct. All provisionsvisions`o of laws and ordinances governing this type of work will be compIIie with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the pr ny state or local law regulating construction or the performance of construction. )l 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 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 THEE CITY OFpifo- . RT NGELES / For City Use - Permit# ( 1 r �- 3a VA A S H I N G–T O N. U. S. � Date Received: 321 E 51h Street Date Approved Port Angeles,WA 9836 ( t P:360-417.4817 F:360-417-4711 Email: Pprmits!MitvOrp BUILDING PERMIT APPLICATION r Project Address: Jo UCC M C,,, e--- Phone: Primary Contact. I�m O Email: Name -fCCl hone 1 40— --�/ (I (� Property Mailing AddressI Gu t`/�+ �1 Email Owner I� 6 �Y City r Statet 1 Zip Name (� �W4Phone l� 17•� (- o r) 6� Contractor Address �SL iS 5 Email Information City State zip Q1 � Contractors License# Exp.Date: it Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor) $ I Z, 300- Residential ❑ Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire .❑ Repair ❑ Reroof(tear off/lay over) Classification For the following,fill out both Dages of permit application: (checkNew Construction ❑ Exterior Remodel 0 Addition- ❑ Tenant Im rovement --- p't Mec 'cal Plumbing Other Fire Sprinkler System? Irrigation System? Proposed Bathrooms Proposed Bedrooms Yes 0 No D Yes 0 No 0 Project Descri Aion oto e,�Is'tilx Rev I%fcl i t 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 i8o da s of submittal,the application will be considered abandoned and the fees will be forfeited. Date Print Name Signature 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 i° 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 Covera a Calculations Lot Size(sq ft) Lot Coverage (sq ft) %Lot Coverage(Total lot coverage T lot size) Site CoKerage_(Sq Ft of all im ervious) _ %of Site Coverage(total site coverage T 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