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Home My WebLink About906 W. 11th Street Address: 906 W 11th Street PREPARED 10/22/13, 12:14:59 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/22/13 ------------------------------------------------------------------------------------------------ ADDRESS 906 W 11TH ST SUBDIV: CONTRACTOR RENOVATOR, THE PHONE (360) 461-6275 OWNER MICHAEL/MELINDA SZATLOCKY PHONE PARCEL 06-30-00-0-3-5205-0000- APPL NUMBER: 13-00000982 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --—-—----------—----—-------- ------------------------------------ - ------------- BL99 01 10/22/13 L BLDG FINAL October 22, 2013 8:40:57 AM pbarthol. Vk Melinda 460-5537 ------------------------ -- ------------ ----------- COMMENTS AND NOTES ----- Vis+ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 13-00000982 Date 8/30/13 Application pin number . . . 092384 Property Address . . . . . . 906 W 11TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-5205-0000- Application type description RE-ROOF REPORT SALES TAX ` Aj Subdivision Name . . . . . . on your state excise tax form V" Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY to the City of Port Angeles Application valuation 4000 _ (Location Code 0502) Application desc RE-ROOF REPAIR EVES AS NEEDED ---------------------------------------------------------------------------- Owner Contractor MICHAEL/MELINDA SZATLOCKY RENOVATOR, THE 32 SOUTHRIDGE RD PO BOX 3024 PORT ANGELES WA 983639439 PORT ANGELES WA 98362 (360) 461-6275 -------------------------------- --------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc . . REPAIR EVES / RE-ROOF Permit Fee . . . . 123.75 Plan Check Fee .00 Issue Date . . . 8/30/13 Valuation . . . . 4000 Expiration Date 2/26/14 Qty Unit Charge Per Extension BASE FEE 95.75 2.00 14.0000 THOU BL-2001-25K (14 PER K) 28.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due (� ------------ ---------- ---------- Permit Fee Total 123.75 123.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 128.25 128.25 .00 .00 Vy` 1 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. ott/x Print Name Atjt1.'tQptrW6 or Ath ri �en �t.reofner(if owner is builder) � Tfo s/Buil ing 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 by 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 THSO .T _1�GEL For City Use CITY of 1� ES Permit# 13- � Z WASHI N G_P T o N, U . S. Date Received: lb-Z9 '/3 321 E 51h Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F: 360-417-4711 Email:permits0cityofpa.us BUILDING PERMIT APPLICATION Project Address: qO� q08 ti, 111-41 Phone: 360 Primary Contact: M4 I 3?a+)0& Email: NamI F, �� Phone r,ha e�' Property Mailing Addres G Email Owner LA 6e, City -eA J State Zi� 3 Name "& Phone Contractor Address Amail Information city State Zip Contractor License# Exp.Date: Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor) i $ � L4600 , Residential ❑ Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair -,K— Reroof(tear off/lay over) Classification For the following fill out both pages of permit application: (check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ appropriate) Mechanical ❑ Plumbing ❑ Other ❑ Will a fire sprinkler system b installed Irrigation Syst m? Proposed Bathrooms Proposed Bedrooms or modified? Yes 13No X I Yes ❑ NoX J=/,& Project Description Y-e' til y- i✓v-p—S 1r®® 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. AJ ate Print Name Signature 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 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 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 _7Size: # Heating/Cooling appliance # repair/alteration Evaporative Cooler(attached, not # Pellet Stove/Wood-burning/Gas # portable) Fire lace/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