HomeMy WebLinkAbout1609 W 12th St - BuildingPREPARED 3/16/10 8 35 34 INSPECTION TICKET
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY
ADDRESS 1609 W 12TH ST
TENANT NBR TOM W /SHELLIE J BELBIN
CONTRACTOR
OWNER TOM W /SHELLIE J BELBIN
PARCEL 06 30 00 0 3 5950 0000
APPL NUMBER 10 00000224 RE ROOF
PERMIT
TYP /SQ
BL99 01
BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
COMPLETED RESULT RESULTS /COMMENTS
3/16/10
SUBDIV
BLDG FINAL TIME 01 00
March 16 2010 8 32 40 AM 1pangrle
TOM 461 0560
BLDG FINAL RE ROOFED THE HOUSE
AFTERNOON
COMMENTS AND NOTES
PHONE
PHONE (360) 461 0560
PAGE 4
DATE 3/16/10
ricsal
Application Number 10 00000224 Date 3/04/10
Application pin number 936544
Property Address 1609 W 12TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 5950 0000
Tenant nbr name TOM W /SHELLIE J BELBIN
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 2800
Application desc
RE ROOF THE HOUSE LAY OVER ONE LAYER
Owner
TOM W /SHELLIE J BELBIN
1609 W 12TH ST
PORT ANGELES WA 98363
(360) 461 0560
Structure Information 000 000
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Qty Unit Charge Per
1 00 14 0000 THOU
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Date Print Name
T:Forns/Building Division/Building Permit
BUILDING PERMIT NO PR FEE
RE ROOF HOUSE
161943
109 75 Plan Check Fee 00
3/04/10 Valuation 2800
8/31/10
109 75
00
4 50
114 25
RE ROOF HOUSE
BASE FEE
BL -2001 25K
Charged Paid
Contractor
OWNER
(14 PER K)
STATE SURCHARGE
109 75
00
4 50
114 25
LAY OVER ONE LAYER
Credited Due
00
00
00
00
Extension
95 75
14 00
4 50
00
00
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 fora 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.
4€ /I
Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
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
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
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
FINAL Date Accepted by
FINAL Date Accepted by
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 I I
Building 417 -4815 E x p 1Z1 10
1
N
Applicant vvi 6-� I! b, k
Property Owner To w 13-e (1,, in
Property-Owner's Addres
Contractor 6 wi 6-e4/1" 'tn
Contractor's Address
License
Project Tvpe Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
u e -roof
Heat System
Other
Floor Areas Existing (sq. ft.)
Basement
1 Floor
2nd Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures s
Site Coverage the amount of impervious surf
and other impervious surfaces (see PAMC 17
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
Date 3 -4 Print Name
T.Forms /Building Division /Building permit application 1
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
Expires
PROJECT ADDRESS /6 e sr
Parcel Number
2) 4
Residential Multi- family
Proposed (sq. ft.)
A$
1
Occupancy group
Occupant load
instruction type
For City Use Only
Date Received
Permit# 22-f
Date Approved
Phone ¥c'l 056,0
Phone 4 /6/- os0
Jo b s -F rT An 5
Phone
1.6 House garage other tear off re -roof lay over one layer
Heat pump wood- burning stove gas fireplace pellet stove other
Signature
E -mail
(s 1 4o,e k r
Lot Zoning
o Commercial Industrial
per sq ft.
aa t 1 1 00
Labor
TOTAL VALUATION ZOOO
ft. Lot size sq ft. Lot coverage
e on a 'arcel including structures paved ivew_ sidewalks patios
for exemptions) Ite coverage
bedrooms
of II baths
#ofh.fbaths
I have read and completed this 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 working on projects.
/3€ 1.7
�G4
/092--
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
5"82-
PERMIT NUMBER
.
36 0-0 "2-- /<.[5
TOTAL FEE
CO NT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAlOCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
/~o r w /2-7l1
CORRECT ADDRESS IS RESPONSIBiliTY OF APPLICANT
IJ~N D R I ( K ..s
1/7--0 S . "e "
Day Phone 1S 2.. - S-S5 I Installers Phone
Application Is hereby made for Permit to Install Electrical Equipment as follows:
/{Ef.
Site Address
RON
Installation By
Installers Address
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
~
~
.,/'
Owner
Owner's Address
NI!.W
0./-1.
SUl-VIC'i-
Wiring M~thod
h /J1f/O
,
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT 3 SIGN
LIGHT SO VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE z... MOTOR
DlSHWASHER / FIRE ALARMS
DISPOSAL I BURGLAR ALARM
RANGE / MISC.
OVEN
WATER HEATER I
LAUNDRY I
DRYER { REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS. OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEAT cr.O( OW SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT '( LoD AMP If! PHASE
,
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
Date Application made
I certify that the work to be performed under this permit will be done by the installer and i
1/~'t/H
I '
,19
By,
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining theret:su;ct to compiiance with the o::nance/;!rJ~:tt~IGHT .
. Oate Permit Issued 1! ~ I , PLANS A'l"R~ 0
Notify Department of City Ught by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457.0411 Ex!. 158.
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE - Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
- .,
REPORT OF INSPECTOR
DATE OF VISIT M~fE Y REMARKS
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