HomeMy WebLinkAbout3421 McDougal St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, ,PORT ANGELES, WA 98362
Application Number 11- 00000724 Date 7/18/11
Application pin number 158772
Property Address 3421 MCDOUGAL ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-14-2-3- 9030 -0000-
Application type description RE -ROOF on your state excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 2736
Application desc
COMP OVER 1 LAYER
Owner Contractor
BROOKS, IDA KRISTINE OWNER
3421 MCDOUGAL ST
PORT ANGELES WA 983626741
Permit BUILDING PERMIT NO PR FEE
Additional desc INSTALL COMP OVER 1 LAYER
Permit pin number 189225
Permit Fee 109.75 Plan Check Fee .00
Issue Date 7/18/11 Valuation 2736
Expiration Date 1/14/12
Qty Unit Charge Per Extension
BASE FEE 95.75
1.00 14.0000 THOU BL- 2001 -25K (14 PER K) 14.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 109.75 109.75 .00 .00 A1
Plan Check Total .00 .00 .00 .00 Y
Other Fee Total 4.50 4.50 .00 .00
Grand Total 114.25 114.25 .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.
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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 IN CONSPICUOUS 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 Fiold Downs
Walls Roof Ceiling
D all (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove I Pellet! Chimney
Commercial Hood Ducts `—T FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parkin Li Yrting ESA:
Landscaping
_SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
4 Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
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O` BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician For City Use Only:
tfianizarm Date Receiv d
321 E. Fifth St., Port Angeles, WA 98362 —P
Permit #.C' 72.-
(360) 417 -4815 fax (360) 4174711 Date Approved 7,713
Applicant /(Ij P�s� -v i_ s Phone (n 076 9
Property Owner a�i 84000 Phone
Property.Owner's Address 31-491 p 0u3 L 5L or+, 1Sn 9 e:le. t,c� R 9831a?
Contractor 11 Phone
Contractor's Address G ice. IBS r
License #r nip .Expires Y__)- E -mail
PROJECT ADDRESS 3ya i m 17a pj l Por ArtSok S o,9 9f32
Parcel Number Lot Zoning
Project Type Brief Description: Residential Multi family Commercial Industrial
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
A Re -roof A' House tjarage other tear off re -roof y over one layer
Heat System Heat pump wood burning stove gas fireplace peiiet stove other
Other
Floor Areas Existing (sq. ft) Proposed (sq. ft.)
Basement per sq. ft.
1 Floor
2 Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION 23La
Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage
Max. height of proposed structures ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed? Occupant load of full baths
Will a fire sprinkler system be installed? Construction type of half baths
I have read and completed this application and know it to he true and correct. l 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 proje
Date 745 -'I/ Print Name t/I j l e� S Signatur es
T:Forms /Building Division /Building permit application 4ttieit el-v-fret°
July 15, 2011
I authorize the reroofing of my house located at 3421 McDougal Ave, Port
Angeles, WA.
/1
Ida K Brooks
181 Lotus Lane
S WA 9838-
HARTNAGEL BUILDING SUPPLY INC. PAGE NO 1
3111 HIGHWAY 101 EAST
PORT ANGELES, WA 98362
TOLL FREE 1 -888- 452 -6252
PHONE: (360) 452 -8933
AN EMPLOYEE OWNED AND OPERATED
LUMBER TRADERS STORE
CUST NO JOB NO PURCHASE ORDER REFERENCE TERMS CLE DATE TIME z
1 00% /10TH N/1 OTH 51 7/15/11 2;10
210122 000 ORDR 442174 s
w.,M., •.max,., ry�� .d.� R...
TERMINAL: 553
SOLD TOr SHIP TO ORDER: 442174
CLALLAM BUILDERS MCDOUGAL ST
JEFF TIIROOP JEFF 808 4225
X 2353 E`6TH AVE SALESPERSON: 51 KEVIN HANSON
;PORT ANGELES TWA 398362r
TAX: H1 HARTNAGELS- CHARGE RET
INVOICE: 612763
ORDERED,
SUGG' j UNITS PRIC,E /v s PER� EXTENSION
ILINE ,SHIPPED. UM ,�,,$KU y._e_ DESCRIf T�N�,
1
2 80 80 EA P627AB PAB PREM 30 ANT.BLACK [4]Y 80 16.35 /EA 1,308.00
3 20 20 EA RTOP ROOF TOP DELIVERY PER SQ. 20 3.00 /EA 60.00
REPRINT
TAXABLE 1368.00
NON- TAXABLE 0.00
(JEFF) SUBTOTAL 1368.00
AMOUNT CHARGED TO STORE ACCOUNT 1482.91
8631
TAX AMOUNT 114.91
11 1111 1 11 11 111 1111 1 1 11 11 11 1111
TOTAL 1482.91
TOT WT: 0.00 X
Received By
-
..
-
-
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
110 & 8
ELECTRICAL PERMIT
DATE
5"" -s- -B9>
/fI (!.1o
bltCTIUc....
Owner/Business:. A "1\ . , ,..
tt/\J !J if.. fZ.:j ON /YIlt S
Owner/Business Address:
Installed By:
~ ~.;ll
.s (3 tlLO
/t-!
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
Phone:
Sq. Ft.
fj()
.~. Residential 7.. ~.. }
, Heat KW tA/
~ Baseboard 0 FurnacelBoiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
~New Construction
o Remodel
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
o Overhead
6'lunderground/
Voltage I Zo ,_z-l/O
'fii10 03.0
Se~vice size 'J.-()O Amps
o Temporary
DetailslDescription:
/I
7Lw kE~/
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
,if. Ditch inspection O.K.
~.ROUgh-inICover O.K.
of, [fj O.K. to connect service
/~~Jinal O.K.
./l<\Y'
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for servicelmeter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
Permit/Receipt No.
,{;B
New Meters
(
Date:
5""- ~ -85
.
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224.
IL~ j- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 13 0 ~
Inspector Amount paid
WHITE ---'- file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLY"'P'IC PIlI"lTERS. INC.