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Home My WebLink About117 W 5th St - BuildingOF PC TµC 4t •L1C WOO Application Number 10 00001352 Application pin number 842760 Property Address 117 W 5TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 8865 0000 Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 0 Application desc RCP #10 36 New sewer service connection Owner STARKS KAREN C PO BOX 3186 PORT ANGELES Fee summary T \Policies \1102 15 [10/08] Qty Unit Charge Per 1 00 WA 983620341 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Contractor C &J EXCAVATING PO BOX 430 CARLSBORG (360) 683 7741 Permit RIGHT OF WAY Additional desc RCP #10 36 NEW SEWER CONNECTION Permit pin number 177576 Permit Fee 150 00 Issue Date 11/17/10 Valuation Expiration Date 5/16/11 150 0000 ECH RIGHT OF WAY PERMIT Plan Check Fee Special Notes and Comments Trench safety per WAC 296 155 Traffic control per attached plan Trench restoration per attached plan Call city inspector at 360)417 4831 prior to start of work Connection per attached detail Existing abandoned lateral to be plugged Charged Paid Credited Permit Fee Total 150 00 150 00 00 Plan Check Total 00 00 00 Grand Total 150 00 150 00 00 Date 11/17/10 WA 98324 Due 00 00 00 00 0 Extension 150 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 as 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 ii //7//3 Signatufe of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION INSPECTION TYPE DATE PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER. DRIVEWAY APPROACH BACK -FLOW DEVICE FIRE T ,Pol cies'1102 15 [10/08] RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 I PLANNING DEPT 417 -4750 I 417 -465' BUILDING 417 -4815 PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE ACCEPTED COMMENTS YES NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I I I I I CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING PREPARED 5/19/09 9 16 13 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/19/09 ADDRESS 117 W 5TH ST SUBDIV TENANT NBR KAREN FARNSWORTH CONTRACTOR PHONE OWNER KAREN FARNSWORTH PHONE (360) 452 3544 PARCEL 06 30 00 0 0 8865 0000 APPL NUMBER 09 00000427 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 BLDG FINAL May 18 2009 9 09 04 AM 1pangrle HOWARD 477 5741 BLDG FINAL RE ROOF THE PERMIT IS ON THE PORCH COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc TEAR OFF RE ROOF HOUSE KAREN FARNSWORTH PO BOX 3186 PORT ANGELES (360) 452 3544 T:FormsBuilding DivisiorBuilding Permit WA 98362 09 00000427 923612 117 W 5TH ST 06 30 00 0 0 8865 0000 KAREN FARNSWORTH RE ROOF RESIDENTIAL HIGH DENSITY 3 Owner Contractor OWNER Fee summary Charged Paid Credited Due Date 5/12/09 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF RE ROOF HOUSE Permit pin number 145698 Permit Fee 123 75 Plan Check Fee 00 Issue Date 5/12/09 Valuation 3744 Expiration Date 11/08/09 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 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 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. I vv �a4riSwwl)N1. e1,24 q4vake43)4 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 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 Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T /Building Division /Building Permit Inspection Type Date Accepted By PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Comments FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By 5 -lq -0 q 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 Applicant /(4 ✓tsw., r+1, Property Owner Property Owner's Address 7, 7--'/ t Contractor n-w Contractor's Address License PROJECT ADDRESS 7--d 5 Rr-Kri `e S zA Lot Zoning Parcel Number Project Tyne Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition )Re -r oof House garage other tear off re -roof lay over one layer Heat System Heat pump wood burning stove gas fireplace pellet stove other Other Existing (sq. ft.) Proposed (sq. ft.) Basement 1 Floor 2 Floor N 3 Floor Garage Carport Covered Porch Deck Floor Areas Shed Other Total footprint of structure. Site Coverage the amount o and other impervious surfaces 6 /Print Name T Forms /Building Division /Bldg Permit doc pervious su eP Max. height of proposed structu Will a lawn sprinkler system e installed? Will a fire sprinkler syste se installed? )Residential S Expires sq Lot size ce on a parcel including struct 7 94 135 for exemptions) ft. Occupancy group Occupant load \Qonstruction ro e Farn1t/rnf4k) Multi- family Commercial Industrial TOTAL VALUATION Signature For City Use Only Date Received 5 Permit Oa -421 Date Approve Phone y S� 7,5 Phone Phone E -mail per sq ft. Maierialc k kbor i 2 L{ 2- 3,1 y, -g sq ft Lot coverage paved driv- ays sidewalks patios Site coverage bedrooms of •aths of half b I have read and com eted 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 prof jets.