HomeMy WebLinkAbout1225 W 9th St - BuildingPREPARED 6/19/09 8 59 30 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/19/09
ADDRESS 1225 W 9TH ST SUBDIV
TENANT NBR ESTATE OF JEAN REED
CONTRACTOR QUALITY PLUS ROOFING PHONE (360) 683 1483
OWNER JEAN REED PHONE (360) 452 9316
PARCEL 06 30 00 0 2 5660 0000
APPL NUMBER 09 00000553 RES REPAIR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 6/19/09
BLDG FOUNDATION FOOTING TIME 01 00
June 19 2009 8 49 22 AM 1pangrle
william 477 8700
deck footings
afternoon
Please call him 30 minutes before you get there so he can
meet you there
COMMENTS AND NOTES
r
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 09 00000553 Date 6/05/09
Application pin number 447524
Property Address 1225 W 9TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 2 5660 0000
Tenant nbr name ESTATE OF JEAN REED
Application type description RES REPAIR
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 2500
Application desc
TEAR OFF RE ROOF HOUSE AND REPAIR DECK
Owner Contractor
JEAN REED
1225 W 9TH ST
PORT ANGELES
(360) 452 9316
WA 98363
QUALITY PLUS ROOFING
PO BOX 610
SEQUIM
(360) 683 1483
Permit BUILDING PERMIT RESIDENTIAL
Additional desc RE ROOF REPAIR DECK
Permit pin number 147934
Permit Fee 109 75 Plan Check Fee
Issue Date 6/05/09 Valuation
Expiration Date 12/02/09
Fee summary Charged Paid Credited Due
WA 98382
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
Permit Fee Total 109 75 109 75 00 00
Plan Check Total 00 00 00 00
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 grantinPof 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 gyf construction.
et r IBA
at Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:FormsBuilding DivisionBuilding Permit
0 0
2500
1
E (-10
FOUNDATION
Footings
Stemwall
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
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
Date
Accepted By
7 V11—
Foundation Drainage Downspouts I I
Piers I I
Post Holes (Pole Bldgs) I I
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
PLANNING DEPT Separate Permit: #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
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
Inspection Type
Comments
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
E>cp`ireiA 814 Jo
CITY OF PORT ANGELES
Attn Building Permit Technician
321' E Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417-4711
Applicant
Property Owner y
Property Owner's Address LtJ, q
Contractor
Contractor's Address J V U
License Expires
y�
PROJECT ADDRESS t, CA] ��I� P f --`f
Parcel Number Lot Zoning
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
molition
e -roof
Heat System
Other
Floor Areas
Basement
1St Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
BUILDING PERMIT APPLICATION Print in ink
Rely i t R DO_.c:V
d ouse garage other tear off re -roof lay over one layer
Heat pump wood burning stove gas fireplace pellet stove other
Residential Multi family
Existing (sq. ft.) Proposed (sq. ft.)
Q;ti
Phone
Phone
TOTAL VALUATION
For City Use Only
Date Received 06 06
Permit c5
Date Approved
4 u
10
Phone C 1(4E3
E -mail
Commercial
per sq ft.
sq ft. T Lot size sq o -ge
Industrial
Z 5790
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)
Max height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
I have rea and completed this application and know it to be true and correct. I am authorized to
that it is y re .onsibility to determine what permits are required, and to obtain permits prior to
Date Oi Paint Name `Z�l�(. j Signatur__
T Form /Buil.ing [�fv ision /Bldg Permit.doc CtdAt Sr A-4 'Z( D
Site coverage
of bedrooms
of full baths
of half baths
a'
pply for this permit and understand
ng on projects.
L
i
0.64 2 36"
a404 rivo iVttL
e?
•0: .44
;$4, cAP PAIL-
1
2
4
1.1.1 IN THE SUPERIOR COURT OF THE STATE OF WASHINGTON
z 5 IN AND FOR THE COUNTY OF CLALLAM
z
6
0
0) 7
8
10
11
20
21
22
23
9
In Re the Probate of No. 08- 4- 00329 -9
JEAN B. REED
Deceased.
NOTICE IS HEREBY GIVEN that the Superior Court of the State of
12 Washington for Clallam County has appointed Betty W Elder as personal
13 administrator, and that robate proceedings are now
P P 9 pending in the above estate
14 The personal administrator must exercise reasonable diligence to discover
15 reasonably ascertainable creditors of the deceased. If you have any knowledge
16 regarding or concerning any unpaid debt of the decedent, you should immediately
17 furnish this information to the personal administrator in care of the below -named
18 lawyer
19 DATED this day of
COPY
FILED
CLALLAM COUNTY
JAN 5 2009
BARBARA CHRISTENSEN, Clerk
NOTICE OF APPOINTMENT OF
PERSONAL ADMINISTRATOR AND
PENDENCY OF PROBATE
PROCEEDINGS AND INQUIRY RE:
CREDITORS CLAIMS
RCW 1128.237 11 40.012
2009
JOHNSON RUTZ TASSIE
Attorneys for Personal Representative
a l s V Johns&aMSBA 6193
Johnson Pufz 1
O651
Lotai File Number.
Legal•Narita (Includi ;mai any) Fird
..,aean PrilYil ..Rd 10128/2009
15.
Sex wi Social Seciarity Number
n Ae =Last B
44. girthday pt Under 1
,d year -4c. Under nder 1 Day
kiirrtgeS I: 111-22-5321 16: Cocintpof Death:
F I .84 ft; iiiit Ham,s I .Cialra.m
rp: Decedents Education
gr Birthdate p Birthplace thplace (ddy. Town, or catenty) 18b. (St ate or Foreign C ountrk)
Hispanic Origin? Yes or No) If yes. sped 405/11/1924 1 NeW York Cit.* [Ndi;q x sRacem 1 Associates Degre
Was Decedent of H
mi NO White
1225 W. 9th St. Wort Angeles
13a. Residence: Number and Street (e.g.. 624 SE 5. SL) (Indude No.) 113b. City or Town
t
13c. Residence: County r3d. Tribal Reservalkin Name 01 applicable)03e. State or Foreign Country 113f. Zip Code 4 1139. Inside City Umits?
Clallat 1 WashingtOn 198363 =Yes 0 Ne pilnk
Estknatedlength of time at residence. ps. Marital Status at Tune of Death 116. Surviving Spouses Name (Give name prior to first marriage)
i 30 Years Never Married 1
43: 7 Usual Occupation (Indicate type of work done dudng niost of working Ide (Donor USE eartneo).118:.Kind of Business/Industry (Do not use Company Name)
4,0 Mystery Writer 1 Author
120. Mother's Name Before First Marriage (Fat, Middle, Last)
1 Gertrude Butt
9: Fathers Name- (FIan, Middle. Last, Suffix)
Alfred Reed
0 Informant's Name
i0 Betty. Elder
Place of Death, Math Marred In a Hospital:
!Decedent's residence
Faddy Name (If note facility, give member street ar locatiori) aft. City. Town,dr Location of Death Feb. State
1225. W. 9th St..... Port Angeles t WA
ft Method ofDispositiori 129. Place of Final (Name of cemetery, aematory, other place) po. Location-MY/Town, and State
Cremation 1 Mt. Angeles Crematory 1POrt Angeles. WA
-01. Name:and Complete Addrizts of Funeral Facility WA 98362.
A. r,6,20014Ten
101y.mv-lc-Cremation Association. 45 Mon r
.roe Rd. Port Angeles.
uneral Directo Sig ature X
34: Entathe °Yank-
Verdiicular without showing
(MMED USE (Final disease or
Xuldition resulting irrdeath) -4
4-\auLtboAvr
Sequentially Ost condiftons. if any, leading b
to the cause fisted On One a. Enter the
IIJ NDERLYING CAUSE (disease or injury
Tililat initiated the events resulting in c.
th)LAST
0 Accident 0 Undetermined
0 Suicide 0 Pendirm
-Jr Date of Injury ownorrrnri
04: 45. Location of Injury: Number Stree
Citv or Town:
Deecnhe how irduryoccurred
1 ?;15 3. Tide of Ce:rtifier
:El
Registrar Signature
1 63. Amendinents
d.
VilashirfOon Stateertific.ate of Death
MiddIe. LAST Suffix 1...Death Date.
2 Relationship to Decedent 123. Mailing Address: Number and Stme t or RFDtio. aty tx *at Stale 24)
Friend 1212 W 2nd St Port, Angeles, WA 98362
Place of Death, if Death Occurred Samenthem Other than a Hoapitat
Ca
juries, or complications
e etiology. DO NOTABBREVIA
a. VI S Voted
39. !Elamite
Rot pregnant Within past year
0 Pregnant at trite of death
2. Hour of Injury(241us)
1644.1Cense NUmber
468MIt
offlaftth (See instructions and examples)
caused the death. DO NOT enter terminal
Add additional Ilnes'ff
e el( Ccinot r -e r
oue to (or as a rosequence
OW to (oras a consequence our
Due to (or as a consequence atX
5. Oinificaitt eondilinns can't/nap/ to' death but not restating in the underlying Cal use given above
1 31aa&tr of Death
.:11!
i 0 Hortdcide.
X p•-•7
Name and Address a Ce Physician, Medical &anifneror Printi
38
Thomas Xummet. 844 N 5t1vAyp
1. Nemeand Tide of Attending PhYsician Other than Certifier (T
Cntiher Fla Number
7 ,rs
Slate File NuMber
36. Autopsy?
0 Yes Erno
112. Decedent ever in U.S.
ArmintForcee? NO
F7 Zip Code:
I 98363:
events such as cardiac arrest, resphatorrarrest, or
Interval between Onsm Death
6 enrat behveen Onset Death
37 Were autorray findings available to
complete.the Cause of Death?
O DN�
Didtobacco use contribute
o Not pregnant, but pregnant within 42 days before death to death?
0 Not pregnant. but pregnant 43 days to 1 year before death Dyes •aisirebably
O Unknown if gregnant wrihin the past year ID No 0 Unknown
r Place of Injury (e.g., Decedent's home, construction site, hastaurant, wooded area) 144; !tiny at Work?
I 0 Yes 0. No 0 Unk
Apt No.
tenlit.
)ntervethetrreen Onset Death
Interval between Onset Death
State: Zio Cadet 4:
'47 If transportation injury, specify:
0 Driver/Operator Q Pedestrian
0 Passenger 1;1 Other (Specify)
48a. Certifying Phyodian-Tuthebest of my knondedge, death oc10 tined-ht0e time. date, and 148 Medical EramineriCoroner 00 uv3basis of examination andio: invesUgabcr, in My'
duo to the cause(s) ad staled. opinion, 'death occurred at the time. date and ;dace and due to the causeiS) and manner stated:
150. Hour of Deattr(24hrs)
I 1 inn
2; Date Signed
I iP_ots_e_7cru:,e
6. Was diselakiredto ME/Corener?
-108YeleReceived
1. ottadltio
7.tinnvii-ooa'am