HomeMy WebLinkAbout414 Lopez Ave - BuldingBuilding Permit
414 Lopez Ave
12 -1256
PREPARED 10/08/12, 10:35:42 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/08/12
ADDRESS 414 LOPEZ AVE SUBDIV:
CONTRACTOR PELLET HEAT CO. PHONE (360) 457 -4406
OWNER FEARN, JAMES C PHONE
PARCEL 06-30-10-5-0- 1230 -0000-
APPL NUMBER: 12- 00001256 MECHANICAL APPL. PERMIT
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 10/08/12
MECHANICAL FINAL
October 5, 2012 3:00:57 PM jlierly.
457 -0283
COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY &.ECONOMI.0 DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00001256
Application pin number 683992
Property Address 414 LOPEZ AVE
ASSESSOR PARCEL NUMBER: 06-30-10-5-0- 1230 -0000-
Application type description MECHANICAL APPL. PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 3304
Application desc
FREE STANDING PELLET STOVE
Owner
FEARN, JAMES C
414 LOPEZ AVE
PORT ANGELES
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
T:Forms/Bullding Division /Building Permit
WA 98362
Contractor
PELLET HEAT CO.
230C EAST 1ST ST
PORT ANGELES
(360) 457 -4406
Permit MECHANICAL PERMIT
Additional desc FREE STANDING PELLET STOVE
Permit Fee 60.65 Plan Check Fee
Issue Date 10/02/12 Valuation
Expiration Date 3/31/13
Qty Unit Charge Per
BASE FEE
1.00 10.6500 EA ME STOVE /FIREPLACE /MISC. APP.
Charged Paid Credited
60.65 60.65 .00
.00 .00 .00
60.65 60.65 .00
Date 10/02/12
WA 98362
.00
0
Extension
50.00
10.65
Due
.00
.00
.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 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.
2 -r2 T s
2a
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
Inspection Type
Date
Accepted By
Comments
FOUNDATION:
Accepted By
Footings
417 -4735
Stemwall
Foundation Drainage Downspouts
Construction R.W.
PW Engineering
Piers
Post Holes (Pole Bldgs.)
417 -4653
PLUMBING:
Accepted by
Under Floor Slab
Planning
Rough -In
Water Line (Meter to Bldg)
Building
Gas Line
417 -4815
/Q1-
Back Flow Water
j
1—i_
(.71-
FINAL Date
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:
Accepted by
Heat Pump Fumace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
FINAL Date
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE
SEPA:
ESA:
SHORELINE:
Inspection Type
Date
Accepted By
Electrical
417 -4735
Construction R.W.
PW Engineering
417 -4831
Fire
417 -4653
Planning
417 -4750
Building
417 -4815
/Q1-
4-
j
1—i_
(.71-
PLANNING DEPT. Separate Permit #s
SEPA:
ESA:
SHORELINE:
Parking Lighting
Landscaping
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.
Contact person:
De s,.s
Phone:
36o /S' 7-9
Property owner:
.T( rom Fe. RA/
Phone:
Property owner's yy mailing address:
'I y i s r Lye Z Ave-
Q
0 or f 1 e-f
Contractor's business name: peI /.et /7i242.7 Co.,
(or property owner's name if he /she is doing /overseeing the work)
Phone:
36o 14x"7- yYOL
Contractor's mailing address:
z 0 'asi ',e, -s S1��
Pot
Contractor's L &I license number:
Exp date:
BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for projects that do not require plan review.)
Date Received Z-C'
Permit /a c
Please print in ink. Date Approved /erto
Approved by
City of Port Angeles
Attn: Building Permit Technician
321 E. 5th St., Port Angeles, WA 98362
360- 417 -4815 fax: 360-417-4711
Hours: Mon through Fri 8 5 pm
Re -side:
Repair: (explain the project)
Project Valuation
Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express)
Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm
Project Address:
`T <4 E -sij Z e -r
Project Type: Residential 0 Commercial 0. Industrial 0 Multi- family
Project Business Name:
(for commercial, industrial, or multi family projects)
The following permits are usually issued over the counter without the need for plan review.
Complete only the portions of this permit that are relevant to.your project.
Re -roof: house garage other
tear off re -roof lay -over one layer
Licensed contractor: Submit a copy of your re -roof bid.
Project Valuation (labor materials, not including sales tax)
house garage other
Project Valuation (labor materials, not including sales tax)
*Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the
cost of materials, to reflect the value the repair adds to your property.
Cost of materials x 2 Project Valuation
T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011)
Page 1 of 2
Swimming Pool or Spa 24" deep): For prefabricated swimminq. ..pool or spa projects that
do not require plan review:
Obtain the City of PA handout entitled "Pools Spas" follow the requirements.
Project.Valuation
Demolition: A demolition permit is needed when an entire building gets demolished.
What will be demolished? house garage other
Note: some demolition permit applications need to be reviewed by various City departments, and may take
approximately two weeks to obtain.
Page 2 of 2
Agree to'ensure that all utilities are /will be properly turned off (and capped off if needed)
prior to demolition.
Obtain (from the City of PA) an aerial view map of the parcel and put an, "x" over the structure(s) to
be demolished. Submit the map with this application.
Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA)'
Demolition Permit Application.
Contact ORCAA at 360 -417 -1466 to discuss whether or not an ORCAA Demolition Permit-will also
be needed.
yes o no Will the debris be going to the Regional Transfer Station in Port Angeles?
yes No If yes, will a licensed contractor be-taking it there?
If yes, obtain (from the City of PA) a copy of the Waste Disposal Application.
Complete and submit the waste disposal application to the Building .Permit Technician, now
(or later if asbestos testing is needed);'
Plumbing Permit: (explain the project)
Project Valuation
Mechanical Permit: (explain the project)
Stn, //q •I o�v
Project Valuation
A I tA ,-telia.y PP Its St71L
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.
Date -2 S'- /2 Signature
Print Name "a4 -e_L
SPA SHOP
Pellet Heat Company
Pellet Gas Stoves
Where Quality Customer Service are #1
230 -C East First St., Port Angeles, WA 98362
(360) 457 -4406 1- 800 869 -7177
www.spashop.com
STOVE:
STOVE BRAND QuAbitil 1 MODEL Sr r74
SHROUD SIZE
PIPE:
QTY.
1 LIB' g-t,8oj
2 y PAP
I° PA
r-64 MRL
Hlt .12 of 7 L is.607 0 4P
COLOR 15 c 4
DESCRIPTION
Ci'; St 14 IL. •r' yt, mar' Cz4i
/4 i 14 it Tem 5`/ id Cv,tiL
HEARTH PAD: 4
PAD SIZE /COLOR: Oaf
ACCESSORIES /OTHER:
ITEM
ITEM
PELLETS:
QTY. /BRAND 1 Sp OM
INSTALLATION: t' wirer) CP- .v
STOVE INSTALLATION
REMOVAL OF WOOD STOVE
COMMENTS /INSTRUCTIONS:
...:_YW t S,T41 To 12J -4Pr op s7 01.
0
Thank you! SPA SHOP
Cl3/.n fa. ic. ,44
1
104. u i 9; .STr2E�
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MDSE. SUB -TOTAL
PERMIT FEE
SALES TAX
SUB -TOTAL
WA STATE STOVE TAX
TOTAL
DEPOSIT
BALANCE DUE
2z
62 b
3, 4
L3
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toe 45
28Z,
5-0 6 .0 a 5v
DEALER IN CUSTOMER
DATE Z APPROXIMATE DELIVERY DATE .G -w. fir.- 7-Li" -/L- i6 A
NAME -�j rvA PEA-(24
ADDRESS 1 /I1 Z-Uf 7 Ave
CITY /STATE /ZIP p oi' 6- w f jj
PHONE: HOME '/.5 02.83 WORK