HomeMy WebLinkAbout101 W 12th StreetAddress:
1101 W 12th Street
PREPARED 9/16/16, 8:16:51 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/16/16
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ADDRESS . : 101 W 12TH ST SUBDIV:
CONTRACTOR PENINSULA HEAT INC PHONE (360) 681-3333
OWNER POPE CAROL PHONE
PARCEL 06-30-00-0-3-4492-0000-
APPL NUMBER: 16-00001326 RES MECHANICAL PERMIT
---------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION -
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME99 01 9/16/16 &LL MECHANICAL FINAL
WE September 15, 2016 3:41:58 PM jlierly.
DHP
------------- COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 16-00001326 Date 9/06/16
Application pin number . . . 019558
Property Address . . . . . . 101 W 12TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -4492 -0000 -
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 4389
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Application desc
ductless heat pump
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Owner Contractor
------------------------
------------------------
POPE CAROL PENINSULA HEAT INC
101 W 12TH ST 782 KITCHEN -DICK RD
PORT ANGELES WA 98362 SEQUIM
WA 98382
(360) 681-3333
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Permit . . . . . . MECHANICAL PERMIT
Additional desc . . DUCTLESS HEAT PUMP
Permit Fee . . . . 64.80 Plan Check Fee
.00
Issue Date . . . . 9/06/16 Valuation . . . .
0
Expiration Date 3/05/17
Qty Unit Charge Per
Extension
BASE FEE
50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON
14.80
-------------------------------=--------------------------------------------
Special Notes and Comments
Per Washington State Code 51-51-315,
installation of Carbon Monoxide
detector(s) is required if you are
installing or replacing a fuel burning
appliance (wood, pellet, gas)and must be
in place prior to the final inspection
of this permit. They are required to be
place directly outside of each sleeping
area and at least one on each floor of
the house.
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Fee summary Charged Paid Credited
---------------------------
Due
------------------------------
Permit Fee Total 64.80 64.80 .00
.00
Plan Check Total .00 .00 .00
.00
Grand Total 64.80 64.80 .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 isnot 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 spec' d herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of an state or to aw regulating construction or the performance of
constru ion
6 �(�
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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type
Date
Accepted By
Comments
FOUNDATION:
Electrical 417-4735
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 / Ceilin
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:
ESA:
SHORELINE:
Parkin / Lighting
Landscaping
FINAL INSPECTIONS REQUIRED PRIOR
TO OCCUPANCY/ USE
Inspection Type
Date
Accepted By
Electrical 417-4735
Construction - R.W. PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
CITY OF
W ASHINGTO N, U.S.
321 E 51h Street
Port Angeles, WA 9836
P: 360-417-4817 F: 360-417-4711
Email: permits0cityofpa.us
For City Use
Permit# A " /32-6
Date Received: 11b
Date Approved
BUILDING PERMIT APPLICATION
Project Address:
D
Primary Contact:
Phone: Q Q .
Email: GC°cro/ O Gl'I -God►
Name r� D
PhorI9O _
Property
Owner
Mailing Address
/o/ W. 001ral
Email
®� G/t •C°" "
City
State
Zip ,
Name /
Phone
Contractor
Address
Email 1707OW,-
(/fjG
l�J�//
Information
city Shy
7(
State W zip
/ o J
Contractor License# N�
Exp. Date:
Legal Description:
Lr za RL 3,i
Zoning:
Rf:7b
Tax Parcel # 0000
0� z
ProjectValue': (materials and labor)
$ ..
Residential Commercial ❑ Industrial ❑ Public ❑
Permit
Demolition ❑ Fire ❑ Repair ❑ Reroof (tear off/lay over) ❑
Classification
(check
appropriate)
For the following, fill out both pages of permit application:
11 Exterior Remodel 1:1 Addition 11 Tenant Improvement ❑
New Construrplumbing
Mechanical ❑ Other ❑
Fire Sprinkler System Proposed
or Existing? Yes [7 No 0
Irrigation System Proposed orProposed
Existing? Yes [7 No
Bathrooms
Proposed Bedrooms
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater(&citvo a.us
Project Description
o �s
Is project in a Flood Zone: Yes ❑ NoW Flood Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $
I have read and completed the 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 work. I understand that plan review fees are not refundable after review has
occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is
issued. I understand that if the permit is not picked up/issued within 18o days of submittal, the application
will be considered abandoned and the fees will be forfeited.
y/01
Date
Print Nam
Signature
V1----
Residential Structures
Area Descriptions (SQ FT)
Existing
Floor area
Proposed
Floor area
Construction
$ Value new area
For Office Use
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck (over 30" or a° floor)
Garage
Carport
Other (describe)
Area Totals
Commercial
Structures
Area Descriptions (SQ FT)
Existing
Floor area
Proposed
Floor area
Construction
$ Value new area
For Office Use
Existing Structure (s)
Proposed Addition
Tenant Improvement?
Other work (describe)
Site Area Totals
Lot/Site Coverage Calculations
Lot Size (sq ft)
Lot Coverage (sq ft) foot print of
all structures sq ft
%Lot Coverage (Total lot cov _ lot size)
Max Bldg Height
Site Coverage (Sq Ft of all impervious)
% of Site Coverage (total site cov _ lot size)
Mechanical Fixtures
Indicate how many of each type of fixture to be installed
or relocated as part of this project.
Air Handler
Size:
#
Haz/Non-Haz Piping
Outlets:
Appliance Exhaust Fan
#
Heater (Suspended, Floor, Recessed wall)
#
Boiler/CompressorSize:
71repair/alteration
#
Heating/Cooling appliance
#
Evaporative Cooler (attached, not
portable)
#
Pellet Stove/Wood-burning/Gas
Fireplace/Gas Stove/Gas Cook Stove/Mise.
#
Fuel Gas Piping
# of Outlets:
Ventilation Fan, single duct
#
Furnace/Heat p/
Forced Air Unit
Size:
S L (f
#
Ventilation System
#
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps
#
Water Heater
#
Plumbing Vent piping
#
Medical gas piping
# of Outlets:
Water Line
#
Fuel gas piping
# of Outlets:
Sewer Line
#
Industrial waste pretreatment
interceptor Grease Trap)Size
Other describe
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