HomeMy WebLinkAbout1012 Campbell AvenueAddress:
1012 Campbell Avenue
PREPARED 7/27/16, 8:59:02 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/27/16
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ADDRESS : 1012 CAMPBELL AVE SUBDIV:
CONTRACTOR STRAIT COMFORT SYSTEMS PHONE (360) 440-8539
OWNER PATRICIA CONANT PHONE
PARCEL 06-30-14-5-4-0625-0000-
APPL NUMBER: 16-00000771 RES MECHANICAL PERMIT
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME99 01 7/27/16JL MECHANICAL FINAL
July 27, 2016 8:56:20 AM jlierly.
Richard 360-440-8539
------------------------------------- COMMENTS AND NOTES--------
%�. CITY OF PORT ANGELES ,
',rR''►,� DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Separate Permits are required forelectricai 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 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.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
I:Forms/Building Division/Building Permit
Application Number . . . . . 16-00000771 Date
5/27/16
Application pin number . . . 162607
Property Address . . . . . . 1012 CAMPBELL AVE
ASSESSOR PARCEL NUMBER: 06 -30 -14 -5 -4 -0625 -0000 -
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 4119
----------------------------------------------------------------------------
-
Application desc
DUCTLESS HEAT PUMP
-=r=------------------------------------------------------------------------
Owner Contractor
�-
PATRICIA CONANT STRAIT COMFORT SYSTEMS
1012 CAMPBELL AVE 235546 HIGHWAY 101
PORT ANGELES WA 98362 PORT ANGELES WA
98363
-
(360) 440-8539
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-
------------- ------------- ----- -------------------------------
Permit MECHANICAL PERMIT
',Additional desc DHP
'
•� Permit Fee . . . . 64.80 Plan Check Fee
.00
+Issue Date . . . . 5/27/16 Valuation . . . .
0
.'� Expiration Date 11/23/16
��--•=_-=•
Qty Unit Charge Per Extension
S
BASE FEE
50.00
TON
1.00 14.8000 EA- -ME-FURN/HP/FAU < OR =-5- --
------ -----------------
14.80
-- -
Special Notes and Comments
C�
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.
----------------------------------------------------------------------------
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 forelectricai 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 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.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
I:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
— PLEASE PROVIDEA 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 / 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:
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
THE pp
CITY OFP�-O
f
W A S H I
321 E Sth Street
N G T O N, U. S.
Port Angeles, WA 9836
P: 360-417-4817 F: 360-417-4711
Email: permitsC@cityofpa.us
For City Use
Permit# �� `" 7-2/
Date Received:
Date Approved ✓`�a 7 `�
BUILDING PERMIT APPLICATION
Project Address: ton- E c,%,wora - ►°onr A� wi4. r7spa2
4'rAA i i co wrc4-T -S'
Prima Contact: 2 fc q&w Fi fk
Phone: ,syo - yyp ^ &-3S
Email: S7kg l 1-Ccv� oar s ySl'/ .,S GSA/L
Name
Lac/ I S CClj✓'l;.-
Phone
T inO— — i 2 8
Property
Owner
Mailing Address
Email
City
State
V'A-Slt l T t.✓
Zip
`30
Name
5r0A l i caw,i a,1r s iF,'►�S
Phone
yCo- qq6 `
Contractor
Address
2-?T-4%1CHe ` fat/
Email
S'�R�41T Corn S i .KS @ no _
Information
Citypok _SES
State
WASNlrv'fT c✓✓
Zip %g� 3
Contractor License#s LT
Exp. Date:
Legal Description:
Zoning:
Tax Parcel #
Project Value: (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:
New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical ❑ Plumbing ❑ Other ❑
Fire Sprinkler System Proposed
or Existing? Yes ❑ No [3Existing?
T Irrigation System Proposed or
Yes [3 No ❑
Proposed Bathrooms
Proposed Bedrooms
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater09q:=0=fP=a.us
Project. Description d,r- L.ES- SAT r,,,°
Is project in a Flood Zone: Yes ❑ No❑ 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 i8o days of submittal, the application
will be considered abandoned and the fees will be forfeited.
Dateo,;/-2- 7ar
Print Name g,C&A&D I - �
Signature
T:\Forms\2015 CED Form Updates\Building & Permitting\BP\Building Permit 20150415.docx
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/Compressor
Size:
#
Heating/Cooling appliance
repair/alteration
#
Evaporative Cooler (attached, not
portable)
#
Pellet Stove/Wood-burning/Gas
Fireplace/Gas Stove/Gas Cook Stove/Misc.
#
Fuel Gas Piping
# of Outlets:
Ventilation Fan, single duct
#
Furnace/Heat Pump/
Forced Air Unit
Size:
#
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):
T:\Forms\2015 CED Form Updates\Building & Permitting\BP\Building Permit 20150415.docx