HomeMy WebLinkAbout1020 W. 12th StreetAddress:
1020 W 12th Street
( A ;)- O (,A , 1,2-- 51 -
PREPARED 8/28/13, 9:47:56 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/28/13
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ADDRESS . : 1020 W 12TH ST SUBDIV:
CONTRACTOR THURMAN SUPPLY PHONE (360) 457-8591
OWNER YUCHA WILLIAM PHONE
PARCEL 06-30-00-0-3-7025-0000-
APPL NUMBER: 13-00000950 RES MECHANICAL PERMIT
PERMIT= ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
----------- ---------
ME6 01 8/23/13 JLL MECHANICAL GAS LINE
8/23/13 AP August 23, 2013 8:08:08 AM pbarthol.
Darran 477-2604
August 23, 2013 3:15:22 PM jlierly.
ME99 01 8/28/13 JLL MECHANICAL FINAL
August 28, 2013 8:20:44 AM pbarthol.
Bill 477-0599
------ - - ---- ----------------COMMENTS AND NOTES -----------------------------------
�Am-/V
= CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 13-00000950 Date 8/21/13
Application pin number . . . 120150
Property Address . . . . . . 1020 W 12TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -7025 -0000 -
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 3319
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Application desc
FREE STANDING GAS FIREPLACE
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Owner Contractor
YUCHA WILLIAM THURMAN SUPPLY
2.101 SEABREEZE PL 1807 E. FRONT ST.
PORT ANGELES WA 983635016 PORT ANGELES
WA 98362
(360) 457-8591
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . FREE STANDING GAS FIREPLACE
Permit Fee . . . . 71.30 Plan Check Fee
.00
Issue Date . . . . 8/21/13 Valuation . . . .
0
Expiration Date 2/17/14
Qty Unit Charge Per
Extension
BASE FEE
50.00
1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP.
10.65
1.00 10.6500 EA ME -FUEL GAS PIPING,1-5 OUTLETS
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10.65
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 71.30 71.30 .00
.00
Plan Check Total .00 .00 .00
.00
Grand Total 71.30 71.30 .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
fora period of 180 days after the work has commenced, or if required inspections �hhve not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and kthe same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether s ed herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or ca�/law regulatingonstruction or the performance of
construction. A _ / ,//
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms/Building Division/Building Permit
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:
FINAL Date Accepted b
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:
FINAL Date Accepted by
Heat Pum / Furnace / FAU / Ducts
Rou h -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 / Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
:-
CITY of O�T LGELES
WASH 1 N G T O N, U.S.
321 E 51h Street
Port Angeles, WA 9836
P: 360-417-4817 F: 360-417-4711
For City Use9<' Permit#
Date Received: 25,7-f-
/12
Date Approved 0' 2 -/-
Email: permits0cityg(pa.us BUILDING PERMIT APPLICATION
Project Address:
Phone: 7 Z—
Email:
Primary Contact: y, i�
Na ; J
Phone ;> / J D S
Property
Mailing Address
Email
Owner
lU GUed4 l
City
e P
State
Zip C
NamePhone
'
/
Contractor
Address
/707 ��`S
Email
Information
city
'%& PS
State:::t
Zip 2—
I
Contractor License#
Exp. Date:
Legal Description:
Zoning:
Tax Parcel #
Project Value: (materials and labor)
$ 3315
Residential Commercial ❑ Industrial ❑ Public ❑
Permit
Demolition ❑ Fire ❑ Repair ❑ Reroof (tear off/lay over) ❑
Classification
For the following fill out both pages of permit application:
(check
New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑
appropriate)
Mechanical El Plumbing ❑ Other ❑
Will a fire sprinkler system be installed
Irrigation System?
Proposed Bathrooms
Proposed Bedrooms
or modified? Yes ❑ No ❑
Yes ❑ No ❑
Project Descri 'on 64
Z- 6 pu s
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 18o days of submittal, the application
will be considered abandoned and the fees will be forfeited.
Civ �, ✓U
Date
Print NameSignature
Residential Structures
Area Description (SQ FT)
Existing
Proposed
ss value
For Office Use
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck (over 30" or i" floor)
Garage
Carport
Other (describe)
Area Totals
Commercial Structures
Area Descriptions (SQ FT)
Existing
Proposed
Proposed
$$ Value
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)
%Lot Coverage (Total lot coverage _ lot size)
Site Coverage (Sq Ft of all impervious)
% of Site Coverage (total site coverage _ 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.
# /
I
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
#
Fuel gas piping
# of Outlets:
Water Heater
#
Medical gas piping
# of Outlets:
Water Line
#
Plumbing Vent piping
#
Sewer Line
#
Industrial waste pretreatment
interceptor Grease Trap)
Size
Other (describe):
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