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Home My WebLink About1025 E. 3rd StreetAddress: 1025E 3rd Street PREPARED 8/30/13, 8:19:24 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/30/13 ------------------------------------------------------------------------------------------------ ADDRESS . : 1025 E 3RD ST SUBDIV: CONTRACTOR THURMAN SUPPLY PHONE (360) 457-8591 OWNER MADTSON MARJORIE L PHONE (360) 417-6810 PARCEL 06-30-00-5-4-0330-0000- APPL NUMBER: 13-00000870 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS - —-------------------------------------------- — — -- — -------------- -- — ----- — - -ME6 01 8/09/13 JLL MECHANICAL GAS LINE 8/09/13 AP August 9, 2013 8:37:26 AM pbarthol. Gas line Gauge is inside house Marjorie 477-8684 August 9, 2013 3:40:42 PM jlierly. ME99 01 6/30/13 JLL. MECHANICAL FINAL August 30, 2013 8:14:30 AM pbarthol. Marjorie 477-8684 12-2 --- — ----------- — ---- — -------------- COMM D NOTES „ 5�� CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 13-00000870 Date 8/01/13 Application pin number . . . 365110 Property Address . . . . . . 1025 E 3RD ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -4 -0330 -0000 - Application type description RES MECHANICAL PERMIT Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 2000 Application desc INSTALL ZERO CLEARENCE GAS FIREPLACE/LINES ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MADTSON MARJORIE L THURMAN SUPPLY 1225 GEORGIANA ST 1807 E. FRONT ST. PORT ANGELES WA 983624213 PORT ANGELES WA 98362 (360) 417-6810 (360) 457-8591 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . GAS FIREPLACE AND LINE EXTENSI Permit Fee . . . . 71.30 Plan Check Fee .00 Issue Date . . . . 8/01/13 Valuation . . . . 0 Expiration Date 1/28/14 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 ----------------------------------------------------------------------------- .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. ---------------------------------------------------------------------------- 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 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) 11-orms/tbilding 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 b Heat Pum / 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 / Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit THE 7 CITY OF RT W A S H I 321 E 51h Street ANGE LE N GjT O N, U. S. Port Angeles, WA 9836 P: 360-417-4817 F: 360-417-4711 Email: permitsRcityofpams Permit# Date Received: Date Approved For City Use BUILDING PERMIT APPLICATION Project Address: Z _ j(� �{,P12 (4 4 17 el e I-va, Phone: - Primary Contact: Ot f Email: Name h Property Maiing Addrr ss Email Owner Cytyo• State N( name f Phone Contractor Address Email Information Ci0 f 1 140 - ( e State Contractors License# 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 For the following fill out both pages of permit application: (check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ appropriate) Mechanical ,.q Plumbing ❑ Other ❑ Fire Sprinkler System? Irrigation System? Proposed Bathrooms Proposed Bedrooms Yes ❑ No ❑ Yes ❑ No ❑ Project Description Is project in a Flood Zone: Yes ❑ Nom 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. 'VI113 P(5�or� , �- Date Print Name Signature Residential Structures Area Description (SQ FT) Existing Proposed $$ 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 ss Value For Office Use Existing.. Structure (s) Proposed Addition Teatant 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/Mise. # 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): i s\[��ii.v�iw �t�rr�,lt,tt uvty rvrcivi3\uurrenE csr appucanon\tsuuaing rermit 4-1'7-13.aocx