HomeMy WebLinkAbout1037 W. 10th StreetAddress:
1037 W 10th Street
PREPARED 8/23/13, 11:16:59 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/23/13
------------------------------------------------------------------------------------------------
ADDRESS . : 1037 W 10TH ST SUBDIV:
CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 452-3154
OWNER FERGUSON, RICHARD & PAMELA PHONE
PARCEL 06-30-00-0-3-0155-0000-
APPL NUMBER: 13-00000935 RES MECHANICAL PERMIT
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME99 01 V23/13 JLL MECHANICAL FINAL
Gj- ,rAAugust 23, 2013 11:18:21 AM pbarthol.
lfic
-------------------------'-- COMMENTS AND NOTES --------------------------------------
.
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
0 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 13-00000935 Date 8/19/13
Application pin number . . . 403005
Property Address . . . . . . 1037 W 10TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -0155 -0000 -
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 4400
------------- --
Application desc
DUCTLESS HEAT PUMP
----------------------------------------------------------------------------
Owner Contractor
------------------------
FERGUSON, RICHARD & PAMELA ALPHA BUILDER CORPORATION
1037 W 10 TH ST 105 1/2 E. 1ST ST.
PORT ANGELES WA 98363 PORT ANGELES
WA 98362
(360) 452-3154
Permit . . . . . . MECHANICAL PERMIT
-------
Additional desc . . DUCTLESS HEAT PUMP
Permit Fee . . . . 64.80 Plan Check Fee
.00
Issue Date . . . . 8/19/13 valuation . . .
. 0
Expiration Date 2/15/14
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.
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 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
cons ruction. X
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-
OUNDATION:Footin
Footings
s
Stemwall
Foundation Drainage / Downspouts
Piers
Fire 417-4653
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
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
T i E„
CITY OFP�WO-�l
W A S H I
321 E 51h Street
.1
N G T O N, U. S.
Port Angeles, WA 9836
P: 360-417-4817 F: 360-417-4711
Email: permitsPcitvofpa.us
Permit#
Date Received:
Date Approved
For City Use
BUILDING PERMIT APPLICATION
Project Address:Ll
to
Phone: S — —
Email:
Primary Contact: )<Tom,L
Name Q
Pho e
i H
._
Property
Mailing Address
Email
Owner
City J /
State
Zip
CD, h v Com'.
G
Name
Phone
/1 '
'.-i _ —
Contractor
Address / ('
Email
L
(^
r,
Information
city
—
Statezip(L
'�/
t
_
Contractors License#
Exp. Date:
Legal Description:
Zoning:
Tax Parcel #
Project Value: (materials and labor) ,
$ t �1
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 P, Plumbing ❑ Other ❑
Fire Sprinkler System?
Irrigation System?
Proposed Bathrooms
Proposed Bedrooms
Yes ❑ No ❑
Yes ❑ No ❑
Project Description
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.
Date
Print Name
Signature