HomeMy WebLinkAbout110 W. 3rd Street Address:
110 W 311 Street
PREPARED 4/18/16, 9:08:37 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES . INSPECTOR: JAMES LIERLY DATE 4/18/16
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ADDRESS . : 110 W 3RD ST SUBDIV:
CONTRACTOR BILL MAIR HEATING & AIR INC PHONE (360) 912-2079
OWNER JESSE J CLARK PHONE
PARCEL 06-30-00-0-0-7005-0000-
APPL NUMBER: 16-00000509 RES MECHANICAL PERMIT
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PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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-- --
ME99 01 4/18/16 MECHANICAL FINAL
April 18, 2016 9:10:22 AM jlierly.
809-3175
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING.DIVISION._ -
�� 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 16-00000509 Date 4/11/16
Application pin number . . . 138305
Property Address . . . . . . 110 W 3RD ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-7005-0000- On yOU! State excise fax form
type description RES MECHANICAL PERMIT
Subdivision Name , . . , , , to the City of Port Angeles
Property Use . . . . . . (Location Code 0502)
Property Zoning RESIDENTIAL HIGH DENSITY
Application valuation . . . . 4199
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r
Application desc - -- •
_ INSTALL DUCTLESS HEAT PUMP
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Owner Contractor
------------------------ ------------+-----------
JESSE J CLARK BILL MAIR HEATING & AIR INC r
110 W 3RD ST 80 VALLEY FARM COURT
PORT ANGELES WA 983622825 SEQUIM WA 98382
(360) 912-2079
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CA ----Permit--.-. -. -. -.-. -MECHANICAL PERMIT
Additional desc
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 4/11/16 Valuation . . . . 4199
Expiration Date 10/08/16
Qty Unit Charge Per Extension - " -- - `- --
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
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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
j appliance (wood, pellet, gas)and must be +
O 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
1
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 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)
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:
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 I 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:
Parkin /Lighting ESA:
Landscaping SHORELINE:
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
C TY OF � RT �'; g ,ES
� For City Use
Permit#
W A S H I N G T O N, U . S. Date Received: 11
321 E 51h Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits@cityofpa.us BUILDING PERMIT APPLICATION
Project Address: d . (��-�-AM-616, J C A
Phone: --�75
Primaq ContactEmail: 2 C
N Jc l lG�-� �. Phone �
D —86q—8/7J
Property M ' 'ngA dr Email
Owner
G (+ fA AState ) Zip?6,,3&2—
NamR
11 06[i r A� -Ai Phone 0626--j0i9--3-47—q,55
Contractor Addre O , C 1 l e Email
Information Y ` C Q
City ' s StateK)A zip(?"z
Contractor eicense# L3I LLA41q D 'p!1 Exp.Date:
Legal Description: Zoning: Tax Parcel# TProject Value: materials and labor)
A
Residential Com' 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 C"Plumbing ❑ Other ❑
Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms1��
Bedrooms
or Existing? Yes ❑ No Existing? Yes ❑ No Er A
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater0c
Project Description o ok c-h tsS h pym
Is project in a Flood Zone: Yes ❑ NogFlood 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
plf� tllla(N�
int Name
Signa ure
Residential Structures
Existing Proposed Construction For Office Use
Area Descriptions(SQ FT) Floor area Floor area $Value new area
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 Construction For Office Use
Floor area Floor area $Value new area
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe)
Site Area Totals
Lot/Site Coverage Calculations
Lot Size(sq ft) I Lot Coverage(sq ft)foot print of %Lot Coverage(Total lot cov_lot size) Max Bldg Height
all structures sq ft
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 a Outlets:
Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) #
Boiler/Compressor Size: # Heating/Cooling appliance #
repair/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fireplace/Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct #
Furnace/Heat Pump/ Size: # Ventilation System #
Forced Air Unit 15,000btu 1
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:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx