HomeMy WebLinkAbout110 W. 5th Street Address:
110 W 5t" Street Water
J C LJ
PREPARED 12/15/14, 13:03:58 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY _ DATE 12/15/14
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A.DDRESS . : 110 W 5TH ST WATER SUBDIV:
CONTRACTOR JP PLUMBING INC PHONE (360) 457-6767
OWNER FINEFISTA APARTMENTS LLC PHONE (360) 457-8593
PARCEL 06-30-00-0-0-9105-0000-
APPL NUMBER: 14-00001502 PLUMBING PERMIT
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PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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PL6 01 12/15/14 J L PLUMBING WATER SUPPLY
December 15, 2014 9:01:59 AM pbarthol. -
PL99 01 12/15/14 PLUMBING FINAL
December 15, 2014 9:02:15 AM pbarthol. .
--- ------------ COMMENTS AND NOTES --------------------------------------
-' CITY OF PORT ANGELES
�. �
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
® 321 EAST 5TH STREET, PORT ANGELES,WA 98362 �
Application Number . . . . . 14-00001502 Date 12/15/14
Application pin number . . . 887126
Property Address . . . . . . 110 W 5TH ST WATER
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-9105-0000- REPORT SALES TAX
Application type description PLUMBING PERMIT
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . .
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY to the City of Port Angeles
Application valuation . . . . 500 (Location Code 0502)
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Application desc
COMMERCIAL REPLACE WATER SERVICE LINE
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Owner Contractor
FINEFISTA APARTMENTS LLC JP PLUMBING INC
190 LOST MOUNTAIN ROAD 246 FORS RD.
SEQUIM WA 98382 PORT ANGELES WA 98363
(360) 457-8593 (360) 457-6767
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Permit . . . . . . PLUMBING PERMIT C
Additional desc REPLACE WATER SERVICE LINE
Permit Fee 57.00 Plan Check Fee .00
Issue Date . . . . 12/15/14 Valuation . . . . 0 cJ�t
Expiration Date 6/13/15 1S1
Qty Unit Charge Per Extension %Jl
BASE FEE 50.00
1.00 7.0000 EA PL-WATER LINE 7.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ---------- r
Permit Fee Total 57.00 57.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.00 57.00 .00 .00
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)
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 4174831 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 FINAL Date Accepted b
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 Pum /Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
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 /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
C1
ANGEL ,o,=P�� ,,O RT
GS
W For City Use
Permit#
A 5 H I N G T O N , U. .S. _
Date Received: i,-;7 ,i5
321EStreet Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email: -t15 BUILDING PERMIT APPLICATION
Project Address: tx)�14+5
^ 11)_ Phone: �j(� p - � � - � �pZ
Prima p Contact:TP V �U#1�l iN� T�f/ Email:
h -
Name Phone
Property Mailing Address Email
Owner
City State Zip
Name Phone
Contractor Address Email
Information city State Zip
Contractors License# Exp.Date:
Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor)
$
Residential 0 Commercial ❑ Industrial ❑ Public ❑
r
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 ❑ Plumbing ❑ Other 0
Fire Sprinkler System? Irrigation System? Proposed Bathrooms Proposed Bedrooms
Yes ❑ No M Yes ❑ No
Project Descri tion 2, w
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.
12-- 15-1V :�jb16ti 4G�//3 r/2t`sati
Date Print Name S � ature