HomeMy WebLinkAbout1110 E. 2nd Street Address:
1110E 2nd Street
5-t
PREPARED 12/10/15, 9:11:52 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/10/15
------------------------------------------------------------------------------------------------
ADDRESS . : 1110 E 2ND ST SUBDIV:
CONTRACTOR : PHONE
OWNER TIMOTHY W CONKLIN PHONE
PARCEL 06-30-00-5-4-0415-0000-
APPL NUMBER: 15-00001463 RES MECHANICAL PERMIT
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
---------------
-------
--------------------—--- ------'-------------------------------—'-------------'-'-----'-----
ME99 01 12/10/15 L MECHANICAL FINAL
December 10, 2015 9:12:08 AM jlierly.
Tim 460-7285
-------------------------- ---------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
P� DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00001463 Date 11/17/15
Application pin number . . . 150913
Property Address . . . . . . 1110 E 2ND ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-5-4-0415-0000-
Application type description RES MECHANICAL PERMIT on your state excise tax fon11
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 2000
Application desc
install freestanding wood stove
i -------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
TIMOTHY W CONKLIN OWNER
1110 E 2ND ST
PORT ANGELES WA 983624304
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc .
Permit Fee . . . . 60.65 Plan Check Fee .00
-Issue Date' . 11/17/75 Valuation . . . . 0
Expiration Date 5/15/16
Qty Unit Charge Per. Extension
BASE FEE 50.00
4- 1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 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
�i the house.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- .------ -- ----------
Permit Fee Total 60.65 60.65 .00 .00
Plan Check Total .00 .00 .00 .00
--� Grand Total 60.65 60.65 .00 .00
Separate Permits are required forelectrical work,SEPA,.Shoreline,ESA,utilities,private and public improvements. This permit becomes
M null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
—9 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 tr nd correct.-All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or n e granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulatin on ction 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/Ceiling
MECHANICAL:
Heat Pum /Furnace/FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts
MANUFACTURED HOMES:
Footing/Slab
Blo:c:king&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/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 1 1ELES For City Use
CITY OF v. A
Permit# f S _- 1V4_3
W A s H i N G T O H, U. S. Date Received: L"It-7 / 40a,
321 E 51h Street Date Approved I 1-7
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits(@cityofpa.us BUILDING PERMIT APPLICATION
Project Address: Zo &
Phone:
PriT±ry Contact: �� ( t� Email:
Namf� Phone 66c) `&O
Property Mailing Address Email
Owner - 10 tc
City IF VA
State \A
w
Name Phone
Contractor Address Email
Information city State Zip
Contractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor)
• $ -Z'&&7
Residentia 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 0 Plumbing ❑ Other ❑
Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms
or Existing? Yes 0 No 0 Existing? Yes 0 No
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwatercityofpa.us
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 igo days of submit 1,the application
will be considered abandoned and the fees will be forfeited.
Date Print Name Si nature
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 2" 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) 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 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
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:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx
Address:
1110E 2nd Street
I ( IL) C 1z 0-;? fir -
PREPARED 7/22/15, 8:48:47 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/22/15
------------------------------------------------------------------------------------------------
ADDRESS . : 1110 E 2ND ST SUBDIV:
CONTRACTOR : PHONE
OWNER CRABB DENNIS C PHONE
PARCEL 06-30-00-5-4-0415-0000-
APPL NUMBER: 14-00000518 RES REMODEL
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL3 01 9/29/14 JLL BLDG FRAMING
9/29/14 AP September 29, 2014 8:24:29 AM pbarthol.
Tim 460-7285
September 29, 2014 4:42:33 PM jlierly.
BBI O1 5/29/15 JLL BLDG BASEMENT INSULATION
5/29/15 DA May 29, 2015 10:15:19 AM jlierly.
tim conklin 460-7285
May 29, 2015 3:59:48 PM jlierly.
no answer at door or phone/ Left message for owner to recall
when ready/jll
BL99 01 6/02/15 PB BLDG FINAL
6/02/15 DA June 2, 2015 9:53:05 AM pbarthol.
ATim 360-460-7285
June 8, 2015 3:00:16 PM pbarthol.
hand rail on stairs/strap water heater
BL99 02 7/22/15 J BLDG FINAL
July 21, 2015 9:42:18 AM jlierly. _
TIM 460-7285
-- -
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME1 01 9/29/14 JLL MECHANICAL ROUGH-IN
9/29/14 AP September 29, 2014 8:25:28 AM pbarthol.
September 29, 2014 4:42:33 PM jlierly.
ME99 01 5/29/15 JLL MECHANICAL FINAL
5/29/15 DA May 29, 2015 10:15:57 AM jlierly.
May 29, 2015 3:59:48 PM jlierly.
no answer at door or phone/ Left message for owner to recall
when ready/jll
ME99 02 6/02/15 PB MECHANICAL FINAL
6/02/15 DA June 2, 2015 9:53:30 AM pbarthol.
June 8, 2015 3:00:16 PM pbarthol.
hand rail on stairs/strap water heater
ME99 03 7/22/15 MECHANICAL FINAL
July 21, 2015 9:42:47 AM jlierly.
PERMIT: PL 00 PLUMBING IT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
PL1 01 5/30/14 JLL PLUMBING UNDER SLAB
5/30/14 AP May 30, 2014 9:15:46 AM jlierly.
Will 477-1168
May 30, 2014 4:16:10 PM jlierly.
----------------------------------- CONTINUED ONTO NEXT PAGE -----------------------------------
PREPARED 7/22/15, 8:48:47 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/22/15
------------------------------------------------------------------------------------------------
ADDRESS . : 1110 E 2ND ST SUBDIV:
CONTRACTOR : PHONE
OWNER CRABB DENNIS C PHONE
PARCEL 06-30-00-5-4-0415-0000-
APPL NUMBER: 14-00000518 RES REMODEL
------------------------------------------------------------------------------------------------
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2 01 9/29/14 JLL PLUMBING ROUGH-IN
9/29/14 AP September 29, 2014 8:25:44 AM pbarthol.
September 29, 2014 4:42:33 PM jlierly.
PL99 01 5/29/15 JLL PLUMBING FINAL
5/29/15 DA May 29, 2015 10:16:12 AM jlierly.
May 29, 2015 3:59:48 PM jlierly.
no answer at door or phone/ Left message for owner to recall
when ready/jll
PL99 02 6/02/15 PB PLUMBING FINAL
6/02/15 DA June 2, 2015 9:53:39 AM pbarthol.
June 8, 2015 3:00:16 PM pbarthol.
hand rail on stairs/strap water heater
PL99 03 7/22/15PLUMBING FINAL
L
July 21, 2015 9:43:06 AM jlierly.
------------------------ - ---------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
1
Application Number . . . . . 14-00000518 Date 5/20/14 '^
Application pin number . . . 657812 v
Property Address . . . . . . 1110 E 2ND ST �1
ASSESSOR PARCEL NUMBER: 06-30-00-5-4-0415-0000- REPORT SALES TAX
Application type description RES REMODEL
Subdivision Name . . . . . . on your state excise tax form
Property use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 6300
Application desc
add new bathroom
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CRABS DENNIS C OWNER
1110 E 2ND ST
PORT ANGELES WA 983624304
Permit . . . . . . BUILDING PERMIT RESIDENTIAL
Additional desc ADD NEW BATH ,
Permit Fee . . . . 165.75 Plan Check Fee 107.74
Issue Date . . . . 5/20/14 Valuation . . . . 6300
Expiration Date 11/16/14
Qty Unit Charge Per Extension
BASE FEE 95.7
5.00 14.0000 THOU BL-2001-25K (14 PER K)
-
---------------------------------------------------------------------------
Permit MECHANICAL PERMIT
Additional desc EXHAUST FAN
Permit Fee . . . . 57.25 Plan Check Fee .00 p /�
Issue Date . . . . 5/20/14 Valuation . . . . 0 r1
Expiration Date . . 11/16/14
Qty Unit Charge Per Extension (s
BASE FEE 50.00
1.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 7.25
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . . ADD BATHROOM
Permit Fee . . . . 78.00 Plan Check Fee .00
Issue Date . . . . 5/20/14 Valuation . . . . 0
Expiration Date . . 11/16/14
Qty Unit.Charge Per Extension
BASE FEE 50.00
3.00 7.0000 EA PL-PLUMBING TRAP 21.00
1.00 7.0000 EA PL-WATER LINE 7.00
----------------------------------------------------------------------------
Special Notes and Comments
May 19, 2014 9:42:59 AM sroberds.
Proposal will result in remodel of downstairs area to add
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 thatI have ad and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing thi (y of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to vio t or cancel the provisions of any state or local law regulating construction or the performance of
cons
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 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
" CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number . . . . . 14-00000518 Date 5/20/14
Application pin number . . . 657812
---------------------------------------------------------------------------- REPORT SALES TAX
Special Notes and Comments on your state excise tax form
utlity room, bathroom, and stand alone sink in sfr in the
RS-7. Plans DO NOT result in second kitchen. No land use to the City of Port Angeles
issues anticipated as proposed.
-------------------------------------
------------------.--------------------- (Location Code 0502)
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 301.00 301.00 .00 .00
Plan Check Total 107.74 107.74 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 413.24 413.24 .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 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 FINAL Date Accepted b
AIR SEAL:
Walls
Ceiling
o 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
I
THEOR l 'i1 GE E For City Use
CITY OF 11.1 1"V 1. �7
Permit
WASHI NGTO N, U . S. Date Rcei d: s L
321 E Slh Street Date A Pr dqc- - L)if
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits@cityofpa.us BUILDING PERMIT APPLICATIO
Project Address: eF 2,b6 �
Phone: '72
Primary Contact: ( Email:
Ab
Phonexe C ,
151
Property Mailin Address l Email
Owner
City ' /� C State + zip es6z
Name r) /} Phone (�J
Contractor Address Email
Information city State zip
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 ❑ Plumbing ❑ Other ❑
Fire Sprinkler System? Irrigation System? Proposed Bathrooms Proposed Bedrooms
Yes 0 No 0 Yes 0 No 0
Project Descri tion jZcr)-Rju=t t(rd Gaai_XdL
Is project in a Flood Zone: Yes ❑ Nr 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 i8o days of submit ,the application
will be considered abandoned and the fees will be forfeited.
Date Print Name Signatur
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed $$value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or . floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
For Office Use
Area Descriptions(SQ FT) Existing Proposed $s Value
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 #
re
ration
Evaporative
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
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):
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx
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Address:
1110E 2nd Street
PREPARED 10/10/14, 9:14:28 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/10/14
r
- —- —-- -------------------
ADDRESS . : 1110 E 2ND ST SUBDIV:
CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939
OWNER TIMOTHY W CONKLIN PHONE
PARCEL 06-30-00-5-4-0415-0000-
APPL NUMBER: 14-00001133 RES MECHANICAL PERMIT
--- --- -----
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
---------------------------------
-----------------------------------------------
ME99 01 10/10/14 JLL MECHANICAL FINAL
October 10, 2014 9:13:03 AM pbarthol.
Jeanne 452-0939
-------------- --- --- ---- COMMENTS AND NOTES --------
r
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 14-00001133 Date 9/24/14 c�
Application pin number . . . 229454 w
Property Address . . . . . . 1110 E 2ND ST v
ASSESSOR PARCEL NUMBER: 06-30-00-5-4-0415-0000- REPORT SALES TATA
Application type description RES MECHANICAL PERMIT on your state excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 11245
Application desc
DUCTLESSHP
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Owner Contractor
------------------------ ------------------------
TIMOTHY W CONKLIN DAVE'S HTG & COOLING SRVC INC
1110 E 2ND ST PO BOX 413
PORT ANGELES WA 983624304 PORT ANGELES WA 98362
(360) 452-0939
---------------------------------=------------------------------------------ 1.
Permit . . . . . MECHANICAL PERMIT (��
Additional desc . DUCTLESS HP - v
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 9/24/14Valuation . . . . 0 (�
Expiration Date . . 3/23/15' 1„
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
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 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .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 authorit violate r cancel the rovisions of any state or local law regulating construction or the performance of
constructio .
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 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:
Parking/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
09/22/2014 9:46AM FAX 160001/0003
THF—
' IN�GELEI
CITY OF r For City Use
W A S H I N G T O N . U . S . �
Permit# A
321 East 51" Street Date Received: 1 sz—
Port Angeles,WA 98362 Date Approved Z2
P: 360-417-4817-F: 360-417-4711 HLE O
permits@dtyofpa.us
Building Permit Application
Project Address. —r4
Main Contact: Phone #
E-Mail:
Property Nwne—7—i"k-i, Co Y-N Phone
Owner
Mailh gAAdre^ � Eu►ail
EKY state yip
d W
Contractor ..Juts Yea-41 P, Phone ,
Mad- gAdd re Email
city s�ac� Z''�'���,
Contractor License# n � .,AG� K C-, Expiration:
Proect a Zoning: � Tax Parcel# Lot#
$ r
Type o Residential gf Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
For the following,fill out both pages of permit application:
New ConStrUCti011 ❑ Remodel ❑ Addition ® Tenant Improvement ❑
Mechanical ❑ Plumbing L7 Other G7
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes ❑ No ❑
Project �1 n t�r� _. ...._.
Description - �'r� a' P�
1 have read and completed the application and know it to be true and correct.I am authorized to apply for this
permit. I understand that it is my responsibility to determine what permits are required and to obtain permits
prior to working on projects. 1 understand that the plan review fee Is not refundable after plan review has
occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the
permit is issued. l understand that if the permit is not issued within 180 days of receipt,the application will be
considered abandoned and the fees forfeit.
Date Print Name Signature