HomeMy WebLinkAbout1112 Hazel Street Address:
1112 Hazel Street
PREPARED 12/21/15, 11:24:27 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/21/15
------------------------------------------------------------------------------------------------
ADDRESS . : 1112 HAZEL ST SUBDIV:
CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939
OWNER Delta & Jerrat Shore PHONE (360) 670-8484
PARCEL 06-30-08-5-8-1103-0000-
APPL NUMBER: 15-00001520 RES MECHANICAL PERMIT
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------—----------------------------------------------------
ME99 01 12/21/15 JLLMECHANICAL FINAL
December 21, 2015 10:26:56 AM jlierly.
dave 460-0471
------------—------- ---- ----------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00001520 Date 12/08/15
Application pin number . . . 391200
Property Address . . . . . . 1112 HAZEL ST
ASSESSOR PARCEL NUMBER: 06-30-08-5-8-1103-0000- REPORT SALES TAX
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 . . . . 3285
Application desc
Ductless Heat Pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
Delta & Jerrat Shore DAVE'S HTG &.COOLING SRVC INC
1626 Maloney Ct PO BOX 413
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 670-8484 (360) 452-0939
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc DHP
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date 12/08/15 Valuation 0
Expiration Date 6/05/16
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
--------------------7------------------------------------------
Special Notes and Comments
Per Washington.State Code 51-51-315,
installation of Carbon Monoxide
detector(s) is required if you are
0 installing or replacing a fuel burning
f appliance (wood, pellet, gas)and must be
(t�v( 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
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
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall Interior Braced Panel Only)
T-Bar
INSULATION: 4
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
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
cvcicvI, 4 ILIrP1 rnn /l�fi•.VVVI/VVVI
THE ,.
�7�':.
CITY OF !l ;x
° J:° For City Use
W A S H I N G' T O N , U . S .
Permit#
321 East 5"'Street Date Received
Port Angeles,WA 98362 Date Approved
P: 360-417-4817 F: 360-417-4711
permits@dtyofpa.us
Building Permit Application
- -------------- - --- -
Project Address: I I a
I m _
Main Contact: Phone #
E-Mail:
Property Phalle
Owner Mallin Aare§s Bmall `
city state
Contractor h
V215Phone
�VQ1-{ea-�r ,p Coa (�vlvV1 4�5_._52-0 7. I
Mail Addro $�.`�•_ Email
-- city
Contractor License# ^ VH c c I K Expiration:
�Proi t Value• - Zoning: Tax Parcel # Lot#
Type of Residential Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
-
Tor the-fol-lowing,fill out.both pages of permit application:
New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical ❑ Plumbing ❑ Other ❑
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes ❑ No ❑
Project I '
Description
I 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 1 will forfeit the review fee if I cancel or withdraw the application before the
permit is issued. I 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
Address:
1112 Hazel Street
PREPARED 3/16/16, 11:01:29 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/16/16
ADDRESS . : 1112 HAZEL ST SUBDIV:
CONTRACTOR COZI HOMES CONSTRUCTION INC PHONE (360) 452-9906
OWNER Delta & Jerrat Shore PHONE (360) 670-8484
PARCEL 06-30-08-5-8-1103-0000-
APPL NUMBER: 15-00001380 .RES ADDITION
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------—-------------- --------------------—-------------—--—----
BLFW O1 1/21/16 JLL BLDG FOUND FTG/STEM WALL
1/21/16 AP January 20, 2016 4:19:37 PM jlierly.
Ken 460-0036 late after noon
January 21, 2016 3:55:05 PM jlierly.
BFF O1 1/29/16 JLL BLDG FLOOR FRAMING
1/29/16 AP January 29, 2016 8:33:59 AM jlierly.
Ken 460-0036
January 29, 2016 4:38:48 PM jlierly.
BL3 01 2/11/16 JLL BLDG FRAMING
2/11/16 AP February 11, 2016 8:39:44 AM jlierly.
Ken
February 11, 2016 3:56:16 PM jlierly.
BLI O1 2/16/16 JLL BLDG INSULATION
2/16/16 AP February 12, 2016 9:11:24 AM jlierly.
Ken 460-0036
February 16, 2016 4:23:45 PM jlierly.
BL99 01 3/16/16 JLL BLDG FINAL
.March 16, 2016 10:36:58 AM pbarthol.
Ken 460-0036
CALL AHEAD 30 MIN
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
-------------------------------------------------------------------------------------
ME99 01 3/16/16 JL><7- MECHANICAL FINAL
March 16, 2016 10:37:24 AM pbarthol.
----------------------------------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
PL2 01 2/11/16 JLL PLUMBING ROUGH-IN
2/11/16 AP February 11, 2016 8:39:17 AM jlierly.
Ken Cozy
February 11, 2016 3:56:16 PM jlierly.
PL99 01 3/16/16 JLL PLUMBING FINAL
March 16, 2016 10:37:32 AM pbarthol.
-------------------------------------- COMMENTS AND NOTES --------------------------------------
t
CITY OF PORT ANGELES _
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00001380 Date 11/20/15
Application pin number . . . 852860
Property Address . . . . . . 1112 HAZEL ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-08-5-8-1103-0000-
Application type description RES ADDITION on your state excise tax form
SubProperty
Name . . . . . . to the City of Port Angeles
Pro ert Use s ,,I
-" Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 22950
o Application desc
bath enlarged and master bedroom
Owner Contractor
----------------- ------------------------
Delta & Jerrat Shore COZI HOMES CONSTRUCTION INC
1626 Maloney Ct 324 E 9TH ST
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 670-8484 (360) 452-9906
Other struct info . . . . HARD SURFACE AREA
---.-------------------------------------------------------------------------
^?•• •Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
,'Additional desc BATH ENLARGE MASTER BED
""Permit Fee 389.75 Plan Check Fee 253.34
.Issue Date . . . . 11/20/15 Valuation . . . . 22950
Expiration Date 5/18/16
Qty Unit Charge Per Extension -
BASE FEE 95.75
21.00 14.0000 THOU BL-2001-25K (14 PER K) 294.00
----------------------------------------------------------------------------
J Permit . . . . . . MECHANICAL PERMIT
Additional desc MST BED/BATH EXPANSION
Permit Fee . . . . 86.85 Plan Check Fee .00 ;
Issue Date . . . . 11/20/15 Valuation . . . . . 0
Expiration Date 5/18/16
N -
Qty Unit Charge Per Extension -
BASE FEE 50.00
1.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 7.25
2.00 14.8000 EA ME-HEATER(SUSP./WALL/FLOOR-MTD)-------29.60
- ----------------------------------------------------------- -
Permit . . . . PLUMBING PERMIT
Additional desc BATHROOM EXPANSION
_`- Permit Fee . . . . 71.00 Plan Check Fee .00
Issue Date 11/20/15 Valuation . . . . 0
Expiration Nate 5/18/16
Qty Unit Charge Per Extension
BASE FEE 50.00
2.00 7.0000 EA PL-PLUMBING TRAP 14.00
1.00 . 7.0000 EA PL-DRAIN VENT PIPING 7.00
----=-----------------------------------------------------------------------
Special Notes and Comments
Electrical load calculations and electrical permits are
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.
I L 20-L5 d:=e- to 4_r
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
By
Inspection Type Date Accepted y
Electrical 417-4735
Construction-R.W. PW I 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 . . . . . 15-00001380 Date 11/20/15
Application pin number 852860
--------------------- --------------------------------- REPORT SALES TAX
Special Notes and Comments on your state excise tax form
required.
Public works Utility Engineering has no requirements for to the City of Port Angeles
this plan review. (Location Code 0502)
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
----------------------------------------------------------------------------
Fee summary Charged� Paid Credited Due, --------- ---------- - ----------
Permit Fee Total 547.60 547.60 .00 .00
Plan Check Total 253.34 253.34 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 805.44 805.44 .00 .00
i
Separate Permits are required forelectrical 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
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 I 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 I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
THES
CITY OF ¢ —ORT NGELE For City Use
Permit # /S`- 133
Date Received:
321 East 51h Street
Port Angeles, WA 98362 D to A roved:
P: 360-417-4817 F: 360-417-4711
hcatuzo@cityofpa.us
Building Permit Application
Project Address:
Main Contact: Phone #
Property Name Di�-P /+A- Phone
Owner Mailing Address Email V '�
/ 96P Malo AJK 4f £�6�
City^�� �c�1 � State Zip
Contractor Name �� -� ) Phon o 0
Mailing Address Email
�a Co Z) --
City State Zip
2� �A ` ` 7
Contractor License #� t Expiration:
Project Value: Zoning: Tax Parcel # Lot#
$ C>t 'So-"
Type of Residential 0 Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over)
For the following,fill out both pages of permit application:
New Construction ❑ Remodel ❑ Addition ER. Tenant Improvement ❑
Mechanical El Plumbing E� Other ❑
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes ❑ No K
Project
Description
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 working on projects.I understand the plan review fee is not refundable after review has
occurred.I understand that I will forfeit 20%of the review fee if I cancel or withdraw the application before
plan review has occurred.I 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 ame Signature
cl- c — 15 .etJ
Residential Structures
Area Description(SQ FT) Existing Proposed Minimum$ For Office Use
value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Area Description(SQ FT) Existing Proposed Minimum$ For Office Use
value
Structure (s)
Addition
Tenant Improvement
Other(describe)
Area Totals
Lot Site Coverage Calculations
Footprint(SQ FT)of all Structures: Lot Size: %Lot Coverage
SQ FT Site coverage(all inipe ous+ %Site Coverage
structures) L
Mechanical Fixtures b;L-S
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 #of Outlets:
Appliance Vent # Heater(Suspended,Floor,Recessed wall) # 02--
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 # Fuel gas piping #of Outlets:
Water Heater # Medical gas piping #of Outlets:
Water Line # Vent piping #
Sewer Line # Industrial waste pretreatment #
interceptor
Other(describe):
NORTHWEST REGIONAL OFFICE
8644 154th Avenue Northeast
Redmond,Washington 98052-3556
®
Business Phone 425.869.9100•fox 425.869.1900
A Weyerhaeuser ,
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NORTHWEST REGIONAL OFFICE
8644 154th Avenue Northeast
Redmond,Washington 98052-3556
® ~ Phone 425.869.9700•fax 425.869.7900
A Weyerhaeuser Business
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NORTHWEST REGIONAL OFFICE
er4Redmond, ashth Avenue Northeast
�'a emond,Washington 98052-3556
® Phone 425.869.9700• Fax 425.869.7900
AWeyerhaeuser Business
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Location Sheet of
Technical Representative v� Date
NOTES:
1. OX BARS SHALL BE TIED IN
o A.B. ® 48" O.C. Z PLACE AT SHEARWALL LOCATIONS
U.N.O. ;DN S.W.S. 6. PRIOR TO POURING FOOTING.
P.T.. SILL PLATE 2 INSTALL. V BAR MAIM,6'
PER S.W.S. OF AS OR STRAP HQIDOWN
FINAL GRADE
i (2)—#4 BARS CONT. O TOP
`N4 'J'. BAR � 48` O.C;:.: ,. : ��\ (2)—#4 BARS CONT. O BTM.
60
4,0 PERF. PIPE AND
FOOTING DRAIN, WHEN
REO D BY CODE OR LOCAL
BUILDING DEPARTMENT
• FOOTING DETAIL
Scale: NTS
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