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Home My WebLink About1112 W 4th Street Address: 1112 W 41" Street PREPARED 10/27/16, 10:26:29 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/27/16 ----------------------------------------------------------------------------------'-------------- ADDRESS . : 1112 W 4TH ST SUBDIV: CONTRACTOR THURMAN SUPPLY PHONE (360) 457-8591 OWNER JERRY DALE/BARBARA F HEIL PHONE PARCEL 06-30-00-0-1-1205-0000- APPL NUMBER: 16-00001538 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------- " PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESU RESULTS/COMMENTS ME99 01 10/27/16 MECHANICAL FINAL October 27, 2016 8:14:13 AM jlierly. Jerry 479-438-0618 ---------------------------- --------- COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 16-00001538 Date 10/10/16 Application pin number . . . 836464 Property Address . . . . . . 1112 W 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-1205-0000- 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 . . . . 5000 Application desc Chimney Insert ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JERRY DALE/BARBARA F HEIL THURMAN SUPPLY 112 S ELM ST 1807 E. FRONT ST. PARIS AZ PORT ANGELES WA 98362 PARIS AZ 72855 (360) 457-8591 Permit . . . . . . MECHANICAL PERMIT Additional desc . . CHIMNEY INSERT \VYv Permit Fee 60.65 Plan Check Fee .00 Issue Date 10/10/16 Valuation 0 \ Expiration Date . . 4/08/17 J Qty Unit Charge Per Extension BASE FEE 50.00 - 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 v 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 60.65 60.65 .00 .00 Plan Check Total .00 ..00 .00 .00 1� Grand Total 60.65 60.65 .00 .00 In 'V 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 req ',ed inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined t Is pplication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be co lie with w ether specified herein or not. The granting of a permit does not presume to give authority to viol/eorancel the prov' f any to or local law regulating construction or the performance of construction. o /0 l Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit .ti 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 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 For City Use Permit# 6 15 33 W A S €-i 1 .N G T O N, U . S.- Date Received: i v - t o ( 6 '321 E Sl Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4111 Email:permits@cityofpa.us BUILDING PERMIT APPLICATION Project Address: Phone: ? - Prima Contact: VV t/, Email: Nam.9r,7 ! b& Phone '/7/� J Property Mailin Address ( Email Owner !/! e X7-2 5 City 'f S State Nam Pi�-�� Phoney � 7'J Contractor AU7 `e Ems Information city -� state zip c Contractor License# C(,✓,/ZS Exp.Date: Legal Description: Zoning: Tax Parcel# Pro ct Value: (materials and labor} 'i iResidential 9"7 Commercial ❑ IndustrialPublic ❑ Permit Demolition 11 Fire 11 Repair 11Reroof(tear off/lay over) [IClassification For the following,Fall 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 orProposed Bathrooms Proposed Bedrooms .or Existing? Yes ❑ No ❑ Existing? Yes ❑ No 13 In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwater ci o a.us u Project Description GL CAa 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 i8o days o submittal,the application will be considered abandoned and the fees will be forfeited. �(Jll lZ2,1r,-_ Date Print Name Signatur 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 a" 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 f=ixtures 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 #k portable) Fireplace/Gas Stove/Gas Cook Stove/Mise. 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