HomeMy WebLinkAbout1113 Highland Avenue Address:
1113 Highland Avenue
PREPARED 9/06/16, 12:09:41 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/06/16
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ADDRESS 1113 HIGHLAND AVE SUBDIV:
CONTRACTOR GROFFS CONSTRUCTION PHONE (360) 460-8891
OWNER RALSTON JOHN M/GAIL T PHONE
PARCEL 06-30-14-6-9-0080-0000-
APPL NUMBER: 16-00000338 RES NEW SFR
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PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
---------------------—--------------------------- ------------ - ---—-
BL1 01 3/31/16 JLL BLDG FOUNDATION FOOTING
3/31/16 AP March 31, 2016 12:11:39 PM jlierly.
Casey
March 31, 2016 4:23:40 PM jlierly.
BL2 01 4/06/16 JLL BLDG FOUNDATION STEM WALL
4/06/16 AP April 6, 2016 8:55:15 AM jlierly.
461-2857
April 6, 2016 4:09:55 PM jlierly. -
BFF 01 4/14/16 JLL BLDG FLOOR FRAMING
4/14/16 AP April 14, 2016 9:57:42 AM jlierly.
von 912-1666
April 14, 2016 4:13:57 PM jlierly. _
BEXS 01 5/1.9/16 JLL BLDG EXTERIOR SHEETING
5/19/16 AP May 19, 2016 9:01:05 AM jlierly.
Casey 460-8891
May 19, 2016 4:22:31 PM jlierly.
BAIR O1 5/31/16 JLL BLDG AIR SEAL
6/01/16 AP May 31, 2016 10:07:41 AM jlierly.
June 1, 2016 9:24:36 AM jlierly.,
BL3 01 5/31/16 JLL BLDG FRAMING
6/01/16 AP May 31, 2016 10:07:26 AM jlierly.
Casey
June 1, 2016 9:24:36 AM jlierly.
BLI O1 6/02/16 JLL BLDG INSULATION
6/03/16 AP June 2, 2016 8:57:16 AM jlierly:
Casey 460-8891
June 3, 2016 10:12:13 AM jlierly.
BLDR O1 6/07/16 JLL BLDG DRYWALL IBWP
6/07/16 AP June 7, 2016 8:38:47 AM jlierly.
casey
June 7, 2016 3:54:31 PM jlierly.
PW99 01 9/01/16 RV PUBLIC WORKS FINAL
9/01/16 AP September 2, 2016 8:12:53 AM rvess.
September 2, 2016 8:40:18 AM rvess.
BL99 01 6/16 JLL BLDG FINAL
September 6, 2016 12:09:48 PM pbarthol.
Casey 460-8891
PERMIT: �00HANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
---------------------------------—
ME1 01 5/31/16 JLL MECHANICAL ROUGH-IN
6/01/16 AP May 31, 2016 10:08:02 AM jlierly.
June 1, 2016 9:24:36 AM jlierly.
ME99 01 9/06/16 JLL MECHANICAL FINAL
----------- ------ CONTINUED ONTO NEXT PAGE ------------------- -- --- --- ---
PREPARED 9/06/16, 12:09:41 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/06/16
------------------------------------------------------------------------------------------------
ADDRESS 1113 HIGHLAND AVE SUBDIV:
CONTRACTOR GROFFS CONSTRUCTION PHONE (360) 460-8891
OWNER RALSTON JOHN M/GAIL T PHONE
PARCEL 06-30-14-6-9-0080-0000-
APPL NUMBER: 16-00000338 RES NEW SFR
-----
4QUEST
--
D INSP DESCRIPTION .
TYP/SET D RE UL RESULTS/COMMENTS
--- -
September 6, 2016 12:10:09 PM pbarthol.
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------- -- -- - -
PL2 01 5/13/16 JLL PLUMBING ROUGH-IN
5/13/16 DA May 13, 2016 9:01:11 AM jlierly.
jp 460-6902 -
May 13, 2016 3:42:15 PM jlierly
DWV has no water may have leaked from blatter refill and
check for leaks and recall/jll
PL2 02 5/17/16 JLL PLUMBING ROUGH-IN
5/17 AP May 17, 2016 9:52:21 AM jlierly.
JP
,,,///��� /////////7 May 17, 2016 4:25:59 PM jlierly.
PL99 01 / /16 PLUMBING FINAL
September 6, 2016 12:10:19 PM pbarthol.
------- --- ------------------------- COMMENTS AND NOTES /�////�
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DI ISION
C 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 16-00000338 Date 3/30/16
Application pin number . . . 842230
Property Address . . . . . . 1113 HIGHLAND AVE REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-14-6-9-0080-0000-
Application type description RES NEW SFR on your state excise tax form
Subdivision Name . . . . . to the Cit of Port Angeles
Property Use . . . . . . . . s Y g
-Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY �LOCc7c/O/I Code OSOL�
Application valuation . . . . 144695
t
Application desc
i 3 bed two bath rambler
--------------------------------------------------------------------------
Owner Contractor
---------------------- ------------------------
RALSTON JOHN M/GAIL T GROFFS CONSTRUCTION
PO BOX 1405 736 E 9TH ST i
PORT ANGELES WA 983620259. PORT ANGELES WA 98362
(360) 460-8891 !
------------------------------------------------------------------------------
f
Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc . . 3 BED 2 BATH RAMBLER
Permit Fee . . . . 1272.25 Plan Check Fee 826.96
Issue Date . . . . 3/30/16 Valuation . . . . 144695
Expiration Date 9/26/16
- Qty Unit Charge Per Extension
BASE FEE 1020.25 -
45.005.6000THOU BL-100,001-500K (5.60 PER K)
------- -------- -
------------------------------ - - --- ----
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . SFR MECHANICAL
Permit Fee . . . . 171.20 Plan Check Fee .00
Issue Date . . . . 3/30/16 Valuation . . . . 0
Expiration Date 9/26/16
Qty Unit Charge Per Extension _
BASE FEE 50.00 1,
3.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 21.75 -
1.00 10.6500 EA ME-HOOD/DUCT-MECH. EXHAUST 10.65
6.00 14.8000 EA ME-HEATER(SUSP/WALL/FLOOR-MTD) 88.80
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
r Additional desc . . SFR PLUMBING
Permit Fee . . . . 149.00 Plan Check Fee .00
Issue Date . . . . 3/30/16 Valuation . . . . 0
Expiration Date 9/26/16
Qty Unit Charge Per Extension
BASE FEE 50.00
6.00 7.0000 EA PL-PLUMBING TRAP 42.00
1.00 7.0000 EA PL-WATER LINE 7.00
604.00 7.0000 EA PL-DRAIN VENPIPING 28.00
M T.1.00 15.0000 EA PL-SEWER LINE 15.00
I .
,_0 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 to I w regulating construction or the performance of
construction.
t V1
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
r� �-gPLEASE PROVIDE MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—
Buildh 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 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
%tea CITY OF PORT ANGELES
� a DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING-DIVISION --'
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number . . . . . 16-00000338 Date 3/30/16
Application pin number . . . 842230 REPORT SALES TAX
Qty Unit Charge Per Extension on your state excise tax form
---------
1.00------- 7.0000 EA----PL-WATER-HEATER-----------------------7.00- to the City of Port Angeles
Special Notes and Comments (Location Code 0502)
March 17, 2016 4:19:00 PM tamiot.
underground electrical service shall goto existing pedestal
in the southwest corner of the property. electrical permit
is required.
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
March 28, 2016 3:12:07 PM pbarthol.
Plans drawn over lot coverage. Per contractor garage will be
22' wide and not the 24' shown on the plans.
Project will result in a 3BED 2BATH SFR with 29.8% lot
coverage and 43.6 site coverage. no land use issues
` anticipated ,
1. Establishing Construction Access.
2. Install sediment controls BMPs.
3. Stabilize exposed soils.
4. Protect slopes from erosion.
5. Protect drain inlets.
6. Control pollutants including but not limited to spills,
concrete wash out, exposed aggregate processes, concrete
grinding and saw cut waste water.
7. Maintain temporary and permanent erosion control BMPS
during project.
All disturbed area's on site not covered by new improvements
should meet the attached soil quality and depth standard.
Consider applying for the City Green Infrastructure Rebate
of up to $750.00 towards the materials to install rain
garden to control roof and driveway runoff. Also rebates
available for downspout disconnections.Contact Jonathan
Boehme at 360 417-4811
All construction work within the City right of way requires
a separate Right of Way Construction application to be
completed by the contractor and approved by Public Works
Engineering prior to the start of work. A pedestrian or
traffic control plan is to be submitted for approval with
the application as necessary.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required. Public Works Inspection request line
417-4831
Trench safety per applicable laws. Temp erosion control and
surface restoration responsibility of applicant. Contact
City inspector prior to start of work @ 360 417-4831. No
attachment to sanitary sewer of stormwater roof leaders,
foundation drains, yard drains, or any other CSO
contribution is allowed.
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:Forrns/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 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
%'®+v CITY OF PORT ANGELES
µ DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 3
Application Number . . . . . 16-00000338 Date 3/30/16
Application pin number 842230 REPORT SALES TAX
----------------------------------------------------------------------------
Special Notes and Comments on your state excise tax form
The contractor making the connection to an existing water to the Cit of Port.Angeles
meter is responsible to adjust water meter depth so that y
there is a minimum of 4 to 6 inches of clearance between the (Location Code 0502)
bottom of the meter box lid and the top of the meter at
finish grade.
Construct driveway to .City Standards. Concrete with exposed -- _
aggregate or other non-standard finishes(including colors or
dyes)are not allowed in the City road right of way. Broom :d
finish only. An inspection by Public Works Engineering is
gyp., required prior to pouring concrete. Public Works inspection
request line 417-4831
r ----------------------------------------------------------------------------
i
Other Fees . . . . . . . RES UNDERGRND SERVICE FEE 770.00
t. SEWER SYSTEM DELV CHARGE 2260.00
STATE SURCHARGE 4.50
PW WATER SYSTEM USE FEE 2260.00
--------------------------------=-------------------------------------------
Fee summary Charged Paid Credited Due
.- ----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1592.45 1592.45 .00 .00
Plan Check Total 826.96 826.96 .00 .00
Other Fee Total 5294.50 5294.50 .00 .00
Grand Total 7713.91 7713.91 .00 .00
J
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
Rou h-In
Water Line Meter to Bldg)
Gas Line
Back Flow/Water
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders I Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall Interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/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 /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
.X"Ho=w �{ For City Use
CITY OFP�� -LoRT NGELE -
ermit#
334
NWASH I N GWT O N. U. S.
ate keceived:
321 E Sth Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits@ciTyofpa.us BUILDING PERMIT APPLICATION
Project Address: LpT
Phone: ,*Q _ G p Beg I
PriTAry Contact: Email:
Name Phone
^
A.
Property Mailing Address Email
Owner C " 111
City-petl� State zip'183612
Nam 1�J 5 ^b� Phone 3( `� .,a //_Q [
Contractor Address 3/ Email J -t((Po
l9 2f�
Information city -�� State (11% zip
q836Z
Contractor License# CG G9B—F-FL*231t& Exp.Date: 2-12-2-
Legal
. 2ZLegal Description: Zoning: Tax Parcel # p-���o�t Valttee (materials and labor)
$ V tl X15'
Residential ® Commercial ❑ Industrial ❑ Public LJ
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
Classification For the following, fill out both pages of permit application:
(check New Construction B Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑
appropriate) Mechanical ❑ Plumbing ❑ Other ❑
Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms
or Existing? Yes 0 No a Existing? Yes 17 No 0 Z-- 13
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwaterocilyo a.us
Project Description
Is project in a Flood Zone: Yes ❑ NoR 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 submittal,the application
will be considered abandoned and the fees will be forfeited.
/7
Date Print Name Signatu
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) �P
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
of Size(sq ft) Lot Coverage(sq ft)foot print of %Lot Coverage (Total lot cov=lot size) Max Bldg Height
/(p all structuress ft io z
ite Covera (Sq Ft of all impervious) 9'49 3 %of Site Coveragetotal site cov_lot size)
0 3 a �v
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 # i Heater(Suspended,Floor,Recessed wall) #
Boiler/Compressor Size: # l 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 ` 3
3
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 # U/„ Water Heater #
Plumbing Vent piping # !L� 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
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=10 size) Max Bldg Height
Q/(p all structures. sq ft ® �- • 6
• Site Covera (Sq F f all impervious)d043 %of Site Cov rage total site goy_lot size)
Mechanical Fi tures
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
Plumbinq Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps # /a Water Heater #
Plumbing Vent piping # 1� Medical gas piping #of Outlets:
Water Line # /. Fuel gas piping #of Outlets:
Sewer Line # it Industrial waste pretreatment
/
interceptor Grease Trap) Size
Other(describe);
T:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx
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