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Home My WebLink About1114 Madrona Street Address: 1114 Madrona Street PREPARED 12/13/13, 10:39:35 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/13/13 ------------------------------------------------------------------------------------------------ ADDRESS . : 1114 MADRONA ST SUBDIV: CONTRACTOR : PHONE : OWNER James Cushman PHONE : (360) 452-3526 PARCEL 06-30-08-5-8-1404-0000- APPL NUMBER: 13-00001347 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT_ ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----- ------ ------------------————------------------—---- ME99 01 12/13/13 MECHANICAL FINAL December 13, 2013 10:31:07 AM pbarthol. SANDRA 452-3526 --------------------------- ------ COMMENTS AND NOTES -- 7 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION �-� 321 EAST 5TH STREET, PORT ANGELES, WA 98362 � Vv Application Number . . . . . 13-00001347 Date 11/20/13 _F Application pin number . . . 310433 '\ Property Address . . . . . . 1114 MADRONA ST v ASSESSOR PARCEL NUMBER: 06-30-08-5-8-1404-0000- REPORT SALES TAX Application type description RES MECHANICAL PERMIT Subdivision Name . . . . . . on your state excise tax form Property Use . . to the City of Port Angeles Property Zoning R57 RESDNTL SINGLE FAMILY Application valuation . . . . 0.3 , (Location Code 0502) ------------------------------------------------` ------ ----------- Application desc Free Standing LOPI Wood Stove - ------------------------------------------------------------------- - \ Owner Contractor \ ----------------=------- ------------------------ James Cushman OWNER 1114 MADRONA ST PORT ANGELES WA 98363 (360) 452-3526 ----- ---------------------------------------------------------------------- 7¢� Permit . . . . . . MECHANICAL PERMIT t\\ Additional desc LOPI WOOD STOVE \1 Permit Fee . . . . 60.65 Plan Check Fee .00 Issue Date . . . . 11/20/13- Valuation 0 Expiration Date 5/19/14 _ 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 d'etector(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. -- -- -------- 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 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:inspectiohs 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. 1&90-13 n ' W rawy Date Print Name Signature of Contractor or Authorized Agent Sign re of Owner(if owner iZbuilder) 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: Footin /Slab Blockin &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 THE OR l 1�jGELES For City UseCITY OF �.-/i�l �,/ Permit# /J ._ / WAS H i N G T o N, U . S. Date Received: lllZo 321 E 51h Street Date Approved / Z2-4 %i 3 Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits Pcityofpa.us BUILDING PERMIT APPLICATION Project Address: Phone: Primary Contact:,7R ,� Sh Email: N Phone Property ,w� �2r� 3 Property Ma' i g Add ess Email Owner oPlolY M6R-f— Arv&E(LS WA 3l,. St tV V l—s Z �3 Name Phone i� rzlFh a- 3 (bD - Contractor Address Email 151 ' t C3 C Information cit gt N , E-S W)P6 , 3� stat S zi 3 Contractors License# 2_3Exp.Date: _I _�b/ Legal Description: Zoning: Tax Parcel Project Value: (materials and labor) �-K!5 06300 o u s Residential n- 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 ystem? Irrigation S stem? 7�dBathrooms Proposed Bedrooms Yes � No � Yes D No Project Description PIE'EESIRIRINC, C-OFF �.0 OOpS� 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 of submittal,the application will be considered abandoned and the fees will be forfeited. DatPrint Names -), l�S`7 Signature Residential Structures For Office Use Area Description(SQ FT) Existing Proposed $$value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"ora" floor) Garage Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions(SQ FT) Existing Proposed $$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 air/alteration Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # portable) Fire lace/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