HomeMy WebLinkAbout1121 E. 3rd Street Address:
1121 E 3rd Street
PREPARED 1/20/16, 10:59:43 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/20/16
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ADDRESS . : 1121 E 3RD ST SUBDIV:
CONTRACTOR PENINSULA HEAT INC PHONE (360) 681-3333
OWNER MICHAEL AND CHERYL A HALVERSON PHONE
PARCEL 06-30-00-5-4-0450-0000-
APPL NUMBER: 15-00001589 RES MECHANICAL PERMIT
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PERMIT: NIH 00 MEC IIANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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ME99 01 1/20/16 J L MECHANICAL FINAL
January 20, 2016 10:20:46 AM jlierly.
DHP
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
P� DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
t ra
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00001589 Date 12/18/15
Application pin number . . . 281936
Property Address . . . . . 1121 E 3RD ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-4-0450-0000- 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 . . . . 3100
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Application desc
remove heat pump system/install air handler only
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Owner Contractor
------------------------ ------------------------ _
.MICHAEL AND CHERYL A HALVERSON PENINSULA HEAT INC
l PO BOX 534 782 KITCHEN-DICK RD
_CHIMACUM WA 98325 SEQUIM WA 98382
(360) 681-3333
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Permit . . . . . . MECHANICAL PERMIT
Additional desc AIR HANDLER
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date 12/18/15 valuation . . . . 0
—Expiration Date 6/15/16
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 authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Z4s F a
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
Blocking&Hold Downs
Skirting
i
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
CITY or " City RT,, gFor Ci Use
Y Permit# ,/
W A S H 1 N G T 0 N , U . S.
Date Received:
321 East Th Street
Port Angeles, WA 98362 Date Approved
P: 360-417-4817 F: 360-417-4711
permits@cityofpa.us
Building Permit Application
Project Address: l I o2 l -Th I'
Main Contacts Phone #
TG(( (i f '� ialu E-Mail: Dodli�c e o « • .
Property I Na ^/ � Phone
Owner a1!� '� (.�Y ✓tVSD/ti
Mailing Address I I Email
o- Ap s3
j
city c!Li��V State V'A, /L
j Contractor Name � 'A /!_ Phone /�/O
Mailing dress (� Email (P
X D- 13a 173 r'44h54��� ��ovtlodl o
City � � � State I , 'n Zip n�
Contractor License# rt /lN a4�w Expiration:
Project Value: oo Zoning: Tax Parcel# / / Lot#
$ �/,T it 6 LOPOo �s�
Type of Residential Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
For the following,fill out both pages of permit application:
New Construccttio11 Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical GT Plumbing ❑ Other ❑
Existing Fire Sprinkler System? Maximum height of structure 7
Proposed Bedrooms Proposed Bathrooms
Yes ❑ No 13
Project
Description i� Alk A;Vvd 4a .
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. I 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. 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 Signa
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,d 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 s ft
Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site cov_lot size)
Mechanical Fixtures
Indicate how man of each a 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 eat Pump/ Size: # Ventilation System #
Forc Air Unit I p N
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:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx