HomeMy WebLinkAbout1123 W. 19th Street Address:
1123 W 191h Street
PREPARED 9/14/15, 10:03:50 INSPECTION TICKET 5
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DAT Y9/14/15
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ADDRESS . : 1123 W 19TH ST SUBDIV:
CONTRACTOR THURMAN SUPPLY PHONE (360) 457-8591
OWNER KELLY O'ROURKE PHONE (360) 452-1611
PARCEL 06-30-00-0-4-5470-0000-
APPL NUMBER: 15-00001085 RES MECHANICAL PERMIT
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PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETEDRE T RESULTS/COMMENTS
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ME99 01 9/14/15 MECHANICAL FINAL
September 14, 2015 10:07:11 AM jlierly. .
Kelly please insp after 3pm 452-1611
---------------------------- --------- COMMENTS AND NOTES --------------------------------------
% ►. CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00001085 Date 8/26/15
Application pin number . . . 377595 REPORT SALES TAX
Property Address . . . . . . 1123 W 19TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-5470-0000- on your state excise tax form
Application type description RES MECHANICAL PERMIT to the City of Port Angeles
Subdivision Name . . . . . .
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 2700
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Application desc
pellet stove
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Owner Contractor
KELLY O'ROURKE THURMAN SUPPLY
1123 W 19TH ST 1807 E. FRONT ST.
PORT ANGELES WA 983637015 PORT ANGELES WA 98362
(360) 452-1611 (360) 457-8591
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Permit . . . . . . MECHANICAL PERMIT
Additional desc PELLET STOVE
Permit Fee . . . . 60.65 Plan Check Fee .00
Issue Date . . . . 8/26/15 Valuation . . . . 0
Expiration Date 2/22/16
V\
Qty Unit Charge Per Extension
v , BASE FEE 50.00
1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65
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Special Notes and Comments
Per Washington State Code 51-51-315,
.R installation of Carbon Monoxide
detectors) is required if you are
3 �• installing or replacing a fuel burning
y 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 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 forelectrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced withi 80 days,if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if require i spections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this pl cation and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complie wit whether pecified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions fan state or cal law regulating construction or the performance of
construction.
t Date Print Name Signature of Co ractor 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 8 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/Bui[ding Division/Building Permit
1
THE O .i''ai�t�{ r� For City Use
CITY OF a+ ll R NGELES�...�. -f
+• Permit#
W A S H I N G T O N, U . S. Date Received: -L&-/
321 E 51h Street Date Approved A
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits(&cityofpa.us BUILDING PERMIT APPLICATION
Project Address: /` r
Phone:
Primary Contact: , Email:
Name � /-/C-C—G Phone 276S-Z_ l / //
Property Mailing Add s Email �j
Owner f sues
City o /o State/
Na Phone
Contractor Add ss Email
/ -7 Cr-5 �vG
Information
City State Zi�•�,�✓�
Contractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor)
Residential 0 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 Q.,_Tenant Improvement ❑
appropriate) Mechanical Plumbing ❑ Other ❑
Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms
or Existing? Yes 0 No D 1 Existing? Yes 0 No 0 T I
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater99W0Aa.us
Project Description
--Q- e.
Is project in a Flood Zone: Yes 0 Nop 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.
Date Print Name
Signature v"
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 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 #
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 # 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