HomeMy WebLinkAbout1137 W. 10th StreetAddress:
1137 W 10th Street
PREPARED 4/01/16, 14:04:35 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/01/16
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ADDRESS . : 1137 W 10TH ST SUBDIV:
CONTRACTOR EVERWARM INC PHONE (360) 452-3366
OWNER ROBINSON PETER R PHONE
PARCEL 06-30-00-0-3-0250-0000-
APPL NUMBER: 15-00001395 RES MECHANICAL PERMIT
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PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
-------------------------- ---------------------------------
ME99 01 4( ' JLL MECHANICAL FINAL
April 1, 2016 2:08:17 PM pbarthol.
Peter 808-1552
------------------------ f- del-------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
0�i DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
L_ r— a
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . .
15-00001395 Date 11/03/15
Application pin number . . .
260405
Property Address . . . . . .
1137 W 10TH ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -0 -3 -0250 -0000 -
Application type description
RES MECHANICAL PERMIT
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
4000
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Application desc
insert wood stove
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Extension
Owner Contractor
ROBINSON PETER R EVERWARM INC.
- 1137 W 10TH ST 257151 HWY101
PORT ANGELES WA 983635627 PORT ANGELES
WA 98362
(360) 452-3366
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Permit . . . . MECHANICAL PERMIT
Additional desc .
Permit Fee . . . . 60.65 Plan Check Fee
.00
Issue Date . . . . 11/03/15 Valuation
i
0
- Expiration Date 5/01/16
Qty Unit Charge Per
Extension
BASE FEE
50.00
1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP.
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10.65
Special Notes and Comments
Per Washington State Code 51-51-315,
t installation of Carbon Monoxide
detector(s) is required if you are
installing or replacing a fuel burning
jappliance (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
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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 186 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:
Electrical 417-4735
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 / Chimne
Commercial Hood / Ducts
MANUFACTURED HOMES:
Footing / Slab
Blockin & Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s
SEPA:
ESA:
SHORELINE:
Parkin / Lighting
Landscaping
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
t
CIT CS
CITY F SRT
W A S H 1
321 E 51hStreet
AN , ELES
N G T O N, U. S.
Port Angeles, WA 9836
P: 360-417-4817 F: 360-417-4711
Email: permits(@cityofpa.us
For City Use
Permit# /.` — 1:3 9s -
Date Received: //131/f
Date Approved !�-
BUILDING PERMIT APPLICATION
Project Address:
Phone: - As)/
Prima Contact: ..Ei� l�C.�l6i�
Email: -
Name
Phone
'l z
Property
Owner-
Mailing Address
/! " �
Email
,�/6 G i3l¢�// ellll/Y�
City _
State
Zi
Name _
Phone
Contractor
Address
D
Email
Information
City �
State
zip
Contractor License#
Exp. Date:
Legal Description:
Zoning:
ax Parcel #
Project Value: (materials and labor)
46,50,0 40 562-
$ C%Q�
Residential W Commercial ❑ -5wfn ustrial ❑ Public ❑
Permit
Demolition ElFire ElRepair 13Reroof (tear off/lay over) El
'Classification
For the following, fill 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 or
Proposed Bathrooms
Proposed Bedrooms
or Existing? Yes E3 No C3
Existing? Yes 0 No D
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater cit o a.us
Project Description
v
Is project in a Flood Zone: Yes [3 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 18o days of submittal, the application
will be considered abandoned and the fees will be forfeited.
5-DatZ/ 9- 20 45-
Date
e
Print Name
Signature
T:\Forms\2015 CED Form Updates\Building & Permitting\BP\Building Permit 20150415.docx
Residential Structures
Area Descriptions (SQ FT)
Existing
Floor area
Proposed
Floor area
Construction
$ Value new area
For Office Use
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
Floor area
Proposed
..Floor area
Construction
$ Value new area
For Office Use
Existing Structure (s)
Proposed Addition
Tenant Improvement?
Other work (describe)
R
Site Area Totals
Lot/Site Coverage Calculations
Lot Size (sq ft)
Lot Coverage (sq ft) foot print of
all structures sq ft
%Lot Coverage (Total lot cov _ lot size)
Max Bldg Height
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
portable)
#
Pellet Stove/Wood-burning/Gas
Fireplace/Gas Stove/Gas Cook Stove/Misc.
# r
Fuel Gas Piping
# of Outlets:
Ventilation Fan, single duct
#
Furnace/Heat Pump/
Forced Air Unit
Size:
#
Ventilation System
#
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