HomeMy WebLinkAbout127 E. 14th Street Address:
127E 14th Street
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PREPARED 1/02/14, 13:03:42 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/02/14
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ADDRESS . : 127 E 14TH ST SUBDIV:
CONTRACTOR : PHONE
OWNER THOMAS ST AMAND PHONE
PARCEL 06-30-00-0-3-8682-0000-
APPL NUMBER: 13-00001467 RES MECHANICAL PERMIT
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PERMIT: ME 00 MECFIANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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ME6 01 12/23/13 PB MECHANICAL GAS LINE
12/24/13 AP December 23, 2013 10:09:35 AM pbarthol.
Tom 670-3476
Before 2
December 24, 2013 8:38:33 AM pbarthol.
ME99 01 1/02/14 MECHANICAL FINAL
lh January 2, 2014 11:40:44 AM jlierly.
Tom 670-3476
-------------------------- -- -—---- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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Application Number . . . . . 13-00001467 Date 12/23/13 \
Application pin number . . . 991379
Property Address . . . . . . 127 E 14TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-8682-0000- 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 . . . . 800
Application desc
GAS LINES/RANGE/DRYER
Owner Contractor
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THOMAS ST AMAND OWNER
127 W 14TH ST
PORT ANGELES WA 983627721
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Permit . . . . . . MECHANICAL PERMIT
Additional desc . . GAS LINES FOR RANGE/DRYER
Permit Fee . . . . 92.60 Plan Check Fee .00
Issue Date . . . . 12/23/13 Valuation . . . . 0
Expiration Date 6/21/14 '
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Qty Unit Charge Per Extension
BASE FEE 50.00
2.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 21.30
2.00 10.6500 EA ME-FUEL GAS PIPING,1-5 OUTLETS 21.30
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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 It-
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 92.60 92.60 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 92.60 92.60 .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. d
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 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)
-f-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&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
T:Forms/Building Division/Building Permit
THF- ORT �jGELES For City Use
CITY OF
Permit#
W A S H 1 N G T o N , U . S. Date Received:
321 E 5th Street Date Approved3
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits@cityofpa.us BUILDING PERMIT APPLICATION
Project Address: ( '
Phone: 2 D — 7
Primary Contact: S� i Email:
Name Phone
Property Mailing Address Email
Owner i -7-7
City ] ` State Zip
e
Name Phone
Contractor Address Email
Information city state Zip
Contractors License# Exp.Date:
Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor)
$ gc!o
Residential 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 ElPlumbing 11Other ElFire Sprinkler System? Irrigation System? Proposed Bathrooms Proposed Bedrooms
Yes 0 No O Yes [3 No 0
Project Description lq.-0 ry . (57t -v
•.
Of
Is project in a Flood Zone: Yes ❑ Noe[ 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 itis 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 j ' Z 3 Print Name 1'0"X Y, /4Mtj Signaturre J ��5
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed $$value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or i" floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
For Office Use
Area Descriptions(SQ FT) Existing Proposed $$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) Fireplace/Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct #12-
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