HomeMy WebLinkAbout1315 W. 16th Street Address:
1315 W 16th.Street
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PREPARED 7/20/15, 9:52:04 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/20/15
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ADDRESS . : 1315 W 16TH ST SUBDIV:
CONTRACTOR BILL MAIR HEATING & AIR INC PHONE (360) 912-2079
OWNER BREITBACH, LARRY & DONNA PHONE
PARCEL 06-30-00-0-4-3375-0000-
APPL NUMBER: 15-00000878 RES MECHANICAL PERMIT
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PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS '
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ME99 01 7/20/15 JLL MECHANICAL FINAL
July 20, 2015 9:53:24 AM jlierly.
477-7456
-------------------------------------- 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 . . . . . 15-00000878 Date 7/17/15
Application pin number . . . 643800
Property Address . . . . . . •1315 W 16TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-3375-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT n7
Subdivision Name . . . . . . On your State excise tax fOr
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 3800 Location.Code 0502)
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Application desc
DUCTLESS HEAT PUMP
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Owner Contractor
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BREITBACH, LARRY & DONNA BILL MAIR HEATING & AIR INC
737 W 9TH ST 80 VALLEY FARM COURT
PORT ANGELES WA 98363 SEQUIM WA 98382
(360) 912-2079
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Permit . . . . . . MECHANICAL PERMIT
Additional desc DUCTLESS HEAT PUMP
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 7/17/15 Valuation . . . . 0
Expiration Date 1/13/16
Qty Unit Charge Per Extension , ` `,
BASE FEE 50.00 IN,
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 w
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. 1 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.
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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:
Footin s
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
j Ceiling
FRAMING:
Joists I 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&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/Buildin Division/Building Permit
9 9
THE ,pRTAIiTGELES For City Use
CITY OF e r c�
Permit#
W A S H I N G T O N, U . S. Date Received:
321 E 51hStreet Date Approved 7"/7-i K--
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits@cityofpa.us BUILDING PERMIT APPLICATION
Project Address: 1-31S w .l b ,"\ r�b-12-r- 1 rnc-;,
Phone:
Prima Contact: h1tkRt4, 13 2EtT 1"?atc k Email:
Name Phone
L 3 R.&, A�e t"' Y - 791,519
Property Mailing Addre s Email
Owner / R� S 77z� N
CityState Zi
=tzt
Name Phone
Contractor Addrgg��s Email
Ob VA-11d a ;30(,L-MAI&- lenrJ Mao LL
Information cityqCE:3> %. State Zip
Contractor License# 1�. �M N 6 P Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
$
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 K Plumbing ❑ Other ❑
Fire Sprinkler System ProposedIrrigation System Proposed or Proposed Bathrooms Proposed Bedrooms
or Existing? Yes 0 No 0 Existing? Yes 0 No 0
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater ci o a.us
Project Description
Is project in a Flood Zone: Yes [3 No[3 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.
/7 -,?b IS— 4,),C-(-,,4,'A ►tett+ Q—
Date Print Name Signature div
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 nd 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)
�roposed 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 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 swo a
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