HomeMy WebLinkAbout1316 E. 6th Street Address:
1316E 6t" Street
PREPARED 11/22/13, 8:55:20 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 11/22/13
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ADDRESS . : 1316 E 6TH ST SUBDIV:
CONTRACTOR : PHONE :
OWNER BRICE GLENDE/ELISKA SKOPECEK PHONE : (360) 631-2847
PARCEL 06-30-11-5-4-0185-0000-
APPL NUMBER: 13-00001304 MECHANICAL APPL. 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 11 JLL MECHANICAL FINAL
November 22, 2013 8:34:48 AM pbarthol.
631-2847
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 13-00001304 Date 11/08/13 W
Application pin number . . . 752192
Property Address . . . . . . 1316 E 6TH ST O
ASSESSOR PARCEL NUMBER: 06-30-11-5-4-0185-0000- REPORT SALES TAX \^
Application type description MECHANICAL APPL. PERMIT `N
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 9876 (Location Code 0502)
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Application desc
2.5 .Ton Heat Pump
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Owner Contractor
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BRICE GLENDE/ELISKA SKOPECEK OWNER
6134 OCEAN VIEW DR
OAKLAND CA 94618
(360) 631-2847
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Permit . . . . . . MECHANICAL PERMIT
Additional desc . . 2.5 TON HEAT PUMP
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 11/08/13. Valuation . . . . 0
Expiration Date 5/07/14 .
Qty Unit Charge Per Extension \ �t
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
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Fee summary Charged Paid Credited Due
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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_inspeetidns 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.
r
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Fcrms/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&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/Building Division/Building Permit
THEP—0 RT NutLV
CITY OF For City Use
W A S H I N G T O N , U . S.
Permit#3r��C�
Date Received:
321 East 5� Street
Port Angeles, WA 98362 Date Approved �� f
P. 360-417-4817 F: 360-417-4711
permits@cityofpa.us
Building Permit Application
Project Address: / 3 � �• / '� �1/,,CG�
Main Contact: (p 77 Phone #
&-icc- �ti/1d� E-Mail: 00 -
Property e, Phon
Owner Mailing Address Email f�
13 16 5;t X 7 A �rl c.0 /31,6 6 *ail. Co
City Pol-� Staie �cl� • 6z
Contractor "—� n Phone
Mail" gAddress Email
o• 301
o< 133 rn c nsK/e, •�o
City / State � Zi
ContractLicense ms#1# Expiration:
� / l • D ��ol�✓ dal/8,1o-to/
Project Value: /3 Zoning: Tax Parcel# Lot# C4WCrdAV
$ F.4 I 12l 0G3olIs 85"a000 /a BL
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 Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical Plumbing ❑ Other ❑
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes ❑ No ❑
Project
Description
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 SigZ�7e_
kaq tio�st��
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed $$value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
For Office Use
Area Descriptions(SQ FT) Existing Proposed $$Value
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe)
Area Totals
Lot/Site Coverage Calculations
Footprint(SQ FT)of all Structures: Lot Size: %Lot Coverage
SQ FT Site coverage(all impervious+ %Site Coverage
structures
Mechanical Fb(tures
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 #of Outlets:
Appliance Vent # 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/ Siz SH # ' 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 # Vent piping #
Sewer Line # Industrial waste pretreatment #
interceptor
Other(describe):
T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX