HomeMy WebLinkAbout136 E. Park Avenue Address:
136 E Park Avenue
i 3� C Ave-
PREPARED 11/22/13, 8:55:20 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 11/22/13
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ADDRESS . : 136 E PARK AVE SUBDIV:
CONTRACTOR : PHONE
OWNER KIRSTEN POOLE. PHONE
PARCEL 06-30-15-2-1=0600-0000-
APPL NUMBER: 13-00001296 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 11/22/13 JL/ Im' MECHANICAL FINAL
November 22, 2013 8:30:51 AM pbarthol.
Late Afternoon
----------------—-------------------- COMMENTS AND NOTES --------------------------------------
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
_ 321 EAST 5TH STREET, PORT ANGELES, WA 98362
W
Application Number . . . . . 13-00001296 Date 11/07/13 (�{
Application pin number . . . 254720
Property Address . . . . . . 136 E PARK AVE
ASSESSOR PARCEL NUMBER: 06-30-15-2-2-0600-0000- REPORT SALES TAX
Application type description MECHANICAL APPL. PERMIT
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . UNKNOWN y
Application valuation . . . . 500 (Location Code 0502
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Application desc
pellet stove insert
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Owner Contractor
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KIRSTEN POOLE OWNER
136 Park Ave
PORT ANGELES WA 98362
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . PELLET INSERT (�
Permit Fee . . . . 60.65 Plan Check Fee .00
Issue Date . . . . 11/07/13. Valuation . . . . 0
Expiration Date 5/06/14_
Qty Unit Charge Per . Extension
BASE FEE 50.00
1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65
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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 for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
null and void if work or construction authorized isnot 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.
_ -7 — / 3 ti' 1ZA/)
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 IN CONSPICUOUS 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 I 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
THEOJ1D 1-1 LV XA`YGELES For City Use
CITY OF
Permit# fla7 " ;Lg�
WASH 1 N G T O N , U . S . Date Received: I I
321 E 51h Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F.360-417-4711
Email:permits@citpa.us BUILDING PERMIT APPLICATION
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Project Address: PAk
rJ Phone: 36o (o SS('
Prima Contact: CJ Email: kc-
Name" Phone
Property Mailing Address Email
Owner ___ iii e U1 evl &)nl
City State Zip
t%LJC_\_
Name Phone
Contractor Address Email
Information City _ State Zip
Contractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel # Project Valu (materials and labor)
$ GU =�-
Residential i Commercial ❑ Industrial ❑ Public ❑
Permit DemolitionL'�b 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 Plumbing ❑ Other ❑
Will a fire sprinkler system be installed Irrigation System? Proposed Bathrooms Proposed Bedrooms
or modified? Yes ❑ No ❑ Yes ❑ No ❑
Project Description �t �-
Is project in a Flood Zone: Yes ❑ Ne/0 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.
DePO �
Date Print Name Sig ---u-re-_=---- --------
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed $$value
Basement -
i �r
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or i" floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Proposed For Office Use
Area Descriptions(SQ FT) Existing Proposed $$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 #
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