HomeMy WebLinkAbout138 W. 4th Street Address:
138 W 4th Street
/ 3 8 w Sr
PREPARED 3/03/14, 10:39:58 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/03/14
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ADDRESS 138 W 4TH ST SUBDIV:
CONTRACTOR THURMAN SUPPLY PHONE (360) 457-8591
OWNER PATRICK AND SILVIA THOMPSON PHONE (360) 457-0809
PARCEL 06-30-00-0-0-8835-0000-
APPL NUMBER: 13-00001482 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 3/03/14L MECHANICAL FINAL
March 3, 2014 10:39:50 AM pbarthol.
`(. Sylvia 457-0809
---------—-------------- -j--------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION W
� a
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 13-00001482 Date 12/30/13
Application pin number . . . 356682 A'
AddressProperty
ASSESSOR PARCEL NUMBER: 06$30-00x080-8835-0000- REPORT SALES TAX IV
Application type description FIREPLACE/INSERTS/FREESTANDING
Subdivision Name . . . . . on your state excise tax form
.
Property Use to the City of Port Angeles
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY (Location Code 0502)
Application valuation . . . . 1376
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Application desc
Freestanding Wood Stove
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Owner Contractor
PATRICK AND SILVIA THOMPSON THURMAN SUPPLY
138 W 4TH ST 1807 E. FRONT ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362 `
(360) 457-0809 - (360) 457-8591
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Permit . . . . . . MECHANICAL PERMIT
Additional desc . . FREE STANDING WOOD STOVE
Permit Fee . . . . 60.65 Plan Check Fee .00
Issue Date . . . . 12/30/13 Valuation 0
Expiration Date 6/28/14 �A\
Qty Unit Charge Per Extension t�
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 �i
Permit Fee Total 60.65 60.65 .00 .00 l
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 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 beenrequestedwithin 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 withrwhether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of anytstate or local law regulating construction or the performance of
construction.
G G,
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)
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
THE .JORT GELES For Llty use
C'TY of N
Permit#
W A S H I N G' T o N, U . S. Date Received:
321 E 51h Street Date Approved
Port Angeles,WA 9836
P: 360-417-4817 F:360-417-4711
Email: permits0cityofpa.us BUILDING PERMIT APPLICATION
Project Address:
Phone: 4Z?7 — -Z C O
Primary Contact: /�)��yYaU'i Email:
Name � Phone O�S
S ! Z a1 �Ur'L�Zn i/1 C 27
Property Mailing Address l! Email
Owner � n � � --�
City / State 1 Zip p� /
G7^ i (moi/ t D (c7
Name �.S PhoneLl
C 7
Contractor Afire
p v ��i!✓
Information Ci ty State
Pzi� 8 3C
Contractor License# S tel ( Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
$ / 7
Residential J3 Commercial ❑ Industrial -C] 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 ❑ Plumbing ❑ Other ❑
Will a fire sprinkler system be installed Irrigation System? Proposed Bathrooms Proposed Bedrooms
or modified? Yes ❑ No ❑ Yes ❑ No ❑
Project Description G� �� -�� � 4�e r„ ,1��, ;v
Is project in a Flood Zone: Yes ❑ 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.
l`���C� % /�/G,� y vet 1"n, UU
Date Print Name Signature
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 2" floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Proposed For Office Use
Area Descriptions(SQ FT) Existing Proposed ss 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 #
repair/alt ration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fireplace/ as 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