HomeMy WebLinkAbout1410 W. 4th Street Address:
1410 W 4t" Street
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to Ci
PREPARED 3/16/15, 14:34:44 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY _ DATE 3/16/15
--------------------------
ADDRESS . : 1410 W 4TH ST SUBDIV:
CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939
OWNER RONALD AND LISA HENDRICKS PHONE (360) 461-4644
PARCEL 06-30-00-0-1-2205-0000-
APPL NUMBER: 15-00000208 RES MECHANICAL PERMIT
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME99 01 3/16/15 Jw MECHANICAL FINAL
LN on March 16, 2015 1:05:48 PM pbarthol.
Ron 461-4644
Call 1st
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00000208 Date 3/09/15
Application pin number . . . 086992
Property Address . . . . . . 1410 W 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-2205-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT on your state excise tax form
SubProperty
Name . . . . . . to the City of Port Angeles
Pro ert Use (Location Code 0502)
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY �LOCat
Application valuation 5985
Application desc
Ductless HP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
RONALD AND LISA HENDRICKS DAVE'S HTG & COOLING SRVC INC
1432 W 4TH ST PO BOX 413
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 461-4644 (360) 452-0939
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . DUCTLES HP
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 3/09/15 Valuation . . . . 0
Expiration Date 9/05/15
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
----------------------------------------------------------------------------
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
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.
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
A
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 authorityr
violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
--a
Date 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 Onl
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/Building Division/Building Permit
03/04/2015 2:22PM FAX ig0001/0001
T Hi E
VT �,.. For City Use
CITY OF
Permit# 15�'_ 'ZOO
W A S H I N G T 0 N , U . S
321 East 511,Street Date Received: C:;,
Port Angeles, WA 98362DateApproved ?jl�I IS
FRE
P: 360-417-4817 F: 360-417-4711
permits@cityofpa.us
Building Permit Application
Project Address: C)
Main Contact; Phone #
E-Mail:
Property Nasi Phatio
Owner
Maihi Address C call
City State
— �JA
Contractor Mve"5 "h""
Mailj?gAddZUniall
Lo o�c
city
zll�/
Contractor License# K Expiration;
$ 5-
Project ValRe;15 Zoning:
ax Parcel#
1 YI
Type of _Reside:n:t:ia1:,K Commercial 13 Industrial 0 Public E3
Permit
Demolition [3 Fire 13 Repair 13 Reroof(tear off/lay over) E3
For the following,fill out.both:pages of permit application:
New Construction C3 Remodel 0 Addition 0 Tenant improvement C3
Mechanical 13 Plumbing 0 other [3
Existing Fire'Sprinictler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes 13 No [I
.el
Project os-
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 isnot rgfundable after plan review.has
occurred. 1:understand that I will forfeit the review fee if I cancel or withdraw the applica't ion 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 Signature
Address:
11410 W 4th Street
PREPARED 4/10/15, 14:49:01 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/10/15
----------------------------------------—------------------------------------------------------
ADDRESS . : 1410 W 4TH ST SUBDIV:
CONTRACTOR : PHONE :
OWNER RONALD AND LISA HENDRICKS PHONE : (360) 461-4644
PARCEL 06-30-00-0-1-2205-0000-
APPL NUMBER: 14-00001175 RES REMODEL
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL3 01 12/10/14 JLL BLDG FRAMING
12/15/14 AP December 10, 2014 9:53:05 AM pbarthol.
Ron 461-4644
December 15, 2014 1:25:31 PM jlierly.
BL99 01 4/10/15 BLDG FINAL
--- April- 9,-2015 2:51:33 PM pbarthol.-- -- ---- -- - - Ron 461-4644
---------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME1 01 12/10/14 JLL MECHANICAL ROUGH-IN
12/15/14 AP December 10, 2014 9:53:34 AM pbarthol.
Ron 461-4644
December 15, 2014 1:25:31 PM jlierly.
ME99 01 4/10/15LL MECHANICAL FINAL
-----April-9, 2015 2:51:52 PM pbarthol.
PERMIT: PL 00 PLUMBING PIMMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------ -----------------------------------------
PL2 01 12/10/14 JLL PLUMBING ROUGH-IN
12/15/14 AP December 10, 2014 9:53:47 AM pbarthol.
Ron 461-4644
December 15, 2014 1:25:31 PM jlierly.
PL99 01 4/10/15 JLL PLUMBING FINAL
April 9, 2015 2:51:59 PM pbarthol.
Ron 461-4644
Call 1st
---------------------- --------------- COMMENTS AND NOTES --------------------------------------
A
CITY OF PORT ANGELES `\
r DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 14-00001175 Date 10/20/14
Application pin number . . . 294475
Property Address . . . . . . 1410 W 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-2205-0000- REPORT SALES TAX
Application type description RES REMODEL
Subdivision Name . . . . . . on your state excise tax form
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY to the City of Port Angeles
Application valuation . . . . 25000 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
ADD BATHROOM/REMOVE STAIRS/RE-PLUMB
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
RONALD AND LISA HENDRICKS OWNER
1432 W 4TH ST
PORT ANGELES WA 98363
(360) 461-4644
-----------------------:---------=------------------------------------------
Permit . . . . . . BUILDING- PERMIT RESIDENTIAL
Additional desc INTERIOR REMODEL
Permit Fee . . . . 417.75 Plan Check Fee 271.54
Issue Date . . . . 10/20/14 Valuation . . . . 25000
Expiration Date 4/18/15
Qty Unit Charge Per Extension
BASE FEE 95.75
23.00 14.0000 THOU BL-2001-25K (14 PER K) 322.00
------------------------------------------------------- W
Permit . . . . . . MECHANICAL PERMIT
Additional desc .
Permit Fee . . . . 79.30 Plan.Check Fee .00
Issue Date . . . . 10/20/14 Valuation . . . . 0
Expiration Date . . 4/18/15 `
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
2.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 14.50
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . . RE-PLUMB / ADD BATH
Permit Fee . . . . 142.00 Plan Check Fee .00
Issue Date . . . . 10/20/14 Valuation . . . . 0
Expiration Date . . 4/18/15
Qty Unit Charge Per Extension
BASE FEE 50.00
6.00 7.0000 EA PL-PLUMBING TRAP 42.00
1.00 7.0000 EA PL-WATER LINE 7.00
3.00 7.0000 EA PL-DRAIN VENT PIPING 21.00
1.00 15.0000 EA PL-SEWER LINE 15.00
1.00 7.0000 EA PL-WATER HEATER 7.00
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. T e granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regula' c nst ction or the performance of
construction.
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 /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
" CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT-BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Page 2
Application Number . . . . . 14-00001175 Date 10/20/14
Application pin number . . . 294475
---------------------------------------------------------------------------- REPORT SALES TAX
Special Notes and Comments
October 9, 2014 5:10:46 PM sroberds. on your state excise tax form
Permit will allow interior remodel - no additional lot or to the City of Port Angeles
site coverage in the RS-7 zone. Lot cov is 24$. Prop
contains an ESA; however, no land use issues anticipated (Location Code 0502)
with interior remodel.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 639.05 639.05 .00 .00
Plan Check Total 271.54 271.54 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 915.09 915.09 .00 .00
Separate Permits are required forelectrical 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.
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 /Fumace/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 ��� NGELES For City Use
CITY OF ,
I Permit#
W A S H I N G T O N, U . S. Date Received: JO -/-
i54
321 E Sth Street i Date Approved _
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permitsOcityofna.us BUILDING PERM, A i PLICATION
Project Address: /y/o w aST
,p Phone: ,366'_y(/-- yG 2`/Prima Contact:ll�N �P'�d�� �s Email: 1-4 ^ �5v9/" i�j,Z
Name PhoneRO
Property a �i(Clress,( ,,5d� / y Email
Owner } -��%
I
city, �r /�No2'e��5 stat% zip9a 363
Name Phone
Contractor AddressEmail
�N e-1—
Information city State zip
Contractors License# Exp.Date:
Legal Description: Zo��niccng: Tax Parcel# Project Valued 7aterials 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 Plumbing ❑ Other ❑
Fire Sprinkler System? Irrigation System? Proposed Bathrooms Proposed Bedrooms
Yes 0 No E3 Yes 0 No 0
Project Description
@h2o✓t ��'0'��l/1�e PmoVc tio��c�gr�'�'� w9l'lS C/oseTs
-SsT c/-7
Is project in a Flood Zone: Yes ® NoJk 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 i8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
hom ffe'ude 1 C4�5'
Date Print Name Signature
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed $$value
Basement / 513(�T-- O
First Floor d 0
Second Floor 7
Covered Deck/Porch/Ent 1—
Deck(over 30"or 21d floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
For Office Us
Area Descriptions(SQ FT) Existing Proposed $$Value
Eyds ni Structure(s)
Proposed Add' .
Tenant Improvement? -�
Other work(describe)
Site Area Totals
Lot/Site Coverage Calculations
j-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/ Si�ee;6 # / Ventilation System #
orced 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 # 3
Sewer Line # Industrial waste pretreatment
interceptor Grease Trap) Size
Other describe
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx
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CITY OF PORT ANGELES—Construction f'I»r+s �
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tr,,m thereafter rer v:r:ag the corm.^"gin of errors in said g
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