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Home My WebLink About1611 W. 15th Street Address: 11611 W 15th Street PREPARED 2/03/16, 9:53:20 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/03/16 ------------------------------------------------------------------------------------------------ ADDRESS . : 1611 W 15TH ST SUBDIV: CONTRACTOR : PHONE OWNER KAREN S SIMPSON PHONE PARCEL 06-30-99-0-4-0750-0000- APPL NUMBER: 16-00000076 RES MECHANICAL PERMIT ------------------- --- PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME99 01 2/03/16 , MECHANICAL FINAL February 3, 2016 9:45:40 AM jlierly. Shane 461-3222 DHP -------------------------------------- COMMENTS AND NOTES -------------------------------------- %�. CITY OF PORT ANGELES .'>�i DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 16-00000076 Date 1/19/16 Application pin number . . . 049152 Property Address . . . . . . 1611 W 15TH ST �/ ASSESSOR PARCEL NUMBER: 06-30-99-0-4-0750-0000- REPORT SALES TA Application type description RES MECHANICAL PERMIT Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . 4000 (Location Code 0502) ---------------------------------------------------------------------------- Application desc ductless heat pump \ --'-------------------------------------------------------------------------- Owner Contractor KAREN S SIMPSON OWNER 1406 W 12TH ST 3 PORT ANGELES WA 98362 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . DHP Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . . . 1/19/16 Valuation . . . . 0 Expiration Date 7/17/16 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80 ---------------------------------------------------------------------------- ,40 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 p Plan Check Total .00 .00 .00 .00 v Grand Total 64.80 64.80 .00 .00 i9' o./ 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 re ulating construction or the performance of construction. f 1-�'7 5iV,7-7f- s64 Date Print Name Signature of Contractor or Authorized Agent Signature er(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 Rou h-In Water Line Meter to Bldg) Gas Line Back Flow/Water 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 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 En ineerin 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 THE ) For City Use CITY OF lGLESf ' Permit# ��✓ �� W A s H i N G T O N . U. S. Date Received: 321 E 5th Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits@cityofpa.us BUILDING PERMIT APPLICATION Project Address: Phone: v- - j-Z,Z�2, Primary Contact: �jy e- 1 Email: Name h Phone Property Mailing Address Email --- Owner City -f- ,Q State Zi �o r � s L11� . p � �o Name Phone Contractor Address Email InformatioII City State Zip Contractor License# Exp.Date: Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor) '= ► $ 4 Residential lVf Commercial ❑ Industrial ❑ Public ❑ ? _ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/la over) ❑ -Classification For the following,fill out both pages of permit application: (check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ appropriate) Mechanical Zf Plumbing ❑ Other ❑ Fire Sprinkler System Proposed Irrigation 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 cit o a.us Project Description 10STA U_I1-)�D t2�C>Oo 6-F(J- Du.0=i(_ CSS PEAT Is project in a Flood Zone: Yes ❑ NoJ3 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. Date ` 1 — tQ Print Name �C�YI L- J i 1n^� 'Signature S�, 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 2" 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) Proposed 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 sq 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 Plumbing Fixtures Indicate how many of each a 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:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx