HomeMy WebLinkAbout1728 W. 4th Street Address:
1728 W 4th Street
S � .
PREPARED 10/09/14, 9:36:08 INSPECTION TICKET e PAGE 4 '
CITY OF PORT ANGELES INSPECTOR: PAT BARTHOLICK DATE 10/09/14
ADDRESS 1728 W 4TH ST SUBDIV:
CONTRACTOR : PHONE
OWNER FRANKLIN RAY M PHONE
PARCEL 06-30-00-0-1-4130-0000-
APPL NUMBER: 13-00001395 RES MECHANICAL PERMIT
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PERMIT= ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--------------------------—
ME99 01 10/09/14 MECHANICAL FINAL
October 9, 2014 9:38:10 AM pbarthol.
=---------------- COMMENTS AND NOTES --------------------------------------
% CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
` 7 321 EAST 5TH STREET, PORT ANGELES, WA 98362 w
w
Application Number . . . . . 13-00001395 Date 12/04/13
Application pin number . . . 514935 ✓1
Property Address . . . . . . 1728 W 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-4130-0000- REPORT SALES TAX
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 (Location COu@ OJOL
Application valuation . . . . 4333
Application desc
Ductless heat pump
------------- ---------------------------------- --------
Owner Contractor
------------------------ ------------------------
FRANKLIN
---------- ----FRANKLIN RAY M OWNER
1728 W 4TH ST
PORT ANGELES WA 983631704
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Permit . . . . . . MECHANICAL PERMIT
Additional desc . . DUCTLESS HEAT PUMP I1C
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 12/04/13 Valuation . . . . 0
Expiration Date 6/02/14
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
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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
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 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_insliections have not beenrequested 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.
s`� e
Date Print Name Signature of Co actor 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 9 ��
T:Forms/Building Division/Building Permit
THE0, RT iLL ',
CITY OF For City Use
PI
W A S H I N G T O N . U . S .
Date Received:
321 East 5� Street
Port Angeles, WA 98362 Date Approved
P. 360-417-4817 F: 360-417-4711
permits@cityofpa.us
Building Permit Application
Project Address:
Main Cont: Phone# 3G,o - YS7 - !?S L/
�Gc 7tl-- �/'�1 i'� E-Mail• u&*fX •> Al ® �� I
l/ J r 0�`►
Property P ne
Em
Owner ' -o 3G®r
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failingAddress r ail y
cityPoState Zi1k3��
Contractor N e tbt /�O Pro- �® ' l
rsry
Mailing Addr ss ( Email
Ci State zi
Contractor License# &AI _®V*W Expiration: 20
Project Value: 3 Zoning: Zoom
Parcel# ! Lot#
$ q 33 3" 8 � r 3d o®® 1-keT
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 Constructi n ❑ Remodel 13 Addition 1:3 Tenant Improvement ❑
Mechanical Plumbing ❑ Other ❑
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes ❑ No ❑
Project �� J7 �s5 �- �
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 Sig re
2i®3/�3 ka �*V)n
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 #
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 `SiG $gv
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 #
interce for
Other(describe):
M\BUILDING\APPLICATION FORMS\BUU.DING PERMIT 081212.DOCX