HomeMy WebLinkAbout1814 E. 4th Street Address:
1814 E 4t" Street
PREPARED 5/30/13, 10:53:31 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/30/13
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ADDRESS
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ADDRESS . : 1814 E 4TH ST SUBDIV:
CONTRACTOR EVERWARM INC PHONE (360) 452-3366
OWNER : READER-BENSON EILEEN M PHONE
PARCEL 06-30-11-5-3-0110-0000-
APPL NUMBER: 13-00000461 RES MECHANICAL PERMIT
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PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--------------------------------------------- ---
ME6 01 5/17/13 JLL MECHANICAL GAS LINE
5/17/13 AP May 17, 2013 9:29:05 AM jlierly.
Ilene 457-1655
May 17, 2013 3:37:37 PM jlierly.
ME99 01 5/30/13
JLL MECHANICAL FINAL
May 30, 2013 10:53:02 AM pbarthol.
Ilene 457-1655
-------------------------------------- COMMENTS AND NOTES -
% ►. CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 13-00000461 Date 5/01/13
Application pin number . . . 561018
Property Address . . . . . 1814 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-11-5-3-0110-0000- REPORT SALES TAX
Application type description MECHANICAL APPL. PERMIT
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY to the City of Port Angeles
Application valuation . . . . 3979 (Location Code 0502)
Owner Contractor
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READER-BENSON EILEEN M EVERWARM INC
1814 E 4TH ST 257151 HWY101
PORT ANGELES WA 983624916 PORT ANGELES WA 98362
(360) 452-3366
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Permit . . . . . . MECHANICAL PERMIT
Additional desc . . LPG INSERT
Permit Fee . . . . 71.30 Plan Check Fee .00
Issue Date . . . . 5/01/13 Valuation . . . . 0
Expiration Date 10/28/13
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65
1.00 10.6500 EA ME-FUEL GAS PIPING,1-5 OUTLETS 10.65
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 71.30 71.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 71.30 71.30 .00 .00
oC`
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 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 /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
Ty GFT N,GELS S For City Use
�3 � q
Permit -a
Date Received: 5-11 1l 3
321 East S`h Street
Port Angeles, WA 98362 Date Approved 37) 111-s
P: 360-417-4817 F: 360-417-4711
permits@cityofpa.us
Building Permit Application
Project Address:
Main Contact: Phone #
>< \\-- T. c) E-Mail:
Property Name
\\ -T— �\� �JE S r\-_ \ Phone
Owner Mailing Address V �v Email
city State Zip
Contractor Name Phone
.�vg 1�1•�
Mailing A dres Email
City _
Y V, State Zip 1
Contractor License # ~ }1�J Expiration:
Project Value: Zoning: Tax Parcel # Lot#
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 Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical t�Plumbing ❑ Other ❑
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes ❑ No ❑
Project
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 Si afore
4
x
J
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?
Othgr 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 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 #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
PlumbingFixtures
to es
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):
T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX