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Home My WebLink About1908 O Street Address: 1908 O Street oo 0 S7�. PREPARED 8/13/15, 9:43:28 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/13/15 --- ------- ADDRESS 1908 0 ST SUBDIV: CONTRACTOR RHD ENTERPRISES INC PHONE (360) 705-9459 OWNER PORT OF PORT ANGELES PHONE PARCEL 06-30-00-1-1-1900-1000- APPL NUMBER: 15-00000563 COMM REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL3 01 7/02/15 JLL BLDG FRAMING 7/02/15 AP July 2, 2015 9:59:23 AM jlierly. Eugene 360-870-8946 July 2, 2015 4:17:06 PM jlierly. BLWS 01 8/13/15 JLL BLDG INSULATION WALL/FLOOR 8/13/15 AP August 13, 2015 9:38:03 AM jlierly. August 13, 2015 9:38:44 AM jlierly. BL99 01 8/13/15 L BLDG FINAL August 13, 2015 9:39:08 AM jlierly. g �P 360=870=8946 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------—------------------------------—------------------------------------ ME1 01 7/08/15 JLL MECHANICAL ROUGH-IN 7/08/15 AP July 8, 2015 1:05:36 PM jlierly. Eugene 360-870-8946 July 8, 2015 3:53:29 PM jlierly. ME99 01 8/13/15 J MECHANICAL FINAL -August 13, 2015 9:37:50 AM jlierly. __-- - ---------------------------------------------------------------- PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------------------------------------------------------------------- PL1 01 6/22/15 JLL PLUMBING UNDER SLAB 6/22/15 AP June 22, 2015 10:14:40 AM jlierly. barns 360-870-8946 June 22, 2015 4:23:13 PM jlierly. Wrap or bed DWV in sand to protect pipe before cover/jll PL2 01 7/07/15 JLL PLUMBING ROUGH-IN 7/08/15 AP July 7, 2015 11:44:42 AM jlierly. Eugene 360-870-8946 July 8, 2015 9:55:55 AM jlierly. Verify nail plates before cover/jll PL99 01 8/13/15 PLUMBING FINAL August 13, 2015 9:37:18 AM jlierly. 360-870-8946 ------------------------ COMMENTS AND NOTES ------------------- PREPARED 8/17/15, 10:18:18 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/17/15 ------------------------------------------------------------------------------------------------ ADDRESS . : 1908 0 ST SUBDIV: CONTRACTOR RHD ENTERPRISES INC PHONE (360) 705-9459 OWNER PORT OF PORT ANGELES PHONE PARCEL 06-30-00-1-1-1900-1000- APPL NUMBER: 15-00000563 COMM REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAT• REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------- ----------- BL3 01 7/02/15 JLL BLDG FRAMING 7/02/15 AP July 2, 2015 9:59:23 AM jlierly. Eugene 360-870-8946 July 2, 2015 4:17:06 PM jlierly. BLWS O1 8/13/15 JLL BLDG INSULATION WALL/FLOOR 8/13/15 AP August 13, 2015 9:38:03 AM jlierly. August 13, 2015 9:38:44 AM jlierly. BL99 01 8/13/15 JLL BLDG FINAL 8/14/15 DA August 13, 2015 9:39:08 AM jlierly. 360-870-8946 August 14, 2015 9:50:19 AM jlierly. finish ada grab bars and non abosrobant surface in men and womens restrooms/jll BL99 02 8/17/15 BLDG FINAL August 17, 2015 9:59:10 AM jlierly. eugene 360-870-8946 -------------------------- ---------- COMMENTS AND NOTES - - a CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION p 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 15-00000563 Date 6/10/15 Application pin number . . . 042049 Property Address . . . . . . 1908 0 ST ASSESSOR PARCEL NUMBER: 06-30-00-1-1-1900-1000- REPORT SALES TAX Application type description COMM REMODEL on your state excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . INDUSTRIAL LIGHT (Location Code OSOL� Application valuation . . . . 100000 Application desc RENOVATION OF 2 EXISTING BATHROOM/ADD SHOWER FACIL ---------------------------------------------------------------------------- Owner Contractor PORT OF PORT ANGELES RHD ENTERPRISES INC PO BOX 1350 4405 7TH AVE SE NO 100 PORT ANGELES WA 983620251 LACEY WA 98503 (3 60) 705-9459 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - COMMERCIAL Additional desc . . BATHROOM REMODEL/ADD SHOWERS Permit Fee . . . . 1020.25 Plan Check Fee 663.16 Issue Date . . . . 6/10/15 Valuation . . . . 100000 Expiration Date 12/07/15- Qty 2/07/15Qty Unit Charge Per Extension BASE FEE 670.25 50.00 7.0000 THOU BL-50,001-100K (7.00 PER K) 350.00 Permit . . . . . . MECHANICAL PERMIT Additional desc . . BATHROOM REMODEL MECHANICAL Permit Fee . . . . 79.00 Plan Check Fee .00 Issue Date . . . . 6/10/15 Valuation 0 Expiration Date 12/07/15 Qty Unit Charge Per Extension BASE FEE 50.00 4.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 29.00 - ---------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . BATHROOM REMODEL PLUMBING Permit Fee . . . . 156.00 Plan Check Fee .00 Issue Date . . . . 6/10/15 Valuation 0 Expiration Date 12/07/15 Qty Unit Charge Per Extension BASE FEE 50.00 6.00 7.0000 EA PL-PLUMBING TRAP 42.00 2.00 7.0000 EA PL-WATER LINE 14.00 3.00 7.0000 EA PL-DRAIN VENT PIPING. 21.00 1.00 15.0000 EA PL-SEWER LINE 15.00 2.00 7.0000 EA PL-WATER HEATER 14.00 Other Fees STATE SURCHARGE 4.50 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 authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. 3L'qr .1- IS C._vrJ ' S Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit f " 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) -f-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump/Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking 8 Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: w 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 . . . . . 15-00000563 Date 6/10/15 Application pin number 042049 REPORT SALES TAX Fee summary Charged Paid Credited Due on your state excise tax form ----------------- ---------- ---------- ---------- ------- Permit Fee Total 1255.25 1255.25 .00 .00 to the City of Port Angeles Plan Check Total 663.16 663.16 .00 .00 (Location Code 0502) Other Fee Total 4.50 4.50 .00 .00 Grand Total 1922.91 1922.91 .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 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%GirGirders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Onl T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump/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: Parking/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 I THE k For City Use CITY OF ^ Permit# W` A S H I N G T 0 N, U . S. Date Received: 321 E 51h Street Date Approved 2- Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits@cityofpa.us BUILDING PERMIT APPLICATION Project Address: 1908 South O Street, Port Angeles, WA 98363 Phone:206-755-0800 Primary Contact:Cynthia Brantley Email:c nthia rhdenterprises.corn Name Tanya M. Kerr - Port of Port Angeles Phone 360-417-3435 Property Mailing Address Email Owner 338 W First Street tanyak@portofpa.com city Port Angeles State WA zip 98362 Name RHD Enterprises Phone 360.705.9459 Contractor Address 4405 7th Ave SE #100 Emailcynthia@rhdenterprises.com Information city Lacey State WA zip 98503 Contractor License#RHDENE1902CJ Exp.Date:03/07/16 Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor) Lot II&Portion of Lot 3 Airport Industrial Park 11-1900 $ 100,000 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 Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms or Existing? Yes ❑ No [9 Existing? Yes ❑ No O 2 0 In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwater@ cityo fpa.us Project .Vescri tion Re ovation of two existing restrooms to include shower facilities I V &14" a, , '� 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. Sh Date Print Name Signature Residential Structures Existing Proposed Construction For Office Use Area Descriptio Q FT) Floor area Floor area $Value new area Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30" or a" 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) 6810 0 0 Proposed Addition 0 Tenant Improvement? 650 100,000 Other work(describe) 0 Site Area Totals 0 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 No change No Change Site Coverage(Sq Ft of all impervious) %of Site Coverage (total site cov-lot size) No change No change 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) Fire lace/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 type of fixture to be installed or relocated Plumbing Traps # Water Heater # 17— Plumbing Vent piping # Medical gas piping #of Outlets: Water Line # Fuel gas piping #of Outlets: Sewer Line # I Industrial waste pretreatment interceptor Grease Trap) Size Other(describe): T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx Address: 1908 O Street PREPARED 9/04/13, 10:49:54 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/04/13 ------------------------------------------------------------------------------------------------ ADDRESS . : 1908 O ST SUBDIV: CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683-3901 OWNER PORT OF PORT ANGELES PHONE PARCEL 06-30-00-1-1-1900-1000- APPL NUMBER: 13-00000860 COMM MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------ - -— ME99 01 9/04/13 MECHANICAL FINAL September 4, 2013 10:50:24 AM pbarthol. -------------------- --------- COMMENTS AND NOTES -------------------------------------- ` CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 13-00000860 Date 7/31/13 �J Application pin number . . . 293440 Property Address . . . . . . 1908.0 ST ASSESSOR PARCEL NUMBER: 06-30-00-1-1-1900-1000- Application type description COMM MECHANICAL PERMIT REPORT SALES TAX Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . Property Zoning . . . . . . . INDUSTRIAL LIGHT to the City of Port Angeles Application valuation 13897 (Location Code 0502) --------------------- Application desc REPLACE 10ton PACKAGE UNIT HVAC ---------------------------------------------------------------------------- Owner Contractor PORT OF PORT ANGELES AIR FLO HEATING CO INC PO BOX 1350 221 W. CEDAR PORT ANGELES WA 983620251 SEQUIM WA 98382 (360) 683-3901 -------- Permit . . . . . . MECHANICAL PERMIT Additional desc 10TON HVAC PACKAGE UNIT REPLAC Permit Fee 68.20 Plan Check Fee .00 Issue Date . . . . 7/31/13 valuation . . . . 0 Expiration Date 1/27/14 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 18.2000 EA ME-FURN/HP/FAU > 5 TON 18.20 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 68.20 68.20 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 68.20 68.20 .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 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 an state or local law regulating construction or the performance of construction. 31 I3 ` Gn VvtGr�C�, Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forrrs/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 Ont 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 by 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 Tti E CITY OF - For Ctty Use W A s H i N G_ .T O N , U . S . Permit# Date Received: 321 East Sm Street Port Angeles, WA 98362 Date Approved P: 360-417-4817 F: 360417-4711 perwitsPdtyofpa.us Building Permit Application Project Address: 0'3 0 Main Contact: n QQ Phone # E-Mail: Lf -'j -3�}T Owner Property Na®e/�O 1 �O�1 ` E 5 Phone �,,a �J Bmau � t3Sv City PORT n1&tia5 stagy v� 4r Rp Contractor Name �1f� F-Lc E hT t N nOBe 69 3,01w MW!ftAddness Email %J. C.EDIte- `" ss Q ` "� state ZIP a g3 g a Contractor License# p1 L1 ;Ld(Q D Expiration: L+ $Project Value: 01do Zoning: Tax Parcel# Lot# Type of Residential 13 Commercial Industrial C3 Public [3Permit 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 O.Plumbing ❑ Other ❑ Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes [3 No 13 Project l S1�kLL b 10 t� (�E 1A,N v .- v L Description t_1K1'c �nl 4CtiJD �+Pt_�R�E N�� 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 worldng 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 fiees forfeit Date Print Name Signature t T -d iLGE E89 096 0-1A NIb Wdbb :8 EIoa 16 iter Residential Structures Area Description(SQ FT) Existing Proposed $$value For Office Use Basement First Floor Second Floor Covered Deck/Porch/Entry Deck Garage Carport Other(describe) Area Totals Commercial Structures Area Descriptions(SQ FT) Existing Proposed SS Value For Office Use EKisting 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+ 96 Slte Coverage structures Mechanical Fixtures Indicate how many of each tym 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 # reair 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 Size: # ' Ventilation System # Forced Air U 1 D PlumbingFixtures Indicate how iany of each ttyWDe offixture to be installed or relocated Plumbing Traps # Fuel gas piping #of Outlets: Wager Heater # Medical gas piping #of Outlets: Water Line # Vent piping # Sewer Line # Industrial waste pretreatment # infects Other (describe)'. tnr T:\EUtLDWG\APPUCA'rlpN POR1MABU1LDMG PERMff 081212-DOCK a -d ILGE 689 096 01A diu Wd-jpt, =8 Eloa 16 Iter