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Home My WebLink About208 W. 6th Street Address: 611 Street 'WiLbING IPLUMBING IMECHANICAL PERMIT APPLICATION - LONG FORM (To be used for projects that require plan review.) Date Received Permit# -City of Port Angeles Please print in ink. Date Approved Attn: Building Permit Technician Approved by 321 E. 5t' St., Port Angeles,WA 98362 360-417-4815 fax: 360417-4711 Credit card payments are accepted Mon-Fri 8-5 prn (no American Express) Hours: Mon through Fri 8-5 pm Cash & checks are accepted Mon-Thurs 8:30-4 pm & Fri 8:30-12,30 pm �(Contact person: Phone: , /I Y_A F_- 'S'Umg-ate Property owner: f V Phone: A�5w A-r-k"r ttJli IZAIS-SW,*OICA? roperty owner's mailing address, v . / .'0g2R Contractor's business name:'Hiline- kom&s Phon (or property owners name if he/she is doingloverseeing the work) 25.3- 3 4 0-13 Ll cl Contractor's mailing address- /�" 113 0 G (a 2 !-' Ave (I,_�WA qS'313 Contractor's L&I license number: Expiration date: HILINPqg?) OS'- 13 Project Address: NV Project Type: MIResidential o Commej:cial, Industrial u Multi-family Project Business Name: Zoning: (for commercial, industrial, or multi-family projects) Parcel # Lot# Complete.only the portions of this permit tha,fa,r�r�levant to your project. V) Pay the plan".'h, ck fee':.(based on the valuation of the project) at the time of submittal �,l �\\ Residentia roject 1p submit. V) X Two'seftW plans* (including engineering calcs, geotech reports, etc. if applicable) V) Prekdptive Approach-Simple Form (confirming conformance to the Energy Code) Commercial Projel//submit: -f e sets of plans* (including engineering calcs, geotech reports, etc. if applicable) Paperwork confirming conformance.to the Energy Code - \SIA For large projects, a pre-construction meeting with various City department personnel is highly recommended, To schedule a pre-construction meeting, contact the Planning Manager at(360)417-4750. Additional information may need to be submitted including: landscape plan, parking plan (including ADA spaces, ramps, etc.), utilities (existing& proposed), curbs, sidewalks, storm water.pian, etc. For Additfons&New Structures also submit: Y Site plan (8 1/2"x 11") showing all structures(existing & proposed), setbacks, & hew driveways *.If an architect or engineer drew the plans or calculations, include at least one "wet-stamped"set of plans and/or calculations. T:Formsffluilding Division/Building/Plumbing/MechanicaI Permit Applicabon-Long Form (Revised 2011) Page 1 of 4 �'Repalr7SolaT Panels/ Miscellaneous: (explain the project) Project Valuation $ Remodel: (expiain the pro'ect. including how the building space is currently being used and what the new, remodeled use will be) Project Valuation If the space will change from commercial to residential, submit: 00hecklist—Converting Commercial Space into Residential Spacen Addition: (explain the project and complete& submit page 3) Maximum height of the new addition feet Project Valuation $ New Structure: (exiplain the pro*ect and complete &submit page 3) Ao W) Si'n�jp - 44.kj�!� (AW011;AJ 2 h eAWM a 6a 1-0 0 VK Maximum height of the new structure 15 feet Project Valuation $ PLUMBING PERMIT. Will there be ANY plumbing changes (items moved, added, replaced, or altered) Check one: No Yes X If yes, complete& submit page 4"Plumbing Changes" MECHANICAL PERMIT. Will there be ANY mechanical changes (items moved, added, replaced, or altered) Check one: No X Yes -if yes, complete&submit page 4-"Mechanical Changes" Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths Will a fire sprinkler system be installed?* Construction type #of half baths *Horneowner: If you will be doing I overseeing the work, then the project valuation will.be determined by doubling the cost of materials, to reflect the value the repair adds to your property.. Cost of materials x 2 = Project Valuation $ I have read and completed this 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 pennits are required, and to obtain permits prior to working on projects. Date Signature Print Name Page 2 of 4 FloorAreas Existing square Newsqua Price per ne footag foots-ge scluare foo Basement X 15� Floor 1 � Ll 2 nd Floor 3rdFloor Garage Carport Covered Porch Deck (> 30" high)* Deck (:5 30H higl�)" Shed Other Other Remodel project valuation TOTAL VALUATION $ I C) Walking surface of the deck above ground For residential building projects the minimum square foot-valuation we accept is: Dwelling $85.00 per sq. ft. garage/uti lity/misc.structure$30.00 per sq, ft. porch/deck/carport$12.00 per sq. ft, LOT COVERAGE & SITE*COVERAGE Lotcoveram is the amount or percent of ground area on which buildings are located. It includes: houses, garages, carports, covered patios, cantilevered portions of buildings, roof overhangs that are longer than.30-inches, uncovered decks or porches having walking surfaces higher than 30-inches off the ground, etc. Total footprint of structures sq. ft. lot size sq.ft. = Lot coverage % Site Coverag is the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces, , (see Port Angeles Municipal Code 17.94.135 for exemptions) Does the project include a new driveway? c3 yes E2 no If yes, what will the driveway be made of? o cement u asphalt ED gravel o other (NOTE: 18 feet is the recommended minimum drIveway length for residentlal projects) Does this project include a new parking pad? m yes E3 no If yes,*what will the parking pad be made Df? o cement o asphalt o gravel ci other Total footprint of structures sq, ft. (existing & new) b) Total concrete, asphalt, & other impervious surfaces sq. ft, (exisbng & new) c) Add lines ua" &"b" above to get the total impervious sq. ft. (existing & new) Total lmpervious�__sq.ft.+ -lot-size sq. ft Site coverage 42 % Page 3 of 4 PLUMBING CHARGES Check"No"or"Yes" (and enter quantities)for each line Item. Type Plumbing.Chang (Moved,Added , Replaced, orAltered) Sink (hand, mop, floor etc.) -No X Yes 7- Quantity Toilet -No )< Yes 2- Quantity Bathtub, No __2L_Yes i_Quantity Shower -No —y—Yes __L_Quanbty Washing Machine -No --y—Yes I Quantity Hot Water Heater No Yes I _Quantity Water Line (meter to structure) -No Yes Quantity Re-plumb the structure No Yes Quantity Sewer Line No Yes Quantity Backfow Prevention Device Types: Beverage Machine No Yes Quantity Landscape Watedng System No Yes —Quanbty Fire Sprinkler System :5 2 inch line No Yes Quantity Fire Sprinkler System > 2 inch line No Yes Quantity Please list all other planned plumbing changes or additions that aren't listed above. MECHANICAL CHAA(GES Check"No" or"Yes" (and enter quantities)for each line item. TVIDe Mechanical Chang (Moved,Added, Replaced, Furnace, heat pump, or or Altered) forced air unit:5 5 tons No Yes Quantity Furnace, heat pump, or forced air unit> 5 tons 'No Yes Quantity DucUess heat pump No Yes Quantity Wall(recessed) heater No ___�L_Yes Quantity Baseboard heater No Yes Quantity Steffes room heater No 'Yes Quantity Wood-burning stove No Yes Quantity Pellet stove No Yes Quantity Radiant floor heat No Yes Quantity Gas fireplace or freestanding stove No Yes Quantity Gas cooking stove No Yes Quantity Propane tank set No Yes Quantity Gas line No Yes Quantity Boiler No Yes Quantity Clothes Dryer No —2c—yes J --Quantity Ventilation fen (single duct) 'No x Yei Quantity Hood & duct mechanical exhaust No x Yes Quantity Ventilation system (not part of a heating or air conditioning system) No X Yes I Quantity Air handler No Yes Quantity Evaporative cooler(non-portable) No Yes Quantity Please list all other planned mechanical changes or addAions that aren't listed above. 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