HomeMy WebLinkAbout216 N. Laurel Street Address:
216 N Laurel Street #c
PREPARED 6/28/13, 9:33:00 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/28/13
------------------------------------------------------------------------------------------------
ADDRESS . : 216 N LAUREL ST C SUBDIV:
CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683-3901
OWNER BLACK BALL TRANSPORT INC PHONE
PARCEL 06-30-00-5-0-5000-0000-
APPI, NUMBER: 13-00000597 COMM MECHANICAL PERMIT
------------------------------------------------------------------------------------------------
PERMIT- ME 00 MEC]LANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME99 01 6/28/13 MECHANICAL FINAL
June 27, 2013 3:51:54 PM pbarthol.
Ryan 457-4491
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION
RIO 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 13-00000597 Date 6/03/13
Application pin number . . . 734326
Property Address . . . . . . .216 N LAUREL ST C
ASSESSOR PARCEL NUMBER: 06-30-00-5-0-5000-0000- REPORT SALES TAX
Application type description COMM MECHANICAL PERMIT
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angele
Property Zoning . . . . . . . UNKNOWN s
Application valuation . . . . 3514
I (Location Code 0502)
Application desc
DUCTLESS HEAT PUMP SYSTEM
- ----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BLACK BALL TRANSPORT INC AIR FLO HEATING CO INC
10777 MAIN ST STE 106 221 W. CEDAR
BELLEVUE WA 980045968 SEQUIM WA 98382
(3 60) 683-3 901
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc DUCTLESS HEAT PUMP SYSTEM
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 6/03/13 Valuation . . . . 0
Expiration Date , . 11/30/13.
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
----------------------------------------------------------------------------
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 for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This perm it 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
Sternwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole BIdgs.)
PLUMBING:
Under Floor/Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted by
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 Pump/Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
FINAL Date Accepted by
Commercial Hood/Ducts
MANUFACTURED HOMES:
Footing/Slab
,Blocking&Hold Downs
ISkirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting ESA:
Landscaping ISHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 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
For City Use
CITY OF 44
Permit#
Date Received:
321 East 516 Street Date Approved
Port Angeles, WA 98362
P: 36G-417-4817 F: W�417-4711
perznits*dtyofpa.us; Building Permit Application
Project Address: 6NZECT
Main Contact: Phone #
t E-Mail: tA 49 1
Property Name 6LAcv, :R#rLL- Fe.9,9-%< Phone
Owner Kafflo@Address Enafl
— t 1 - Sbft -I zip
c'q �b 9,-r t�4(V'�� VJ h
Contractor Name hit-, �-Uo VkpA-T % PJ6- Phone 6 S 3
ManingAddress Emag
cty state ZIP
Contractor License# Ott 2-V-L-\ XNQ D & Expiration: 11*
—I Tax Parcel# Lot#
Project Value ID 0 Zoning:
AS\� I
Type of Residential [3 Conunemial IM Industrial 0 Public E3
Permit Demolition 13 Fire 13 Repair E3 Reroof(tear off/lay over) 13
For the following,fill out both pages of permit application:
New Construction 0 Remodel 13 Addition 0 Tenant Improvement
Mechanical JV Plumbing 0 Other 0
Yes 13 No 13 -T reposed Bedrooms T—Proposed Bathrooms
Existing Fire Sprinider System? I Maidmum height of structure
Project SIT&LA— Q C"k QES5 blk#,-T P 040 M!�3i !N
Description
I have read and completed the application and know it to be true and correcL I am allthoiriZed to apply for this
permit. I understand that It is my responsibility to determine what permits are required and to obtain permits
prior to woricing on projects. I understand that the plan review fee is not refandable after plan review has
occurTed. 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 Signature
E -CI ILGE 689 096 o-ij alu wuso :ol clo2 co unr
Residential Structures For Office Use
Area Description(SQ FT) mjsting Pmposed SS value
Basement
First Floor
Second Floor
Covered Deck/P-orch/Entry
Deck
Garage
carport
other(describe)
Area Totals
Commercial StructureS
For Office Use
Area Descriptions(SQ Fr) Wsting Proposed SS Value
F--dstingSUucture(S)
Proposed Addition
Tenant improvement?
Other work(describe)
Area Totals
Lot/Site Coverage Calculations
Footprint(SQ M of all Structures: Lot Size., %Lot Coverage
SQ Fr Site coverage(all Lmpervious+ %Site Coverage
structures)
Mechanical Fbdures
indicate how many of each tff!�of fixture to be installed or relocated as Part of this VrOfecL
Air Handler Haz/Non-Haz Piping of Outlets:
Appliance Vent # Heater(Suspended,Floor,Recessed wall) #
Boiler/Compressor # Heating/Cooling appliance
repair/alteration
Evaporative Cooler(attached,not # Pellet StDve/Wood-burning/Gas
portable) - I Fireplace/Gas Stove/Gas Cook StDve/MLsv-
Fuel Gas Piping #of Outlets: ventilation Fan,single duct #
#
Furnace/Heat Pump/ 51 # Ventilation System
Forced Air Unit
Plumbina Fixtures
indicate how many of each type of fixture to be installed or relocated #of Outlets:
Plumbing Traps # Fuel gas piping
Water Heater # Medical gas piping #of Outlets:
Water Line # Vent piping #
interceptor
Sewer Line # flindustrial waste pretreatment
other(desqxibe):
T:\8UItD1NG\APPUC4TI0N F0045\81JILDING PERMIT 081212MDCX
*, -Cl ILSE C89 09E 01j NJU WUS0 :01 610a 60 unr
PREPARED 6/28/13, 9:33:00 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY-e�l-- DATE 6/28/13
------------------------------------------------------------------------------------------------
ADDRESS . : 216 N LAUREL ST B SUBDIV:
CONTRACTOR AIR FLO HEATING CO INC PHONE (3GO) 683-3901
OWNER BLACK BALL TRANSPORT INC PHONE
PARCEL 06-30-00-5-0-5000-0000-
APPI, NUMBER: 13-00000596 COMM MECHANICAL PERMIT
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME99 01 6/28/13 JLL- ME HANICAL FINAL
N-lef> June 27, 2013 3:52:17 PM pbarthol.
-kzl-- -
Ryan 457-4491
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 13-00000596 Date 6/03/13
Application pin number . . . 748004
Property Address . . . . . . .216 N LAUREL ST B
ASSESSOR PARCEL NUMBER: 06-30-00-5-0-5000-0000-
Application type description COMM MECHANICAL PERMIT REPORT SALES TAX
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . .
Property Zoning . . . . . . . UNKNOWN to the City of Port Angeles
-----Application-valuation----------------3515--------------------- - (Location Code 0502)
----------- --------- - - - - ---- ---------
Application desc
install ductless heat pump system
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BLACK BALL TRANSPORT INC AIR FLO HEATING CO INC
10777 MAIN ST STE 106 221 W. CEDAR
BELLEVUE WA 980045968 SEQUIM WA 98382
(360) 683-3901
-----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . DUCTLESS HEAT PUMP SYSTEM
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 6/03/13 valuation . . . . 0
Expiration Date 11/30/1 3
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
----------------------------------------------------------------------------
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 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.
6- 1�-f 3 ���7 4�� ..
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
TForms/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
Sternwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole BIdgs.)
PLUMBING:
Under Floor/Slab
Rough-in
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted by
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 Pump/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
ISkirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting ESA:
Landscaping ISHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction-R.W. PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750 1
Building 417-4815
T:Forms/Building Division/Building Permit
THr_
For City Use
CITY OF
Permit4 13 -5 4
DateReceived: �7- 3� /3
321 East Sth Street
Port Angeles,WA 98362 Date Approved —0�0 1-3-
P. 360-417-UI7 F: 360-417-4711
permits9city0pams
Building Permit Application
Project Address: lkl� gokw LA%AfPL isri- ZeeT
Main Contac - Phone#
O(A \41) E-Mail:
Property Wame 6LACV, :Bku— pmae $&I_ L�qql
Owner NaWngAddress 18MOR
it)( r-165-1 fum—GAt)
(�KT Ng(01�� LG:5 state zip.
Contractor Name hit, R.,G "sA-1 % NJ &_ none 693 - 3561
ftaffftMkUVW EMU
SUMULL-N&
W k I Z'P
Contractor License# k?,r-LIXO(e D & Expiration: L+
Tax Parce
Vol - _1
Project Valu Zoning: I# ot#
-is% DO - I T
Type of Residential Commercial 10 Industrial 13 Public 13
Permit Demolition E3 Fire 0 Repair 13 Reroof(tear off/lay over)
For the following,fill out both pages of permft application:
NewConstruction 13 Remodel C1 Addition 0 Tenant Improvement 13
Mechanical 01 Plumbing 0 Other 0
Existing Fire Sprinkler System? I Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes 13 No 13 1
Project lus"Toc"_ DUCA UES5 P() IkQ 5�,51V !N
Description
I have read and completed the application and lmow it to be true and correcL I am authorized to apply for this
permit. I understand that it is my responsibility to determine what permits are required and to obtain pennits
prior to worldug 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 ff the permit is not issued within 180 days of receipt,the application will be
-considered abandoned and the fees forfelL
Date Print N Sign ab W_-C_
N4
V
IL66 689 096 o1i miu wuso :ol EToa co unr
Residential Structures
For Office Use
Area Description(SQ FT) ExisUng Proposed $$value
Basement
First Floor
Second Floor
Covered Deck/Porclb/Entry
Deck
Garage
Carport
other(describe)
Arta Totals
Commercial Structures
For Office Use
Area Descriptions(SQ FT) Existing Proposed SS Value
Existing Structure(s)
ProposedAddidon
Tenant Improvement?
other work(describe)
Area Totals
LoVSite Coverage Calculations
Foo4prtnt(SQ M of all structures: Lot Sim: %Lot Coverage
SQ FT Site coverage,(an Impervious+ %site Coverage
-structures)
Mechanical Fixtures
Indicate how many of each!M of fixture to be installed or relocated as part of this project.
Air Handier K5 # Haz/Non-Haz Piping #of Outlets:
Appliance Vent 0 Heater(suspended,Floor,Recessed wall) #
Boiler/Compressor 0 Heating/Cooling appliance #
repair/alteration
Evaporative Cook A # PeUetstove/Wood-burning/Gas
portable) Fireplace/Gas Stove/Gas Cook Stove/MiSc-
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct #
Furnace/Heat Pump/ Si:ze* # Ventilation System #
Forced Air Unit %),Z 0 Il-9 0( 1
Plumbing Fixtures
indicate how many of each type of fixture to be installed or relocated
Plumbing Traps # Fuel gas pipic— #of Outlets:
Water Heater # Medical gas piping #of Outlets:
Water Line # Vent piping #
Sewer Line # Industrial waste pretreatment #
1-interceptor
Other(descriffie):
T:\BUILDING\AIPPUCATIONFDRMS\UUMLDINGPLRMITOB1212.VOCIE
2 -Cl ILGE CB9 09C ojj aju wUS0 :01 6102 60 unr