HomeMy WebLinkAbout218 S Laurel Street Address:
218 S Laurel Street
PREPARED 6/27/17, 11:56:14 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/27/17
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ADDRESS . : 218 S LAUREL ST SUBDIV:
CONTRACTOR PENINSULA HEAT INC PHONE (360) 681-3333
OWNER K. BEN/KIMBERLEY SKERBECK PHONE
PARCEL 06-30-00-0-0-5380-0000-
APPI, NUMBER: 17-00000733 COMM MECHANICAL PERMIT
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PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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ME99 01 6/27/17 JLL MECHANICAL FINAL TIME: 17:00
4-z2 452-3809
-7J7--
--------- ------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 17-00000733 Date G/OG/17
Application pin number . . . 231662
Property Address . . . . . . 218 S LAUREL ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-5380-0000- REPORT SALES TAX
Application type description COMM MECHANICAL PERMIT
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL OFFICE to the City of Port Angeles
Application valuation . . . . 7282 (Location Code 0502)
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Application desc
Install ductless HP, Air Handler, 7 stat
— ----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
K. BEN/KIMBERLEY SKERBECK PENINSULA HEAT INC
507 HOLGERSON RD 782 KITCHEN-DICK RD
SEQUIM WA 983827325 SEQUIM WA 98382
(360) 681-3333
------ - - - - - - ---------- ------
-----Permit--.-.-.-.-.-.--MECHANICAL-PERMIT---------------------------------
Additional desc . . INSTALL DUCTLESS EHAT PUMP
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . 6/OG/17 Valuation . . . . 0
Expiration Date . 12/03/17
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 ISO 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 c d with whet -r specified herein or not. The granting of a permit does
not presu-me to give authority to violate or cancel the pr ision f any sta or local law regulating construction or the performance of
con n.
(', r�
7,cT, MF
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
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
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
ISkirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking I Lighting ESA:
Landscaping EiSHORELINE:
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
Building 417-4815
T.1-111E
CITY 0 NGELn For Cdy Use
1-33
Permit#
W A S H I N G T 0 N. U . S.
Date Received.
321 East 5"1 Street
Port Angeles,WA 98362 Date Approved 916
P.- 360-417-4817 F.- 360-417-4711
permits@cftyofpa-us
Building Permit Application
Project Address: A 19 5 . ��
Main Contact- Phone# IS 7
'�eet- �,kr4&4 E-Mail: 19,01vo"gas- -rev-
Property Na7p,:f)J j
I kc
Owner ft-7hc-,K1ra P"07�9
Mailin d Email
C11y 7pt 6T� sme zi�Y3
Name
Contractor Phone
(!�) 6 W
NatlngAd�p, ?j Email
Pew,0 ez,
city State
Contractor License# Expiration:
#
Project Value- zoning: Tax P rcel
$ Lly 2--
Type of Residential 13 Commercial Lid industrial U Public [3
Permit
Demolition 13 Fire 13 Repair 13 Reroof(tear off/lky over) 13
For the followingi fill out both pages of permit application:
New Construcrti rl Remodel [3 Addition 13 Tenant Improvement
Mechanical Pumbing 13 Other 0
rudsting Fire Sprinkler System? M height of structure Proposed Bedrooms Proposed Bathroom.-
Yes 13 No 13
Project
Description
I have read and completed the application and Imow it to be true and correcL I am authorized to apply for thi
permit I understand that it is my responsibility to determine what permits are required and ti)obtain permi
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 applicadowb6fore the
permit is issuedL I understand that if the permit is not issued within 180 days of receipt,the application will I
considered abandoned and the fees forfeit .1 �) 11�1
Date Pri"Name Signa e
Residential Structures
Proposed Construction For Office Use
Area Description@ NQ M Floorarea Moor area S Value=K—arema
Basement
First floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 3o"or e'floor)
Garage
Carport
Other(describe)
Area Totals
commercial Structures
Area Descriptions(SQ FT) Existing Proposed Construction For Office Use
Floor area Floor area S Value new
Eidating Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe)
5ite Area Totals
4 F
Lotisite Coverage Calculations
Lot Size(sq ft) Lot Coverage(sq ft)foot print of %Lot Coverage(Total lot cov lot size) Max Bldg Height
i I an structures sq ft I
'Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site cov+lot size)
Mechanical Fixtures
Indicate how manyof each tpe of fmwe to be imalled 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
I . alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burninglGas #
portable) Fireplace/Car.Stove/Gas Cook Stove/Misc.
Fuel Gas Piping 4 of Outlets: Ventilation Fan,single duct #
Ventilation System #
Forced Air Unit fw\ I I I I
FurnacelHeat Pump/
Plumbing Fixtures
Indicate how many of each type of fixture to be instaHed or relocated
Plumbing Traps # Water Heater #
Plumbing Vent piping # Medical gas piping #of Outlets:
Water Line # Fuel gas piping #of Outlew.
Sewer Line # Industrial waste pretreatment
interceptor(Grease Trap) Size
Other(describe):
T.\BUjWjNG\AppUCATjom FoRms\current BpApplicatjon\Building Permit 4-17-IL3.docx