HomeMy WebLinkAbout2404 Arbutus Lane Address:
2404 Arbutus Lane
PREPARED 5/28/13, 9:31:04 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/28/13
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ADDRESS . : 2404 ARBUTUS LN SUBDIV: MADRONA WOODS
CONTRACTOR : PHONE
OWNER TRISTAN FRICKER PHONE
PARCEL 06-30-01-5-5-0140-0000-
APPI, NUMBER: 12-00001573 RES 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 5/28/13 JLL MECHANICAL FINAL
-4- May 28, 2013 9:29:28 AM pbarthol.
TRISTAN 461-0456
W --------------------------------------
------- ------------- COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT-BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 12-00001573 Date 12/03/12
Application pin number . . . 262676
Property Address . . . . . . 2404 ARBUTUS LN
ASSESSOR PARCEL NUMBER: 06-30-01-5-5-0140-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT on your state excise tax form
Subdivision Name . . . . . . MADRONA WOODS
Property Use . . . . . . . . RESIDENTAL SF 9000 to the City of Poil Angeles
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 2000 (Location Code 0502)
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Application desc
FREE STANDING WOOD STOVE
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Owner Contractor
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TRISTAN FRICKER OWNER
2404 ARBUTUS LN
PORT ANGELES WA 98363
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Permit . . . . . . MECHANICAL PERMIT
Additional desc . . WOOD STOVE
Permit Fee . . . . 60.65 Plan Check Fee .00
Issue Date . . . . 12/03/12 Valuation . . . . 0
Expiration Date . . G/01/13
j
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 10.G500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60,65 60.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 60.65 60.65 .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 I 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.
Z,Z3 r=L91C�kY-k
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
Stemwall
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 SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Inspectionlype 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
T H F-
NGELES For City Use
-P� ,-f0, A
CITY OF
Permit#
V� A .S H I N G T 0 N , U . S .
Date Received:
321 East S'hStreet
Port Angeles, WA 98362 Date Approved
P: 360-417-4817 F: 360-417-4711
perm1ts9cityofpa..us
Building Permit Application
Project Address:
Main Contact: Phone # can
E-Mail:
Property Name TR15TA) ER-IOLM Phone
Owner MailingAddress Email
-2,L1014 <)k r) 72
city State T zip—
Por+ AqAGs tam A T6363
Contractor Name \J Phone
Mailing Address Email
city State
Contractor License # Expiration:
Project Value: Zoning: Tax Parcel # Lot#
$ ZO(Do
Type of Residential E9 Commercial Industrial 0 Public 0
Permit Demolition Fire 13 Repair 1:1 Reroof(tear off/lay over)
For the following,fill out both pages of permit application:
New Construction Remodel Addition Tenant Improvement
Mechanical Pluftibing Other
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes bi No 11
Project
Description U
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 Signature
i V3011 2- -TRIS-IAV FR/CkCP\-
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
Tf nant Improvement?
Other work(describe)
Xrea 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) #
Boller/Compressor Size: # Heating/Cooling appliance #
repair/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
Plumbing Fixtures
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 #
Other(describe): interceptor
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