HomeMy WebLinkAbout280 Golf Course Road Address:
280 Golf Course Road
PREPARED 6/18/13, 9:01:46 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY .- DATE 6/18/13
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ADDRESS . : 280 GOLF COURSE RD SUBDIV:
CONTRACTOR FAST WATER HEATER COMPANY PHONE (425) 636-7054
OWNER SANFORD/LA VERNE KEYS PHONE
PARCEL 06-30-11-5-0-0550-0000-
APPI, NUMBER: 13-00000583 PLUMBING PERMIT
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PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED 4RESULT RESULTS/COMMENTS
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PL99 01 6/18/13 JL LUMBING FINAL
ne 18, 2013 8:51:54 AM pbarthol.
andy 452-2202
--------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 13-00000583 Date 5/31/13
Application pin number . . . 052690
Property Address . . . . . . . 280 GOLF COURSE RD
ASSESSOR PARCEL NUMBER: 06-30-11-5-0-0550-0000-
Application type description PLUMBING PERMIT REPORT SALES TAX
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 966 (Location Code 0502)
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Application desc
REPLACE WATER SERVICE TO METER TO HOUSE
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Owner Contractor
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SANFORD/LA VERNE KEYS FAST WATER HEATER COMPANY
280 GOLF COURSE RD 12601 132ND AVE NE
PORT ANGELES WA 983624933 KIRKLAND WA 98034
(425) 636-7054
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Permit . . . . . . PLUMBING PERMIT
Additional desc . . REPLACE- WATER HEATER
Permit Fee . . . . 57.00 Plan Check Fee .00
Issue Date . . . . 5/31/13 valuation . . . . 0
Expiration Date 11/27/13
Qty Unit Charge Per Extensi on
BASE FEE 50.00
1.00 7.0000 EA PL-WATER HEATER 7.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 57.00 57.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.00 57.00 .00 .00
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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 rmance 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 BIdgs.)
PLUMBING:
Under Floor I Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted bV
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders I Under Floor
Shear Wall/Hold Downs
Walls I Roof/Ceiling
Drywall(interior Braced Panel Only)__
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pump/Furnace I FAU/Ducts
Rough-in
Gas Liie
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:
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
Building 417-4815
T:Forms/Building Division/Building Permit
3 640289
OC PORT11A, BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES For City Use 0 1
% Attn: Building Permit Technician Date Received
321 E. Fifth St., Port Angeles, WA 98362 Permit# /3- 5-b-3
(360)4174815 fax(360)417-4711 Date Approved 5-3 d
4. 425-636-7054
Applicant y�cll�
Phone
Property Owner KEYS, SANDY Phone 4 (360)452-2202
Property Owner's Address 280 GOLF COURSE RD PORT ANGELES, WA 9836'.
Contractor Phone 425-636-7054
Contractor's Address 11715 North Creek Parkway South, Ste C-106
License# F5��r,4j�-J�" 91 4 Expiresol/Liliq E-mail fastwaterheater.com
I
PROJECT ADDRESS 280 GOLF COURSE RD
.Parcel Number 063011500550000 Lot Zoning
Proiect Type&Brief Description: XResidential o Multi-family o Commercial o Industrial
Check all that apply
• New Construction
•Addition
[3 Remodel
• Repair
• Demolition
• Re-roof o House o garage o other o tear off& re-roof 13 lay over one layer_
• Heat System o Heat pump o wood-buming stove o gas fireplace o pellet stove o other
16- i5t Other Replace Remove/Replace Gas Wafe—rTTe—aFer
FloorAreas Existin-g(sq. ft.) Proposed(sq. ft.)
Basement @$ per sq. ft. $
1st Floor
2nd Floor
3'd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $
Total footprint of structures sq, ft. Lot size sq. ft. = Lot coverage %
Situ Coverage=the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces, (see PAMC 17.94.135 for exemptions) Site coverage_%
Max. height of proposed structures ft. 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
/have read and completed,this application and know it to be true and correct. /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 wor king on pCojects.
L! -
Date 5/23/13 Print Name CL Signature,
L V1 IX T�al.)04
T:Forms/Building Division/Bldg Permit.doc