HomeMy WebLinkAbout3208 Maple Street Address:
3208 Maple Street
PREPARED 12/05/16, 10:52:48 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/05/16
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ADDRESS 3208 MAPLE ST SUBDIV:
CONTRACTOR PENINSULA HEAT INC PHONE (360) 681-3333
OWNER JESSICA RANCOURT PHONE
PARCEL 06-30-15-S-0-1200-0000-
APPL NUMBER: 16-00001777 RES MECHANICAL PERMIT
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PERMIT: ME 00 MECHMICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED_ /YSULT RESULTS/COMMENTS
------------------- ----------------- ---------------------------------------------------
ME99 01 12/05/16 MECHANICAL FINAL
IV ) December 5, 2016 10:14:56 AM jlierly.
L
DHP
--------------------- --------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 16-00001777 Date 12/01/16
Application pin number . . . 446124
Property Address . . . . . . 3208 MAPLE ST
ASSESSOR PARCEL NUMBER: 06-30-15-5-0-1200-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 6505 (Location Code 0502)
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Application desc
install ductless heat pump
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Owner Contractor
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JESSICA RANCOURT PENINSULA HEAT INC
3208 S MAPLE ST 782 KITCHEN-DICK RD
PORT ANGELES WA 983623726 SEQUIM WA 98382
(360) G81-3333
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Permit . . . . . . MECHANICAL PERMIT
Additional desc . . INSTALL DUCTLESS HEAT PUMP
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 12/01/16 Valuation . . . . 0
Expiration Date . . 5/30/17
Qty Unit Charge Per Extension
BASE FEE 50.00
'T- --------1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
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Special Notes and-Comments---------------------------------------------
.Per Washington State Code 51-51-315,
installation of Carbon Monoxide
detector(s) is required if you are
installing or replacing a fuel burning
appliance (wood, pellet, gas)and must be
in place prior to the final inspection
N. of this permit. They are required to be
place directly outside of each sleeping
area and at least one on each floor of
the house._
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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 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 th pecified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions any s te local law regulating construction or the performance of
const n.
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:
Tootings
Sternwall
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/Ceil ing
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/Lighting ESA:
Landscaping ]SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction- R.W. PIN /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
THE For City Use
CITY OF NGEWIFS
A Permit# 1�T7-
A S H I NGTON , U. S. Date Received: tz / 16
321 E Sth Street Date Approved ( 2- If 06
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permitsPci1yofpa.us BUILDING PERNIRT APPLICATION
Pro ect Addr SS: 3,;- 0 �/ -C-> - R
Phone:
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Name Phone- V
Property, Mailing Addres Email
Owner �'q 0 g /-(,dl),�-- C/
City State zip
2--
Name Phone
pl�p
Contractor Address Email
Information city State
Lx)14 ZP
Contractor License# E-p Date: 11
Y
Legal Description: Zoning: Tax Parcel# Projaxvt Value: (materials and labor)
30 L-CS&L 12 00 7j L'�-5
rX mmercial El Industrial El Public 11
Permit Demolition 11 Fire 11 Repair F-1 Reroof(tear off/lay over)
Classification For the following,fill out both pages of permit application:
(check New Construction 11 Exterior Remodel 11 Addition El Tenant improvement 0
appropriate) I Mechanical LarPlumbing El Other El
Fire Sprinkler System Proposed irrigation System Proposed or Proposed Bathro Proposed Bedrooms
or Existing?, Yes 11 No 0 Existing? Yes 0 No 0
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater8SWTW.aus
Project Description
Is project in a Flood Zone: Yes 0 Nog'-Flood Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $
I have read and completed the application and know it to be true and correct.I am authorized to apply for
this permit and understand that it ismy responsibility to determine what permits are required and to
obtain permits prior to work. I understand that plan review fees are not refundable after review has
occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is
issued. I understand that if the permit is not picked up/issued within iso days of submittal,the application
will be considered abandoned and the fees will be forfeited.
A0
L amr� Signa Pre
Residential Structures
Existing Proposed Construction For Office Use
Area Dekriptions(SQ FT) Floor area Floor area $Value ne_warea
Basement
First Floor
Second Floor
Covered DeckjPorch/Entry
Deck(over 3o"or 2'd floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Area Descriptions(SQ FT) Existing Proposed Construction For Office Use
Floor area Floor area $Value new area
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe)
Site Area Totals
Lot/Site Coverage Calculations
Lot Size(sq ft) Lot Coverage(sq ft)foot print of %Lot Coverage(Total lot cov lot size) Max Bldg Height
I all structures sq ft
Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site cov-- lot size)
Mechanical,Fixtures
Indicate how many of each type of fixture to be installed or re'located as part of this project.
Air Handler I Size: # Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan Heater(Suspended,Floor,Recessed wall)
Boiler/Compresso # Heating/Cooling appliance
!7� repair/alteration
Evaporative Cooler(attached,not # Pellet Stove[Wood-buming/Gas #
portable) Fireplace/Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct
Furnace/Heat P mp/ Siize�, # Ventilation System #
Forced Air Unit
Plumbing Fixtures
Indicate how many of each type of fixtu e to be installed or relocated
Plumbing Traps # Water Heater #
Plumbing Vent piping Medical gas piping #of Outlets:
Water Line # Fuel gas piping #of Outlets:
Sewer Line Industrial waste pretreatment
interceptor(Grease Trap) Size
Other(describe):
T:\Forms\2015 CED Form Updates\Building&Permitting\BP\BuildingPertnit20lSO4lS.docx