HomeMy WebLinkAbout322 N. Jones Street Address:
322 N Jones Street
PREPARED 11/13/13, 9:5 3:2 3 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 11/13/13
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ADDRESS . : 322 N JONES ST SUBDIV:
CONTRACTOR JP PLUMBING INC PHONE (360) 457-6767
OWNER JEFFREY AND HOLLY BREITBACH PHONE
PARCEL 06-30-00-5-3-1100-0000-
APPI, NUMBER: 13-00001306 PLUMBING PERMIT
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PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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PL6 01 11/13/13 PLUMBING WATER SUPPLY
11 �2 � OVERRIDE TAKEN BY PBARTHOL DATE: 11/12/13 TIME: 09:13:29
November 12 2013 9:13:40 AM pbarthol.
Jeff 457-5�04
November 12, 2013 4:37:25 PM jlierly.
-------------------------------------- COMMENTS AND NOTES -------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362 N.
Application Number . . . . . 13-00001306 Date 11/12/13 N-1
Application pin number . . . 824708 \IN
Property Address . . . . . . 322 N JONES ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-3-1100-0000- REPORT SALES TAX
Application type de.scription PLUMBING PERMIT n your state excise tax form
Subdivision Name . . . . . . 0
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . UNKNOWN
Application valuation 1000 (Location Code 0502)
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Application desc
WATER LINE METER TO HOUSE (NEW SERVICE/DUPLEX)
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Owner Contractor
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JEFFREY AND HOLLY BREITBACH JP PLUMBING INC
509 N JONES ST 246 FORS RD.
PORT ANGELES' WA 98362 PORT ANGELES WA 98363
(360) 457-6767
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Permit . . . . . . PLUMBINGPERMIT
Additional desc NEW WATER LINE TO 322
Permit Fee . . . . 57.00 Plan Check Fee .00
Issue Date . . . . 11/12/13 Valuation . . . . 0
Expiration Date 5/11/14
Qty Unit charge Per Ekterision
BASE FEE 50.00
1.00 7.0000 EA PL-WATER LINE 7.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57.00 57.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.00 57.00 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,orwork is suspended or abandoned
for a period of 180 days after the work has..commen,ce I d, or if req uired,'in's pbdtid I ns.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.
V(-//1-1
D6te 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 FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/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 FAU Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
.Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Sepa rate 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
THE 1%�JL �GELES For City Use
CiTY OF A,
P Permit#
W A S H I N G T 0 N, U . S. Date Received:
3 2 1 E 51h Street Date Approved
Port Angeles,WA 9836
P: 360-417-4817 F:360-417-4711
Email:permits O)cityofpa.us BUILDING PERMIT APPLICATION
Project Address: ��-2— " 30kiCS'
Phone:
Primary Contact: Email:
Name Phone
Property Mailing Address Email
Owner City State
Name Phone
�j W;,b i-k-
Contractor Address Email
Information
City State Zip
rcontractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (rnaterials and labor)
$
Residential Commercial 11 Industrial El Public El
Permit Demolition Fire Repair Reroof(tear off/lay over) El
Classification For the following,fill out both pages of permit application:
(check New Construction 11 Exterior Remodel 1:1 Addition 1:1 Tenant improvement El
appropriate) Mechanical 1:1 Plumbing Other
d Irrigation System? Proposed Bathrooms Proposed Bedrooms
Will a fire sprinkler system be installe —7
Ir
or modified? Yes 0 No 0 Yes 0 No 0
Project Description
Is project in a Flood Zone: Yes 0 No0 Flood Zone Type: —
If in a Flood Zone, what is the value of the structure before proposed improvement? $
1 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 is my 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 18o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
J
ate Print Name Si� atur
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or 2 nd floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Proposed For Office Use
Area Descriptions(SQ FT) Existing Proposed ss Value
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) %Lot Coverage (Total lot coverage lot size)
Site Coverage (Sq Ft of all impervious) %of Site Coverage (total site coverage-- lot size)
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 Outlets:
Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) #
Boiler/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 # Plumbing Vent piping #
Sewer Line # Industrial waste pretreatment
interceptor(Grease Trap) Size
Other(describe):
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx
Clallarn County Assessor & Treasurer - Property Details - 61879 JEFFREY L AND HOL... Page I of I
Clallarn County Assessor & Treasurer
Property Search Results > 61879 JEFFREY L AND HOLLY C BREITBACH for Year 2011 - 2012
Property
Account
Property ID: 61879 Legal Description: P S CO-OP COLONY
SUBDIVISION LT1 &
E2 LT2 BL 11 1/2 INT
EA
Geographic ID: 0630005311000000 AgentCode:
Type: Real
Tax Area: 0010-PA 121 PORT ST CNTY H2 L WMP Land Use Code 12
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi-Family Redevelopment: N
Township: Section:
Range:
Location
Address: 316 N JONES ST-322 Mapsco:
PORT ANGELES,WA 98362
Neighborhood: PA Hosp Dist Res MapID: 2
Neighborhood CID: 5051000
Owner
Name: JEFFREY L AND HOLLY C BREITBACH Owner ID: 216166
Mailing Address: 509 N JONES ST %Ownership: 100.0000000000%
PORT ANGELES,WA 98362
Exemptions:
-taxes and Assessment-Details
Values
Taxing Jurisdiction
Improvement Building
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Roil Value History
Deed and Sales History
Payout Agreement
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