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Valley Street Address: 415 S alley Street ti PREPARED 7/30/13, 9:01:50 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/30/13 ------------------------------------------------------------------------------------------------ ADDRESS . : 415 S VALLEY ST SUBDIV: CONTRACTOR B & B ENTERPRISES PHONE (360) 417-0436 OWNER COSTELLO BARRY/MARJORIES PHONE PARCEL 06-30-00-0-0-8645-0000- APPI, NUMBER: 13-00000682 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECELANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME99 01 7/30/13 MECHANICAL FINAL t�n July 30, 2013 8:29:08 AM pbarthol. r% Lois 457-2830 -------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 13-00000682 Date 6/20/13 Application pin number . . . 038178 Property Address . . . . . . 415 S VALLEY ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-8645-0000- Application type description MECHANICAL APPL. PERMIT REPORT SALES TAX Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . Property Zoning . . . . . . . INDUSTRIAL LIGHT to the City of Port Angeles Application valuation . . . . 3670 Owner Contractor (Location Code 0502) ------------------------ ------------------------ COSTELLO BARRY/MARJORIES B & B ENTERPRISES PO BOX 37 520 ROSE ST. NEVADA CITY CA 959590037 PORT ANGELES WA 98362 (360) 417-0436 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . FREE STAND WOOD STOVE Permit Fee . . . . 60.65 Plan Check Fee .00 Issue Date . . . . 6/20/,13 Valuation . . . . 0 Expiration Date 12/17/13 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65 ---------------------------------------------------------------------------- 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 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 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. [2 61 I ( 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 Sternwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor I Slab Rough-in Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted by 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/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet I 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 1 I Building 417-4815 T:Forms/Building Division/Building Permit THE For City Use CITY OF �0011� ANGELES P -A- A:-- Permit# V� A S H I N G—T 0 N, U . S. Date Received: (" tolls 321 E 51h Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permitsPci1yof12a.us BUILDING PERMIT APPLICATION ProjectAddress: 41 S '5� \Jp)L�-�A S-Akeet hone: -2j(o0-L+5-�—-Zb-�)p Primary Contact: Lot,-,mRe, �Aowprp-o I �Email: Name LN Phone Property Mailing Address Email Owner city State Zip Name P one Contractor Address f mail Information city State Zip Contractors License# 4'�0 1 Exp.Date: 05-1- 6 2-OV23 Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor) Residential Commercial 11 Industrial Public El Permit Demolition Fire 1:1 Repair Reroof(tear off/lay over) El Classification For the following, fill out both pages of permit application: (check New Construction 1:1 Exterior Remodel 11 Addition 11 Tenant improvement 0 appropriate) 1 Mec anical 11 Plumbing 13 Other El Fire Sprinkler System? Irrigation System? Proposed Bathrooms Proposed Bedrooms Yes 0 No 0 Yes 0 No a Project Description U-'�COOSA-ok�e-' Is project in a Flood Zone: Yes No)! Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ 1 have read and c"6mpleted 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 i8o days of submittal,the application will be considered abandoned and the fees will be forfeited. 20 �u,,20(3 Loi��MRS A0WC-VZQ &, Date Print Name Signature Residential Structures For Office Use Area Description(SQ FT) Existing Proposed ss value Basement First Floor Second Floor Covered Deck/Porch/Entry -�n�fl �- Deck(over 30"or oor) Garage Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions(SQ FT) Existing Proposed $$Value Existing Structure(s) �roposed Addition Tenant Improvement? 6ther 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 # ation 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 fixtu e 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