HomeMy WebLinkAbout418 E. 12th Street Address:
211 Street
q( -8 - - G , ( 2-
PREPARED 4/27/15, 10:09:42 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/27/15
------------------------------------------------------------------------------------------------
ADDRESS . : 418 E 12TH ST SUBDIV:
CONTRACTOR PENINSULA HEAT INC PHONE (360) 681-3333
OWNER STORM DAVID A PHONE
PARCEL 06-30-00-0-3-8320-0000-
APPI, NUMBER: 15-00000433 RES MECHANICAL PERMIT
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME99 01 4/27/15 JLL MECHANICAL FINAL
-A 0_ April 27, 2015 10:06:29 Am jlierly.
417-2810
--------------------- ------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00000433 Date 4/23/15
Application pin number . . . 709198
Property Address . . . . . . 418 E 12TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-8320-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT on your state excise tax,form
Subdivision Name . . . . . .
Property Use . . . . . . . I to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 2091 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
REPLACE EXISTING ELECTRIC FURNACE
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
STORM DAVID A PENINSULA HEAT INC
2611 BROADWAY E 782 KITCHEN-DICK RD
SEATTLE WA 981023906 SEQUIM WA 98382
(360) 681-3333
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc ELECTRIC FURNACE REPLACEMENT
Permit Fee . . . . G4.80 Plan Check Fee .00
Issue Date . . . . 4/23/15 Valuation . . . . 0
Expiration Date 10/20/15.
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
----------------------------------------------------------------------------
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
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.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ----------- ----------
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total G4.80 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 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 loca g construction or the performance of
construction.
t f Owner(if owner is builder)
Date Print Name Signature of Contractor or Authorized Agent Sigfzo
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 I 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
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 /Engineering 417-4831
Fire 417-4653
Planning 417-4750
L Building 417-4815
T:Forms/Building Division/Building Permit
THE
�G- EL S
CITY OF For City Use
Permit#
W A S H I � G'TON . U . S .
321 East S" Street Date Received:
Port Angeles, WA 98362 Date Approved I
P: 360-417-4817 F: 360-417-4711
permits@cityofpa.us
Building Permit Application
Project Address: 7VA PO& AAqekl
Main Contact: Phone #
')e'r(Lf amoc, 610 d',4&WS E-Mail:
Properw NamDav(' d �forriq Phone
Owner MallingAddress mail
—..13oo Are-, NE E
city
State
zip
Contractor Namer) M7�a
I-)CM n (,i�
Mai)ig AddZ,, Email
)WA
city State Zip
Contractor License# PEIWU a 9/6 Expiration: lo 42-0 1�
Project Value: Zoning: Tax Pa I #
Wce Lot#
$ V L L('- 1;0<3�3
Type of Residentia Commercial 13 Industrial 0 Public
Permit Demolition [3 Fire 13 Repair 13 Reroof(tear off/lay over) 13
For the following,fill out both pages of permit application:
New Constru ti n 13 Remodel 13 Addition 0 Tenant Improvement 0
W, 0 Other 0
Mechanical Plumbing
EAsting Fire Sprinkler System? Maidmumn height of structure Proposed Bedrooms Proposed Bathroom:
Yes 13 No 0 1
Project
Description Ica
I have read and completed the application and know it to be true and correct.I am authorized to apply for thi
permit. I understand that it is my responsibility to determine what permits are required and to obtain permi
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 I
considered abandoned and the fees forfeit.
Date Print Name Signature
L