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Home My WebLink About4205 Old Mill Road Address: 4205 Old Mill Road PREPARED 3/02/17, 9:45:30 INSPECTION TICKET PAGE, 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/02/17 ----------------------I-------------------------------------------------------------------------- ADDRESS . : 4205 OLD MILL RD SUBDIV: CONTRACTOR PELLET HEAT CO. PHONE (360) 457-4406 OWNER WOOD GEORGE L PHONE PARCEL 06-30-15-3-4-0150-0000- APPLJNUMBER: 17-00000220 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME99 01 3/02/17 ECHANICAL FINAL mmarch 2, 2017 8:47:21 Am jlierly. --------------- ---------- COMMENTS AND NOTES -------------------------------------- PREPARED 5/03/17, 13:22:27 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/03/17 ------------------------------------------------------------------------------------------------ ADDRESS . : 4205 OLD MILL RD SUBDIV: CONTRACTOR PELLET HEAT CO. PHONE (360) 457-4406 OWNER WOOD GEORGE L PHONE PARCEL 06-30-15-3-4-0150-0000- APPL NUMBER: 17-00000220 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME6 01 3/02/17 JLL MECHANICAL GAS LINE 3/02/17 AP March 2, 2017 4:38:30 PM jlierly. March 2, 2017 4:38:47 PM jlierly. ME99 01 5/03/17 MECHANICAL FINAL May 3, 2017 1:15:58 PM jlierly. --------------- COMMENTS ANn NOTES ----- -------------- --------------- I i-1 �_O& CITY OF PORT ANGELES I W�L._ DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 17-00000220 Date 3/01/17 Application pin number . . . 474120 Property Address . . . . . . 4205 OLD MILL RD ASSESSOR PARCEL NUMBER: 06-30-15-3-4-0150-0000- REPORT SALES TAX Application type description RES MECHANICAL PERMIT on your state excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . (Location Code 0502) Application valuation 4116 ----------- --------- - - - - ---- Application desc GAS FIREPLACE/LINES/TANK SET. ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WOOD GEORGE L PELLET HEAT CO. 4205 OLD MILL RD 230C EAST 1ST ST PORT ANGELES WA 983621907 PORT ANGELES WA 98362 (360) 457-4406 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . GAS FIREPLACE,LINES,TANK SET Permit Fee . . . . 121.30 Plan Check Fee .00 Issue Date . . . . 3/01/17 Valuation . . . . 0 Expiration Date 8/28/17 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65 1.00 10.6500 EA ME-FUEL GAS PIPING,1-5 OUTLETS 10.65 1,00 50*0000 HR ME-INSPECTION, MIN I HR 50.00 ---------------------------------------------------------------------------- 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 121.30 121.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 121.30 121.30 .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. Date 71,1117 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 AIR SEAL: Walls Ceiling FRAMING: Joists I Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling DT�tall(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 I Lighting ESA: Landscaping EiSHORELINE: 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 Feb. 22, 2017 12: OOPM SPA SHOP & PHC No. 0519 P, I For City Use crry OF Permit# 2--Z-O WAS Hlt4r. TON. U. S. Date Received- �7_1_7. .1'7 321 E S,k street Date Approved ;2_-�,7- 17 Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email: pgrmJts@c1tyofDa.11 BUILDING PERMIT APPLICATION Pr2jectAddress: f-1;Zos- o iol mi Primar I Phone! y Contact: Wood Email: Name Phone Property IoQe d MailingAddre_ Email so Owner 0/e/ M-142 City for-+-, 6ape-Zey State W 1-/A_ Z Nmue Phone Contractor Address Le,—A -d- Ema-11 36& 4,6�7_-el 9-b 6 a 3 0, e- /vIse-d ayspp-SA Information - State City Re,t AA St-l" WA [-Contractor UcenseN Exp.Date: ZiP763 4 Legal Description: Zoning; Tax Parcel Project Value: (materials and labor) L* 13 LA VVY19 Residential S Commercial 0 Industrial 11 Public 13 Permit Demolition El Fire 11 Repair 0 Reroof(tear off/lay over) 0 Flassifli cation For,Ap,following.fill out both pa Eofner-mitagglication: (check NewConstruction El Exterior Remodel 11 Addition 11 Tenant improvement 11 app FoPrate) Mechanical R Plumbing [3 Other 0 F or Existing? Yes E3 No 13 oposed Bathrooms I Proposed Be I drooms ire Sprinkler System Proposed Irrigation System Proposed or Existing'O Yes C3 No C3 .,I,n addition to standard hard copy submittals please send a PDF copy of aU Storalwater plans and Engineering to as w'U-%Y.sto1[M-1V __erm6tvofRiJ1S Project Description j!;�AS, r7jr, pl6c.0 /4/ Is project in a Flood Zone: Yes [3 NoS Flood Zon e 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.i8o days of submittal,the application wiU be considered abandonedand ihe fees will be forfeited. Date Print Name Signature