HomeMy WebLinkAbout422 S. Liberty Street Address:
422 S Liberty Street
PREPARED 12/18/15, 11:06:13 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/18/15
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ADDRESS . : 422 S LIBERTY ST SUBDIV:
CONTRACTOR EVERWARM HEARTH AND HOME INC PHONE (360) 452-3366
OWNER DAVID AND KENDRA WAGGONER PHONE (360) 457-0780
PARCEL 06-30-00-0-1-7970-0000-
APPL NUMBER: 15-00001577 RES MECHANICAL PERMIT
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PERMIT: ME 00 MECRANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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ME99 01 12/18/15 MECHANICAL FINAL
December 17, 2015 10:13:44 AM jlierly.
dave 461-7228
--------------------- -------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
(.r7) 321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 15-00001577 Date 12/16/15
Application pin number . . . 290889
Property Address . . . . . . 422 S LIBERTY ST
ASSESSOR PARCEL NUMBER: , 06-30-00-0-1-7970-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT on your state excise tax fon77
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 5051 (Location Code 0502)
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Application desc
wood burninginsert
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Owner Contractor
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DAVID AND KENDRA WAGGONER EVERWARM HEAjZTH AND HOME INC
422 S LIBERTY ST 257151 HIGHWAY 101
PORT ANGELES WA 983624437 PORT ANGELES WA 98362
(360) 457-0780 (360) 452-3366
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Permit . . . . . . MECHANICAL PERMIT
Additional desc WOOD BURNING INSERT
Permit Fee . . . . 60.65 Plan Check Fee .00
Issue Date . . . . 12/16/15 Valuation . . . . 0
Expiration Date 6/13/16
Qty Unit. Charge Per Extension
BASE FEE 50.00
1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP 10.65
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Special Notes and Comments
Per Washington State Code 51-51-315,
i—A 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.
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Fee summary Charged Paid Credited Due
V-) - ----------------- ---------- ---------- ----------- ----------
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 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 he * nting of a permit does
,ren, r not- The gra
not presume to give authority to violate or cancel the provisions of any state or local law regu 3,ln constru r the performance of
construction.
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Date Print Name Sigftture of Contractor or Authorized Agent Signature of Owner(if ow&is builder)
TForms/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:
�o_otings
Stemwall
Foundation Drainage/Downspouts
7 ie_rs
Post Holes(Pole Bldgs.)
FLUMBING:
Under Floor/Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water
A]R 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
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
ISkirting
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
—Building 417-4815
y, For City Use
CITY OF
Permit# :D
W A S H I NG 'TON , U . S. Date Received:
21 E Sth Street Date Approved
P Port Angeles,WA 9836
P P:360-417-4817 F:360-417-4711
Email:permits0cftofpa.us BUILDING PERMIT APPLICATION
Project Address: Zs -�2- Zl'�
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Phone: '31�7e. �57-t -77 F0
Fprima!y Contact: 4(T
Email: �Vqg�-03
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Property M�Hi�dre!�, Email
Owner City J State(A) �C,30-:?P(q74'crl
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Contractor Address gCA1 Email
Information Ci aerw-arm(0
��c- 7' A��X!55-5 State W-1 . Zi
Contractor Lice Xse# Exp.Date:
Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor)
i $ (;,o&I
Residential Commercial El Industrial 11 Public El
Permit Demolition /11 Fire El Repair 11 Reroof(tear off/lay over) El
Classification For the following,fill out both pa es of permit application:
(check New Construcq*qn 11 Exterior Remodel 11 Addition 11 Tenant Improvement 13
appropriate) '-J'
-, Mechanical IKY Plumbing 11 Other El
Fire Sprinkler System Proposed (I Irrigation System Proposed or Proposed Bath roposed Bedrooms
or Existing? Yes E3 No 13 Existing? Yes 13 No E3 1 !�tT
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwatergqq
.�a.u s,
Project Description
Is project in a Flood Zone: Yes 0 NoN 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 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 forfeite
A
Date Print Name Signature
Residential Structures
Existing Proposed Construction For Office Use
Area Descriptions(SQ FT) Floor area Floor area $Value new area
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"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 6overage 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 ture to be installed or relocated as part of this project.
Air Handier I Size: # Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan # Heater(Suspended, Floor,Recessed wall) #
Boiler/Compress e: # Heating/Cooling appliance #
�7� 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 I I I
Plumbing Fixtures
Indicate how many of each tvpe 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\Building Permit 20150415.docx