HomeMy WebLinkAbout430 Vashon Avenue Address:
430 Vashon Avenue
V,,, S
PREPARED 12/18/13, 11:17:35 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/18/13
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ADDRESS . : 430 VASHON AVE SUBDIV:
CONTRACTOR PA SWIM HOLE & FIREPLC SHP INC PHONE (360) 565-1163
OWNER JOHNSON GERARD A PHONE
PARCEL 06-30-10-S-0-0208-0000-
APPI, NUMBER: 13-00001425 RES MECHANICAL PERMIT
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PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT. RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME6 01 12/18/13 JLA /) MECHANICAL GAS LINE
December 18, 2013 10:41:42 AM pbarthol.
lindsey 565-1163
--------------------- --------- COMMENTS AND NOTES --------------------------------------
Al
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
CP 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Q\3
. . . . . 13-00001425 Date 12/16/13
Application Number
Application pin number . . . 022750
Property Address . . � . . . 430 VASHON AVE
ASSESSOR PARCEL NUMBER: 06-30-10-5-0-0208-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 3500 (Location Code 0502)
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Application desc
LPG insert
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Owner Contractor
------------------------ ------------------------
JOHNSON GERARD A PA SWIM HOLE & FIREPLC SHP INC
4�O VASHON ST 259052 HWY 101
PORT ANGELES WA 98362G313 SEQUIM WA 98382
(360) 565-1163
--------------------------------- ------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . LPG INSERT
Permit Fee . . . . 71.30 Plan Check Fee .00
Issue Date . . . . 12/16/13 Valuation . . . . 0
Expiration Date 6/14/14
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,15 OUTLETS 10.65
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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.
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 71.30 71.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 71.30 71.30 .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 requiredInsp6clidns 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 Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Fcrms/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
TIR 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/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
L Building 417-4815
T:Forms/Building Division/Building Permit
PREPARED 12/10/13 , 12 : 59 : 09 PAYMENTS DUE RECEIPT
CITY OF PORT ANGELES ?(�� Lk 141 PROGRAM BP820L
--- -------- ---- ----------------------------------- - - ---------- ----- - - -- - -- -
APPLICATION NUMBER: 13-00001425 430 VASHON AVE
FEE DESCRIPTION AMOUNT DUE
------- ----------- ------------------------ ---------------------------- - -- --
MECHANICAL PERMIT 71 . 30
TOTAL DUE 71 . 30
Please present this receipt to the cashier with full payment .
jj�Vy
City of Port'Angeles - 01-tepoint Pos
321 E 5-t1h St
ro-A Angeles, WA 9836*2
Telephoii6: 360-457-0411
*i* SALEE SLIP
C ie-�: DERMITS Type: OP DTaWer: I
12/iG/'1'3 122 FRieceipt no.- 11�11147
C 1403593
teq no.
,.,e?ch 7D #- 0001
177141
0%-oss refg.
Ca-p-, n02 CT PORT AEGELES
UY Or
6arL type: VISA CARD **?
CUST OMER RECEIPT R*4
Ruth code.- 046339 Oper. PERMITS Tvpe2 OP .1 Drawer: 1
Data- 12/16/2 Time: 10-07:37 Date: 12/16/13 02 ReNiilt IT 11931
"I
year Number Amount
Pa-ment tota�l: $711.30 20'13 425
34,ON, A V E
CARDHOLDER ACKNMlEDGES RECEIPT OF 603DS 439 VASS
AND/OR SERVTCES IX THE ANOUNT OF THE PORT ANGELEES� 0 9836-P
11 1: ED k;ILDINC PERMITS
.TOTAL SHOON HEREON A-.'.'D P6REES TO PERFORM
THE ODI MATIONS SET FORTH IN THE CARD-
SUER. 76661
HOLDER-li AGREEIENT WITH THE IS TTa-m number: 15
PA SIJININ HOLE
PA S2MI,N HOLW
"AR
Signatu-pe: 71 SHAMD
MARK j . SHRNP 430 VASHON AVE
3-1425
CUSTCHER COPY Tender detail
OP CREDIT CARD 471.30
Total tende-PeC $71.30
Total payment �71.30
Trails date. '12/16/13 Time: 10-07-37
,-.*f 1
� THANK YOU FOR YOUR PAYMENT **h-
FOR INQUIRIES 360-457-04:1 PRESS i
ULT
..,W.CITYOFrjA'.US
12/10/2013 13:02 FAX 16001/001
BUILDING PERMIT APPLICA TION Print in ink
CITY OF PORT ANGELES For City Usq Onjy: j
Attn- Building Permit Technician Date Received U21oh-3
321 'E, Fifth St., Port Angeles,WA 98362 Permit
(360)417-4815 fax (360)417-4711 Date Approved V
[1011 Ph e
Applicant T T1 I
Property 0�kneir I tj jj_q7Y)�,_ Phone
Property Q ner s Adbress A7,f) k A&n 6-m V-61 H-)Taek--s
Contractor 'Al �,!,Z M M K -HJMi- ai, k-Z-plao_L1,�O&Ptione �aa
Contractor's Address -eg L�
1) 44 '1 f
License ��'VV IQ ffff`r,�6�� Exp i re Z E-mail Fa,�J-)
PROJECT ADDRESS at" o
Q
Parcel Number Lot Zoning
Proiect Type & Brief Description: XJ'Residential o Multi-family o Commercial cD Industrial
Check all the[apply
o New Construction
3 Addition
= Remodel
o Repair
a Demolition
a Re-roof o House o garage c other a tear off& re-roof c lay over one layer
kHeat System c Heat pump o wood-bUrning stove)dgas fireplace u pel'-t stove o other
a Other �-i
Floor Areas Existin-cr(sq. ft.) Prol2osed Lsq. ft.)
Basement @ $ per sq ft, S
ls'Floor
2n' Floor
3" Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
sw
rOTAL VALUA770N $ -
Total footprint of structures sq. ft. Lot size sq. ft. = Lot coverage_%
Site Coverage = the amount of impervious surface on a parcel, including structures, pa,.r!d driveways, sidewalks, patios.
and other impervious surfaces. (see PAMC 17.94.13 -'-r c .:-,;.:,flons) Site coverage_%
Max. height of proposed structures_ft. Occupancy group #of bedrooms
Will a lawn sprinkler system be installed? Occupant load #of full baths
Will a fire sprinkler system be installed? Construction type #of half baths
have road and completed this application and know it to be true and co(rect /am auth Q;�
.t ?rizen apply Ior rh!s pVr1jQ1 and un: er;,Tand
ormin?wh t M/S are Nufned, and to obtain perm I _,Ing
that it is my responsibility to dot a per 't spr rt n projec
DateL2J(011�'�7 Print Name L�Pld (vq Signaturel�ri
T-Forms/Elwiding Divisi,n/Elldg Permll.doc
Address:
430 Vashon Avenue
3 0
PREPARED 6/04/13, 11:57:39 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/04/13
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ADDRESS . : 430 VASHON AVE SUBDIV:
CONTRACTOR ANGELES PLUMBING INC PHONE (360) 452-8525
OWNER JOHNSON GERARD A PHONE
PARCEL 06-30-10-5-0-0208-0000-
APPL NUMBER: 13-00000379 PLUMBING PERMIT
------------------------------------------------------------------------------------------------
PERMIT. PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED R FILT RESULTS/COMMENTS ----------------------
---------------------- - ---- ----------------------------------------
PL6 01 6/04/13 PLUMBING WATER SUPPLY
June 4, 2013 9:41:10 AM pbarthol.
Simon 452-8525
PL99 01 6/04/13 J PLUMBING FINAL
June 4, 2013 9:41:31 AM pbarthol.
Simon 452-8S25
-------------------------%-- ---------- COMMENTS AND NOTES --------------------------------------
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 Backfiow 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/Slab
Rough-in
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted bV
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 bate 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
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 13-00000379 Date 4/12/13
Application pin number . . . 448413
Property Address . . . . . . 430 VASHON AVE
ASSESSOR PARCEL NUMBER: 06-30-10-5-0-0208-0000-
Application type description PLUMBING PERMIT REPORT SALES TAX
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . I . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY to the City of Port Angeles
-----Application-valuation----------------5000------------------------------ - (Location Code 0502)
----------- ----
Application desc
WATER SERVICE & REPIPE HOUSE
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Owner Contractor
------------------------ ------------------------
JOHNSON GERARD A ANGELES PLUMBING INC
430 VASHON ST PO BOX 1151
PORT ANGELES WA 983626313 PORT ANGELES WA 98362
(360) 452-8525
-------------------------7---------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . . WATER SERVICE/REPIPE HOUSE
Permit Fee . . . . 64.00 Plan Check Fee .00
Issue Date . . . . 4/12/13 Valuation . . . . 0
Expiration Date 10/09/13
Qty Unit Charge Per Extension
BASE FEE 50.00
2.00 7.0000 EA PL-WATER LINE 14.00
---------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.00 64.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.00 64.00 .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 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.
ZZZ)Aq
Date Print Name Signature of Contractor or Authorized Agent
Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
04/12/2013 08:31 3604528583 _A NGELESPLUMBING PA GE 03/03
BUILDING PERMIT APPLICATION Print in ink
-d
CITY OF PORT ANGELES
For City Use.On�-
Attn:Building Permit Technician Date ReoeivW 14L-1
321 E. Fft St., Port Angeles,WA 98362
(360)417-4815 fax(360)417-4711 p6mk 1
Date Approved_gL.,;,-
Applicant or Agent ANGELES PLUMBING, INC. Phone 452-8525
Property Owner I . -4-5-2---5-IS-1—
Phone
Property Ownees Address 42703—T-umwatmzig�
Contractor/Engineer AMLES PLUMBINr.. INC. Phone - 452-8525
Contractor/Engineees Addmss P.O. BOX 1151, Port Angeles, WA 98362
License # ANGELP1077KP Expires 5-15-13
PROJECT ADDRESS 430 E Vashon
Pattel Number Lot zoni
Pro act Type &Brief Desc
L -&dm jXReskWjW o C&mwrclal o MbW-Jbmffy o Industrial
Check all that apply
u New Construcrion
o Addition
c; Remodel
• Repair
•Re-root
a Demolition
o Heat System o Heat pump o wood-burning stove o gas Neplace c3 pellet stove o other
Replac�e water service repipe 11ouse
arAreas fso-ft) Anxw)SedAE2=
Basement $ per sq.ft.
1 st Floor
2 nd Floor
3 rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
'WTAL VALUATION S 5,000.00
Total footprint of structures sq.ft 4- Lot size sq.fL Lot coverage %
Max. height of proposed 3tructures_ft. Occupancy group #of bedrooms
Will a lawn sprinklersystern be installed? Occupant lead *of full baths
VVff a fire spilnkier system be installed? Construcwn type #of half baths
I have read and completed thts appAcaffon and know it to be&wand corred. JWn alftyfted to apply for thiS peM*aW
understand that 9 is my responsibW to determine WW pwrdfs am requka4 and to obtain permits paor to woWng on
pnyects.
Date !V-I.? Print Name�- - DALE BRUNTZ Signature—A:��&�
T-.Forms/Building DiftonSdg Permit Appl�20DB CodeAne