HomeMy WebLinkAbout506 S Francis Street Address:
506 S Francis Street
PREPARED 9/02/16, 16:13:47 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/02/16
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ADDRESS 506 S FRANCIS ST SUBDIV:
CONTRACTOR : PHONE
OWNER BETHANY PENTECOSTAL CHURCH/P A PHONE
PARCEL 06-30-00-0-1-9505-0000-
APPL NUMBER: 16-00001230 RES MECHANICAL PERMIT
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PERMIT: ME 00 MECRANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
---------------
ME99 01 9/02/16 MECHANICAL FINAL
September 2, 2016 4:18:11 PM jlierly
Pen heat
-------------------- - ----------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ok ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 16-00001230 Date 8/16/1G
Application pin number . . . 661830
Property Address . . . . . . 5OG S FRANCIS ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-9505-0000- 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 (Location Code 0502)
Application valuation . . . . 10018
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Application desc
install 3 port ductless heat pump
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Owner Contractor
------------------------ ------------------------
BETHANY PENTECOSTAL CHURCH/P A OWNER
508 S FRANCIS ST
PORT ANGELES WA 98362
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Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 94.40 Plan Check Fee .00
Issue Date . . . . 8/1G/16 Valuation . . . . 0
Expiration Date 2/12/17
Qty Unit Charge Per Extension
BASE FEE 50.00
1-9 3.00 14.8000 EA ME-FURN/HP/FAU < OR 5 TON 44.40
AZI ----------------------------------------------------------------------------
Other_Fees . . . . . . . . . STATE SURCHARGE 4.50
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 94.40 94.40 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 98.90 98.90 .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 160 days from the
last inspection. I hereby certify that I have read and examined this application now the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with w er ecified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of an ate ocall gu ating construction or the performance of
c'
—If -7Q��
Date Print Name Signat ure of Contractor or Authorized A;�t 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/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/Lighti�9- 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
Building 417-4815
THE ty
For Ci Use
CITY'OF S,
Permit# 3 L9
W A S H I N "T 0 N, U . S. Date Received: (0
321 E 51h Street Date Approved 9 — 7
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits0cityofpa.us BUILDING PERMIT APPLICATION
Project Address: Ffallcl*5
Phone:
Primary Contact: F--il bz Mait tloF VlWeI7
Nr
p one
I/
Ph
Property fdailitd Email
btciss
Owner he-M&,4(vd al-vi—am -Cot*,%
city State WA zip4g�36,2-
Name J) Phone
3�0-
V-333 5
Contractor Address Email
Information city a State J Zip WIRL ,
L ZA(M�f I
Contractor License# `M�All- i Exp.Date: 101a L16
Legal Description: Zoning: Tax Parcel# Project'Value: (materials and labor)
$ 10 C) lq 'Co
_J
Residential 0 Commercial 11 Industrial 0 Public 0
Permit Demolition 0 Fire 0 Repair 0 Reroof(tear off/lay over) 0
Classification For the following,fill out both 12ages of permit application:
(check New Constru ti n 11 Exterior Remodel 11 Addition 0 Tenant improvement 11
appropriate) , Mechanical WPIumbing 0 Other 11
oposed Bedrooms
s [3 No 0 Existing? Yes 0 No E r—I Proposed Bathroom
Fire Sprinkler System Proposed Irrigation System Proposed o
or Existing? Ye
-in addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwaterWn2ka-us
Project Description
0/ 3 Port
/*
fhe norlA h A),?-k eovol-
Is project in a Flood Zone: Yes E3 NoO' Flood Zone 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 or
this permit and understand that it is my responsibility to determine what pern-dts are required and to
obtain permits prior to work. I understand that plan review fees are not reftmdable 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 forfeited.
'y
Date Print Name Si
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 nl 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 Coverage Calculations
J 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 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) #
# Heating/Cooling appliance #
Boiler/Compressor—T�� .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/ Siy:_, # Ventilation System #
Forced Air Unit/1
Plumbing Fixtures
Indicate how many of each type 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:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx