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Home My WebLink About514 W. 15th Street Address: 15 th Street PREPARED 7/15/14, 8:16:23 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/15/14 ------------------------------------------------------------------------------------------------ ADDRESS . : 514 W 15TH ST SUBDIV: CONTRACTOR TRU-FLOW SYSTEMS PHONE (360) 452-6983 OWNER RICHARD O'CONNOR PHONE (360) 457-7837 PARCEL 06-30-00-0-4-251S-0000- APPL NUMBER: 13-00000832 PLUMBING PERMIT ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL99 01 7/15/�-4 JLL PLUMBING FINAL /,�a_ J.ly 15, 2014 8:10:44 AM pbarthol. 7-7- -------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 13-00000832 Date 7/25/13 Application pin number . . . 241408 Property Address . . . . . . 514 W 15TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4-2515-0000- Application type description PLUMBING PERMIT REPORT SALES TAX Subdivision Name . . . . . . on your state excise tax form \JQ Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY to the City of Port Angeles Application valuation 500 (Location Code 0502) ---------------------------------------------------------------------------- Application desc WATER LINE METER-HOUSE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RICHARD O'CONNOR TRU-FLOW SYSTEMS 514 W 15TH ST 1551 E MESA VIEW LN PORT ANGELES WA 983627510 PORT ANGELES WA 98362 (360) 457-7837 (360) 452-6983 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . WATER LINE METER-HOUSE Permit Fee . . . . 57.00 Plan Check Fee .00 Issue Date . . . . 7/25/13 Valuation . . . . 0 Expiration Date 1/21/14 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 EA PL-WATER LINE 7.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 57.00 57.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.00 57.00 .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. vi IA�F��G Date7,—,As,_, 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 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 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 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 SHORELINE: 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 'D""V For City Use CITY OF JLV JL NG PO AIL ELES Permit# W A S H I N G T 0 N , U . S. Date Received: 7 321 E 51h Street Date Approved 7-21-- "3 Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits 0 cityofpa.us BUILDING PERMIT APPLICATION Project Address: Is r -Z�C� I\ Phone: 17— 2�- Primary Contact--A<) CS�,Z COIA�v3Q Email: Name 1'� '6 a Phone 3 7 Property Mailing Address U) Email Owner 9� city Y State Zip Name= Phone Contractor Address Email Information city State --Fzi-p Contractors License# Exp.Date: Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor) 7 L:1 $ '51(D , cyz�) Residential VC Commercial El Industrial 1:1 Public Permit Demolition 0 Fire El Repair Reroof(tear off/lay over) 0 Classification For the following, fill out both pages of permit application: (check New Construction El Exterior Remodel Addition Tenant Improvement appropriate) I Mechanical [�?, Plumbing 1:1 Other Fire Sprinkler Syste tion System? Proposed Bathrooms Proposed Bedrooms Yes 0 No 0 '��YlrersigOti'No 0 Project Description A, L I ^AJ E� Is project in a Flood Zone: Yes 0 NoX 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 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 forfeited. Date Print Name77��CX(b0bP CDP- Signaturw;"�?A-&"'-�— Residential Structures For Office Use Area Description(SQ FT) Existing Proposed $$value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or 2'd floor) Garage Carport Other(describe) Area Totals Commercial Structures Proposed For Office Use Area Descriptions (SQ FT) Existing Proposed ss Value Existing Structure (s) Proposed Addition Tenant Improvement? Qther work(describe) Site Area Totals Lot/Site Co erage Calculations Lot Size (sq ft) Lot Coverage (sq ft) %Lot Coverage (Total lot coverage lot size) Site Coverage (Sq Ft of all impervious) %of Site Coverage(total site coverage�lot size) Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handier Size: # Haz/Non-Haz Piping Outlets: Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # 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 Plumbing Fixtures Indicate how many of each type of fixtu e to be installed or relocated Plumbing Traps # Fuel gas piping #of Outlets: Water Heater # Medical gas piping #of Outlets: Water Line # Plumbing Vent piping # Sewer Line # Industrial waste pretreatment interceptor(Grease Trap) Size Other(describe): T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx Address: 514 W 15 th Street PREPARED 7/15/14, 8:16:23 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/15/14 ------------------------------------------------------------------------------------------------ ADDRESS . : 514 W 15TH ST SUBDIV: CONTRACTOR KATHOL CONSTRUCTION PHONE (360) 417-5594 OWNER RICHARD O'CONNOR PHONE (360) 457-7837 PARCEL 06-30-00-0-4-2515-0000- APPI, NUMBER: 13-00000220 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 ME0LANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME99 01 7/lS/14 JLL MECHANICAL FINAL July 15, 2014 8:09:42 AM pbarthol. -------------------------------------- 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 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 Sternwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Wate 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 I 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 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 . . . . . 13-00000220 Date 3/05/13 Application pin number . . . 714980 Property Address . . . . . . 514 W 15TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4-2515-0000- Application type description RES MECHANICAL PERMIT REPORT SALES TAX Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY to the City of Port Angeles Application valuation . . . . 1500 (Location Code 0502) ---------------------------------------------------------------------------- Application desc NEW CHIMNEY LINER TO EXISTING WOOD STOVE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RICHARD O'CONNOR KATHOL CONSTRUCTION 514 W 15TH ST 312 BIGELOW RD PORT ANGELES WA 983627510 PORT ANGELES WA 98362 (360) 457-7837 (360) 417-5594 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . NEW CHIMNEY LINER Permit Fee . . . . 60.65 Plan Check Fee .00 Issue Date . . . . 3/05/13 Valuation . . . . 0 Expiration Date 9/01/13, Qty Unit Charge Per Extension BASE FEE 50.00 1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65 ---------------------------------------------------------------------------- a Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60.65 60.65 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 60.6S 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 thd 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 Ai Q-1 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) TForms/Building Division/Building Permit THF_ For City Use I N ELES I R. T Crry OF li /0 Permit# I — A Date Received:— W A S H I N G T 0 N , U . S . Date Approved 321 E. First Street Port Angeles, WA 98362 P: (360)417-4817 Building Permit Application F: (360)417-4711 E-mail: Permits@citvofpa.us Form Project Address: 14 rs� Primary Contact: f Phone # E-Mail: Property Name Phone Owner C"6 Vo J\)0 K Mailing Address Email I St� city State Zip Contractor Name Phone ,�-r Information Email License# Expiration Date: Legal Description: Zoning: reel# Project Valuc� (materials and labor) $ Permit [Residential 0 Commercial Industrial El Public 11 Classification Demolition 1:1 Fire El Repair 11 Reroof(tear off/lay over) (check For the following, fill out both pages of permit application: riate) New Construction El Exterior Remodel 1:1 Addition 1:1 Tenant improvement Mechanical Plumbing Other S Existing Fire Sprinkler System? Maximum height of structure Proposed B oposed Bathrooms Yes No Project C16 PA V�" L�1 Y� Description Is project in a Flood Zone: Yes 11 No[3 Flood Zone Type: Flood Zone, what is the value of the structure before proposed improvement? _s 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 b considered.abandoned and the fees will be forfeited. r C, Residential Structures For Office Use Area Description(SQ F Proposed $$value nt First Floor [Second Floor Covered Deck/Porch/Entry Deck(over 30"Or 2"d floor) Other(describe) Area Totals --IF Commercial Structures For Office Use Area Descriptions(SQ FT) Existing Proposed ss Value Existing Structure (s) Proposed Addition Te.hant Improvement? Other work(describe) Site Area Totals Lot/Site Coverage Calculations Lot Size :%Lot Coverage (Sq Ft of all Structures): %Site Coverage (Sq Ft of all impervious surfaces including structures) 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 #of Outlets: Appliance Vent # Heater(Suspended,Floor,Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # repair/alteration Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # portable) Fireplace/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping #of Ventilation Fan,single duct # Outlets: Furnac /Heat Pump/ Size: # Ventilation System # Forced Air Unit Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated. Plumbing Trap Fuel gas piping #of Outlets# Water Heater Water Line Medical gas piping Sewer Line Industrial waste pretreatment interceptor Vent piping# Other T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX Address: 15 Ih Street PREPARED 7/17/14, 12:09:32 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/17/14 ---------------------------------------------------------------------------------- --- --------- ADDRESS . : 514 W 15TH ST SUBDIV: CONTRACTOR SUNSHINE PROPANE PHONE (360) 385-5797 OWNER RICHARD O'CONNOR PHONE (360) 457-7837 PARCEL 06-30-00-0-4-2515-0000- APPL NUMBER: 14-00000734 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME6 01 7/14/14 JLL MECHANICAL GAS LINE 7/14/14 AP July 14, 2014 4:25:43 Pm jlierly. ME99 01 7/17/14 MECHANICAL FINAL July 17, 2014 9:05:17 AM pbarthol. Rick 457-7837 ----- --------------- --------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 14-00000734 Date 6/23/14 Property Address . . . . . . *514 W 15TH ST Application pin number . . . 912222 ASSESSOR PARCEL NUMBER: 06-30-00-0-4-2515-0000- REPORT SALES TAX Application type description RES MECHANICAL PERMIT on your state excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Pott Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 2000 (Location Code 0502) ---------------------------------------------------------------------------- - Application desc GAS LINE/TANK SET FOR GAS RANGE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ 514 W 15TH ST RICHARD O'CONNOR SUNSHINE PROPANE 10853 RHODY DR. PORT ANGELES WA 983627510 PORT HADLOCK WA 98339 (360) 457-7837 (360) 385-5797 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . TANK SET/\GAS LINE, GAS RANGE Permit Fee . . . . 71.30 Plan Check Fee .00 Issue Date . . . . 6/23/14 Valuation . . . . 0 Expiration Date 12/20/14' 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,1-5 OUTLETS 10.65 7--------------------------------------------------------------------- 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 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 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. 2-3- Date 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 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 I Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighti g 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 1 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit THE on'*V For City Use CITY OF 1%�JL P— ANGELES Permit# ZV- 7 3,1 W A S H I N G T 0 N, U . S. Date Received: 3 2 1 E 5th Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits 0 cityofpa.us BUILDING PERMIT APPLICATION Project Address: f Iq U) N I Phone: /452-7 S3'7 Primary Contact: c�� Ce,k e br Email: Nam Phone C—b N Y�c)\r Property Mailing Address Email Owner ';;T(1-4 (-3 City State Zip 2— Name Phone S U-�V% t Contractor Address Email Information City czt State Zip Contractor License# Exp.Date: Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor) Residential El, Commercial 1:1 Industrial 11 Public 11 Permit Demolition 11 Fire 11 Repair 11 Reroof(tear off/lay over) Classification For the following,fill out both pages of permit application: (check New Construction 1:1 Exterior Remodel [3 Addition El Tenant Improvement El appropriate) , Mechanical 11 Plumbing 11 Other 11 Will a fire sprinkler system be installed Irrigation Syste posed Bathrooms Proposed Bedrooms or modified? Yes 13 No I Yes 0 No 0 Project Description tz:' vv'-2�')-P-- V*\N� �A Is project in a Flood Zone: Yes 11 NALFlood 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 iL8o days of submittal,the application will be considered abandoned and the fees will be forfeited. C-b 06 Date Print Name Signature Residential Structures For Office Use Area Description(SQ FT) Existing Proposed $$value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or 2 d floor) Garage Carport Other(describe) Area Totals Commercial Structures Proposed For Office Use Area Descriptions(SQ FT) Existing Proposed ss Value Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) Site Area Totals Lot/Site Coverage Calculations Lot Size (sq ft) Lot Coverage(sq ft) %Lot Coverage(Total lot coverage lot size) Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site coverage-- 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) # Boiler/Compressor Size: # Heating/Cooling appliance # 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 Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Fuel gas piping #of Outlets: Water Heater # Medical gas piping #of Outlets: Water Line # Plumbing Vent piping # Sewer Line # Industrial waste pretreatment interceptor(Grease Trap) Size Other(describe): T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx