HomeMy WebLinkAbout519 S. Peabody Street Address:
Peabody Street
PREPARED 8/09/13, 10:14:20 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/09/13
------------------------------------------------------------------------------------------------
ADDRESS . : 519 S PEABODY ST SUBDIV;
CONTRACTOR JIM'S REFRIGERATION PHONE (360) 457-7563
OWNER CLALLAM CNTY PUB HOSP DIST 2 PHONE (360) 417-7170
PARCEL 06-30-00-0-1-9845-0000-
APPL NUMBER: 13-00000901 COMM MECHANICAL PERMIT
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME99 01 8/09/13 MECHANICAL FINAL
JL 4 August 9, 2013 8:26:25 AM pbarthol.
At Ductless heat pump
Bruce 460-6905
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 13-00000901 Date 8/08/13
Application pin number . . . 341541
Property Address . . . . . . 519 S PEABODY ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-9845-0000-
Application type description COMM MECHANICAL PERMIT REPORT SALES TAX
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . .
Property Zoning . . . . . . . . COMMERCIAL OFFICE to the City of Port Angeles
-----Application-valuation----------------2400 (Location Code 0502)
----------- --------- - - - - ----
Application desc
DUCTLESS HEAT PUMP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CLALLAM CNTY PUB HOSP DIST 2 JIM'S REFRIGERATION
DBA OLYMPIC MEDICAL CENTER PO BOX 3130
939 CAROLINE ST PORT ANGELES WA 98362
PORT ANGELES WA 983623909 (360) 457-7563
(360) 417-7170
----------------------------------------------------------------------------
Permit . . . . MECHANICAL PERMIT
Additional desc DUCTLESS HEAT PUMP
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date 8/08/13 Valuation . . . . 0
Expiration Date 2/04/14
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .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 Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner 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:
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 I 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:
jSHORELINE:
Parking/Lighting ESA:
Landscaping
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
Pla nning 417-4750
L Building 417-4815
T:Forms/Building Division/Building Permit
THE For City Use
RT
CITY OF .. ANGELES
P� _ _L JL_ Permit#
W A S H I N G T 0 N , U . S . Date Received:
321 E 51h Street Date Approved
Port Angeles,WA 9836
P; 360-417-4817 F: 360-417-4711
Email: permits0cityofVa.us BUILDING PERMIT APPLICATION
Project Address:
Phone:
Primary Contact: J [V-t 'Amail:
Name Phone
6t-q"(,--
Property Mailing Xddress Email
Owner
C* State Zip
Name Phone
Adoress Email
Contractor
Information -City Pc'—IL--c State Zip
Contractors License# Exp.Date:
Legal Descriptibim, Zoning: Tax Parcel # Project Value: (materials and labor)
$ 2�t4 60 C6�L__ �
Residential El Commercial Industrial El Public
Permit Demolition El Fire El Repair El Reroof(tear off/lay over) El
Classification For the following, fill out both pages of permit application:
(check New Construction 0 Exterior Remodel El Addition El Tenant Improvement El
appropriate) Mechanical 0--Plumbing El Other El
Fire Sprinkler System? Irrivation System roposed Bathrooms posed Bedrooms
n
Yes 13 No 0 Yes 1:1 No 0
Project Description
G
Is project in a Flood Zone: Yes El NoLk 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 Name Sig ature
Residential Structures
Area Descripti.on(SQ FT) Existing Proposed ss value For Office Use
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck (over 30"or 2'd--door)
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?
Otlier 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) #
# Heating/Cooling appliance #
Boiler/Compressor
repair/alteration
Evaporative Cooler(attached, not # Pellet Stove/Wood-burnina/Gas #
portable) Fireplace/Gas Stove/Gas Cocok Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct #
Furnace�/H�eat Pump/ # 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