HomeMy WebLinkAbout520 E. 4th Street Address:
th Street
PREPARED 12/16/15, 16:39:10 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: PAT BARTHOLICK DATE 7/31/14
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ADDRESS . : 520 E 4TH ST SUBDIV:
CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 452-3154
OWNER ERIC M / MEGAN S DAVIS PHONE
PARCEL 06-30-00-0-1-7210-0000-
APPL NUMBER: 14-00000333 RES MECHANICAL PERMIT
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PERMIT: ME 00 MECIIIANTCAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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ME99 01 7/31/14 PB MECHANICAL FINAL
--I/-- , 4 December 16, 2015 4:40;lS PM pbarthol.
TT-7� 717r"z
------- t-------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 14-00000333 Date 3/18/14
Application pin number . . . 492796
Property Address . . . . . . 520 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7210-0000- 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 . . . . . . .
Application valuation . . . . 0 (Location Code 0502)
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Application desc
Ductless heat pump
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Owner Contractor
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ERIC M / MEGAN S DAVIS ALPHA BUILDER CORPORATION
520 E 4TH ST 105 1/2 E. 1ST ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452-3154
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Permit . . . . . . MECHANICAL PERMIT
Additional desc . . DUCTLESS HEAT PUMP
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date 3/18/14� valuation . . . . 0
Expiration Date 9/14/14 .
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
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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 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 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 re u ting construction or the performance of
constru tion.
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/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
S)
Parking/Lighting ELSA:
SH�
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/Bui[ding Permit
THE For City Use
CITY OF ORT AGELES
P -'L-A- L ZI) Permit#
W A S H I N G T 0 N , U . S. Date Received:
321 E 5th Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F: 360-417-4711
Email:12ermits(@cityofpa.us BUILDING PERMIT ICATION
r
Project Address: I t
5- -2n L--!54' -
hone: 3
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Primary Contact: �Email:
Name Phone
J–E t , - — :3 3
Property Mailifn-g�k�ess cin4( Email 2:
Owner City ;jcD State
Name Phone
Contractor Addres� Email
Information city P, State zip!y
rcontractor lice�nse#A) Rr E. Date: 0–A If q
e- -77-1
Legal Description: Zoning: Tax ParcQ # Proj -WVa (materials and labor)
L-IZIT-\3 0 L t 7Z TEA $ 3
Residential Commercial Industrial 1:1 Public 0
Permit Demolition El 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 1:1 Addition [3 Tenant Improvement 0
appropriate) I Mechanical Plumbing El Other 11
Will a fire sprinkler system be installed irrigation System? Proposed Bathrooms Proposed Bedrooms
or modified? Yes 13 No Yes 0 NoX P5
Project Description (3�E a C4 W
Is project in a Flood Zone: Yes 0 No)4 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 i8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
7 r
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
Id
Deck(over 30"or 2 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)
a 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 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 jc��
Plumbing Fixtures
Indicate how many of each type of flxture 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 # Tiindustrial waste pretreatment
i
interceptor(Grease Trap) Size
Other(describe):
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx