HomeMy WebLinkAbout520 S. Francis Street Address:
520 S Francis Street
PREPARED 12/06/13, 12:27:14 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/06/13
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ADDRESS . : 520 S FRANCIS ST SUBDIV:
CONTRACTOR B & B ENTERPRISES PHONE (360) 417-0436
OWNER JOHN GALLAGHER/JANETTE BUSH PHONE
PARCEL 06-30-00-0-1-9580-0000-
APPI, NUMBER: 13-00001229 RES MECHANICAL PERMIT
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PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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ME99 01 ��/06113 JLL,,,_,,� MECHANICAL FINAL
—LZ--I, Janette 452-7764
---------- -------- --------- COMMENTS AND NOTES --------------------------------------
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 13-00001229 Date 10/22/13
Application pin number . . . 635008
Property Address . . . . . . 520 S FRANCIS ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-9S80-0000- 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
REPLACE EXISTING WOOD BURNING FIREPLACE
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Owner Contractor-------------- 1-YN
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JOHN GALLAGHER/JANETTE BUSH B & B ENTERPRISES
520 S FRANCIS ST 520 ROSE ST.
PORT ANGELES WA 983626431 PORT ANGELES WA 98362
(360) 417-0436
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Permit . . . . . . MECHANICAL PERMIT
Additional desc REPLACE WOOD BURNING STOVE
Permit Fee . . . . 60.65 Plan Check Fee .00
Issue Date . . . . 10/22/13 Valuation . . . . 0
Expiration Date 4/20/14
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65
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Special Notes and Comments
Per Washington State Code 51-51-315, V)
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 60.65 60.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 60.65 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-inspectidns 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.
co
0 ,,1 )RO
Date Print Name Signature of Contractor or Authorized Agent Signature of Owli-er�(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
�ost 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
(�as 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
Building 417-4815
T:Forms/Building Division/Building Permit
THE 'O'PT For City Use
CITY OF JL%�JL NGELES
P A Permit#
W A S H I N G T 0 N , U . S. Date Received: 3
3 2 1 E 51h Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permitsOcityofpa.us BUILDING PERMIT APPLICATION
Project Address:
cot-Toki 13c) ddv Phone: 1-/(,o Ll S-6
Primary Contact- Email:
Name 13 Lis 14 q Ll q,5 k -el Phone (-IS �L-7 7
Property —Mailing Address Email
Owner 5 c)zo Erg Pic 0
City Pol- T YJ 9 el Wm- q W-362 State Zip
Name ([,0 0-0 ki /-30,14 1-3 5i� Phone
Contractor Address Sc5-0 .tR 0 S 5'T Email
Information city p State Zip
LA,
of
Contractor License# ��Exp.Date:
Legal Description: Zoning: Tax Parcel # Pro t Value: materials and labor)
� $ in-00 0 1
Residential Commercial El Industrial 0 Public 11
Permit Demolition Fire 11 Repair 1:1 Reroof(tear off/lay over) El
Classification For the following, fill out both pages of permit application:
(check New Construction El Exterior Remodel 11 Addition El Tenant improvement 0
appropriate) I Mechanical )4 Plumbing 11 Other 11,
Will a fire sprinkler system be installe-d—Firrigation System? Proposed Bathrooms Proposed Bedrooms
or modified? Yes 0 No 1:1 Yes 0 No 0
Project Description
p4
Is project in a Flood Zone: Yes 1:1 Nqt� Flood 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 i8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
CC) (,-Toki )3loddrr
Ga�AoA
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 Id 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 I I
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
in'
Other(describe):
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx