HomeMy WebLinkAbout524 E. 8th Street Address:
524 E 811 Street
CERTIFICATE OP.6"C UPANCY
CitYZ04 Port An'geles - Bu- ildii n-,g bivision
This certificate is issued`�`i the requirementsof Section III of the 2009 International Building
pursitant to
Code certifying that a -thg,Jime6f issuan-ce this structure was in compliance wN the various ordinances
of the City regulating`�bdilding co'n-str'liction or-usefor thef oWing�-.-
�911 A
Business name.-
S1Ung:,P'own,,B6dY�'Ar.t '
St',
Business address.-I E- reef —7 7
Business ""GregiFaris
owner- I
Business Owner's,,address��- 615 E. 1 0`�Stireet, Po�-A' 1-
nge es VVA 983J 2
Automaticfire sp�inkler-sys em: N/A
Use & occupancy classification: Busi.ness
Occupant load.- Per',2 009 IBC, Ta'ble 1004.1.1
7 -7
fcoristruchu
Type o 77, -.
n. 4�V
e
A0,
........ ...
....... 3/29/2013
tie, o er s--
k - � W-"T
� , — , I . . in- ,,��,.q er
Date
Post on the premises in a conspicuous place.--T-his-1S!Lrtif1cates4al i7be removed except by the Building Official.
0�?OR T,+V�7, CERTIFICATE OF OCCUPANCY APPLICATION Permit# 1d--1'P-0
FEES ' 4,
CITY OF PORT ANGELES
Attn: Permit Technician $50 1 Certificate Inspection
321 E. Fifth St., Port Angeles, WA 98362 $100 Parking Business Improvement Area (PBIA)
(360)417-4815 fax (360) 417-4711 fee charged for Downtown locations
PLEASE PRINT IN INK
Check one: New business in P.A.?M Change of ownership only? 0 Moving location from within P.A.? El Zoning
BUSINESS NAME sluY70 pmon Nrl V ay.+-
Business address j�F- Rfk Mailing address �S�
Phone number&-_Q-7-29-- &,VZ_ Opening date ZJ1102- Days & hours of operation rRon-560- Li�
Business owner''s name j�Zea Contactphone 360,
Business owner's address 61,5— F Io-,", '1A 44wlp t,,24 q ff 1,z
Brief description of business 4�er&Ane-4- bcd V 4 1,15,Wns)
Property owner's name kfpA-% ?&-ey's Contact phone _3(oO q77- 105-3
Property owner's address/contact AoQ q?? lOff-T
BUILDING DEPARTMENT phone 417-4815 Bldg approval by��i�__f_ on 447/
Is the business a restaurant or bar that will seat 50 or more people? Yes El No Yr
Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work,
adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc).
Work planned:
FIRE DEPARTMENT phone 417-4653 Fire approval by on
Changes to a fire sprinkler system or fire alarm system? Yes 11 No
Work planned:
A VVV C
PBIA (Parking Business Improvement Area -Downtown) phone 417-4623
Square footage of business? PBIA nc,
Is business moving within the PBIA? Yes ID No
CITY CLERK phone 417-4634
City Clerk appil 1*jklpl�
Second-hand dealer/pawnbroker business? Yes 0 No Vr
Will there be dancing at this business? Yes El No je
A City of Poll Angeles Business License is required for:
Taxi, Peddlers, Second-Hand Dealer, Pawnbroker, Dance,
Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses.
Page I of 2
COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on
Number of off-street parking spaces available for employees and
customers? (42
(A parking plan may be required.)
Signs? (wall-mounted, freestanding, projecting, awning, A-frame, etc?)
Signs planned:
f
PLEASE NOTE! NO flashing, intermittent,or chasing signs are permitted in the City of Port Angeles.
PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417-4812 PWE approval by_on
Is site work planned (new or re-located sewer or water service,
excavation, grading or filling, work in City right-of-way,
new driveway openings, site drainage, parking lots, downspouts,
irrigation system backflow devices, etc.). Yes 11 No
Work planned:
PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by_on
Will waste, other than domestic household waste, be discharged into the sewer system? Yes D No
If yes, what will be discharged:
Call for Certificate of Occupancy inspections BEFORE openinq business.
Building Department Inspection 417-4815
Fire Department Inspection 417-4653
Please sign up for utility services at the cashiers' counter.
I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the
information I have supplied is correct to the best of my knowkedge. Incorrect information may result in revocation of
permit.
DI 7-; /Z .PrintName —7 Signature
T:\Forms\Building DivisionTertificate of Occupancy Application(2010).doc
Page 2 of 2
Patrick Bartholick
From: Patrick Bartholick
Sent: Friday, November 02, 2012 11:13 AM
To: Dan McKeen; Edith Parker; Jake Patterson; Janessa Hurd; Jeff Young; Ken Dubuc; Nathan
West; Rick Hostetler; Roger Vess; Ron Becker; Tracy Rooks
Subject: CofO Routings
Good Morning,
Please review the following CofO applications, inspect as necessary,and enter the result in Hte.
After entering the result in Hte please send an email to let me know it completed.
Clallarn County Genealogical Society
G:\EXCHANGE\Building Routings\CofO Clallarn County Genealogical Society.pd
Slung Down Body Art
G:\EXCHANGE\Building Routings\CofO Slung Down Body Art.pd
Call Centers 247
G:\EXCHANGE\Building Routings\CofO Call Centers 24x7.pd
Thanksyou,
Pat
)R T. CERTIRCATE OF OCCUPANCY APPLICATiON Permit# /d/1P�
FEES
CITY OF PORT ANGELES
$50 Certificate Inspection
Attn: Permit Technician
321 E. Fifth St., Port Angeles, WA 98362 $100 Parking Business Improvement Area (PBIA)
(360) 417-4815 fax (360) 417-4711 fee charged for Downtown locations
/I PI-EA.5E PRINT IN INK
Check one: New business in P.A.?M Change of ownership only? Moving location ftorn within P.A.? Zoning
L
BUSINESS NAME shmn Potoo �Irlfyn,,Y'
Business address f7 2,'-/"—j 6- 9,1'- ,<-k Mailing address
Phone number LUZ- _Opening date J4&L2_ Days & hours of operation #fm LLV_�" &
Business owner's name Len AAel_5 Contact phone 360 72,51(elf?_
Business owner's address 6/,�_ 5- 10�'!' 4A, PID V+ AAIVIAS 2!
Brief description of business 4rmetne4 8 y4d- ,Q1-,-H74,'o,-3
-3(,o q77- 1057-3
Property owner's name �JP," Contact phone
Property owner's address/contact Q
BUILDING DEPARTMENT phone 417-4815 Bldg approval by on
Is the business a restaurant or bar that will seat 50 or more people? Yes El N 0 F_Vf
Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work,
adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc).
Work planned:
FIRE DEPARTMENT phone 417-4653 Fire approval by on
Changes to a fire sprinkler system or fire alarm system? Yes 1:1 No
Work planned:
PBIA (Parking Business Improvement Area -Downtown) phone 417-4623
Square footage of business? PBIA notified- --On-
Is business moving within the PBIA? Yes 1:1 No 10/
CITY CLERK phone 417-4634 City Clerk approval by on
Second-hand d ealer/pawn broker business? Yes.El No SK
Will there be dancing at this business? Yes No k/
A City of Port Angeles Business License is required for:
Taxi, Peddlers, Second-Hand Dealer, Pawnbroker, Dance,
Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses.
Page I of 2
COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on t_2,�
Number of off-street parking spaces available for employees and
customers?
(A parking plan may be required.)
Signs? (wall-mounted, freestanding, projecting, awning, A-frame, etc?)
Signs planned:
PLEASE NOTE! NO flashing, intermittent,or chasing signs are permitted in the City of Port Angeles.
PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417-4812 PWE approval by on
Is site work planned (new or re-located sewer or water service,
excavation, grading or filling, work in City right-of-way,
new driveway openings, site drainage, parking lots, downspouts,
irrigation system backflow devices, etc.). Yes 11 No X
Work planned:
PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by_on
Will waste, other than domestic household waste, be discharged into the sewer system? Yes 11 No
If yes, what will be discharged:
Call for Certificate of OccupancV inspections BEFORE openinq business.
Building Department Inspection 417-4815
Fire Department Inspection 417-4653
Please sign up for utility services at the cashiers' counter.
I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the
information I have supplied is correct to the best of my knowleage. Incorrect information may result in revocation of
permit.
Da� Print Name- Signature
T:Torms\Building Division\Certificate of Occupancy Applicaflon(2010).doc
Page 2 of 2
PREPARED 11/27/12, 10:15:37 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 11/27/12
------------------------------------------------------------------------------------------------
ADDRESS . : 524 E 8TH ST SU13DIV:
TENANT, NBR: GREG FARIS 360-775-6112
CONTRACTOR : PHONE
OWNER VERNON D PETERS & PHONE (360) 477-5586
PARCEL 06-30-00-0-2-7216-0000-
APPL NUM13ER: 12-00001420 CO- CHANGE OF OCCP/USE
------------------------------------------------------------------------------------------------
PERMIT: CO 00 CRANGE OF OCCUP/USE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
0099 01 11/27/12 BLDG C/O FINAL
Na - OVERRIDE TAKEN BY PBARTHOL DATE: 11/27/12 TIME: 08:24:16
t November 27, 2012 8:25:11 AM pbarthol.
Ili% Greg 775-6112
-------------------------------------- COMMENTS AND NOTES --------------------------------------
0j. R T,j.,V� CERTIRCATE OF OCCUPANCY APPLICATION Permit#
Egg CITY OF PORT ANGELES FEES
Attn: Permit Technician $50 Certificate/Inspection
321 E. Fifth St., Port Angeles, WA 98362 $100 Parking Business Improvement Area (PBIA)
(360)417-4815 fax(360)417-4711 fee charged for Downtown locations
I
PLEASE PRINT IN INK
New business in P.A.?,y
Check one: M/Change of ownership only? �] Moving location from within P.A.? -D Zoning
BUSINESS NAME PoLoo
Business address 1;_2,&1"--' 6- �41- 4Y-, Mailing address_
Phone number Opening date -1 Z Jl�j 2-- Days & hours of operation #Voti
Business owner's name
Ir—,JQ-:� Contactphone 3&0. '7),5'_&-1Q,
Business owner's address Wil 1�,A A'md"_�;
6C _ ' 7
Brief description of business j 6VI,1�n e
Property owner's name Contact.phone 0 q 7 7 5-3
Property owner's address/contact /6 S__3
BUILDING DEPARTMENT phone 4174815 Bldg approval by_on—
Is the business a restaurant or bar that will seat 50 or more people? Yes :1 No
Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work,
adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc).
Work planned: J Aqvi_)(�--
FIRE DEPARTMENT phone 417-4653 Fire approvalby
Changes to a fire sprinkler system or fire alarm system? Yes No
Work planned:
PBIA (Parking Business Improvement Area -Downtown) phone 4174623
Square footage of business? PBIA notified—on
Is business moving within the PBIA? Yes No Y/
CITYCLERK phone 417-4634 City Clerk approval by_on
Second-hand dealer/pawnbroker business?Yes _j N o 0
Will there be dancing at this business?Yes —1 No yt_
A City of Port Angeles Business License is required for:
Taxi, Peddlers, Second-Hand Dealer, Pawnbroker, Dance,
Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses.
Page I of 2
0 CERTIFICATE OF OCCUPANCY APPLICATION Permit# �2 7
FEES
75F CITY OF PORT ANGELES
Attm Permit Technician $50 Certificate Inspection
321 E. Fifth St., Port Angeles, WA 918362 $100 Parking Business Improvement Area (PBIA)
(360)417-4815 fax (360) 417-4711 fee charged for Downtown locations
PLEA.5E PRINT IN INK
Check one: New business in P.A.?-K, Change of ownership only'' Nloving location from within P.A.? --i' Zoning
BUSINESS NAME Pa,�)n �-rr V cor�-
Business address 2,,�l 4 Mailing address
Phone number-,*4-.C' -25-- Opening date ) 2)//12- Days & hours of operation r1m,-7
Business owner's name r--i Contact phone 3 6C (--if
Business owner's address 6- 100"' PC V4
Brief description of business 617/1 V. 4.
Property owner's name k 1'pLok. q77- 105-3
Contact phone
Property owner's address/contact
BUILDING DEPARTMENT phone 417-4815 Bldg approval by on
Is the business a restaurant or bar that will seat 50 or more people? Yes :1 No Y;5'
Construction changes planned (moving walls, addinglenlarging windows or doors, roofing, siding, foundation work,
adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc).
Work planned: A-iOvUe:
FIRE DEPARTMENT phone 417-4653 Fire approval by an
Changes to a fire sprinkler system or fire alarm system? Yes -J' No
Work planned:
PBIA (Parking Business Improvement Area - Downtown) phone 417-4623
Square footage of business? &/I I PBIA notified- on
Is business moving within the PBIA? Yes No -ilY,
CITYCLERK phone 417-4634 City Clerk approval by—on_
Second-hand dealer/pawnbroker business?Yes —j No �Ll
Will there be dancing at this business?Yes ---'! No T��
A City of Poll Angeles Business License is required for:
Taxi, Peddlers, Second-Hand Dealer, Pawnbroker, Dance,
Hotel-Motel, Firev.1orks, Ambulance, and Tattoo Businesses.
Page 1 of 2
Address:
524 E 8 Ih Street
PREPARED 4/17/17, 8:59:52 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/17/17
-----------------------------------------------------------------------I-------------------------
ADDRESS . : 524 E 8TH ST SUBDIV:
CONTRACTOR : PHONE :
OWNER VERNON D PETERS & PHONE : (360) 477-5586
PARCEL 06-30-00-0-2-7216-0000-
APPL NUMBER: 17-00000422 COMM REMODEL
------------------------------------------------------------------------------------------------
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
11
TYP/SQ COMPLETED- RESUf RESULTS/COMMENTS
j------------------- .....................................................................
BL3 01 4/17/17 U BLDG FRAMING
April 17, 2017 8:31:50 AM jlierly.
......John_360-797-1388
-------------------------- COMMENTS AND NOTES ------- ------------------------------
PREPARED 4/17/17, 16:08:52 INSPECTION TICKET PAGE I
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/17/17
------------------------------------------------------------------------------------------------
ADDRESS 524 E 8TH ST SUBDIV:
CONTRACTOR : PHONE :
OWNER VERNON D PETERS PHONE : (360) 477-5586
PARCEL 06-30-00-0-2-7216-0000-
APPL, NUM13ER: 17-00000422 COMM REMODEL
------------------------------------------------------------------------------------------------
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL3 01 4/17/17 JLL BLDG FRAMING
4/17/17 AP April 17, 2017 8:31:50 AM jlierly.
John 360-797-1388
April 17, 2017 4:13:24 PM jlierly.
BL99 01 4/17/17 BLDG FINAL
April 17, 2017 4:14:05 PM jlierly.
---------------------- ----------- COMMENTS AND NOTES --------------------------------------
U1 I y UF PORT ANGELES
DEPARTMENT OF COMMUNITY Sr- ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 17-00000422 Date 4/14/17
Application pin number . . . 595276
Property Address . . . . . . 524 E 8TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-7216-0000- on your state excise tax form
Application type description COMM REMODEL
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . COMMERCIAL NEIGHBORHOOD
Application valuation . . . . Soo
----------------------------------------------------------------------------
Application desc
framing
----------------------------------------------------------------------------
Owner Contractor
------ - ------ - -----
VERNON D PETERS & OWNER
LORRAINE C DALTON
1034 E 8TH ST
PORT ANGELES WA 98362
�0 (360) 477-5586
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT - COMMERCIAL
Additional desc . . REPAIR OF EXISTING WALL
Permit Fee . . . . 50.00 Plan Check Fee 32.50
Issue Date . . . . 4/14/17 Valuation . . . . 500
J.— Expiration Date 10/11/17
Qty Unit Charge Per Extension
.BASE FEE 50.00
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
------ --- ----- ----- ----- --- ---
Permit Fee Total 50.00 50.00 00 00
Plan Check Total 32.50 32.50 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 87.00 87.00 .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 t��e of work will be complied with whether specified herein or not. The granting of a permit does
'anc
not presume to give authority to violat cel the provisions of any state or local law regulating construction or the performance of
construction.
Date Print Name Signature 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 BIdgs.)
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
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 Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
THE RT For City Use
C:ITY OF ANGELES
P Permit# ;7- 4-:1
W A S H I N G T 0 N , U. S. Date Received: 4-3-
321 E 51h Street Date Approved oe
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permitsOcityofpa.us
BUILDING PERM APPLICATION
Project Address: 5'-2zl Z.4-,31
Phone:,34,0 '797 1,7;-r
Primary Contact: Jowo SWele-�p Email:
Name Phone
b"p Aumtl-w 7-"Jr
Property M a i I;i nF A9,r As s Email
Owner V. x 2.e16/
CityD State,
0 � '!M-fe- Z-
'&4'r of
��Xbf
Name Phone
Contractor Address Email
Information city State Zip
IContractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Va
_klue: (materials and labor)
Residential El Commercial I& Industrial 11 Public 11
q Permit Demolition 0 Fire 1:1 Repair EL Reroof(tear off/lay over)
Classification For the following,fill out both pages of permit application:
(check New Construction 11 Exterior Remodel 0 Addition 11 Tenant improvement
appropriate) Mechanical 0 Plumbing 0 Other 0
--L -
Fire Sprinkler System ProposedTirrigation System Proposed or Pr posed Bathroo roposed Bedrooms
or Existing? Yes 0 No 3- 1 Existing? Yes 13 No W- I �T
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater0citvo a.us
Pro'ect Description Av,&14 A�lefez aieL-rle,&�r oo4oer-
V
Is project in a Flood Zone: Yes 13 NoO 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 under'stand 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
wiH be considered abandoned and the fees will be forfeited.
Date Print Name Signat r
u,1�
Residential Structures
Existing Proposed Construction For Office Use
Area Descriptions(�Q FT) Floor area Floor area $Value new area
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or 2 d 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
Lot Size (sq fti�TLot 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) #
Boiler/Compressor Size: # Heating/Cooling appliance #
repair/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-bt;rning/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 # 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:\Forms\2015 CED Form Updates\Building&Perm itting\BP\Buil ding Permit 201SO41S.docx
IN ON 0 ME on
mom IN IN IN mmor. 0 on
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Address:
524 E 8 Ih Street
PREPARED 4/27/17, 10:25:34 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/27/17
------------------------------------------------------------------------------------------------
ADDRESS . : 524 E 8TH ST SU13DIV:
CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939
OWNER VERNON D PETERS & PHONE (360) 477-5586
PARCEL 06-30-00-0-2-7216-0000-
APPL NUMBER: 17-00000366 RES MECHANICAL PERMIT
------------------------------------------------------------------------------------------------
PEIZMIT: ME 00 MECHANICAL PE11MIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
----------------------------------- ------------------------------------------------------------
ME99 01 4/27/17 L MECHANICAL FINAL
April 27, 2017 8:13:46 AM jlierly.
DHP
---------------- --------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
32 1 EAST 5TH STREET, PORT ANGELES, WA 983 62
Application Number . . . . . 17-00000366 Date 3/31/17
Application pin number . . . 245652
Property Address . . . . . . 524 E 8TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-7216-0000- 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 . . . . . . . COMMERCIAL NEIGHBORHOOD
Application valuation . . . . 3395 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
install ductless heat pump system
------------------------------------------------------------------m----------
Owner Contractor
------------------------ ------------------------
VERNON D PETERS & DAVE'S HTG & COOLING SRVC INC
bk LORRAINE C DALTON PO BOX 413
00 1034 E 8TH ST PORT ANGELES WA 98362
PORT ANGELES WA 98362 (360) 452-0939
(360) 477-S58G
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . INSTALL DUCTLESS HEAT.PUMP
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 3/31/17 Valuation . . . . 0
Expiration Date 9/27/17
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA M E-FURN/HP/FAU < OR = 5 TON 14.80
----------------------------------------------------------------------------
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 64.86 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .00 .00
14
Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,privateand public improvements. This permitbecomes
wi
null and void if work or construction authorized is not commenced ithin 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 wit
,P whether specified herein or not. The granting of a permit does
not presume to give authority to vioclate\pr cancel the provision fa 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)
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.) L-
PLUMBING:
Under Floor/Slab
Rou h-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists I 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/Lighting ESA:
Landscaping ISHORELINE:
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
Building 417-4815
03/22/2017 1 :42PM FAX 3604524376 DAVES HEATING & COOLING 160001/0001
T H F--
CITY OF NGELES. For City Use
-P- ,-t
Permit# C/
W A S H I N G T 0 N , U . S .
321 East 511,Street Date Received: -7-7-, D
Port Angeles, WA 98362 Date Approved
P: 360-417-4817 F: 360-417-4711
pern3itsQDcityofpa.us
Building Permit pplication
Project Address: E-2 �-(
0,'S
Main Contact: Phone #
E-Mail:
Property pholla 60—
MaffingMdress Elklall
f-,(5 F 0 y— oz
city State zip
Contractor Phono
-7 P-1! D%3</
7=�
29 ;
City S7L-A
Contractor License# Expiration:
-DA Ve5:5'14 42,cr�l`7 1 K 7
P'01't Value-. Ta Parcel 0 Lot#
$ ' I 'I I
Residential Commercial
! Typdof i ndustriai 13 Public 13
Permit I Demolition 13 Fire [3 Repair 13 Reroof(tear off/lay over) (3
For the following,fill out both pages of�permit application:
,Lkw Construction [3 Remodel El I Addition 0 Tenant Improvement E3
Me' chanical C3 Plumbing 13 Other M
rE—xisdng fire Sprinkler ijsiet-n-77Kaximum height of structurd, drooms Proposed Bathrooms
Yes E3 No [3 Proposed Be
Project
L &:-i� on- <.:,IF
Description
I have read and completed the application and know it to be trueand correcL I am authorized to4pply for this
permit. I understand that it is my responsibility to determine what permits are required and to obtain permits
prior to worldng on projects. I understand that the plan rqview fee is not refundable after plan review has
occurred. I understand that I will forfeit the review fee if 11cancel or withdraw the application before the
permit is issued. I understand that if the permit is not issu,ed within 180 days of recelpt�the application will be
considered abandoned and the fees forfeit
Date Print Name Signature