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Oak Street Address: 815 S Oak Street g 15 5 0 -r-,v-- - PREPARED 12/02/15, 14:26:11 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/02/15 ------------------------------------------------------------------------------------------------ ADDRESS 815 S OAK ST SUBDIV: CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939 OWNER PATRICK, ANTONNETTE WALTENBURG PHONE PARCEL : 06-30-00-0-2-6748-0000- APPL NUMBER: 15-00001420 RES MECHANICAL PERMIT _--- _ PERMIT: ME 00 MECHANICAL, PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------------------------- ---------------------------------- ME99 01 12/02/15L MECHANICAL FINAL December 2, 2015 9:27:11 AM jlierly. ------------------------ ------------ COMMENTS AND NOTES ------------------------------- %tom CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 15-00001420 Date 11/18/15 Application pin number . . . 293880 Property Address . . . . . . 815 S OAK ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-6748-0000- REPORT SALES TAX Application type description RES MECHANICAL PERMIT on your state excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 4150 Application desc DUCTLESS HP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PATRICK, ANTONNETTE WALTEN13URG DAVE'S HTG &.COOLING SRVC INC 1645 TOWNSHIP LINE RD PO BOX 413 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-0939 ----------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc DUCTLESS HP Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . . . 11/18/15 Valuation . . . . 0 Expiration Date 5/16/16 Qty Unit Charge Per Extension • BASE FEE 50.00 1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80 ---------------------------------------------------------------------------- Special Notes and Comments ^ Per Washington State Code 51-51-315, v installation of Carbon Monoxide ' J 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 64.80 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 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.) 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 Pum /Fumace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts MANUFACTURED HOMES: Footin /Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/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 11/04/2015 4:27PM FAX 10003/0003 THE E C17YOF '.. JiFor City Use k p W A S H I N G T O N , U . S. Permit# t/ZZ) 321 East 511' Street Date Received: �r Port Angeles,WA 98362 Date Approved `r P: 360-417-4817 F: 360-417-4711 permits@)cityofpa.us Building Permit Application Project Address: A � Main Contact: Phone# E-Mail: Property N ,e � P110118 ZVI Owner a1e-r1)g Aft, Guail Ciiy s� Z` /'a— Al Contractor nve s Pfea361 h Phone Mail gAdds Cmall city ��►�� n scac� _ ., Zi Contractor License# n U . KC—, Expiration: — ` Pr je t a e; Tr Zoning: Tax Parcel# Lot# $ Type of T Residential Commercial M _Industrial 0 Public ❑ Permit Demolition ❑ Fire ❑ Repair O Reroof(tear off/lay over) ❑ For the following,fill out both pages of permit application: New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical ❑ Plumbing ❑ Other ❑ Existing Fire Sprinkler System? Maximum height of structure Proposed Bedroom7 Proposed Bathrooms Yes ❑ No ❑ Project Description _ I have read and completed the application and know it to be true and correct.I am authorized to apply for this permit. I understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects. 1 understand that the plan review fee is not refundable after plan review has occurred. 1 understand that 1 will forfeit the review fee if I cancel or withdraw the application before the permit is issued. I understand that if the permit is not issued within 180 days of receipt,the application will be considered abandoned and the fees forfeit. Date Print Name Signature Address: 815 S Oak Street PREPARED 8/14/13, 13:42:27 INSPECTION TICKET ' PAGE 6 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/14/13 ---------------------------------------------- ------------------------------------------------- ADDRESS . : 815 S OAK ST SUBDIV: CONTRACTOR REYNOLDS CONSTRUCTION PHONE (360) 457-1488 OWNER ANN J FISCHER TRUST PHONE PARCEL 06-30-00-0-2-6748-0000- APPL NUMBER: 13-00000915 PLUMBING PERMIT ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL99 01 8/14/13 JK PLUMBING FINAL � August 14, 2013 8:11:53 AM pbarthol. Lynn 460-2208 ***** Call 1st so she can meet you to unlock house ********* -------------------------------------- COMMENTS AND NOTES ------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING.DIVISION C321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 13-00000915 Date 8/13/13 Application pin number . . . 613460 l,C Property Address . . . . . . 815 S OAK ST � ASSESSOR PARCEL NUMBER: 06-30-00-0-2-6748-0000- REPORT SALES TAX Application type description PLUMBING PERMIT `-% Subdivision Name . . . . . . on your state excise tax form ✓� Property Use . . . . . 1 Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY to the City of Port Angeles Application valuation . . 1500 (Location Code 0502) Application desc replace W/H ---------------------------------------------------------------------------- Owner Contractor ANN J FISCHER TRUST REYNOLDS CONSTRUCTION PO BOX 3048 1039 SPRUCE ROSWELL NM 88201 PORT ANGELES,WA PORT ANGELES WA 98363 (360) 457-1488 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . WATER HEATER REPLACE Permit Fee . . . . 57.00 Plan Check Fee .00 Issue Date . . . . 8/13/13 Valuation . . . . 0 Expiration Date 2/09/14 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 EA PL-WATER HEATER 7.00 ------- ---------- ------------------------------------------ r 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 V l 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 provisio s o any state or local law regulating construction or the performance of construction. C-l3/3 Date Print Name Signur/OfContractor or Authorized Agent Signature of Owner(if owner is builder) T:Form s/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 b AIR SEAL: Walls Ceiling t 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 Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: ,Footing/Slab IBlocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Li htin ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/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 T:Forms/Building Division/Building Permit THEi + �T * T For City Use CITY OF 1g.`� ELES Permit# W A s H i N G ' T o N , U . S . Date Received: 321 E 5th Street Date Approved Port Angeles,WA 9836 P: 360-417-4817 F: 360-417-4711 Email: permits@citvofpa.us BUILDING PERMIT PPLICATION Project Address: �S �� (� J Phone: y b —0q7_3 Prima Contact: �0�1 I` d d`II Email: Name Phone ,�(�]yt tel/• Property Mailing Address /� 56 d/C Email Owner ( City � State Zip Name KA647el Phone %6 0 — v < 77 Contractor Address / Email Information City e State zip Contractors License# 6rVO&* Exp.Date: Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor) Residential PT Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ Classification For the following fill out both pages of permit application: (check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ appropriate) Mechanical ❑ Plumbing ❑ Other Q Fire Sprinkler System? Irrigation System? Proposed Bathrooms Proposed Bedrooms Yes ❑ No ❑ Yes ❑ No ❑ Project Description •u 1'Q_c Is project in a Flood Zone: Yes ❑ No❑ 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 18o days of submittal, the application will be considered abandoned and the fees will be forfeited. 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 i" 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? father 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 Plu # Fuel gas piping #of Outlets: Water Heater ) # Medical gas piping #of Outlets: # 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