HomeMy WebLinkAbout820 W 11th Street Address:
1820 W 11th Street
PREPARED 10/21/16, 9:01:53 INSPECTION TICKET PAGE 6 �~
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/21/16
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ADDRESS . : 820 W 11TH ST SUBDIV:
CONTRACTOR : PHONE :
OWNER gerald stangle PHONE : (360) 461-1790
PARCEL 06-30-00-0-3-5116-0000-
APPL NUMBER: 16-00001009 RES MECHANICAL PERMIT
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PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
-------------------------- ----- ----
ME99 01 10/21/16 L MECHANICAL FINAL
October 21, 2016 8:39:58 AM jlierly.
DHP
-------------------------------------- COMMENTS AND NOTES --------------------------------------
%� CITY OF PORT ANGELES
Wlm DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
W— r
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 16-00001009 Date 7/01/16
Application pin number . . . 940832
Property Address . . . . . . 820 W 11TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-5116-0000-
Application type description RES MECHANICAL PERMIT on your state excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 1300
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Application desc
Install mitsubishi ductless heat pump
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Owner Contractor
------------------------ ------------_------------
gerald stangle OWNER
820 W 11TH ST
PORT ANGELES WA 98363
(360) 461-1790
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Permit . . . . . . MECHANICAL PERMIT
�• Additional desc . . DUCTLESS HEATPUMP
Permit Fee 64.80 Plan Check Fee .00
Issue Date . . . . 7/01/16 Valuation . . . . 0
t Expiration Date 12/28/16
Qty Unit Charge 'Per Extension
F 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, 7 ,
JJJ
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 - " - ' 4 • �.. .-
of this permit. They are required to be -
ASO 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 isnot 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 pe ormance of
construction.
?C16 C7 r"C�
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 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:
Parkin /Li hting 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
THe: For City Use
CrrY o
Permit#
W a s H I x G T Q N. U. S. Date Received: lI 20(Lv
321 E 5ih Street Date Approved 7 /
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits0citeofpa.us BUILDING PERMIT APPLICATION
Project Address:820 West 11th Street Port Angeles, WA 98362
Phone:360-461-1790
Primary Contact:Gerald Stangle Email:
Name Gerald Stangle Phone360-461-1790
Property Mailing Address Email
Owner 820 West 11th Street
city Port Angeles State WA Zip 98362
Name Phone
Contractor Address Email
Information city state zip
Contractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
$ e
Residential 8 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 8 Plumbing ❑ Other ❑
Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms
or Existing? Yes ❑ No ❑ Existing? Yes ❑ No ❑
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater n�cit of a.us
Project Description Ilmrstall Mitsubishi Ductless Heat Pump Sys0em
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 i8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
Date Print Name Signature
Residential Structures
Existing Proposed Construction For Office Use
Area Descriptions(SQ FT) Floor area Floor area $Value new area
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or i" 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 ft) Lot Coverage(sq ft)foot print of %Lot Coverage(Total lot cov_lot size) Max Bldg Height
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-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
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:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx