HomeMy WebLinkAbout2110 W 12th St - BuildingPREPARED 9/25/09 8 47 29 INSPECTION TICKET PAGE 10
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/25/09
ADDRESS 2110 W 12TH ST SUBDIV
TENANT NBR SUSAN /JERRY HART
CONTRACTOR PELLET HEAT CO PHONE (360) 457 4406
OWNER SUSAN /JERRY HART PHONE (360) 457 8635
PARCEL 06 30 01 5 7 0200 0000
APPL NUMBER 09 00000915 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 9/25/09 JLL r ECHANICAL FINAL TIME 01 00
,i A_ September 25 2009 8 37 46 AM 1pangrle
�-S bar SUSAN 457 8635
A FTERT STOVE
AFTERNOON
/;/fltz)
COMMENTS AND NOTES
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
PELLET STOVE INSTALLATION
Owner
SUSAN /JERRY HART
2110 W 12TH ST
PORT ANGELES
(360) 457 8635
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 98363
Permit MECHANICAL PERMIT
Additional desc INSTALL PELLET STOVE
Permit pin number 153023
Permit Fee 60 65
Issue Date 9/17/09
Expiration Date 3/16/10
Qty Unit Charge Per
1 00 10 6500 EA
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
0- fZ S4afrAz-b
T:FormsBuilding Division/Building Permit
60 65
00
60 65
09 00000915
576750
2110 W 12TH ST
06 30 01 5 7 0200 0000
SUSAN /JERRY HART
MECHANICAL APPL PERMIT
RS9 RESDNTL SINGLE FAMILY
2975
Contractor
PELLET HEAT CO
230 EAST 1ST SUITE C
PORT ANGELES WA 98362
(360) 457 4406
Plan Check Fee
Valuation
BASE FEE
ME STOVE /FIREPLACE /MISC APP
Paid Credited
60 65 00
00 00
60 65 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 cons ttct
Date 9/17/09
00
0
Extension
50 00
10 65
Due
00
00
00
9 -25
Date Print Name Siiat\tre of Contractor or(Authorized Agent Signature of Owner (if owner is builder)
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 IN CONSPICUOUS 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.
Parking Lighting I ESA.
Landscaping I SHORELINE.
T /Building Division /Building Permit
FINAL Date Accepted by
FINAL Date q-25 Accepted by 1 L
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Date Accepted By
09/03/2009 16 00 13604520503 SPA SHOP PELLET HEAT
Project Type Brief Description.
Check all that apply
o New Construction
a Addition
o Remodel
o Repair
o Re -roof
o Demolition
o Sign
)(Heat System
Other
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
T Forms /Building Division /Bldg Permit Appl. 2006 Code.doc
Residential
Floor Areas Existing (sq. ft„) Pisposed (sq. ft.)
Basement
1 Floor
2 ntl Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
BUILDING PERMIT APPLICATION Print in ink
Applicant or Agent VA S1{oP /P LL jar co
Owner St1,1 1--4R -i
Owner's Address 2 W i i Pb r ('JtLI4
Contractor /Engineer mtlt.L k.
Contractor /Engineer's Address 23o- --G gitsr fry sr
License E:13 Co 80 fY
Phone 3L,0- VC> 1, /./04
Phone y4.0
Phone Ze VS') `t'VO4.-•
Avvaif
Expires
PROJECT ADDRESS 2110 W 12.. IDRI 131 g
Parcel Number 0300ls ?02_0 O0600 Lot 2 Zoning
Commercial o Multi family o Industrial
o projecting freestanding a awning o other
sq. ft. Maximum allowed sign area sq ft.
wall mounted
Total sign area
a Heat pump o wood- burning stove gas fireplace )[pellet stove o other
Total footprint of structures sq ft. Lot size
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
TOTAL VALUATION
For City Use Only
Date Received --3 0f
Permit ()a1— 9 I t'
Date Approved
per sq. ft.
sq ft. Lot coverage
of bedrooms
*of full baths
of half baths
I have read and completed this application and know it to be true and correct. 1 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 working on
projects. p
Datei'"3 Print Name 11i j 4J 1Z1E.... Signature
PAGE 01
CITY OF PORT ANGELES
LIGHT DEPARTMENT
- .............
ELECTRICAL PERMIT
N?
16807
3 - ;::J.f1 ~:>9'
Port Angeles, Wash1ngton_m_m____m__m..m...._.____..__m__m_..__.mmm, 19_!.._L
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is herebjdanted to do electrical?rk as listed below.
Address --:!t!t--J-~-m-m0!:C7!.~-~.n--------m-m------------ Occupancynn..A6__~:__..n._____m_m___
O'."~er -..----~.!.'t<;.--~,~!.'~;?il~~~~i_f.~:~:;:--V(~:nL--nn----...----.--------.--.___....______________.n.__m_m__m__
Wmng Contractor __mf...L_.~_.mn~__n__~__mn'__m_,.,.n__n.___J!!__n By..n.nm__.n.__m_m.m____mm____.__nn____.m____m_____
Light Outlets.mh.mi.'~r.-m-. Service, volts n/-!;.$t.n::!...1.::-- Type of Wiring:
Receptacle Out1ets___~..................... No. wires mm----7.-~-..-...-....m..... Armored Cable ..mm...m__......_.......
'- .<. . ~'\
TW l"'" Si . "'0'
Dryer K . -ioJ!';; ze wlres.........l_........................_..
R.ng~. KW-.-.-..-.-::......?.~:.......n.:......... Maiu fuse ...~.~./!Pn......_._
.." -S:
Water Heater: Enclosure ....._......................m_....__.
~...)
KW..__hnnnJL.7'nn.h..m...nm
Heat: KW.......~/;;_?.m...,!.!1_&....
,
Motors: SIze,&S Iud phase:
:::':.::2:::~:::::::::::::::
,
Type of wIrIng:
Entrance Cable ...._.__no..m.......
Rigid Conduit 'n.m.mmm.mnmnn.
MetalUc Tubing no........................
Current transformers:
No. & Size.____.._....___.____...................
Ser. No.........._.......__..._..____._....__....._..
Ser. No....__._.._.._........_______._____._____......
Non.Metallic .......____.___........_.___...._
Knob & Tubem.____.______.mmm____m_
Rigid Conduit mm__mm__mmmm___
Metallie Tubing ...................n......
Raceway _______________""__...._..._.._._..._
Co
""~~='~:~
'-J
Water Heater ...'l~......................
Motor .............................................
Dryer n.._____~::______.____..h....__..__......_
Fum.ce mn__n~..;.~----..nm};~.m'r.:.m.m.
.." "'~ '//''''.-!..
"''$'-'" :r.V-
Remark:~ta:__=~~~~.=-.~:=:~!:_:m_h.~~::.~___.;..:_::.:::~:::.mu_______n____nn~.~~::_~~:~~::~_~~~~:~.::_~::~:::._:
Ser. NO.....___..__...b___.________.__......__..._...
__.__._.._._~_.__.........._.................._...........__..........u_.........._.._..................................__.__..._......._._...___......._.....................
:~_:y;i~:~:::::::::.u:--------::~.~.~::::~_~_~~_~~__:~__.n--n--m--m--:y~~:::~l~~;.-:::.i:~.-'-
NOTICE-Current must not be turned on until CertIficate of Inspection has been issued. If work is to be con.
cealed due notice must be given~ Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTO'R~ERMIT NUMBER WHEN READY FOR INSPECTION
\
\
\
ELECTRICAL PERMIT N? 16807
Address._____.___....................______.._..................__......__.____.................___._..._..._..__................_._._..___....Date..___.________......_.........._......_......_...._....
Owner........___........................_...._...___.............._.._........_...................._____._.._.._..._....._______.Tenant.....____._._____u.._........_....._.________________.__.__._..._..
Wiring Contractor ....................._.._...__...._......__.______.___..__...._...................._....__._._____._................_____. By ......_.._._________________..._.___....................._....
~ NOTICE-Current must not be turned on until Certificate at Inspection has been issued. If work Is to be con.
'~ cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.