HomeMy WebLinkAbout1114 W 16th St - BuildingBuilding Permit
1114W 16t st
12 -1600
PREPARED 12/24/12, 9:26:41 INSPECTION HISTORY REPORT PAGE
PROGRAM BPS21L 0 /00 /00 THRU 0 /00 /00
CITY OF PORT ANGELES
APPLICATION PROPERTY ADDRESS
STRUCTR PERMIT
ASSESSOR PARCEL NUMBER ALTERNATE ID
INSPECTION
12 00001600 1114 W 16TH ST 06- 30- 00 -0 -4- 4009 -0000- 063000044009
000 000 ME 00 MECHANICAL PERMIT ME99 0001 MECHANICAL FINAL 12/20/12 APPROVED
REQ COMM: December 20, 2012 8:24:50 AM pbarthol.
REQ COMM: Betty 457 -6844
RES COMM: December 20, 2012 4:43:43 PM jlierly.
RESULT DATE /STATUS INSPECTOR
JLL
Application Number 12- 00001600
Application pin number .568000
Property Address 1114 W 16TH ST
ASSESSOR PARCEL NUMBER:_ 06-30-00-0-4- 4009 -0000-
Application type description RES MECHANICAL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 6869
Application desc
GAS FIREPLACE
Owner
LONGSHORE BETTY J
1114 W 16TH ST
PORT ANGELES
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
.Qty Unit Charge Per
1.00
1.00
1.00
Fee summary
Permit Fee Total
P1'an Check Total
Grand Total"
10.6500 EA
10.6500 EA`
50.0000 HR
T:Forms /Buildir}g Division /Building Permit
WA 983637040
MECHANICAL PERMIT
GAS FIREPLACE
121.39
12/06/12
6/04/13
121:30
.00
121:30
Contractor
EVERWARM INC
257151 HWY101
PORT ANGELES
(360) 452 -3366
Plan Check Fee
Valuation
BASE FEE
ME- STOVE /FIREPLACE /MISC:`APP.
ME -FUEL GAS PIPING,1 -'5 »OUTLETS
ME- INSPECTION, MIN 1 HR
Charged Paid
121.30
.00
121:30
.00
00'
00,
Date 12/06/12
WA 98362
Credited Due
.00
0.
Extension
'50.00
10.65
10.65
50.00
.00'
:00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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 if.construction- or.work, is suspended or abandoned
for a period of 180 days after 'the- work 'has' commenced, or if required inspections have 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.
ate
Print Name
Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
Inspection Type
Date
Accepted By
Comments
FOUNDATION:
Electrical
Footings
Stemwall
PW Engineering
417 -4831
Foundation Drainage Downspouts
Fire
Piers
417 -4653
Planning
Post Holes (Pole Bldgs.)
417 -4750
PLUMBING:
FINAL Date
Accepted by
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:
Accepted by
Heat Pump Fumace FAU Ducts
Rough -In
Gas Line
Wood Stove 1 Pellet Chimney
Commercial Hood Ducts
FINAL Date
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
FINAL" INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /'USE
SEPA:
ESA:
SHORELINE:
Inspection Type'
Date
Accepted By
Electrical
417 -4735
Construction R.W.
PW Engineering
417 -4831
Fire
417 -4653
Planning
417 -4750
Building
417 -4815
PLANNING DEPT. Separate Permit #s
SEPA:
ESA:
SHORELINE:
Parking Lighting
Landscaping
T: Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS
Building Inspections 417 -4815
Public Works Utilities 417 -4831
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.
Electrical Inspections 417 -4735
Backflow Prevention Inspections 417 -4886
Project Address: Skal6
Main Contact:
Phone
Property
Owner
Name
or s 4 o,e
t'ho ie
`1S 7 &er (/V
M Address
r a tea s
Email
City
State�
Zi n��
Contractor
Na
Phone
Mailing Address
oZ-57 /57 y /e9
Email
6.- 8 i e Cvc. ad fray
Ci
All e-/es
State
Ain
Zip
1 f f3 (0'
Contractor License gU W 7 o�cPAI L
Expiration:, 7 1,70 y
Project Value:
686, 7.
Zoning:
Tax Parcel
Lot
Type of
Permit
Residential Commercial Industrial Public
Demolition Fire Repair Reroof (tear off /lay over)
For the following, fill out both pages of permit application:
New Construction Remodel Addition Tenant Improvement
Mechanical X Plumbing Other
Existing Fire 'Sprink1er System?
Yes No U
Maximum height-of structure
-i a oposed- Bedraoms
Proposed Bathrooms._
Project
Description
14 C C 6/1S2 2e./9A CC GX Iei'ld as
V
7 //2� h k. DC /J .i n c
j
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 working on projects. I understand the plan review fee is not refundable after review has
occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before
plan review has occurred. 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
/?-'-/a
Print Name
SheJh y 6(1771S
Signa re
Ode,7k.c2
THE
CITY OF
W A S H I N G T O N U.S.
321 East 5t Street
Port Angeles, WA 98362
P: 360- 417 -4817 F: 360- 417 -4711
hcatuzo @cityofpa.us
Building Permit Application
For City Use
Permit 1 i t0ept
Date Received: 1
Date Approved: V. rt 7
Residential Structures
Area Description (SQ FT)
Existing
Proposed
Minimum
value
For Office Use
Basement
Appliance Vent
Heater (Suspended, Floor, Recessed wall)
First Floor
Size:
Heating /Cooling appliance
repair /alteration
Second Floor
Pellet Stove /Wood- burning
f
irepl Gas Stove /Gas Cook Stove /Misc.
Covered Deck /Porch /Entry
of Outlets:
i a ion Fan, single duct
Furnace /Heat Pump/
Forced Air Unit
Deck
Ventilation System
Garage
Carport
Other (describe)
Area Totals
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
of Outlets:
Appliance Vent
Heater (Suspended, Floor, Recessed wall)
Boiler /Compressor
Size:
Heating /Cooling appliance
repair /alteration
Evaporative Cooler (attached, not
portable)
Pellet Stove /Wood- burning
f
irepl Gas Stove /Gas Cook Stove /Misc.
Fuel Gas Piping X -led
of Outlets:
i a ion Fan, single duct
Furnace /Heat Pump/
Forced Air Unit
Size:
Ventilation System
Commercial Structures
Area Description (SQ FT)
Existing
Proposed
Minimum
value
For Office Use
Structure (s)
Medical gas piping
of Outlets:
Water Line
Addition
Vent piping
Sewer Line
Tenant Improvement
Other (describe):
Other (describe)
Area Totals
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps
Fuel gas piping C ��e4ci
of Outlets:
Water Heater
Medical gas piping
of Outlets:
Water Line
Vent piping
Sewer Line
Industrial waste pretreatment
interceptor
Other (describe):
Lot /Site Coverage Calculations
Footprint (SQ FT) of all Structures:
Lot Size:
Lot Coverage
SQ FT Site coverage (all impervious
structures)
Site Coverage
Site Address: 11/ i f 74 READY FOR WILL CALL FOR
INSPECTION INSPECTION
Installed By:
License Number:
Phone:
Owner /Business:
Phone:
Owner /Business Address:
Sq. Ft.
Residential
Heat KW 7 KW
Baseboard Furnace /Boiler
Heatpump Other
Commercial /Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
Details/Description:
OLYMPIC PRINTERS. INC.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
New Construction
Remodel
Service update /alter /repair
Add /alter circuits
Auxiliary power
(list below)
Special equipment
(list below)
ZND)u -rrm-c F0 Pr/
W.S. No. Service Size
Capacity: O.K. Not O.K. Comments
Ditch inspection O.K.
6Rough -in /cover O.K.
O.K. to connect service
Final O.K.
ILA jZ 37610
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
PERMIT NO
DATE
/437
-17- 7
Overhead
Underground
Voltage Z° Z 0
10 3
Service size 2'0° Amps
Temporary
119,4m /cg
Date Hold for: Easement Letter
Signed up for service /meter
Meter Department notified for installation
Fire Department notified of inspection
Plan Review approved /pending
Site Address 1
(At
Installer
Permit /Receiptt
/657
New Meters
Date:
4 -p1
Notify the Department of City Light by Street Address and Permi Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224.
1 crt
Inspector
WHITE file by address YELLOW file by number PINK Top: Eng, Bottom: Customer GREEN Top: Inspector, Bottom:City Hall
Amount paid
Site Address:
6 ?1
VV 11
EADY FOR ❑WILL CALL FOR
I NSPECTION INSPECTION
Installed By: f
C
E
tc
License Number:
Phone:
Owner /Business:
Phone:
Owner /Business Address:
Sq. Ft.
m
U =N
Ica
/7 'Y LO
Residential
Heat KW
Baseboard Furnace /Boiler
Heatpump Other
Commercial /Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
New Construction
Remodel
Service update /alter /repair
Add /alter circuits
Auxiliary power
(list below)
Special equipment
(list below)
PERMIT NO
DATE
1/ is
�f Overhead
Underground
Voltage
10 E 3 0
Service size Amps
Temporary
Details /Description•
W.S. No. Service Size Date Hold for: Easement Letter
Capacity: O.K. Not O.K. Comments
Ditch inspection O.K.
Rough -in /cover O.K.
O.K. to connect service
Final O.K.
Site Address:
1/11— W. l4
"True SF, O K
Installer: M
c.I A&IC 1 E( l(,
Permit /Receipt No. /V
New Meters
Date:
/fs /7Y
Notify the Department of City Light by Street Address and Permi Number when ready for in pection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspec r in Writing on the Wiring Report or the Building Permit. PHONE 457.04)), EXT. 158 or EXT. 224.
OLYMPIC PRINTERS. INC.
Inspector
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Signed up for service/meter
Meter Department notified for installation
Fire Department notified of inspection
Plan Review approved /pending
16 fl
Amo paid
WHITE file by address YELLOW file by number PINK Top: Eng, Bottom: Customer GREEN Top: Inspector, Bottom: City Hall