HomeMy WebLinkAbout201 E Ahlvers Rd - Building Building Permit
2 0 1 E AhIvers Rd
13 -035
CITY OF PORT ANGELES
y DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 13-00000035 Date 1/16/13
Application pin number . . . 868270
Property Address . . . . . . 201 E AHLVERS RD
ASSESSOR PARCEL NUMBER: 06-30-15-2-3-9060-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . . . . on your state excise tax form
Property Use
Property Zoning . . . . . . . UNKNOWN to the City of Port Angeles
Application valuation . 11581 (Location Code 0502)
Application desc
REPLACE EXISTING HEAT PUMP SYSTEM
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HARDEN BRYAN A AIR FLO HEATING CO INC
201 E AHLVERS RD 221 W. CEDAR
PORT ANGELES WA 983623703 SEQUIM WA 98382
(360) 683-3901
------------------------------- ---------------------------------
Permit , . . . . . MECHANICAL PERMIT
Additional desc REPLACE HEAT PUMP SYSTEM
Permit Fee . . . . 64.80 Plan Check Fee 00
Issue Date . . . . 1/16/13 Valuation . . . . 0
Expiration Date 7/15/13
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
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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 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 Signatu 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.
r
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
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 b
MANUFACTURED HOMES:
Footing/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 /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
rHV
CITY OF
For Ci Usety
A S H 1 T O N, U . S. Permit#
321 East 5t4 Street Date Received:
Port Angeles, WA 98362 Date Approved
P: 360-417.4817 F: 360-417-4711
permits@cityofpa.us
Building Permit Application
Project Address: 2.01 E . A"LIV E F%S
Main Contact: IP -odd Phone # 4+SIL- 3yLa to lHc►�,nE�
E-Mail: - 2-OM We R�
Property Namen r4 an �, LA`� }�'a rG��.A Phone
Owner . Mailing address 1452• boko U
7,01 S. A1Kw 9iL-S &°`a°
City t?vftrP%NCbg'L25 - - - State Zip �1�3laZ
Contractor Name,)1 r V: a "ca'Nr+Cj Phone
6�03 —3a� �
1►faNingAddress Emall
W, sv SA- eM+�em"-Ce a�rfl�aheaCM L
City SeQ.�1
State zi��S3�s�-
Contractor License# Expiration:
ft1Rlrl-1-4U�o� 6 14 _ ZS -14
Project Value;`S ` Zoning: Tax.Parcel# Lot#
Type of Residential ®. Commercial ❑ Industrial 13 Public ❑
Permit Demolition ❑ Fire IT Repair 13 Reroof(tear of/lay over) ❑
For the following,fill out both pages of permit application:
New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement 13
Mechanical L`] Plumbing ❑ Other ❑:
brisling Fire Sprinkler System? Mwdmum height of stricture. Proposed Bedrooms Proposed';patlhk?t gag
Yes ❑ No ❑
Project
Description
ce lam- ex ► t�to
I have read and completed the application and know it to be true and correct 1 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 worldng on projects. I understand that the plan review fee Is not refundable after plan review has
occurred. I understand that I 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 Si tune
t -d I LGE 689 09E 01J H I U WUB*, : I i E T OZ LO Uer
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed $$value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
For Office Use
A1� Existing Proposed S$Value
Area Descriptions(SQ F
Existing Structure(s)
Proposed Addition
Tenant improvement?
Other work(describe)
Area Totals
Lot/Site Coverage Calculations
Footprint(SQ FT)of all Structures: Lot Size: %Lot Coverage
SQ FT Site coverage.(all Impervious+ %Site Coverage
strictures
Mechanical Fixtures
Indicate how marty of each type of fixture to be installed or relocated as part of this projecL #of Outlets:
Air Handler Size: .s az/Non-Haz Piping
/� V4
Appliance Vent #�p Heater(Suspended,Floor,Recessed wall) #
Boiler/Compressor Size: # Heating/Cooling appliance #
reair alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fireplace/Gas Stove Gas Cook Stove Mist:
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct #
Furnace/Heat Pump/ Size: j5T # Ventilation System #
Forced Air Unit 5d3�
Plumbina Fixtures
indicate how MARY of each type of fixture to be installed or relocated #of Outlets:
Plumbing Traps # Fuel gas piping
Water Heater # Medical gas piping #of Outlets:
Water Line # Vent piping #
Sewer Line # industrial waste pretreatment #
2 -Cl lLGE 689 096 01i bIu wuiS = 11 6102 Lo UeC
PREPARED 4/01/13, 11:42:35 INSPECTION HISTORY REPORT PAGE 1
PROGRAM BP521L 0/00/00 THRU 0/00/00
CITY OF PORT ANGELES
---------------------- -- - ---—------ --—------------------------
APPLICATION PROPERTY ADDRESS ASSESSOR PARCEL NUMBER ALTERNATE ID
STRUCTR PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR
------------------------------------------------------------------------------------------------------------------------------------
13 00000035 201 E AHLVERS RD 06-30-15-2-3-9060-0000-
000 000 ME 00 MECHANICAL PERMIT ME99 0001 MECHANICAL FINAL 2/08/13 APPROVED JLL
REQ COMM: February 8, 2013 8:59:11 AM pbarthol.
REQ COMM: Brian 457-2000
RES COMM: February 8, 2013 12:47:40 PM jlierly.
OF PORT 4,
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411 PERMIT NO. 7 7 a 3
DATE —7
ELECTRICAL PERMIT
Site Address: A�'l� ❑ READY FOR ❑ WILL CALL FOR
IT G1/16"leer INSPECTION INSPECTION
Installed By: License Number: Phone:
Owner/Business: VCr Phone:
i't GCG
Owner/Business Address: Sq. Ft.
RESIDENTIAL [ITEMPORARY SERVICE OVERHEAD SERVICE
❑ COMMERCIAL ❑ PERMANENT SERVICE ❑ UNDERG OUND SERVICE
El BASEBOARD KW �j NEW CONSTRUCTION VOLTAGE: t� U
OFURNACE KW 700 ❑ REMODEL 15d SINGLE PHAS
FAN/WALL KW ❑ ADD/ALTER CIRCUITS (❑ THREE PHAS
A' HEAT PUMP KW 57 El SERVICE UPGRADE/REPAIR SERVICE SIZE AMPS
❑ SIGN ❑ SPECIAL EQUIPMENT
(LIST BELOW)
Details/Description:
�.li� �Cc2O
W.S. No. SERVICE SIZE DATE ENGR.
CAPACITY:
❑ O.K. NOT O.K.
ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE
❑ INSTALL SERVICE POLE ❑ OTHER
❑ Ditch Inspection O.K.
#' ,Rough-in/cover O.K.
� v O.K. to connect service
Final O.K.
Site Address: Permit/Receipt No.
�'/ '94 161ces �{�a 3
Installer: - New Meters Date:
3
Notify PortAngeles City Light by Street Address and Permit Number when ready for inspection.Work must not be covered
® before inspection and O.K.for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
/ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT C�cam $ �
Electrical Inspector Permit Fee
WHITE—File by address YELLOW—file by number PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall
OLYMPIC PRINTERS INC.
OF PORT 4NC
�� �� �`m� CITY OF PORT ANGELES LIGHT DEPARTMENT
i�r � 321 E. Fifth Street
Port Angeles, WA 98362
o T < (206) 457-0411 PERMIT NO. Z/—
DATE a 3
ELECTRICAL PERMIT
Site Address: -2 / ��� El READY FOR EI WILL CALL FOR
/714 INSPECTION INSPECTION
Installed By: / ,5 License Number: Phone:
Owner/Business: �J Phone:
il'L11�^.r.
Owner/Business Address: Sq. Ft.
❑ RESIDENTIAL TEMPORARY SERVICE OVERHEAD SERVICE
❑ COMMERCIAL PERMANENT SERVICE ❑ UNDERGROUND SERVICE
❑ BASEBOARD KW ❑ NEW CONSTRUCTION VOLTAGE:
❑ FURNACE KW ❑ REMODEL ❑ SINGLE PHASE
❑ FAN/WALL KW ❑ ADD/ALTER CIRCUITS ❑ THREE PHASE
❑ HEAT PUMP KW ❑ SERVICE UPGRADE/REPAIR SERVICE SIZE AMPS
❑ SIGN ❑ SPECIAL EQUIPMENT
(LIST BELOW)
Details/Description:
W.S. No. SERVICE SIZE DATE ENGR.
CAPACITY:
❑ O.K. NOT O.K.
ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE
❑ INSTALL SERVICE POLE [] OTHER
❑ Ditch Inspection O.K.
❑ Rough-in/cover O.K.
O.K. to connect service
❑ Final O.K.
Site Address: Permit/R9Ceipt No
jkU4'-� ./
Installer: New Meters Date:
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection.Work must not be covered
before inspection and O.K.for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Buildin ermit. PHONE 457-0411, EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
D ,
Electrical Inspector Permit Fee
WHITE—File by address YELLOW—file by number PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall
OLYMPIC PRINTERS INC.