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HomeMy WebLinkAbout121 W 12th St - BuildingBuilding Permit l2lWl2thSt 13 -133 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 13- 00000133 Application pin number 462100 Property Address 121 W 12TH ST ASSESSOR PARCEL NUMBER:,. 06-30-00-0-3- 4476 -0000- Application type .description PLUMBING PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 400 Application desc WATER SERVICE METER TO HOUSE Owner ARLAND AND CYNTHIA ELSTROM 121 W 12TH ST PORT ANGELES 1.00 7.0000 EA Fee summary T:Forms /Building Division /Building Permit WA 983627713 PLUMBING PERMIT WATER LINE METER 57.00 2/01/13 7/31/13' Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per BASE FEE Charged Paid Contractor OWNER PL -WATER LINE TO HOUSE Plan Check Fee Valuation Permit Fee Total 57.00 57.00 .00 Plan Check Total .00 .00 .00 Grand Total 57.00 57.00 .00 0 Date 2/01/13 Credited Due .00 .00 .00 .00 0. Extension 50.00 7.00 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.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. 2._1 t E or. Date 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 b 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: o Slab Wall Floor Ceiling MECHANICAL: FINAL Date Accepted by Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL 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 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. T:Forms /Building Division /Building Permit N Project Address: 1 Z. t w, 1)__ ST f o c, pl-v,k,_ c Main Contact: to Li tA ec s'c- _c A Phone 3(,o 8 o 2 t$ L E -Mail: Property Owner Name ft �`7 e ms E(-- S1�,a Phone Mailing Mailing Address ►1.1 w (,.c6. Email City State State Zip Contractor Name Ste_& Phone Mailing Address Email City State Zip Contractor License Expiration: Project Value 00 X 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 Plumbing Other Existing Fire Sprinkler System? Yes No Maximum height of structure Proposed Bedrooms Proposed Bathrooms Project Description ma T&ems ('k-o c,c 1 .c.--- c-- 1-1) `'S, 1 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. 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 _t —13 Print Name A-P ELS ©'v Signature W A S H I N G T O N, U.S. 321 East 5th Street Port Angeles, WA 98362 P: 360- 417 -4817 F: 360- 417 -4711 permits @cityofpa.us Building Permit Application For City Use Permit# 13 133 Date Received: 1 Date Approved 1 Residential Structures Area Description (SQ FT) Existing Proposed 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 /Gas Fireplace /Gas Stove /Gas Cook Stove /Misc. Ventilation Fan, single duct Fuel Gas Piping Covered Deck /Porch /Entry Furnace /Heat Pump/ Forced Air Unit Size: Ventilation System Deck 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 /Gas Fireplace /Gas Stove /Gas Cook Stove /Misc. Ventilation Fan, single duct Fuel Gas Piping of Outlets: Furnace /Heat Pump/ Forced Air Unit Size: Ventilation System Commercial Structures Area Descriptions (SQ FT) Existing Proposed Value For Office Use Existing Structure (s) Medical gas piping of Outlets: Water Line Proposed Addition Vent piping Sewer Line Tenant Improvement? Other (describe): Other work (describe) Area Totals Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps Fuel gas piping 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 \BUILDING \APPLICATION CORMS BUILDING PERMIT 081212.DOCX PREPARED 4/01/13, 113710 PROGRAM BP521L CITY OF PORT ANGELES APPLICATION PROPERTY ADDRESS STRUCTR PERMIT 13 00000133 121 W 12TH ST 000 000 PL 00 PLUMBING PERMIT 000 000 PL 00 PLUMBING PERMIT INSPECTION HISTORY REPORT 0/00/00 THRU 0/00/00 ASSESSOR PARCEL NUMBER INSPECTION 06-30 00 0 3 4476-0000- PL99 0001 PLUMBING FINAL REQ COMM: February 5, 2013 218 REQ COMM: arland 808-4814 RES COMM: February 6, 2013 82911 AM pbarthol. PL6 0001 PLUMBING WATER SUPPLY REQ COMM: February 5, 2013 218 RES COMM: February 6, 2013 82748 AM pbarthol. ALTERNATE ID RESULT DATE/STATUS 063000034476 2/06/13 APPROVED 09 PM pbarthol. 2/06/13 APPROVED 41 PM pbarthol. PAGE 1 INSPECTOR PB PB Application Number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Zoning Application valuation Owner CONKLIN ANNIE 121 W 12TH ST PORT ANGELES Qty Unit Charge Fee summary Permit Fee Total Plan Check Total Grand Total Per WA 983627713 15.00 .00 15.00 03- 00000946 121 W 12TH ST 06-30-00-0-3- 4476 -0000- UNDRGROUND TURN OIL TANK FIRE ABANDON TANK INSPECTION BASE FEE CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5'" Street, Port Angeles, WA 98362 750 Contractor PETTIT AIL CO. 638 MARINE DRIVE PORT ANGELES (360) 457 -9404 Permit UNDERGROUND TANK RES Additional desc ABANDON TANK IN PLACE SLURRY Permit Fee 15.00 Plan Check Fee Issue Date 9/25/03 Valuation Expiration Date 3/24/04 Charged Paid Credited 15.00 .00 15.00 00. .00 .00 Date 9/25/03 WA 98362 Due .00 .00 .00 .00 750 Extension 15.00 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 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 recognized standards, laws and ordinances governing this type of work will be compled with whether specified herein or not The granting of this permit does not presume to give authority to violate or cancel the pr visions of any estate o local! w regulating the work specified in the permit. di V Ve I i P, Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date Inspection Type 1 Date Passed 1 Comments FIRE SPRINKLER f Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough -in inspection Alarm final LP GAS Completed by Contractor: psi Underground piping inspection/pressure test Test #1 Piping pressure test Above ground piping inspection/pressure test Time initiated Tank (container) inspection Test #2 psi Appliance inspection Piping pressure test LP -gas final Time initiated UNDERGROUND STORAGE TANK (UST) ABANDONMENT I�J/ Removal of flammable /combustible liquids p �7 Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final FIRE PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Call 360 -417 -4655 for fire inspections. Please provide a minimum 24 -hour notice. It is unlawful to cover, insulate or conceal any work before inspected.andaccepted. Post permit in a conspicuous location. GENERAL COMMENTS: 2/15/00