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Home My WebLink About101 E. 5th StreetAddress: 101 E 511 Street PREPARED 6/18/15, 10:30:02 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/18/15 ---------------------------------------------------------- --- —------------------------------ — ADDRESS . : 101 E STH ST SUBDIV: CONTRACTOR : PHONE OWNER COUGHENOUR BRIAN PAUL PHONE PARCEL 06-30-00-0-1-6860-0000- APPL NUMBER: 15-00000636 PLUMBING PERMIT ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED'S' T RESULTS/COMMENTS -------------------- -- - --------------------3-A- -------- PL6 01 6/18/15 PLUMBING WATER SUPPLY June 18, 2015 10:33:13 AM jlierly. PL99 01 6/18/15 PLUMBING FINAL June 18, 2015 10:33:25 AM jlierly. Cody 797-3797 ------- COMMENTS AND NOTES M l� CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION � 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 15-00000636 Date 6/04/15 Application pin number . . . 613232 Property Address . . . . . . 101 E 5TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -6860 -0000 - Application type description PLUMBING PERMIT Subdivision Name . . . . . . Plan Check Property Use . . . . . . .00 Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . ---------------------------------------------------------------------------- 2500 Application desc Expiration Date . WATER LINE METER TO HOUSE ---------------------------------------------------------------------------- Owner Contractor COUGHENOUR BRIAN PAUL OWNER 161 E 5TH ST PORT ANGELES WA 983623013 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . WATER LINE METER TO HOUSE Permit Fee . . . . 57.00 Plan Check Fee .00 Issue Date . . . . 6/04/15 Valuation . . . . 0 Expiration Date . . 12/01/15 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 ---------------------------------------------------------------------------- EA PL -WATER LINE 7.00 Fee summary ----------------- Charged Paid ---------- Credited Due Permit Fee Total ---------- 57.00 57.00 ---------- .00 ---------- .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.00 57.00 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required forelectrical 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 regulatin constry tion or the performance of construction. --7/ / -411 Print Name Signature of Contractor or Authorized Agent T:Forms/Building Division/Building Permit 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage / Downspouts Piers Fire 417-4653 Post Holes (Pole Bldgs.) 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: Slab Wall / Floor/ Ceiling MECHANICAL: FINAL Date Accepted b Heat Pum / 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: ESA: SHORELINE: Parkin / Lighting Landscaping 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 T:Forms/Building Division/Building Permit THE CITY OF SRT W A S H 1 ANGELES N G T O N, U. S. 321 E Slh Street Port Angeles, WA 9836 P: 360-417-4817 F: 360-417-4711 Ema'1• erm'ts@c' of s For City Use Permit# 5 �� Date Received: ,y - Date Approved 1 . p Ity pa.0 BUILDING PERMIT APPLICATION Project Address: j0 Phone: 7 g -7 3 7 7 Email: Primary Contact:" Name i L�� Phone Property Mailing AddressEmail Owner 10 t r S_ City ^ State wA Zip 16S6� N7;0y (_-c,JVGK yvC(/te— Phone V Contractor Address Email Information city State Zip Contractor License# Exp. Date: ' Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor) Co»r►ry+� $ 2 <:�- 0 0 , 1'0 Residential Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof (tear off/lay over) ❑ Classification For the following, fill ot th pages of permit application: (check New Construction Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ appropriate) Mechanical ❑ Plumbing ❑ Other ❑ Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms or Existing? Yes 0 No 0 Existing? Yes 0 No 0 In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwater0cityofpa.us Project Descri tion IVeAl-' Vl G.1/1,0 Is project in a Flood Zone: Yes 0 N 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 Signa2 e T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-1Y-ls.docx Residential Structures Area Descriptions (SQ FT) Existing Floor area Proposed Floor area Construction $ Value new area For Office Use Basement First Floor Second Floor Covered Deck/Porch/Entry Deck (over 30" or z" floor) Garage Carport Other (describe) Area Totals Commercial Structures Area Descriptions (SQ FT) Existing Floor area Proposed Floor area Construction $ Value new area For Office Use 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 all structures sq ft %Lot Coverage (Total lot cov _ lot size) Max Bldg Height 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: # i Heating/Cooling appliance repair/alteration # Evaporative Cooler (attached, not portable) # Pellet Stove/Wood-burning/Gas Fireplace/Gas Stove/Gas Cook Stove/Misc. # Fuel Gas Piping # of Outlets: Ventilation Fan, single duct # Furnace/Heat Pump/ Forced Air Unit Size: # Ventilation System # 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 4-1Y-ls.docx