HomeMy WebLinkAbout1010 E. 5th StreetAddress:
1010 E 5th Street
/o/ U C, . -ALL -�r
PREPARED 9/11/15, 9:56:46 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/11/15
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ADDRESS . : 1010 E 5TH ST SUBDIV:
CONTRACTOR ANGELES HEATING INC. PHONE (360) 457-0111
OWNER EDMISTEN PHYLLIS PHONE
PARCEL 06-30-00-0-1-9230-0000-
APPL NUMBER: 15-00001131 RES MECHANICAL PERMIT
---------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--------- -----------------------------------------------------------------
ME99 01 9/11/15L MECHANICAL FINAL
September 11, 2015 9:58:05 AM jlierly.
bob 460-2314
--------------------- ------------- COMMENTS AND NOTES
=► CITY OF PORT ANGELES
P� DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00001131 Date
9/09/15
Application pin number . . . 989689
Property Address . . . . . . 1010 E STH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -9230 -0000 -
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 3774
Application desc
DUCTLESS HEAT PUMP
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Owner Contractor
------------------------ ------------------------
EDMISTEN PHYLLIS ANGELES HEATING INC.
PO BOX 51 3322 E HWY 101
PORT ANGELES WA 983620009 PORT ANGELES
WA 98362
(360) 457-0111
Permit . . . . . . MECHANICAL PERMIT
Additional desc DUCTLESS HEAT PUMP
Permit Fee . . . . 64.80 Plan Check Fee
.00
Issue Date . . . . 9/09/15 Valuation . . . .
0
Expiration Date 3/07/16
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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Special Notes and Comments
Per Washington State Code 51-51-315,
installation of Carbon Monoxide
detector(s) is required if you are
installing or replacing a fuel burning
appliance (wood, pellet, gas)and must be
j in place prior to the final inspection
of this permit. They are required to be
place directly outside of each sleeping
area and at least one on each floor of
the house. --
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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
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.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
i.rormsirsuuamg uiwsionitiummng rermit
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:
Electrical 417-4735
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
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 / Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
9
THE
CITY OFP
�R
W A S H I
321 E 51hStreet
ANGELES
T
N GT O N, U. S.
Port Angeles, WA 9836
P: 360-417-4817 F: 360-417-4711
Email: permits@cityofpa.us
For City Use
Permit#
Date Received: Ait 'Y
Date Approved
BUILDING PERMIT APPLICATION
Project Address: S= 't—t-b--
Pr
Phone: :360 00 231Y
Primary Contact: IZ C) ret-
Email: bob a pl e ' /N _ V 44
Name
Phone
v
Property
Mailing Ad ress 1_
Email
Owner
City(
e0.)-
State
Name
Phone
Contractor
Address S�
Email
Information
city
State
zip
Contractor License# IExp.
Date:
Legal Description:
Zoning:
Tax Parcel #
Project Value: (materials and labor)
$ 37 7 Y
Residential ❑-' Commercial ❑ Industrial ❑ Public ❑
Permit
Demolition ❑ Fire ❑ Repair ❑ Reroof (tear off/lay over) ❑
Classification
For the following, fill out both pages of permit application:
(check
New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑
appropriate)
Mechanical 0"lumbing ❑ Other ❑
Fire Sprinkler System Proposed
Irrigation System Proposed or
Proposed Bathrooms
Proposed Bedrooms
or Existing? Yes 0 No 0
Existing? Yes 0 No
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater(@ci1yofpa.us
Project Description
Is project in a Flood Zone: Yes 0 No lood 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.
g, c ,
Date
Print Name
Si atu�
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.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 i" 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:
#
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 4-17-13.docx