HomeMy WebLinkAbout1015 E. 4th StreetAddress:
1015 E 41" Street
PREPARED 5/07/13, 11:00:20 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY ,.1 DATE 5/07/13
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ADDRESS . : 1015 E 4TH ST SUBDIV:
CONTRACTOR ANGELES PLUMBING INC PHONE (360) 452-8525
OWNER DOHERTY, JOHN H & REBECCA E PHONE
PARCEL 06-30-00-5-4-0235-0000-
APPL NUMBER: 13-00000403 PLUMBING PERMIT
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PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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PL99 01 5/07/13LL PLUMBING FINAL
May 7, 2013 10:11:00 AM pbarthol.
Dave 452-8525 (Dale)
COMMENTS AND NOTES
MM1n .
CITY OF PORT ANGELES
t-7
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 13-00000403 Date 4/18/13
Application pin number . . . 025871
Property Address . . . . . . 1015 E 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -4 -0235 -0000 -
Application type description PLUMBING PERMIT
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 2900
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Application desc
REPLACE -WATER SERVICE / REPIPE HOUSE
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Owner
------------------------
Contractor
DOHERTY, JOHN H &
REBECCA E
------------------------
ANGELES PLUMBING
INC
706 W 4TH ST
PO BOX 1151
PORT ANGELES
WA 98363
PORT ANGELES
WA 98362
---------------------------------
(360) 452-8525
Permit . . . . .
-------------------------------------------
. PLUMBING PERMIT
Additional desc .
. WATER SERVICE /
REPIPE HOUSE
Permit Fee . . .
. 64.00
Plan Check Fee
.00
Issue Date . . .
. 4/18/13
Valuation . .
. . 0
Expiration Date
10/15/13
Qty Unit Charge Per
Extension
BASE FEE
50.00
2.00 7.0000
EA PL -WATER
LINE
14.00
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Fee summary
-----------------
Charged Paid
Credited
Due
Permit Fee Total
--------------------
64.00
----------
64.00 .00
----------
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
64.00
64.00 .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 regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
i.ruimsiounamg uivision/buiming 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:
Tooting / 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
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04/18/2013 08:41
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ANGELESPLUMBING
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�3_ ' 3
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician For City Use only:
321 E, Fifth St., Pori Angeles, wA 98362 Date Received 5z -/fa • I
(360) 417A815 fax (360) 417-4711 Pelf # ij ~
Date Approve
Applicant or Agent — ANGELES PLUMBING INC Phone
Property Owner 452-8525
Property Owner's Address MHTq706 w Phom 46p-9958
4th st .. Port Ar.. ales ---
Contractor/Engineer ANGELES PLBINr, IN,, Phone
Contractor/Engineers Address P.O. sox 1151, Port Angeles, WA 98362 452-8525 -„
License # ANGELPI077KP
ExpireS 5-15,13
PROJECT ADDRESS
Parcel Number
Proieci Tune 8 Brief Desc
Check all that apply
E) New Construction
o Addition
4 Remodel
4 Repair
o Re -roof
4 Demolition
o Neat System a Heat pump a
)kOther
F oof,A
Basement
1St Floor
2nd Floor
3`d Fibor
Garage
Carport
Covered Porch
Deck
Shed
Other
103.5 B 4th St;
)oesmar1w
a Commercial
Stove o gas fireplace
c.e & .replpe house
Prozonsed s
Lot
❑ Atux-fam/ly
stove a other
�.$ per sq, ft. = $
I
TOTAL VALUATION $ 9, go(). or,
Total footprint of structures, ft. Lot sire
sq, ft. = Lot coverage
Max. height of proposed structures ft. Occupancy grou
p
Will a lawn sprinkler system be installed? # of bedrooms
tlVilf a fire sprfnkfer system be installed? Occupant load # of full baths
Consuuction type # Of half baths
I have read and oarrrpleted this application arxi know it Ib be Prue arra co,rretx ( aerrf tt�fTor2ad fi apply -~_
under&and that it is my responsibly to delermirre bM►1at are required, and to obtain pp y W thus permit and
Projects. perms prior to %ork/ng on
Date 4--18-13 Print Name DALE BRUNTz
T.Forms/Bullding OIvlSionBldg PermttAppl. � � � S[gRature
ti