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Home My WebLink About1112 W. 4th Street Address: 1112 W 4th Street PREPARED 11/09/16, 10:11:23 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 11/09/16 ------------------------------------------------------------------------------------------------ ADDRESS . : 1112 W 4TH ST SUBDIV: CONTRACTOR BROTHERS PLUMBING INC PHONE (360) 683-9191 OWNER JERRY DALE/BARBARA F HEIL PHONE PARCEL 06-30-00-0-1-1205-0000- APPL NUMBER: 15-00000279 PLUMBING PERMIT ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------- ----- PL2 01 3/30/15 JLL PLUMBING ROUGH-IN 3/30/15 AP March 30, 2015 9:05:27 AM jlierly. jheil 479-438-0619 March 30, 2015 4:11:38 PM jlierly. PL99 01 6/30/16 PB PLUMBING FINAL 7/06/16 AP June 30, 2016 1:18:46 PM pbarthol. Jerry 479-438-0619 July 6, 2016 11:04:15 AM pbarthol. partial final PL99 02 11/09/16PLUMBING FINAL November 9, 2016 9:52:43 AM jlierly. 470-438-0619 Jerry ----—---—--------------- ---—----- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 V+ Application Number . . . . . 15-00000279 Date 3/20/15 Application pin number . . . 877511 Property Address . . . . . . 1112 W 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-1205-0000- REPORT SALES TAX Application type description PLUMBING PERMIT on your state excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 5000 ---------------------------------------------------------------------------- - Application desc replace/add new plumb in bath room ---------------------------------------------------------------------------- Owner Contractor JERRY DALE/BARBARA F HEIL BROTHERS PLUMBING INC 112 S ELM ST P 0 BOX 2136 PARIS AZ SEQUIM WA 98382 PARIS AZ 72855 (360) 683-9191 ----------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . ADD REPAIR PLUMBING Permit Fee . . . . 99.00 Plan Check Fee .00 Issue Date . . . . 3/20/15 Valuation . . . . 0 ^ Expiration Date 9/16/15 1 Qty Unit Charge Per Extension BASE FEE 50.00 t 4.00 7.0000 EA PL-PLUMBING TRAP 28.00 1.00 7.0000 EA PL-WATER LINE 7.00 2.00 7.0000 EA PL-DRAIN VENT.PIPING 14.00 ------------------------- _ ------__--------------------- 4 Fee summary Charged Paid Credited Due -Permit-Fee-Total 99.00 99.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 99.00 99.00 00 .00 ti Iv l }o V' V` 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 loca law regulating construction or the performance of construction. rr Date Print Name Signature of Contractor or Authorized t Si ature of Owner(if owner is builder) T:Form s/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. 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 CiQlm CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 15-00000280 Date 3/20/15 Application pin number . . . 002520 Property Address . . . . . . 1112 W 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-1205-0000- REPORT SALES TAX Application type description RES MECHANICAL PERMIT on your state excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 200 Application desc ADD 2 EXHAUST FANS ---------------------------------------------------------------------------- Owner Contractor --------- JERRY DALE/BARBARA F HEIL OWNER 112 S ELM ST PARIS AZ PARIS AZ 72855 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . Permit Fee . . . . 64.50 Plan Check Fee .00 Issue Date . . . . 3/20/15 Valuation . . . . 0 Expiration Date 9/16/15 Qty Unit Charge Per Extension BASE FEE 50.00 ' 2.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 14.50 ---------------------------------------------------------------------------- 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 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. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 64.50 64.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.50 64.50 .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 regula ' constru t n or the performance of construction. L rr Date Print Name Signature of Contractor or Authorized A t �gnature of Owner(if owner is builder) T:Forrr..s/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. 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 Onl 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 I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit THELES LE For City Use CITY OF v 1 1 V�T Permit# /S7— P79 WASH i N G T O N, U . S. Date Received: 321 E 51h Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permitsca?cityofpa.us BUILDING PERMIT APPLICATION Project Address: O P one: 7 1133 -06,1? Primary Contact: Email: ,6ar656ks Name Phone //ll _rr �i — 738 Property Mailing AdTress Emai I� Owner v< r T City State zip r &ae &5 Name 61 Phone n t Contractor Address Email Information city State zip Contractor License# Exp.Date: Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor) $. e a jou J Residential KF 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 ElPlumbing 0' Other 1:1Fire Sprinkler System Proposed Irrigation System Proposed or roposed Bathroom Proposed Bedrooms or Existing? Yes 0 No C�' Existing? Yes 0 No In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormw�cityofpa.us ` Project Description 3 d Y Y O YV� k J5 CK f1 E tr &I?/ eQ N n _ o Is project in a Flood Zone: Yes [3 NoM'-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 18o days of submittal,the application will be considered abandoned and the fees will be forfeited. Date Print Name Signature Residential Structures Existing Proposed Construction For Office Use Area Descriptions(SQ FT) Floor area Floor area $Value new area 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 Proposed Construction For Office Use Floor area Floor area $Value new area Existing Structure (s) Proposed Addition Tenant Improvement? .9ther work(describe) Site Area Totals Lot/Site Coverage Calculations Lot Size(sq ft) Lot Coverage (sq ft)foot print of %Lot Coverage (Total lot cov_lot size) Max Bldg Height all structures sq ft 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 # Pellet Stove/Wood-burning/Gas # portable) Fireplace/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit 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 Y e t� VOL ef i gg F" l° I t 0 l �^ Clallam County Assessor& Treasurer - Property Details - 34 JERRY DALE AND BARB... Page 1 of 6 Clallam County Assessor & Treasurer 56634 JERRY DALE AND BARBARA FRANKLIN HEIL TTES for Year 2015 - 2016 Property Account Property ID: 56634 Legal Description: TAX LOT 3628 IN LOT 2 AND E2 LT 3BL112TPA SURVEY V24 P45 Geographic ID: 0630000112050000 Agent Code: Type: Real Tax Area: 0010-PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: Section: Range: Location Address: 1112 W FOURTH ST Mapsco: PORT ANGELES,WA 98363 Neighborhood: PA West Res Map ID: 3 Neighborhood CD: 5151000 Owner Name: JERRY DALE AND BARBARA FRANKLIN HEIL TTES Owner ID: 220261 Mailing Address: 112 S ELM ST %Ownership: 100.0000000000% PARIS,AZ 72855 Exemptions: Taxes and Assessment Details Property Tax Information as of 03/20/2015 Amount Due if Paid on: rft_ NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on"Statement Details"to expand or collapse a tax statement. ' i First Half Second Half Year ! Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due Statement Details 2015 36722 $1155.61 $1155.54 $0.00 $0.00 $0.00 $2311.15 Statement Details 2014 38386 $375.53 $428.75 $0.00 $0.00 $804.28 $0.00 Values (+)Improvement Homesite Value: + N/A (+)Improvement Non-Homesite Value: + N/A (+)Land Homesite Value: + N/A (+)Land Non-Homesite Value: + N/A Ag/Timber Use Value (+)Curr Use(HS): + N/A N/A (+)Curr Use(NHS): + N/A N/A -------------------------- (_)Market Value: = N/A (—)Productivity Loss: — N/A -------------------------- (_)Subtotal: = N/A (+)Senior Appraised Value: + N/A (+)Non-Senior Appraised Value: + N/A -------------------------- http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2015&prop_id=56634 3/20/201'5