HomeMy WebLinkAbout116 E. 12th Street l
Address:
116E 12th Street
ll � C
PREPARED 6/18/15, 10:30:02 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/18/15
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ADDRESS . : 116 E 12TH ST SUBDIV:
CONTRACTOR EVERWARM INC PHONE (360) 452-3366
OWNER CLARK C BEAUDETT JR AND ROBERT PHONE (360) 797-3366
PARCEL 06-30-00-0-3-8025-0000-
APPL NUMBER: 15-00000388 RES MECHANICAL PERMIT
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PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
-----------------------------------------
ME6 01 6/12/15 JLL MECHANICAL GAS LINE
6/12/15 AP June 12, 2015 9:41:14 AM jlierly.
Rob 360/797-1417
June 12, 2015 4:03:10 PM jlierly.
ME99 01 6/18/15 L MECHANICAL FINAL
June 18, 2015 10:27:29 AM jlierly.
robert 797-1417
--------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00000388 Date 4/15/15 lh
Application pin number 927048 / 1
Property Address . . . . .���i# E 12TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-8030-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY ,!
Application valuation . . . . 4653 (Location Code 0502)
----------------------
Application desc
INSTALL FREE STANDING GAS STOVE AND GAS LINES
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Owner Contractor
---------- -------
CLARK BEAUDETT/ROBERT GUTTMAN EVERWARM INC
PO BOX 2752 257151 HWY101
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 797-1417 (360) 452-3366
-----------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . FREESTANDING GAS STOVE AND LIN
Permit Fee . . . . 121.30 Plan Check Fee .00
Issue Date . . . . 4/15/15 Valuation . . . . 0
Expiration Date 10/12/15.
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65
1.00 10.6500 EA ME-FUEL GAS PIPING,1-5 OUTLETS 10.65
1.00 50.0000 HR ME-INSPECTION, MIN 1 HR 50.00
-------------
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 �Mp`
the house.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 121.30 121.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 121.30 121.30 .00 .00
'A
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.
4-15-2ows M -An►-P, ke..DAniei
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/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
THEj For City Use
CITY OFi
T Permit # �' ' 3 �
Date Received:
321 East 51 Street
Port Angeles, WA 98362
Date Approved:
P: 360-417-4817 F: 360-417-4711
hcatuzo@cityofpa.us
Building Permit Application
Project Address:
Min Contact: U Phone #
Property NamPhone
Owner la.eC
MailingAddr ss �j Email
.r
State
Contractor NameJ i �� n Ph
ai3ZJ 0- -/,2
MailingAddress �/ Email
p StatJi�h
Contractor License# �\ ,��` Al����,� ��� Expiration: — �/77
Project Value: V V►� Zoning: Tax Parcel# Lot#
$ 6 C)630 0003 900-�
Type of Residential IT Commercial ❑ Industrial ❑ Public ❑
Permit 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? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes ❑ No ❑ _
Project
Description -4Jr. 0 0 Qa Tg op 4- -
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 working on projects.I understand the plan review fee is not refundable after review has
occurred.I understand that I will forfeit 20%of the review fee if I cancel or withdraw the application before
plan review has occurred.I understand that if the permit is not issued within 180 days of receipt,the
application will be considered abandoned,and the fees forfeit.
Datd Print Name Signature
Residential Structures
Area Description(SQ FT) Existing Proposed Minimum$ For Office Use
value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Area Description(SQ FT) Existing Proposed Minimum$ For Office Use
value
Structure(s)
Addition
Tenant Improvement
Other(describe)
Area Totals
Lot Site Coverage Calculations
Footprint(SQ FT)of all Structures: Lot Size: %Lot Coverage
SQ FT Site coverage(all impervious+ %Site Coverage
structures
Mechanical Fixtures
Indicate how man 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 # Pellet Stove/Wood-burning/Gas # I
portable) Fire lace 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 # Fuel gas piping #of Outlets:
Water Heater # Medical gas piping #of Outlets:
Water Line # Vent piping #
Sewer Line # Industrial waste pretreatment #
interceptor
Other describe
o
Norclil ( � �
TRANSMISSION VERIFICATION REPORT
TIME 0410112015 09:52
NAME EVERWARM
FAX 13604523367
TEL 13604523366
SER.# BROJ2J400787
DATEJIME 04!01 09: 51
FAX NO. /NAME FABRICATED GLAS
DURATION 00:06: 38
PAGES} 02
RESULT OK
MODE STANDARD
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Port Angeles,
WA 98362
Phone:360-4fi7-3000• Fax:36o-457-9222
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When recorded return to: No rQJ(79
CLALLAM CO NTY 0710r-
Clark
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Clark C.Beaudett Jr.and Robert J Guttman 1MMUC11ION Lt•XCISE TAX
116 East 12th St.
Port Angeles,WA 98362 DATE
POAD MAR'310 2015
AMOUNT� -. a'
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COUNTVT14 RER
STATUTORY WARRANTY DEED ----
Escrow No.: 4147
Title Order No.: 119432 1
THE GRANTORS) ,
Jared Binns Smith and Sarah Both Brown,husband and wife
for and in consideration of ten dollars and other good and valuable c0 tderation`Im;lhand paid,
conveys,and warrants to
i
--._-)Clark C.Beaudett Jr.and Robert J Guttman,a mogied couple
the following described real estate,situated in the Cup y of Clailam„'&t t of Washington:
�—�Lot 6,Block 380,Townsite of port Angeles,Ciall m�\county,Washi�g%n,
Subject to: Terms and provisions contained in deed'from-the` ity of Port Angeles recorded
underAuditor's File No.487946
i
Tax Parcel Number(s): 083000 0380256
Dated: 5,6J15-
�....
JareA Binns Smith
ah Beth Brown
STATE OF WASHINGTON i
S l
COUNTY OF CLAL�AM
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I certify that I knew hev�'WsldctoryeGidence that Jared Binns Smith and Sarah Beth Brown are
the persons whd app &bq#ote,(.ne and said persons acknowledged that they signed this
Instrument and.,abkno edged ifto,beAheir free and voluntary act for the uses and purposes
mentioned I this il)sstrutnent.
Dated: )
N ry P etc i and.(or h to of Washington V;i,� Flo+.G�
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