The URL can be used to link to this page

Home My WebLink About119 Forest Avenue Address: 119 Forest Avenue PREPARED 12/09/14, 9:17:09 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/09/14 ------------------------------------------------------------------------------------------------ ADDRESS . : 119 FOREST AVE SUBDIV: CONTRACTOR PENINSULA HEAT INC PHONE (360) 681-3333 OWNER WAYNE J AND SUSAN H ROBERTS PHONE (360) 912-1299 PARCEL 06-30-09-5-2-2662-0000- APPL NUMBER: 14-00001424 RES MECHANICAL PERMIT ________________________________________________________________________________________________ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME99 Ol 12/09/14 MECHANICALmb9,FINAL December 9, 2014 8:54:17 AM pbarthol. Wayne 912-1299 CALL 30 MIN AHEAD ************************* -------------------------------------- COMMENTS AND NOTES ______________________________________ CITY OF PORT ANGELES 1 DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION � —� t 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 14-00001424 Date 11/21/14 Application pin number . . . 882688 Property Address . . . . . . _119 FOREST AVE ASSESSOR PARCEL NUMBER: 06-30-09-5-2-2662-0000- 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 I l Application valuation . . . . 8868 (Location Code 0502) ---------------------------------------------------------------------------- Application desc replacement heat pump and air handler ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WAYNE J AND SUSAN H ROBERTS PENINSULA HEAT INC \ 119 FOREST AVE 782 KITCHEN-DICK RD �(1�• PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 912-1299 (360) 681-3333 --------------------------------- ------------------------------------------ Permit . . . . . . MECHANICAL PERMIT Additional desc HEAT PUMP/AIR HANDLER REPL Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . . . 11/21/14 Valuation . . . . 0 0 Expiration Date 5/20/15 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80 }� ---------------------------------------------------------------------------- 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 64.80 64.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .00 .00 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. z/ /v �F� Lc 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 by 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 THFOR GELS For City Use CITY OF -� Permit# 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: permits@cityofpa.us BUILDING PERMIT APPLICATION Project Address: I F c!;f Avc- POO c(e Phone: 3(1po - l is " I otcl Primaa Contact: W a4 IN e, Kobe.rf.S Email: CGh • rO�GI'�SC3 •cev►� Na CSf Phon� + U er Property Mailin ress ' Emaig6 6A • D®caner Ave berlk 9 1tc cl -Coh, City Por+ fC/ State W /► Ziplr�-00 Name P6iiKU1___ co _ Phone 3 Address (-,O (� n - / � Contractor P O. � I 3 Email V P�LIy!$t'it�Aea 'CvI�*X Information city r ( State t 1 A Zip ?.2 Contractors License#'sV Exp.Date: W Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor) fw 00 30M59A64A $ X16 V. 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 4 Plumbing ❑ Other ❑ Fire Sprinkler System? Irrigation System? Proposed Bathrooms Proposed Bedrooms Yes ❑ No ❑ Yes ❑ No ❑ Project Description ReyrwVt,) 1 re- lace W ilk mu-:) flC-4+ ponvo Is project in a Flood Zone: Yes ❑ No❑ Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed imptgvement? $ 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. ( ( 1 ,016 1�0 I � � APq -�+ro M Date Print Name Signature Residential Structures For Office Use Area Description(SQ FT) Existing Proposed $$value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or i" floor) Fr. ,•ti,4 4_j�. k;' ? Garage r., x Carport --41 1,^:+ •9.,}j�;�yh•4�;;, •V•,d�`,.'�,. �+•4'v +i py�. , �•j ,,'.a ',4`N';,; t.�j.`i�i..•..B>� i Other(descriHe),. ;:� A � : ,,. .t , '; s `? 'k „.,•ry ' +�' e... ', '�fw R-•.i i....JO.I....�'.� Are Totd �:, �- ,. .. Commercial Structqre,s-.a• .�',-':� .!, •:,. Proposed aX For Office Use �: Area Des" Tiptions'(SQ.FT) a•.;,_ Existing Proposed=,- ' -�$$;Valued y's?' t• •` +s • »'i �.. ,. Existing Structure (s) _ c • �. ;,�,. °°' ,� IPro ds�sod:Addition +et . .'.t,r jj Tenant Improvement? Other work (describe) Site Area Totals Lot/Site Coverage Calculations Lot Size (sq ft) Lot Coverage (sq ft) %Lot Coverage(Total lot coverage_lot size) Site Coverage (Sq Ft of all impervious) %of Site Coverage (total site coverage_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: 9 P Appliance Ezliausf Fan "' '#`° - eater'6uspended;F1'oor ,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 Siz # 1 Ventilation System # Forced Air nit }on 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 # Plumbing Vent piping # Sewer Line # Industrial waste pretreatment interce for Grease Tra Size Other(describe): T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx