HomeMy WebLinkAbout1338.5 W 15th Street Address:
11338 % W 15th Street
PREPARED 8/25/16, 9:17:11 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/25/16
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ADDRESS 1338 1/2 W 15TH ST SUBDIV:
CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939
OWNER JENNIFER REGESTER PHONE (360) 531-4127
PARCEL 06-30-00-0-4-3345-0000-
APPL NUMBER: 16-00001165 RES MECHANICAL PERMIT
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
----------------------- ---------------------------------------------------------------
ME99 01 8/25/16 MECHANICAL FINAL _
August 25, 2016 9:19:24 AM jlierly.
DHP daves
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 16-00001165 Date 8/05/16
Application pin number . . . 723320
Property Address .. . . . . . 1338 1/2 W 15TH ST REPORT SALES TAX
'ASSESSOR PARCEL NUMBER: 06-30-00-0-4-3345-0000-
Application type description RES MECHANICAL PERMIT on your state excise tax fonn
Property Us Name . . . . . . to the City of Port Angeles
Property Use
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 6620
----------------------------------------------------------------------------
Application desc
DUCTLESS HEAT PUMP
----------------------------------------------------------------------------
Owner Contractor
JENNIFER REGESTER DAVE'S HTG & COOLING SRVC INC
1338 1/2 W 15TH ST PO BOX 413
PORT ANGELES, WA PORT ANGELES WA 98362
PORT ANGELES WA 98363 (360) 452-0939
(360) 531-4127
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Permit . . . . . . MECHANICAL PERMIT
Additional desc DHP
f Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date 8/05%16 Valuation . . . . 0
Expiration Date 2/01/17
Qty Unit Charge Per _:: _ . ........
Extension
�1 st BASE FEE 50.00
41
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 .
3 detector(s) is required if you are
installing or replacing a fuel burning
appliance (wood, pellet, gas)and must be ,
N 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.
M ----------------------------------------------------------------------------
�/1 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
L
`2
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. 1 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.
-zk 11 A,—0 wll�,4--,0
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
Stemwal I
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
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:
Heat Pump/Furnace/FAU/Ducts
a
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:
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
0810312016 2: 19PM FAX 3604524376 DAVES HEATING & COOLING 16000110001
THE )
CITY Ot= :,' For City Use
N
• Permit# �
W A S H I N C T O N, U . S .
Date Received: �r5r1,6
321 East S`h Street
Port Angeles,WA 98362 Date Approved
P: 360-417-4817 F: 360-417-4711
permits0cityofpa.us
Building Permit Application
Project Address:
jo f� ���✓vri �s
Main Contact: Phone #
E-Mail:
Property Nine
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Owner s S °�-� l'� z. �ui''u��. Aiiot►e � -7 --C7 a 9 -7
Mailing Address L�iieil
13 6
city sateP)oq—
z;g
.:f Contractor nnom�'° pitio�.a
J>�ve l s YeA�h ';zt CA S
Mafll4gAddr 811W1
City
Contractor License# ' n j ` KC, Expiration; r
Project Value: 1"f Zoning: 1 Tax Parcel# Lot#
$ ( SOS
Type of Residential Commercial 0 Industrial 13 public"
Permit
Demolition 0 Fire Q Repair E Reroof(tear off/lay over) ❑
For the following,fill out both pages of permit application:
New Construction 0 Remodel ❑ Addition ❑ Tenant Improvement. ❑
Mechanical 0 Plumbing n Other ❑
Existing Fire Sprinkler System? Maximum height of structure proposed Bedrooms Proposed Bathrooms
Yes_ 0_ No
Floiect
Description
I have read and completed the application and know it to be true and correct.I am authorized to apply for this
permit. I understand that it is my responsibility to determine what permits are required and to obtain permits
prior to working on projects. I understand that the plan review fee is not refundable after plan review has
occurred. I understand that i will forfeit the review fee if I cancel or withdraw the application before the
permit is issued. I understand that if the permit is not issued within 180 days of receipt,the application will he
considered abandoned and the fees forfeit.
Date Print Name Signature
g 3 1(42 �� ��
Address:
1338 % W 15th Street
PREPARED 11/04/16, 8:36:58 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 11/04/16
-----
ADDRESS : 1338 1/2 W 15TH ST SUBDIV: -
CONTRACTOR NORTHWEST BUILDERS PHONE (360) 461-6246
OWNER JENNIFER REGESTER PHONE (360) 531-4127
PARCEL 06-30-00-0-4-3345-0000-
APPL NUMBER: 16-00001385 RES ACCESSORY BUILDING
PERMIT: SPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFO 01 10/18/16 JLL BLDG FOUNDATION
10/19/16 AP October 18, 2016 8:50:14 AM jlierly.
Jeff 461-6246
0ctober 19, 2016 12:10:37 PM jlierly.
BL99 01 11/04/16 L BLDG FINAL
November 4, 2016 8:39:40 AM jlierly.
Jeff 461-6246
COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 16-00001385 Date 10/10/16
Application pin number . . . 629405
Property Address . . . . . . 1338 1/2 W 15TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-3345-0000- REPORT SALES TAX
Application type description RES ACCESSORY BUILDING 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 . . . . 25000
Application desc
11x22 detached accessory sturcture
----------------------------------------------------------------------------
Owner Contractor
JENNIFER REGESTER NORTHWEST BUILDERS
1338 1/2 W 15TH ST 1542 DAN KELLY RD
PORT ANGELES, WA PORT ANGELES WA 98363
'\ PORT ANGELES WA 98363 (360) 461-6246
(360) 531-4127
3'k ----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc . . ACCESSORY BUILDING
Permit Fee . . . . 417.75 Plan Check Fee 271.54
\ Issue Date . . . . 10/10/16 Valuation . . . . 25000
+ Expiration Date 4/08/17
Qty Unit Charge Per Extension
BASE FEE 95.75
23.00 ------14.0000 THOU_ BL-2001-25K (14 PER K)--------- 322.00
-------------------
Special Notes and Comments
rV\ September 30, 2016 9:34:06 AM pbarthol.
(� Project will add a detached 242sf shop. Lot coverage of
19.8%. Setbacks of 10' and 3' being approved.
Electrical load calculations and electrical permits are
required.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 417.75 417.75 .00 .00
Plan Check Total 271.54 271.54 .00 .00
Other Fee Total 4:50 4.50 .00 .00
Grand Total 693.79 693.79 .00 .00
�o
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. Fa
Date l4int Name Signature of Cont ctor 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
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 Pump/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:
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
THF- For City Use
CITY OF IV,
I V- -I-i K
Permit# & �3
W A s H i N G T o N , U. S. Dae Received: r-!
321 E 51h Street D e Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits@cityofpa.us BUILDING PE IZIVII P LICATION
Project Address: 133%
Phone: -360 q41 6? y G
Primary Contact: Be(nA Be( Email: -tK)obe-n�j 2
Name Phone
�►n �s 360 5-4 - 330<9
Property Mailing Address �, Email
Owner C
City ` , State vti/
N Pho e ( b 6 7
Contractor Adds Email
S Y K-cI i P +mob 13e;-� 2 o' •e
Information city PA ,
State W4 P zip-r'g.?C
Contractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
$ 2 0 c'O
Residential I 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 ❑ Plumbing ❑ Other
Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms I Proposed Bedrooms
or Existing? Yes ❑ No B I Existing? Yes ❑ No 0
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater ci o a.us
Project Description S Vc �✓�. WL ` al"o) 0 J
S f c-,, t ° azi o . a
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 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.
�t
Date mint 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 2" floor)
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?
Other work(describe)
Site Area Totals
Lot/Site Coverage Calculations
Lot Size(s ft) Lot Coverage(sq ft)foot rint of %Lot Covera a Psl lot cov-lot size) Max Bldg Height
QD� all structures /3
g s ft /4
Site Coverage(Sq Ft of all impervious) %of Site Coverage ftotal 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:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx
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FILED AT THE REQUEST OF:
City of Port Angeles
Public Works Department
P.O.Box 1150
Port Angeles,WA 98362
COVENANT CONSENTING TO THE FORMATION
OF A LOCAL IMPROVEMENT DISTRICT
The undersigned, owners in fee simple of the real property herein described, consent to the formation of a
Local Improvement District (LID) in the CITY OF PORT ANGELES, Washington, including said property,
for the purpose of installing the public facilities required to improve street and alley to City design standards,
including grading, drainage, pavement, curb, gutter, sidewalk, sewer, water mains and other necessary
improvements as authorized by RCW 35.43.040 as now or hereafter amended, and shall be binding on the
owners, their heirs, assigns and successors in interest.
By signing this Covenant, the undersigned, their heirs, assigns and successors, shall be deemed to have
signed a petition initiating an LID including said property, under RCW 35.43.120 as now or hereafter
amended, and shall be precluded from having their signatures counted as part of a protest to divest the
City's jurisdiction to proceed with an LID including said property, under RCW 35.43.180 as now or hereafter
amended.
This Covenant authorizes the formation of no more than one Local Improvement District. After completion
of the LID, the City shall deliver a signed release of this Covenant to the owners, their heirs, assigns and
successors.
This Covenant shall be recorded and deemed to run with the land described as follows:
Assessors TAX/PARCEL # 0630000433450000, Lot 10 in Block 433 of the Townsite of Port Angeles,
Situate in the County of Clallam, State of Washington.
for a period of time not to exceed ten (10) years from the date of execution of this covenant.
(Owner) Jennifer A. Regester
STATE OF WASHINGTON )
)ss.
COUNTY OF CLALLAM )
On this day personally appeared before me to me known to be the
individual(s)described in and who executed the within instrument and acknowledged that signed the same as free
and voluntary act and deed for the uses and purposes herein mentioned.
Given under my hand and official seal this day of 2016.
NOTARY PUBLIC in and for the State of Washington,
Residing at Port Angeles
My Commission Expires:
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