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HomeMy WebLinkAbout139 Whidby Avenue Address: 1139 Whidby Avenue PREPARED 5/28/14, 10:41:51 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/28/14 ------------------------------------------------------------------------------------------------ ADDRESS 139 WHIDBY AVE SUBDIV: CONTRACTOR SOLOMON'S KEY CONSTRUCTION INC PHONE (360) 452-4480 OWNER KATHLEEN/RUSSEL ROLLIN TRUST PHONE PARCEL 06-30-10-5-0-1568-0000- APPL NUMBER: 14-00000066 PLUMBING PERMIT ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS —--------- -----------------------------------------------—------------—-----------—--- PL6 01 1/21/14 PB PLUMBING WATER SUPPLY 1/21/14 AP January 21, 2014 9:46:51 AM pbarthol. Jim 460-7908 January 21, 2014 4:49:15 PM pbarthol. PL99 01 5/28/14PLUMBING FINAL May 28, 2014 10:29:40 AM jlierly. --------------------------- ---M --- COMMENTS AND NOTES -------------------------------------- : CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 M Application Number . . . . . 14-00000066 Date 1/16/14 Application pin number . . . 653296 Property Address . . . . . . 139 WHIDBY AVE ASSESSOR PARCEL NUMBER: 06-30-10-5-0-1568-0000- Application type description PLUMBING PERMIT REPORT SALES TAX Subdivision Name . . . . . . on your state excise tax form p Property Use . . . . . . 11\ - Property Zoning UNKNOWN to the City of Port Angeles \\�\ Application valuation . . . . 3214 (Location Code 0502) ---------------------------------------------------------------------------- Application desc WATER SERVICE METER TO HOUSE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KATHLEEN/RUSSEL ROLLIN TRUST SOLOMON'S KEY CONSTRUCTION INC 211 RAINBOW DR # 12194 214 S. LAUREL ST. LIVINGSTON TX 773992011 PORT ANGELES WA 98362 (360) 452-4480 Permit . . . . . . PLUMBING PERMIT }l`l Additional desc WATER SERVICE/WATER DIST. LINE Permit Fee . . . . 71.00 Plan Check Fee .00 Issue Date . . . . 1/16/14 Valuation . . . . 0 Expiration Date 7/15/14 Qty Unit Charge Per Extension BASE FEE 50.00 3.00 7.0000 EA PL-WATER LINE 21.00 ---------------------------------------------7------------------------------ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 71.00 71.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 71.00 71.00 .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 regulating construction or the performance of construction. ` nom'- AM t�dQc�SC7 �J 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: Parking/Li htin 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•Fnrmc/Ri iilriinn ni�ricinn/p,61rfinn Pormif THSF L" G�.�j For City Use CLTY O Permit# V ASH I N G—T O N, U. S. Date Received: 14-1 321 E 5th Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits0citvoFpa.— BUILDING PERMIT APPLICATION Project Address: 132W -T,D Phone: b O W o 790P) Primary Contact: -J-4A J - p jZ0 Email: i 54A4 p VrEvJ PP,rnWE ®116t,C p Name l If L- (� SF L © 0Phone ; 2- -z 2 Z Property Mailing Address Email Owner 13 9 City ©'O A q fL State � f, TL- '00 i ,36 2- Name Name \ /V Phone f�- (�LD ©N$ aC,-r 360_ Com© "?90 Contractor Address Information CA-LI/2e( Email (9 CA40 O-CE U r2L`�N(6 /0C:� YO City OPT- JN State Zip lZ Contractors License# Exp.Date: /? Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor) $ 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 ❑ Exteriox Remodel ❑ Addition ❑ Tenant Improvement ❑ appropriate) Mechanical ❑ Plumbing Other ❑ Fire Sprinkler Si:s;em? Irrigation Syst ? Proposed Bathrooms Proposed Bedrooms Yes 0 No Yes O No Project Description Is project in a Flood Zone: Yes 0 No Flood Zone Type: If in a Flood Zone, what is the value of the st cture 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. 000/ , - Date Print Naive Si attire Residential Structures For Office Use Area Description(SQ FT) Existing Proposed $$value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or i" floor) Garage Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions(SQ FT) Existing Proposed $$Value Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) Site Area Totals Lot/Site Covera a Calculations Lot Size(sq ft) Lot Coverage(sq ft) %Lot Coverage(Total lot coverage T 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: 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) 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 # Plumbing Vent piping # Sewer Line # Industrial waste pretreatment interceptor Grease Trap) Size Other(describe): T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17.13.docx