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Cedar Street Address: 1422 S Cedar Street PREPARED 1/20/16, 10:59:43 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/20/16 ------------------------------------------------------------------------------------------------ ADDRESS . : 1422 S CEDAR ST SUBDIV: CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939 OWNER MATTHEW TEOREY / TARA A DEMERS PHONE - PARCEL 06-30-00-0-4-1790-0000- APPL NUMBER: 15-00001636 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME99 01 1/20/16 MECHANICAL FINAL January 20, 2016 10:07:06 AM jlierly. ------------------------- ------------ COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 15-00001636 Date 1/06/16 Application pin number . . . 352500 Property Address . . . . . . 1422 S CEDAR ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4-1790-0000- 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 . . . . 3805 (Location Code 0502) N, ----------------------------------------------------------- Application desc DUCTLESS HP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ �, MATTHEW TEOREY / TARA A DEMERS DAVE'S HTG &..COOLING SRVC INC 1422 S CEDAR ST PO BOX 413 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-0939 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc DUCTLESS HP Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . . . 1/06/16 Valuation . . . . 0 Expiration Date 7/04/16 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, �t 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 d of this permit. They are required to be place directly outside of each sleeping area and at least one on each floor of 1 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 T 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. 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. —7 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 Pum /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 I En ineerin 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 12/30/2015 1114A FAX IA0001/0001 Tw E tu kC CITY OF For City Use i:J '' W A S H I N G T O N . U. S . Permit# /S� )tow Date Received: / J 321 East SO, Street Port Angeles, WA 98362 Date Approved /;)L/?.j I P: 360-417-4817 F: 360-417-4711 permits@cityofpa.us Building Permit Application Project Address: Main Contact: Phone # E-Mail: Property -72 rlo,o Owner Mallli A draFF guall City State ZiB�� _ Contractor 1ePhone QVC.Is Kia h Coe) �1 V, SVv! Mall Addr F.inail LQ 0K c (� Y, City Z'L/�� Contractor License# � n u�.'A G�� f K� Expiration: �-- `7 Project Value- Zoning: Tax Parcel# Lot# �i Type of Residential 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 I Proposed Bathrooms Yes ❑ No ❑ Project - Description °` 0h v 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. 1 understand that the plan review fee is not refundable after plan review has occurred. I_understand that 1 will forfeit the review fee if 1 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 be considered abandoned and the fees forfeit: Date Print Name Signature ___ Address: 1422 S Cedar Street PREPARED 4/27/17, 10:25:34 INSPECTION TICKET - PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/27/17 ------------------------------------------------------------------------------------------------ ADDRESS . : 1422 S CEDAR ST SUBDIV: CONTRACTOR ANGELES PLUMBING PHONE (452) 8525 OWNER MATTHEW TEOREY / TARA A DEMERS PHONE : PARCEL. 06-30-00-0-4-1790-0000- APPL NUMBER: 17-00000269 RESIDENTIAL PLUMBING PERMIT ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL3 01 3/10/17 JLL PLUMBING GAS LINE 3/29/17 AP March 10, 2017 9:31:53 AM jlierly. Tar 457-5835 March 29, 2017 10:34:24 AM jlierly. PL99 01 4/14/17 JLL PLUMBING FINAL 4/17/17 DA April 14, 2017 10:21:59 AM jlierly. tara 457-5838 April 17, 2017 10:40:35 AM jlierly. No acess no answer/jll PL99 02 4/27/17 L PLUMBING FINAL April 25, 2017 8:12:19 AM jlierly. Tara 457-5838 April 25, 2017 8:13:38 AM jlierly. -------------------------- ---------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 17-00000269 Date 3/08/17 Application pin number . . . 090056 Property Address . . . . . . 1422 S CEDAR ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-4-1790-0000- Application type description RESIDENTIAL 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 . . . . 3000 ---------------------------------------------------------------------------- `\ Application desc t^ propane water heater/tank set/gas lines V ' --------------------------------------------------------------------- Owner Contractor _ ------------- ------------------------ Q MATTHEW TEOREY / TARA A DEMERS ANGELES PLUMBING t" 1422 S CEDAR ST PO BOX 1151 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (452) 8525 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc WATER TANK Permit Fee 118.00 Plan Check Fee 00 „I Issue Date . . . . 3/08/17 Valuation . . . . 0 Expiration Date 9/04/17 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 50.0000 HR PL-INSPECTION, MIN 1 HR 50.00 1.00 7.0000 EA PL-WATER HEATER 7.00 1.00 10.6500 EA PL-FUEL GAS PIPE, 1-5 OUTLETS 11.00 -----------------------------------------------_----------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 118.00 118.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 118.00 118.00 .00 .00 1 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. 3 � 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 AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling ' Drywall Interior Braced Panel Only) T-Bar INSULATION: IP 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 THE CITY OF OR'j' For/City Use K-1E P— —LS Permit# 6 7 z-& W A S H d N G T O PI, U. S. Date Received: 7 321 E 51h Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits ancityofpa.us BUILDING PERMIT APPLICATION Project Address: 4-Z Z S - C-e o-r S+, -D Phone: 1415 -7 Primary Contact: L -7- Email: Nam�l l 1 P a �(dl �-2. Yv1 2 Phone 3 Co o Property M iling Address ess Email Owner l'�2 z , C-e�o-�' �t_ City State Zip Name Phone Contractor Address Email Information city State Zip Contractor License# Exp.Date: Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor) $ 3 (,)00 , 00 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 ❑ Plumbing ❑ Other ❑ ,1 Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms or Existing? Yes ❑ No ❑ Existing? Yes ❑ No ❑ In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwaterOcitvo a.us Project Description SS �1 t�D error e,� S a� Is project in a Flood Zone: Yes ❑ NoW 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. 3' g ( -7 a-� 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 3o"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? Other 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) Ar 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) # Soder/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