HomeMy WebLinkAbout2134 W 12th Street Address:
2134 W 12 Ih Street
PREPARED 4/17/17, 10:34:44 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/17/17
------------------------------------------------------------------------------------------------
ADDRESS 2134 W 1:�TH ST SUBDIV:
CONTRACTOR EVERWARM HEARTH AND HOME INC PHONE (360) 452-3366
OWNER DONNA K NAGY PHONE (509) 770-4132
PARCEL 06-30-01-5-7-0600-0000-
APPL NUMBER: 17-00000424 RES MECHANICAL PERMIT
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--------------------- ----- -----------------------------------------------------------------
ME99 01 4/17/17 L MECHANICAL FINAL
�Ej April 17, 2017 8:37:22 Am jlierly.
Wood stove donna 509-770-4139
tl Apri, 17, 2017 10:39:28 AM jlierly.
------------------------- -- --------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 99362
Application Number . . . . . 17-00000424 Date 4/03/17
Application pin number . . . 778192
Property Address . . . . . . 2134 W 12TH ST
ASSESSOR PARCEL NUMBER: 06-30-01-S-7-0600-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . . . . on your state excise tax fonn
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 3833 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
WOOD STOVE FIREPLACE INSERT
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
DONNA K NAGY EVERWARM HEARTH AND HOME INC
PO BOX 2513 257151 HIGHWAY 101
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(509) 770-4132 (360) 452-3366
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . WOOD STOVE INSERT
Permit Fee . . . . 60.65 Plan Check Fee .00
Issue Date . . . . 4/03/17 valuation . . . . 0
Expiration Date . . 9/30/17
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65
----------------------------------------------------------------------------
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 60.65 60.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 60.65 60.65 .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 gi.ve authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
IY,7
-11-117 10 12 X)X)/f A)#
V, " I
Date Print Name Signature of Contractor or Authorized Aaent 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
Rouqh-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 I FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
ISkirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting IESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction -R.W. PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
THF-
For City Use
CITY OF - 1�G:-E, L
Permit# 17
W A 9 H INCITON. U. S.
321 E 51h Street Date Received: 41---3-17
Port Angeles,WA 9836 Date Approved 4(- �3-(,-7
P:360-417-4817 F:360-417-4711
Email:V-grmits0ci1yofpa,us BUILDING PERMIT APPLICATION
Project Address: I
o ne,.
ne:
5-DI—Z 7
Prim�!g Contact:
Email.
Name Phone—
Property MailingAddress Email
Owner City too 15 State
—P t- =P
Name Phone
;Ey 'Y'LU 641�� A094 Er Wenw- In C- -3 6 0 -5-3
Contractor Address Email
Information 02..5 N lot
City- <-) - State CAD6L S�Q
—2ard �Atlt5, Z'P q83&
Contractor LicenseV
Date: q-11
Legal Des on: -"—"e 6 Zonipig: Tax Parcel# Project Value: (materials and labor)
4--3 6
$ 9'3 3,7
Reside��al M Commercial 0 "11�d strial—E] Public
Permit e lition 11 Fire 0 Repair 1:1 Reroof(tear off/lay over) 0
Classification For the following.fill out both pages of permit application:
(check New Construction El Exterior Remodel El Addition 0 Tenant Improvement
appropriate) Mechanical 0 Plumbing 0 Other 11
Fire Sprinkler Sy�tem Proposed Irrigation System Proposed or Proposed B .3roposed Bedrooms
or Existing? Yes E3 No )5 Existing? Yes 13 No
In addition to standard hard copy submiittals please send a PDF copy of all Stormwater plans and Engineering
to
.stormwater
Project Description
Is project ina Flood Zone: Yes NoM 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 18o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
11.7
Date Print Name Signature