HomeMy WebLinkAbout3652 Meadow Circle Address:
3652 Meadow Circle
PREPARED 6/18/15, 10:30:02 INSPECTION TICKET PAGE 12
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/18/15
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ADDRESS . : 3652 MEADOW CIR SUBDIV:
CONTRACTOR ANGELES HEATING INC. PHONE (360) 457-0111
OWNER DRYKE DONNA L PHONE
PARCEL 06-30-15-5-8-0055-0000-
APPL NUMBER: 15-00000683 RES MECHANICAL PERMIT
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PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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ME99 01 6/18/15 MECHANICAL FINAL
June 18, 2015 10:28:52 AM jlierly.
DHP bob 457-3460
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00000683 Date 6/15/15
Application pin number . . . 910447
Property Address . . . . . . 3652 MEADOW CIR
ASSESSOR PARCEL NUMBER: 06-30-15-5-8-0055-0000- 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 . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 4000 (Location Code 0502)
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Application desc
ductless heat pump
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Owner Contractor
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DRYKE DONNA L ANGELES HEATING INC.
3652 MEADOW CIR 3322 E HKY 101
PORT ANGELES WA 983626752 PORT ANGELES WA 98362
(360) 457-0111
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Additional desc DUCTLESS HEAT PUMP
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 6/15/15 Valuation . . . . 0
Expiration Date 12/12/15
Qty Unit Charge Per Extension
BASE FEE 50.00
14.8000 EA ME-FUR.N/HP/FAU < OR 5 TON 14.80
1.00
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.
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Fee summary Charged Paid Credited Due
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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.
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 Backfiow 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 bv
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 FINAL Date Accepted by
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking I Lighting ESA:
Landscaping ISHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction- R.W. PW /Engineering 417-4831
Fire 417-4653
I Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
THE 'ORT �jGELES For City Use
CITY OF
P A' Permit#
WASHI NGTON, U . S. Date Received:
3 2 1 E 5th Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits(@cityofpa.us BUILDING PERMIT APPLICATION
ProjectAddress: M&-& L-1) t-1121--d-P
Phone
Primary Contact: 0 R -Ic'c' Fma;]- bo)-) (2) ai/9 ray,Lei k(&+*L& &A2-
Nam Phone / 11
(-2
Property Mailing AAdress U LA) Email
Owner .3r, "Mr-6L ktCl:f
I City a f-�- Af)C4,eJej State Zip 2L
Name Phone
1114 C4
Contractor Address' Email
Information city 13-3 State
io"I, IM0 P e 2-
Contra'ctor Lice'n�e# Exp.Date:
Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor) -
$ '�Vwoo ---
Residential Commercial 11 Industrial n Public El
Demolition Fire El Repair 13 Reroof(tear off/lay over) El
Permit
Classification For the following, fill out both pages of permit application:
(check New Construction 11 Exterior Remodel El Addition El Tenant improvement El
appropriate) -J Mechanical e'Plumbing 13 Other El
Fire Sprinkler System Proposed-Fir—ri-gation System Proposed or Proposed Bath Proposed Bedrooms
or Existing? Yes 13 No [3 1 Existing? Yes 0 No [3
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater0cityofpa.us
Project Description
Is project in a Flood Zone: Yes 13 NoEl"flood Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $
1 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.
Date Print Name 9b tr J- Pn-ct 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 nd 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)
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/1H!seaatLhuLmPL :TSize: # Ventilation System #
Forced Air Unit
Plumbing Fixtures
Indicate how many of each type of fixtu e 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
Other(describe): I interceptor(Grease Trap) Size
T:\BUILDING\APPLICATION FORMS\CurrentBPApplication\Building Permit 4-17-13.docx