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Home My WebLink About422 E. Lauridsen Blvd. Address: 422 E Lauridsen Blvd. PREPARED 8/07/15, 9:46:16 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/07/15 ------------------------------------------------------------------------------------------------ ADDRESS . : 422 E LAURIDSEN BLVD SUBDIV: CONTRACTOR ANGELES PLUMBING PHONE (452) 8525 OWNER HAWORTH BUILDING LLC PHONE (360) 457-5152 PARCEL 06-30-10-5-0-2110-0000- APPL NUMBER: 15-00000983 PLUMBING PERMIT ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------- ---- -- 8/07/15 PLUMBING FINAL August 7, 2015 9:37:42 AM jlierly. PL99-01------------- --Ki---------------COMMENTS-AND-NOTES--------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 15-00000983 Date 8/04/15 Application pin number . . . 460286 Property Address . . . . . . 422 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06-30-10-5-0-2110-0000- REPORT SALES TAX Application type description PLUMBING PERMIT Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . COMMERCIAL OFFICE Application valuation . . . . 2000 (Location Code 0502) ---------------------------------------------------------------------------- - Application desc COMM/REPLACE WATER SERVICE METER TO STRUCTURE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HAWORTH BUILDING LLC ANGELES PLUMBING C/O 645 BLACK DIAMOND RD PO BOX 1151 PORT ANGELES WA 98363 PORT ANGELES WA 98362 (3GO) 457-5152 (452) 8525 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . WATER SE RVICE METER-BUILDING Permit Fee . . . . 57.00 Plan Check Fee .00 Issue Date . . . . 8/04/15 valuation . . . . 0 Expiration Date . . 1/31/16. Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 EA PL-WATER LINE 7.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 57.00 57.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.00 57.00 .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. -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 PROVIDEA 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 by 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 I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit 08/04/2015 09:14 3604528583 ANGELESPLUMBING PAGE 02/03 TmF- For City Use D 40 CITY OF Permit# 45-- 910-0 W A S H I NGYON, U. S. Date Received- 321 E Sm Street Date Approved Port Angeles,WA 9836 P*360-417-4817 F:360-417-4711 EM211:permitsocily F--— BUILDING PERMIT APPLICATION Project Address: E. �AaRlIX6,1--1 Phone: J&6) 5�6'2 PrimaryContact: AED AAMWE-Y&A Emai.1: Name Phone TO DD 1JAU)0,k-r14 Property Mailing Address Z Email Owner _ F- . C�ty-kK7- State P Name Fh—.,3 e 7 A/V 66 LES Contractor Address Email. q "'0 '* Information city 7— State � ^�X� a)/7- Contractor License# AIM-Pilt- 7 Exp.Date: 0 57 TQ/-7 Legal Description: I Zoninil Tax Parcel Project"Value: (materials and labor) S Residential IJ Commercial 91 Industrial 11 Public 11 Permit Demolition 0 Fire 11 Repair . 0 Reroof(tear offnayo'er) [I Classification EaE-thg following,fill out both pages of germit aRR)ic2tian: (check New Construction 0 Exterior Remodel 0 Addition 13 Tenant Improvement U approPr'"e) Mechanical D Plurnbing 1@ Other 0 s Proposed Bedrooms -215— Fire Sprinkler System Proposed Irrigation System Propose posed Bathroom or E)dstin,-,? Yes E3 No El Existing? Yes U No 13 fl! I In addition to standard hard.copy submittals please senda PDF copy of all Stormwater plans and Engineering to VrWW.5Wrxnwater0Cit0(P&U5 Project DeSCrip4ion WAZUR SEZVIAE, FRnAd &6;r Is project in a Flood Zone: Yes 0 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 af�er 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. 641,90A) Date Print Nanie SiM!iture 08/04/2015 09:14 3604528583 ANGELESPLUMBING PAGE 03/03 Residential Structures Existing Proposed Construction For Office Use Area Descriptions(SQ FT) floor area Floor area S Value Rg_W_dW Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(Over 30"or Z'd floor) Garage Carport Other(describe) Area Totals Commercial Structures Area Descriptions(SQ FT) EidstLug Proposed Construction For Office Use Floor area Floor area $Value Agxj4m Existing Structure(s) ProposedAddidon Tenant Improvement? Other work(describe) Site Area Totals Lot/Site Coverage Calculations Lot Size(sq ft) Lot Coverage(sq ft)foof print of %Lot Coverage(Total lot cov+lot size) Max Bldg Height I all structures sq ft Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site cov-;-lot size) Mechanical Fixtures indicate how rn��of each type of ture to be installed or relocated as part of this project. Air Handier Size: # Haz/Non-Maz Piping Outlets. Appliance Exhaust Fan Heater(Suspended,Floor,Recessed wall) # Boiler/Compressor 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 Puihp/ Size: # ventilation System # Forced Air Unit I I - Plumbing Fixtures Indicate how many of each!]Me of fixture to be.installed or relocated Plumbing Traps # Water Heater Plumbing Vent piping # Medical gas piping #of Outlets; Water Line PtWOY. DIS-rAWCE # '15 Fuel gas piping #of Outlets: Sewer Line # Industrial waste pretreatment interceptor(Grease Trap) Size other(describe): T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx