HomeMy WebLinkAbout718 Elizabeth Place Address:
718 Elizabeth Place
PREPARED 3/10/17, 9:27:17 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY - DATE 3/10/17
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ADDRESS 718 ELIZABETH PL SUBDIV:
CONTRACTOR PHONE
OWNER HOWARD E CUNNINGHAM III/TAMARA PHONE (360) 808-2987
PARCEL 06-30-14-5-9-0280-0000-
APPL NUMBER: 17-00000118 RESIDENTIAL PLUMBING PERMIT
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PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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PL99 01 3/10/17 PLUMBING FINAL
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March 10, 2017 9:28:48 AM jlierly.
Howard C 808-2787
----------------------- - ----------- COMMENTS AND NOTES --------------------------------------
7
-11 + yr rUK I ANUtLr-6
i f►``� DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 17-00000118 Date 2/02/17
Application pin number . . . 211044 REPORT SALES TAX
Property Address . . . . . 718 ELIZABETH PL
ASSESSOR PARCEL NUMBER: 06-30-14-5-9-0280-0000- on your state excise tax form
Application type description RESIDENTIAL PLUMBING PERMIT to the City of Port Angeles
Subdivision Name . . . . . .
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . .
Application valuation . . . . 1000
Application desc
water heater replacement
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Owner Contractor
W ------------------------
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C� HOWARD E CUNNINGHAM III/TAMARA OWNER
718 ELIZABETH PL
PORT ANGELES WA 98362
(360) 808-2987
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Permit PLUMBING PERMIT
Additional desc WATER HEATER
(�fl Permit Fee . . . . 57.00 Plan Check Fee .00
\ Issue Date . . . . 2/02/17 Valuation . . . . 0
I� Expiration Date . . 8/01/17
Qty Unit Charge Per Extension
�4.
BASE FEE 50.00
I 1.00 7.0000 EA PL-WATER HEATER 7.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 57.00 57.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.00 57.00 .00 .00
r'
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. 1 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.
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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:
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 For City Use
CITY t3F .
Permit# 17 -119
W A S 1-d I N G T O N, U. S.
Date Received: ;9-'a- 17
321 E 5th Street Date Approved ,_
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits@cityofpa.us BUILDING PERMIT APPLICATION
Project Address: 7 t �1 a o
00W62',fJ
Phone: 6C>
Prima Contact: � vjEmail:
Name Phone
Property Mailing Address Email
Owner `7 f t c elG�� �1 G� �a�mce��r e o"-
City /� State Zip
Name Phone
Contractor Address Email
Information city State Zip
Contractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Vue: (materials and labor)
$ `QO
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 ❑
Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms I Proposed Bedrooms
pr Existing? Yes ❑ No Existing? Yes
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In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater ci o a.us
Project Description
�'e ��� �� �►- ��� w � yid, vr►a -
Is project in a Flood Zone: Yes ❑ No❑ 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.
12-11
Date Print Name
Signatu
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° 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? x
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/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 Tr p) Size
Other describe):
T:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx