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HomeMy WebLinkAbout725 W 6th Street Address: � 725W6 Ih Street PREPARED 12/08/16, 13:37:16 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/08/16 ------------------------------------------------------------------------------------------------ ADDRESS . : 725 W 6TH ST SUBDIV: - CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939 OWNER DAVID MICHAEL HATCH PHONE PARCEL 06-30-00-0-1-0065-0000- APPL NUMBER: 16-00001548 RES MECHANICAL PERMIT ----------------------------------------------- ------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETEDRES LT RESULTS/COMMENTS ----------------------- -- - ME99 01 12/08/16 L MECHANICAL FINAL December 8, 2016 8:35:11 AM jlierly. DHP DAVES -------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 16-00001548 Date 10/26/16 Application pin number . . . 340508 Property Address . . . . . . 725 W 6TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-0065-0000- REPORT SALES TAX Application type description RES MECHANICAL 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 . . . . 4270 Application desc Ductless HP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DAVID MICHAEL HATCH DAVE'S HTG & COOLING SRVC INC PO BOX 945 PO BOX 413 BLAINE WA 98231 PORT ANGELES WA 98362 (360) 452-0939 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . DUCTLESS HP Permit Fee . . . . 64.80 Plan Check Fee .00 �.l Issue Date . . . . 10/26/16 Valuation . . . . 0 Expiration Date 4/24/17 Qty Unit Charge Per Extension BASE FEE 50.00 --- --- 1.00 - --14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80 ---------------------------- - 1 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 64.80 64.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .00 .00 f 1 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 i 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. 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/Ceilin 1 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 F- 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 10112/2016 9:02AM FAX 3604324376 DAVES HEATING & COOLING 160001/0001 THE CITY OF `` " i For City Use .. 1.. .`� ,:. Permit# ^ r Date Received: ©I a 1 321 )vast 51h Street Port Angeles, WA 98362 Date Approved P: 360-417-4817 F: 360-417-4:711 permits@cityofpa.us Building Per rmnit A plication Project Address: Main Contact; Phone # E-Mail: Property Na11ePho"e M i ch a��l �-1-�h Owner MaillogAddress Email CttyI Stats D � Zi Ya' ��cS - Contractor `�QVL?%S 1 �el�. •h� � �Gb� �lK I�V!/11 Phone Malt AddRmail Lo TO C-( mqr Jed q- I s7 , , • Contractor License# .I� � I�G Expiration-, � r 7 { ' 1t ` Project Value: A Zoning: Tax Parcel# Lot# i Type of Residential Commercial O industrial ❑ Public .❑ Permit Demolition ❑ Fire E3 Repair ❑ Reroof(tear off/lay over) 13 For the following,fit out both pages of permit application: New Construction ❑ -Remodel 0 Addition ❑ Tenant Improvement CI Mechanical ❑ Plumbing Cl Otl ler ❑ Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes ❑ No 0 Project t Description I - 1 have read and completed the application and know It to be true and correct.I amauthorized to apply for this permit. I understand that it Is my responsibility to d �termine what permits are required and to obtain permits prior to working on projects. I understand that the pan review fee is.not refundable after plan review has occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the permit is issued. 1 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: 725 W 61" Street PREPARED 5/17/13, 9:30:30 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/17/13 ---------------- - ---------------M---- -�— ADDRESS . : 725 W 6TH ST SU13DIV: CONTRACTOR LARRY'S ROOFING PHONE (360) 452-2215 OWNER DAVID MICHAEL HATCH PHONE PARCEL 06-30-00-0-1-0065-0000- APPL NUMBER: 13-00000440 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------------------- - -- --- ------------------- BL99 01 5/17/13 JBLDG FINAL May 17, 2013 9:29:42 AM jlierly. tom 460-0517 ----------—----—-------- -------—- COMMENTS AND NOTES -------------------------------------- �► CITY OF PORT ANGELES i DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT-BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 13-00000440 Date 4/29/13 Application pin number . . . 363400 Property Address . . . . . . 725 W 6TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-0065-0000- REPORT SALES TAX Application type description RE-ROOF Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . Property Zoning to the Cit RS7 RESDNTL SINGLE FAMILY Y of Port Angeles Application valuation . . . . 9259 (Location Code 0502) ---------------------------------------------------------------------------- Application desc TEAR OFF / INSTALL COMP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DAVID MICHAEL HATCH LARRY'S ROOFING PO BOX 945 352 AVIS ST. BLAINE WA 98231 PORT ANGELES WA 98362 (360) 452-2215 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc TEAR OFF / INSTALL COMP Permit Fee . . . . 207.75 Plan Check Fee .00 Issue Date . . . . 4/29/13 Valuation . . . . 9259 Expiration Date 10/26/13 Qty Unit Charge Per Extension ' BASE FEE 95.75 8.00 14.0000 THOU BL-2001-25K (14 PER K) 112.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due - ---------------- ---------- ---------- ---------- ---------- Permit Fee Total 207.75 207.75 .00 00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 212.25 212.25 .00 .00 1_ 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 �1 fora period of 180 days after the work has commenced,or if re fired inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined thi a� lication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be omplied Ith hether specified herein or not. The granting of a permit does not presume to give authority to ' late or cancel the pro is ns of st a 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. 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 b AIR SEAL: Walls j 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 FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPk 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 T:Forms/Bui[ding Division/Building Permit THE 1° NG.Io �'F LtCITY OP For City Use 3 �p--44o Permit# � W A S H I N G T 0 N , U . S . 321 East 51h Street Date Received: Port Angeles, WA 98362 Date Approved P: 360-417-4817 F: 360-417-4711 permits@cityofpa.us Building Permit Application Project Address: � Main Contact: Tl 4 Ae6 Phone #''YL E-Mail: Property Name ! Phone Owner I Mailing Address Email City State Zip i Contractor Name Q ,i i ncj Phone Mailing Address Email r City State Zip��� v Contractor License# c Expiration: Ike Project Value: _ Zoning: Tax Parcel # Lot# 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 Proposed Bathrooms Yes ❑ No ❑ Project Description 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. I understand that the plan review fee is not refundable after plan review has occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the permit is issued. I understand that if the permit is not issued within 180 days f receipt,the application will be considered abandoned and the fees forfeit. Date Print Name ll Signature Residential Structures For Office Use Area Description(SQ FT) Existing Proposed $$value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck Garage Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions (SQ FT) Existing Proposed $$Value Existing Structure (s) Proposed Addition !S Tenant Improvement? Othef work(describe) Area Totals Lot/Site Coverage Calculations Footprint(SQ FT) of all Structures: Lot Size: %Lot Coverage SQ FT Site coverage (all impervious+ %Site Coverage structures Mechanical Fixtures Indicate how many of each pe of fixture to be installed or relocated as part of this project. Air Handler Size: # Haz/Non-Haz Piping #of Outlets: Appliance Vent # 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 # Fuel gas piping #of Outlets: Water Heater # MedicalP as piping in #of Outlets: g Water Line # Vent piping # Sewer Line # Industrial waste pretreatment # interceptor Other(describe): T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX t r , htoa id Y 3..W VJ k � `-.�'I,�(tom.,` �.� �� � —•�` ' �-. I r f. ~•moi _ c. .` t � 717 !; 9 IWC � ,. Address: 725 W 6th Street PREPARED 8/27/15, 9:42:04 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/27/15 --- ---- --- ADDRESS . : 725 W 6TH ST SUBDIV: CONTRACTOR : LARRY'S ROOFING PHONE (360) 452-2215 OWNER DAVID MICHAEL HATCH PHONE PARCEL 06-30-00-0-1-0065-0000- APPL NUMBER: 15-00001078 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ - COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------ BL99 01 8/27/15BLDG FINAL August 26, 2015 1:21:16 PM jlierly. Tom 460-0517 ----------------------------- -------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 15-00001078 Date 8/25/15 Application pin number . . . 904330 REPORT SALES TAX Property Address . . . . . . 725 W 6TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-0065-0000- on your state excise tax form Application type description RE-ROOF to the City of Port Angeles Subdivision Name . . . . . . Property Use . . . . . . (Location Code 0502) Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 3170 ---------------------------------------------------------------------------- Application desc reroof garage ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ` DAVID MICHAEL HATCH LARRY'S ROOFING PO BOX 945 352 AVIS ST. BLAINE WA 98231 PORT ANGELES WA 98362 •�. (360) 452-2215 Q ---------------------------------=------------------------------------------ �S Permit . . . . . . BUILDING PERMIT - NO PR FEE Ci Additional desc . . REROOF GARAGE Permit Fee . . . . 123.75 Plan Check Fee .00 Issue Date . . . . 8/25/15 Valuation . . . . 3170 Expiration Date 2/21/16 Qty Unit Charge Per Extension BASE FEE 95.75 2.00 14.0000 THOU BL-2001-25K (14 PER K) 28.00 Other Fees STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due 1 --------- ---------- Permit Fee Total 123.75 123.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 In Grand Total 128.25 128.25 .00 .00 �V 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 'sions compli with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the pro f ny state or local law regulating construction or the performance of `yb 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. 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 b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) 4 T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b 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 Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit THE RT N�- LTIS For City Use CITY OF ,� r Permit# W A S H I N G`T O N. U . S. Date Received: A 1-S- 7 6 1'e-- 321 E 5th Street Date Approved Port Angeles,WA 9836 P:360-417-4817 360-417-4817 F:360-417-4711 Email:permits@cityofpa.us BUILDING PERMIT APPLICATION Project Address: (K), Phone: 4GO -pSj Primary Contact: Email: Name Phone to Aa Property Mailing Address ,`' { Email Owner (� Cityq &nw' �g r*% State Zip Name - Phone j A`( S cfo A –f J ,i �j Contractor Address l' - Email Information cityU State Zip 3b� Contractor License# �' _ Exp.Date: Zo1� Legal Description: Zoning: ax Parcel# F$—pr oject Value: (materials and labor) 3l��, Residential ❑ Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof tear off/la over) 14 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 I Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms or Existing? Yes E3 No E3 Existing? Yes O No In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwaterocityofpa.us VF Project Description T ( 14 S J' q� v 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 i8o days of submittal,the application will be considered abandoned and the fees will be forfeited. P3 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 30"or a°d 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 coy_lot size) Max Bldg Height R all structures sq ft Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site coy=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 Trap) Size Other(describe): T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx