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HomeMy WebLinkAbout929 W 12th Street Address: 929 W 1211 Street PREPARED 10/04/16, 9:22:56 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/04/16 _ -------- ----- ------ ADDRESS 929 W 12TH ST SUBDIV: CONTRACTOR PENINSULA HEAT INC PHONE (360) 681-3333 OWNER JEANETTE M AND SCOTT R GOSSARD PHONE (360) 452-3042 PARCEL 06-30-00-0-3-5258-0000- APPL NUMBER: 16-00001434 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT_ ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------- ME99 01 10/04/16L MECHANICAL FINAL October 4, 2016 9:26:19 AM jlierly. dhp -------------------------- ------ COMMENTS AND NOTES -------------------------------------- � ► CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 16-00001434 Date 9/26/16 Application pin number . . . 108900 Property Address . . . . . . 929 W 12TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-5258-0000- REPORT SALES TAX Application type description RES MECHANICAL PERMIT on your state excise tax form SubProperty Name . . . . . . to the City of Port Angeles Pro ert Use Property Zoning . . . . . . (Location Code 0502)Application valuation . . . . 3685 Application desc DUCTLESS HEAT PUMP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JEANETTE M AND SCOTT R GOSSARD PENINSULA HEAT INC 931 w 12TH sT 782 KITCHEN-DICK RD PORT ANGELES WA 98363 SEQUIM WA 98382 (360) 452-3042 (360) 681-3333 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT ' Additional desc . . DHP Permit Fee 64.80 Plan Check Fee .00 Issue Date . . . . 9/26/16 Valuation . . . . 0 Expiration Date 3/25/17 S� (� Qty Unit Charge Per Extension BASE FEE 50.00 3 1.00 ------14.8000-EA----ME-FURN/HP/FAU < OR = 5 TON-- --- -14.80 Special Notes and Comments Per Washington State Code 51-51-315, installation of Carbon Monoxide n1 detector(s) is required if you are installing or replacing a fuel burning t 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 �.Y 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 knthe same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether ified herein or not. The granting of a permit does not pr ume to give authority to violate or cancel the provisions of any st to al law regulating construction or the performance of const ctio . 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 Stemwal I 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 T A: . FTLES For Caty Use NGE Permit# Date Received: 321 East 511 Street Port Angeles, WA 98362 ©ate Approved P: 366-417-4817 F: 360-417-4711 permfts@dtyofpa.us �{f �n �qy�p �s�a ? Building Permit Application Project Address: (�J '} � _-• ._ '_t5 � ".11J � C/ Main Contact: hone # �- �C' J�ww#c' pj&7/ 1 -Malk �''r �a •c®�'--- Property Names-- 6 !/� Phone d 0 Owner Mailing Address /Y- S Email city � � §tate zip C®11$H'act®r Name Pho M '' gAdK,,,, Email D � eli,(,q� City State Contractor I.IceIlIlSe# Exp1H'atti®IIl: O Project Value: (- Zoning: Tax Parcel# /(J Lot# Type of residential 15 Commercial ® Industrial ® Public Permit Demolition ® Fire ® Repair ® Reroof(tear off/lay over) 13 For the following,fill out both pages of permit application: New Construct) n ❑ Remodel 11 Addition ® Tenant Improvement 13 Mechanical Plumbing 0 Other Odsting Fire Sprinider Systema? It WdmBum height of structure Proposed Bedrooms Proposed Bathroom Yes 13 No 13 Projectl s� (Description fyt, S f't I have read and completed the application and know it to be true and correct.I am authorized to apply for thi. perms I understand haat it is my responsibility to determine what permits are required and to obtain perno prior to worldng on projects. I understand that the plana review fee is not refundable after plan review Inas occurred. I understand that I will forfek the review fee if I cancel or withdraw the application-•bifore the permit is issued. I understand that if the permit is not issued within 180 slays of receipt,the application will I considered abandoned and the fees forfeit. Date Print Name Signa Residential Structures Eadsting 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 i° floor) Garage Carport Other(describe) Area Totals Commercial Structures For office Use Area Descriptions(SQ FT) Existing Proposed Construction Floor area Floor area $Value new area Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) Site Area Totals y Lot/Site Coverage Calculations tot Size(sq ft) Lot Coverage(sq ft)foot print of %Lot Coverage(Total lot cov-- Max Bldg lot size) g Hei ght all structures sq ft %of Site Coverage(total site cov=lot size) Site Coverage,(Sq Ft of all impervious) Mechanical Fixtures Indicate how man of each a of fixture to be installed or relocated as part of this project. Outlets: Air handler Size: # Haz/Non-Haz Piping Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) # Heatin /Cooling appliance # Boiler/Compressor Size: # re air/alteration Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # ortable) Fire lace/Gas Stove/ as Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # Ventilation System # Furnace/Heat P p/ See' � # 2 Forced Air Unit 5 k ' k Plumbing Fixtures Indicate how manv of each a 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 interce for Grease Tra Size Other (describe-.. T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx