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Home My WebLink About2130 W 4th St - BuildingBuilding Permit 2130 W 4 `h St 12-1356 PREPARED 10/16/12, 9:35:39 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/16/12 ------------------------------------------------------------------------------------------------ ADDRESS . : 2130 W 4TH ST SUBDIV: CONTRACTOR PIPE-RITE PLUMBING INC PHONE (360) 681-2615 OWNER BRINSON DANNY M PHONE PARCEL 06-30-00-9-4-0033-0000- APPL NUMBER: 12-00001356 PLUMBING PERMIT ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -- - — --------------------------' PL99 01 10/16/12 JL_ Lr� PLUMBING FINAL "j}1� October 16, 2012 9:07:20 AM pbarthol. Danny 452-2714 COMMENTS AND NOTES 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 Fire 417-4653 Post Holes (Pole Bldgs.) PLUMBING: FINAL Date Accepted b 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: FINAL Date Accepted b Heat Pum / 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 SEP& ESA: Parkin / Lighting ]SHORELINE: Landscaping 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-Fnrmc/Riiilrlinn nivisinn/Riiilrlinn Parmit s�.. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 12-00001356 Date 10/12/12 Application pin number . . . 032892 Property Address . . . . . . 2130 W 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -9 -4 -0033 -0000 - Application type description PLUMBING PERMIT Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 500 ---------------------------------------------------------------------------- Application desc WATER HEATER ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BRINSON DANNY M PIPE -RITE PLUMBING INC 2130 W 4TH STREET P. O. BOX 1566 PORT ANGELES WA 98363 SEQUIM WA 98382 (360) 681-2615 Permit . . . . . . PLUMBING PERMIT Additional desc . . WATER HEATER Permit Fee . . . . 57.00 Plan Check Fee.00 Issue Date . . . . 10/12/12 Valuation . . . .. 0 Expiration Date 4/10/13 Qty Unit Charge Per Extension BASE.FEE 50.00 1.00 7.0000 EA PL -WATER HEATER 7.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited ----- - - - - --- --- - - - - - - ---- - - - - --- Due - -- --- - - - ---------- - - - - - -I Permit Fee Total 57.00 57.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.00 57.00 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 t v> a e or ca�tcel 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) ]:Forms/Building Division/Building Permit THF - CITY C?ORTGELES F W A S H I N 0. T O Nt, U. S. 321 East 5th Street Port Angeles, WA 98362 P: 360-417-4817 F: 360-417-4711 hcatuzo@cityofpa.us . Building Permit Application For City Use Permit # / ,�- r 13 Date Received: %0 —,/.;L - Date Approved: le old I/,)— Project Address: Main; Contact: Phone # Proper p ty Name 2, Phone rvw� 'J"4'�a Owner Mailing Address Email a361 t -c- 41 �' h City P- ,a State Zip Contractor` Name r Phone Mailing Address Email City State Zip Contractor License # Expiration: Project Value: Zoning: Tax Parcel # Lot # $ SGp �= 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 Constru tin ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical WPIumbing ❑ Other ❑ Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes ❑ No ❑ Project i W Description 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 working on projects. I understand the plan review fee is not refundable after review has occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before plan review has occurred. I understand that if the permit is not i withi 180 days of receipt, the application will be considered abandoned, and the fees forfe' . Date Print Name rgnature 1G1 /Z- 7")140, XSCL-- G/ Residential Structures Area Description (SQ FT) Existing Proposed Minimum $ value For Office Use Basement Appliance Vent # Heater (Suspended, Floor, Recessed wall) # First Floor Size: # Heating/Cooling appliance repair/alteration # Second Floor # Pellet Stove/Wood-burning/Gas Fireplace/Gas Stove Gas Cook Stove/Misc. # Fuel Gas Piping Covered Deck/Porch/Entry Ventilation Fan, single duct # Furnace/Heat Pump/ Forced Air Unit Size: Deck Ventilation System # Garage Carport Other (describe) Area Totals Commercial Structures Area Description (SQ FT) Existing Proposed Minimum $ value For Office Use Structure (s) Appliance Vent # Heater (Suspended, Floor, Recessed wall) # Addition Size: # Heating/Cooling appliance repair/alteration # Tenant Improvement # Pellet Stove/Wood-burning/Gas Fireplace/Gas Stove Gas Cook Stove/Misc. # Fuel Gas Piping Other (describe) Ventilation Fan, single duct # Furnace/Heat Pump/ Forced Air Unit Size: Area Totals Ventilation System # Lot Site Coverage Calculations Footprint (SQ FT) of all Structures: Lot Size: % Lot Coverage SQ FT Site coverage (all impervious + structures Haz/Non-Haz Piping % Site Coverage 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 # of Outlets: Appliance Vent # Heater (Suspended, Floor, Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance repair/alteration # Evaporative Cooler (attached, not portable) # Pellet Stove/Wood-burning/Gas Fireplace/Gas Stove Gas Cook Stove/Misc. # Fuel Gas Piping # of Outlets: Ventilation Fan, single duct # Furnace/Heat Pump/ Forced Air Unit Size: # Ventilation System # Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Fuel gas piping # of Outlets: Water Heater # Medical gas piping # of Outlets: Water Line # Vent piping # Sewer Line # Industrial waste pretreatment interceptor # Other (describe): CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Ra� lbz�ut:u: 7771672002 PERIVIII NO: 138-39 OWNER/APPLICANT PROPERTY LOCATION DAN BRINSON 2130 4TH ST W $0.00 2130 W. 4TH ST Lot: 11 $0.00 Port Angeles, WA 98363 Block: ® Long Legal 360/452-2714 Subdivision: EDGECLIFF T: S: Parcel No: 063000940033000 CONTRACTOR ARCHITECT Sign: ALL WEATHER HEATING & COOLING N/A Plumbing: 302 KEMP STREET $35.00 Mechanical: PORT ANGELES, WA 00009-8362 98360-0000 Radon: 360/452-9813 360/000-0000 PROJECTINFO Project Value: $3,169.00 SFD Units: 0 Commercial: 0 Project Type: PROPANE INSERT SFD SQ FT: 0 Industrial: 0 Occupancy' Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES INSTALL PROPANE INSERT, GAS LINE, TANK RECEIPT#9898 FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $35.00 Plumbing: $35.00 AMOUNT PAID: $35.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 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 as 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 vio ate or cancel the provisions of any state or local law regulating construction or the performance of construction. i Signature of Contractor o'rr Aithorized Agent Date Signature of Owner (if owner is builder) Date TAPLANNING\F0RMS\1102.15 [4/2002] N 1 S BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: N ROUGH -IN PLUMBING UNDERFLOOR/SLAB ROUGH -IN WATER LINE GAS LINE ,LEY BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T -BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEATPUMP WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT k's: WATERLINE METER SEWER CONNECTION SANITARY STORM SEPA: ESA: SHORELINE: PLANNING DEPT. SEPARATE PERMIT N's PARKING/LIGHTING LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYNSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES 7 NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ ENGINEERING 417-4807 CONSTRUCTION - R.W. PW / ENGINEERING FIRE 417A653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 '-U BUILDING T:\PLANNING\FORMS\1102.15 [4/2002] FROM : ALL WEATHER HEATING & COOLING FAX NO. : 360 452 5177 Nov. 06 2002 09:55RM P2 BUILDING PERMIT. APPLICATION rase tsard•._ ne Building Permit -P►e-applieation satstbef iledour conspletaly. uestlons, please call 4174315 �wo� Please type or B 1 'J) n, Print in ittlt 1" I I4ila _Phone: 4[_)P you have any 4 7 A II 1iJl— � I Anhant of ABS Phone: 6 r owner. CBIS Zip: 9 GJttACity: Addrc"' Phone: F+> chttOC�$>►�'� y" ! d LicePhone:---> #. " l� Ll ii fixe: _nse Zip: qNL b (4,.ew S city: AddMu• 4k ZONING: PAO ON: Lot LBGAi.ltllrSCJZI! Iz Block:_ — Subdivision. Credit Card Solder Name: CLMA AM COUNTY PARCEL NUMBER: _ saline dr City: Exp. Date VISA MC rent C Card A:: Cradlt T -M er VtO>K c Rovides" o New Concur. 0 Re -roof SIEUVALUATION: ❑ Woodstove SF. Q S,---„JSF. S e Myer p Addition. o Move a Garage SF. @ $ /SF. = $ c Demolition o Dock SF. @ S____/SF. a S_ p o Remodel o Sign ❑ TOTAL VALUATION $ o Repair aRW ONOMMON OF Tag PROIZCT: jQ �QI��SLiC.LKi%4 iP � 1 �kA,f� COM #fl04C tLAK1AIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of S4iiim: Lot Sire: % Lot Coverage: % . Bxiatutg Lot Coverage: /sq. ft. + proposed Lot Coverage: /sq. ft. - TOTAL LOT COVERAGE; /sq.ft PLANNING USZ ONLY: APPROVALS: PLAN Nolan; BLDG. DPW_ ESA/Wedand(s): o Yee o No SEPA Checklist required? ❑ Yes a No Other: OTHER BUILDING PZRMM APPLICATION SUBMITTAL: Your opisUcouow and site plan muse be fflbd oW cwasp/4aly N be e&oq adfir retdeat The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. VALUATION OF CONSMCTION: In A eases, a valuation amount must be entered by the applicant. Thio figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN C=CY FU: Your plan obeelr fee is due at the time the building permit application and construction plans we submitted. All olber permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this applleadoziwstll expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby cw* thou I have road and atusa red this application and brow the same to be true and correct, and I am authorized to apply for this permit, 1 understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibilityto determine what permits are required and to obta' uch. a //�� 1 Applicant: G�(�''�S D.: -U V T:WORMSWMuildf Vermis CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ...... . REQUEST: Date/ / / F— OL Time Received by (phone, person) Location of Work to be inspected G / Name of person requesting inspection Address of person requesting inspection_ Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney INSPECTION NOTES: Inspected: Date W-1 Plumbing Fina Tim Phone No. Permit No. l� Sewer Excay. Other M RFSTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑ Gravel ❑ Asphalt ❑ PCC ❑ Other ❑ Repaired by City Work Order # ❑ Repaired by Permittee ❑ COMPLETE ❑ No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)