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Home My WebLink About113 E 10th St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc BACKFLOW PROTECTION FOR LAWN Owner BARBARA JEAN PERRY 313 KING ST PORT ANGELES (360) 452 7163 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total T:Forms/Building Division/Bu Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 7 0000 EA WA 983631721 PLUMBING PERMIT LAWN SYSTEM BACKFLOW 165894 57 00 5/20/10 11/16/10 Per 57 00 00 57 00 10 00000518 590182 113 E 10TH ST 06 30 00 0 2 9160 0000 BARBARA JEAN PERRY PLUMBING REPAIR RS7 RESDNTL SINGLE FAMILY 400 IRRIGATION SYSTEM Contractor OWNER 57 00 00 57 00 PREV Plan Check Fee Valuation BASE FEE PL -LAWN SPRNKLR BCKFLW PREV Charged Paid Credited Due 00 00 00 Date 5/20/10 00 00 00 00 0 Extension 50 00 7 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 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. 2 /O Iu 1... Pe- r ru Date Signature Name J Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -ln 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 Parking Lighting Landscaping 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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Electrical Construction R.W PW Engineering Fire Planning Building Date Accepted By 417 -4735 417 -4831 417 -4653 417 -4750 417 -4815 Comments 1 BacKf rdrlecf-iQorftr LtuAln i rr-i 3 ct4-i ot^ 5j54 -ern FINAL Date 1O q�2 ®r1 Accepted by ,L• FINAL Date Accepted by SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By ApplicationfNuniber AppYi onapin .number' .Property Address `ASSESSOR. PARCEL ;,NUMBER 'Tenant :nbr .name+ Application type decrition, a "SUbd vi= sion'Name', "Property 'Use, ;Property ;zoning Application' Value tibn, "App3'icatio .4 q_:BACKFLOW PROTECT .SON.:FOR.'LAWNt�SRRIGATION.. YSTEM ,Owner :'BARBARA ;JEAN. 'PERRY -3'13 KING' ST :PORT .:ANGELES, rt ('3 "6, 452- ',7163 :Perttii't Additional ;desc Permit pin number. 'Permit =Fee•. ssue ;Date Expirat'ion.;Date, :D EP ARTiVI°EN;T sWA, .:983831.'721! 5i, -a5 %'2;0 T0: Per .,Qty,. "Unit :Charge 1, 0 0= 7' ,0 00,0 ^ee' summary "Charged .:Permst tee' ,Tota1 "5 „7; ?0' 'Plan ,Check ::Total 0.0• Grand `Total 5;7 `0' ',T: Forms /Bui l ding' Diyision/B iiilding, Peimit CITY 'OF=PORT,ANGELES FYCOMMUNI:TY'& ECONO:MIC'D B;UILDING'=DhVISION :321 ;EAST'5TH :STREET' .PORT.ANGELES;'`WA 98362. i 0 ;0'0,0,00.5'38 :5'9:0P82 l'13: E .1'OTH ST '3'0 =<00 'O 2' `9:16'0 `000'0 BARBARA JEA'N'' "'P.ERRY,` ;PLUMBING REPAIR RS7 :RESDNTL, °SINGLE';FAMILY 400', Contractor OWNER `P.LUMBING, '•PERM LAWN= SYSTEM.rBACKFLOW PREY' 1'658'94j, 5'7. 00` Plan 'Check ;Fee- "Valuation: A ,rEASE:.FEE -PL- =LAWN rSPRNKLR ,BCKFLW: Paid, 'Credited' .b 00r ;0 0' 3 ;Date ?5/2,0%;10• a7 Due 00 00` J r ...,q.. Date; rint- Name""' Signature of`Contractor.. or "Authorized Agents :Ex 55 0 :0„0 N .A. aturetof:Owper (if owner. is,builder) Separ Permits are required;' for electrical: work, SEPA,•Shoreline. ESA, utilities private °and,public improvements, Thi spermit becomes.:null;and work or construction authorized is not commenced within 180 days, construction.orwor.k:is suspended or abandoned. for+a:per'iod:of I80%days after:the work ha`s requi red.ins,pections'have not'been requested twit}iint180 days: frm, o th e' last;• inspection'. hhereby certify' that'1hav read'; and: examined' this•:application and know' be.true and.correct. All.provisions of .laws and• ordinances: governing'this.type.ofawork •will be comp Iiedwith whether specified herein:ornot. The granti of`a'permit'doe""s;notpresuine to give authority-to;.vi or: cancel the. provisions'of any; state',or local law: regulating c performance of:construction. pORTg co NiINMEW Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department P Water/Wastewater Collection Division NAME OF PREMISES P i '/D 1 j( SERVICE ADDRESS l 3 63 /t2 .S i L G� LOCATION OF DEVICE. 1 1 V rAl V r G G' S f /w'<' ASSEMBLY (rl/ 75' 0 /1 f 31.5 3 S Manufacturer Model Size Serial No IS THIS AN APPROVED ASSEMBLY'? YES 13 0 IS ASSEMBLY INSTALLED CORRECTLY YES B-IO DATE OF INSTALLATION M UNKNOWNO REDUCED PRESSURE PRINCIPLE ASSEMBLY DOUBLE CHECK VALVE ASSEMBLY CHECK VALVE #I 1 CHECK VALVE #2 1 RELIEF VALVE I PVB /SVB Initial Test Repairs Details COMMENTS Initial Test Repairs Final Test Leaked Leaked Did Not Open AIR INLET Closed Tight Did Not Open Held at 2 psi Opened at psi Held at psi Opened at psi Cleaned Replaced AIR GAP INSPECTION. REQUIRED MINIMUM SEPARATION YES NO Cleaned Cleaned Replaced Replaced 3 psi Buf'f'er YES NO Final Closed Tight Test Held at t� psi Held at •6' psi Opened at psi Replaced TYPE OF HAZARD .G. ,f Line Pressure f psi WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY Official "Use Only Asscm.# Received RP RPDA DC 0-- DCDA PVB Air Gap SVB AVB CHECK VALVE Leaked Held at psi REPAIRS Cleaned AIR INLET Opened at psi CHECK VALVE Held at psi BACK PRESSURE NO YES Al Y/e C 7 E, g ,45). fl Held Backpressure YES ct ---NO #2 Shutoff Held YES L.I NO Relief Valve Exercised YES NO I Date Time Tester Signature Cert. Test Kit Passed Failed /G do leckt ,4e 'f to Applicant Property Property Contractor Contractor's Address x, License PROJECT ADDRESS Parcel Number BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Soh o f bw V �Prr�n Owner Y>a r�9 rec rH Owner's Address 113 /D S r Project Type Brief Description. &Residential Multi- family Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System gOther )o. w Expires i� E /o7A Sfi 1 R nA-4-o h c", di— no 1.4' House garage other tear off re -roof lay over one layer Heat pump wood- burning stove gas fireplace pellet stove tg.other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement 1 Floor 2 "d Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? ft Date c Print Name J< H 1 r T Forms /Building Division /Building permit application Occupancy group Occupant load Construction type Lot 1>et''G`O V\ pp per sq ft. :7_ T TAL VALUATION L 6 O anc Total footprint of structures sq ft. —Lot size sq ft. Site Coverage the amount Im rvious surface on a parcel including structures paved driveways sidewalks and other impervious surf es (se PAMC 17 94 135 for exemptions) Site coverage Phone Phone Phone E -mail Signature For City Use Only Date Received 5- 2-G Permit #lo C Date Approved 3 6 o 6 /cz. 7/63 3 „6 L /Sz -7/6 Zoning Commercial Industrial of bedrooms of full bath of half t the patios I have read and completed this 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 CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15806 Port Angeles, washlngtonoom.~oo=m..L..5:=.._m..mmoo...m....., 19.7.m~ - In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment In, on, or about any building or other structure In the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. Address _JL;~m.n~mm!ooo.oo=Lf___'_m_noo.m.________._____.__.__ Occupancy_._m....ll.L......:mh_nun____nun Owner ..~oooooo.~..moomoon-.---noo Tenant_n__..m.moooomu....._.oo___.____mmmmoooooooomm..m.oo Wiring &ntractor __C-Ut,=~___s:.JJ.d:._.____ooh_oo..__m By..mm.m_.m._._n.__.hn_moo_m____n____.oom.m_.moooo Light Outlets......____..3__i..............____ Service, volts __/..(J.,..C1..~.:;)....':-I..D..... Type of WIring: Receptacle Outlets...#...~........_... No. wIres _..___..3.......................... Armored Cable ........-..............-...-.. D'ye" KW __n__h.m._5.n.____.__nnm.__m. Size wires....~.--A-__h.----..-- Non.Metallic .__n...___._.................. " .-") _ ..?t: Knob & Tube__.._.............___.___.__..... Range, KWnn..__/-=__mnm____..__. Main fuse ..6"'-Q"'U.__n n n____' Rigid Conduit ................__..n____.... Water Heater: Enclosure ______._______..___..__......_......... KWh.__mn.!i.'n~_.m_nm_ Heat: Kw/-i.J..J.._....1.S..:_..B:B Type of wiring: Entrance Cable _..._......._.._.._... Motors: size, volts and phase: Rigid Conduit ..m__m....m....m....... Metal11c Tubing ....hd.............._.__. Current transformers: No. & Size..m....m__..________._.__....______ Ser. No..._........_..........._...........__.__..__. Ser. NO.d__..__.......................d............ Ser. No.....__.....................__................. Metallic Tubing h_.m..m__......"d'" Raceway _...._................._........._..._ Circuits, Light......__..dht::....._..._...._.... - Ut!llty .._..............,6...___..__........... If eat .........-..---...-.g::::...........-...... Range ....__............k......___________ 'Water Heater .....__.~......_._..__.__ Motor __...................{..._......_...___...... Dryer..........._.__.__.._~.................... Furnace ..___.._._.___.nn.......___..__..h__...... Total Load...____....____..__.m...... Ser. NO..n........._____.._......_h_.._.md....__ Total .....;J.....~...mh-----... Remarks: __~-~---..nnn--.---n-n--hmmoooooommoomoooooomoo.mm..nmmmmm.mmmm--..oooomoo Permit Fee $_n3.'-':/..t2m.moooooom. Treas. Receipt No._........................... By ___.oo___.J..d.J..._~__.mmmm.mmm..oo NOTICE-Current must not be turned on until Certificate of Inspection has been Issued. If work is to be eon. cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ~ C4v~ / 'J." 7~-KW~J]. ELECTRICAL PERMIT N? 15806 AddreSs......i..l..3........8..,......Lo....U...,.......................................................... Date..._..6....c...L<;;;.~.""...]...4,....... :::::~E~~a:~:::::::::.:::::::::::::.::::~::..~::a.:t.~~::::::::::.Z;~:~=:.:::::::__::::::::::::: NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be eon. cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc.