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Home My WebLink About1012 Madrona StreetAddress: 1012 Madrona street �n PREPARED 8/25/16, 9:17:11 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/25/16 ------------------------------------------------------------------------------------------------ ADDRESS . : 1012 MADRONA ST SUBDIV: CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939 OWNER BURWELL, J.ROSS PHONE . PARCEL 06-30-08-5-8-1305-0000- APPL NUMBER: 16-00001166 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------- 01 8/25/16 MECHANICAL FINAL August 22, 2016 10:50:47 AM jlierly. DHP Daves heat -------------------------------------- COMMENTS AND NOTES ------ . CITY OF PORT ANGELES !moi DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 16-00001166 Date 8/05/16 Application pin number . . . 814928 Property Address . . . . . . 1012 MADRONA ST ASSESSOR PARCEL NUMBER: 06 -30 -08 -5 -8 -1305 -0000 - Application type description RES MECHANICAL PERMIT Subdivision Name . . . . . . Property Use . . . . . . . . :;.. ....Property Zoning . . . . . . . UNKNOWN Application valuation . . . . 3150 ---------------------------------------------------------------------------- REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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. 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 ofa 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. /1 A Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Application desc --=------------------------------------------------------------------------- DUCTLESS HEAT PUMP Owner Contractor ------------------------ ------------------------ BURWELL, J ROSS DAVE'S HTG & COOLING SRVC INC y_ 703 S LIBERTY ST PO BOX 413 PORT ANGELES WA 983626664 PORT.ANGELES WA 98362 ---------------------------------------------------------------------------- (360) 452-0939 Permit . . . . . . MECHANICAL PERMIT d.... Additional desc . . DHP �'•' Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . . . 8/05/16 Valuation 0 " Expiration Date 2/01%17 Qty Unit Charge Per Extension BASE FEE 50.00 ^ z ---------------------------------------------------------------------------- 1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80 Special Notes and Comments L Per Washington State Code 51-51-315, 0 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 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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. 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 ofa 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. /1 A Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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: Electrical 417-4735 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: ESA: SHORELINE: Parkin / Lighting Landscaping 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 06/04/2016 2:01PM FAX 3604524376 OAVES HEATING & COOLING 1x0001/0001 1 H CITY OF RT LES, AI` For City Use W A S H I N G T O N, U. S. Permit# Date Received: 321. East 51' Street Port Angeles, WA 98362 Date Approved -Srl(O P: 360-417-4817 F: 360-417-4711 perrnits@Cityofpa.us Building Permit Application Project Address: Main Contact: i Phone # E -Mail: Property Naa Pl,oae OwnerX Mailing Address U 3 O -IL ` S V� Email clty � � � � Sesta 3 ContractorAVe�S Je� h phoua Mail g Add . a?c C-(13 !snail ---�— city f� rk s.a arae zl Contractor License # �, � K Expiration: 7 Pro ect Value: 2onirtg: Tax Parcel # Lot # $D Type of T Residential la Commercial ❑ Industrial ❑ Public 13Permit Demolition ❑ Eire E3 Repair" ❑ Rproof (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 ❑ Description h.S�o�l-1, a-`� ova o- _ cC s ,� m s�s'r►, _ �� 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 itis 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 of receipt, the application will be considered abandoned and the fees forfeit. Date Print Name Signature a