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Front StreetAddress: 102 W Front Street IS- U7 PREPARED 12/16/15, 16:40:05 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: PAT BARTHOLICK - DATE 8/07/15 ------------------------------------------------------------------------------------------------ ADDRESS . : 102 W FRONT ST SUBDIV: CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 452-3154 OWNER TURCO DARLENE RAE PHONE ( 36) 417-2220 PARCEL 06-30-00-0-0-1500-0000- APPL NUMBER: 15-00000887 COMM MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----- ---------------------------------------------------------------- ME99 01 8/07/15 PB MECHANICAL FINAL �i7 ✓% December 16, 2015 4:36:06 PM pbarthol. ---------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION S 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 15-00000887 Date 7/20/15 Application pin number . . . 528828 Property Address . . . . . . 102 W FRONT ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -1500 -0000 - Application type description COMM MECHANICAL PERMIT Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 4062 ---------------------------------------------------------------------------- Application desc ductless heat pump ---------------------------------------------------------------------------- Owner Contractor TURCO DARLENE RAE ALPHA BUILDER CORPORATION PO BOX 87 105 1/2 E. 1ST ST. JOYCE WA 98343 PORT ANGELES WA 98362 ( 36) 417-2220 (360) 452-3154 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . DUCTLESS HEAT PUMP Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . . . 7/20/15 valuation . . . . 0 Expiration Date . . 1/16/16• Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80 ---------------------------------------------------------------------------- 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) 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. 1 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. 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: Construction - R.W. PW I Engineering 417-4831 Footings Stemwall Foundation Drainage / Downspouts Piers 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 I 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 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 T:Forms/Building Division/Building Permit CITY OF t %OT X W A S H I AN,G,EUS- -L N G T O N. U. S. 321 E S"h Street Port Angeles, WA 9836 P:360-417-4817 F:, 360-417-4711. Email: permits0cityofpa.us For City Use Permit# 115� o� Date Received: %-0-1�9�/ Date Approved BUILDING PERMIT APPLICATION Project Address: j� Z Primary Contact: 4�w Phone: SCe 45-1 - 3 15 q Email: Ql CD CDS Pe _n , Name E Phone O ` r^ Q P C r `T ! '7 Property Owner Mailing Address \ _r�� l I.l> Email CityState cr2 wT' �n .el �s (.J r Zip Name ( n (Ci e� 1 D Phone ' C 4 QU J' Contractor Address � �� f Email � �' �� L6rn Information City "` QS State (, i Zip. g 3 Contractor License# (4 -5W (Act Exp. Date: Cgo Legal Description: Zoning:Tax Parcel # Project Value: (materials and labor) Residential nm--i;TV Industrial ❑ Public 0' Permit Demolition ❑ Fire ❑ Repair ❑ Reroof (tear off/lay over) ❑ Classification (check appropriate) For -the following, fill out both paages of permit application: New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical tIF Plumbing ❑ Other ❑ Fire Sprinkler System Proposed or Existing? Yes ❑ No ❑. Irrigation System Proposed or Existing? Yes ❑ No ❑ Proposed Bathrooms Proposed Bedrooms In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwater4@ciqofpa.us Project Description 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. Date Print Name Signature