HomeMy WebLinkAbout1022 S. Lincoln StreetAddress:
11022 S Lincoln Street
PREPARED 6/17/16, 12:54:36 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/17/16
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ADDRESS . : 1022 S LINCOLN ST SUBDIV:
CONTRACTOR PELLET HEAT CO. PHONE (360) 457-4406
OWNER ESTHER L BLANKENSHIP PHONE
PARCEL 06-30-00-0-3-2885-0000-
APPL NUMBER: 16-00000832 RES MECHANICAL PERMIT
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PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED ESULT RESULTS/COMMENTS
--------------------------------------------------------------------------- — --- — ------- ----
ME99 01 6/17/16 MECHANICAL FINAL
.June 17, 2016 9:05:25 AM jlierly.
Blanenship 775-9506
-------------------------- ----------- COMMENTS AND NOTES
. CITY OF PORT ANGELES
�' to I DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 16-00000832 Date 6/08/16
Application pin number . . . 559168
Property Address . . . . . . 1022 S LINCOLN ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -2885 -0000 -
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 4496
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Application desc
install ductless 25.5 seer heat pump
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REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Separate Permits are required forelectrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized isnot 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 prov' ions of any state or local law regulating construction or the performance of
construction. 1
Date Print Name Signature of Contractor Authorized Agent' Signature of Owner (if owner is builder)
— w—loluu-111W vwuwniounuuiy rcmut
Owner Contractor
------------------------ ------------------------
ESTHER L BLANKENSHIP PELLET HEAT CO.
1022 S LINCOLN 230C EAST 1ST ST
PORT ANGELES WA 98362 PORT ANGELES
WA 98362
(360) 457-4406
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Permit . . . . . . MECHANhCAL PERMIT
Additional desc .
V m a
Permit Fee . . . . 64.80 Plan Check Fee
.00
`
Issue Date . . . . 6/08/16 Valuation . . .
. 4496
v.
Expiration Date 12/05/16
eI
-- -
Qty Unit Charge Per
Extension
BASE FEE
50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON
14.80
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jP ` e�
Special Notes and Comments
Per Washington State Code 51-51-315,
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
C)
place directly outside of each sleeping
'..�
area and at least one on each floor of
the house.
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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 forelectrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized isnot 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 prov' ions of any state or local law regulating construction or the performance of
construction. 1
Date Print Name Signature of Contractor Authorized Agent' Signature of Owner (if owner is builder)
— w—loluu-111W vwuwniounuuiy rcmut
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
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
TtiE �{
CITY OF GV A
W A S H i N G T O N. U. S.
321 E 51h Street
Port Angeles; WA 9836
P: 360-417-4817 F: 360-417-4711
Email: Oermits cttyotpa.us BUILDING PE
Project Address: / �', 01iz.-1
For City Use
Permit#1 16
,
Date Received: 7'... ( (P
Date Approved _ lb _
APPLICATION
ct
PUMP.
Is project in a Flood Zone: Yes 0 No® Flood Zone I Type:
If in a Flood Zone, what is the value of the structu a before proposed improvement? $
1 have read and completed the application and kp >w it to be true and correct. I am authorized to apply for
this permit and understand that it is my responsil ility to determine what permits are required and to
obtain permits prior to work. I understand that pan review fees are not refundable after review has
occurred. 1 understand that I will forfeit review fe es 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
l 'd E926 'ON
Hd l dOHS HdS Wd66:H MZ I 'unr
Phone:
Prima Contact: ,
Email:, d p
Name
PMA
Phone
J&O- ,
Property Mailixt Address
Email
Owner 1022-
5
.—
city T ba-.�- Maw
state 604.
Zip %(�OQ7 /21
Name
Phone
Contractor
Information
Address
`
¢
Email
ll
City oY
e,l S
State
Contractor License* F— t L E 144_ D
O
Exp. Date: '-1 7 ,-1
Legal Description:
Zoning:
Tax Par el #I
Project Value: (materials and Cabot)
Residential
IK Commercial
-❑ Industrial ❑ Public ❑
Permit
Demolition
❑ Fire ❑
kepair ❑ Reroof (tear off/lay over) ❑
Classification
For the foll9wing.
fill out both
ages of permit -application
(check
New Construction ❑ Exterior Remodel
❑ Addition ❑ Tenant Improvement ❑
appropriate)
Mechanical
❑ Plumbing ❑
Other ❑
Fire Sprinkler System Proposed
Irrigatio¢ System Proposed or
Proposed Bathrooms
Proposed Bedrooms
or Existing? 'Yes O No ®
Existing? Yes 0 No
M
In addition to standard hard copy submittals please se
td a FDF copy of all Stormwater plans and Engineering to .
ct
PUMP.
Is project in a Flood Zone: Yes 0 No® Flood Zone I Type:
If in a Flood Zone, what is the value of the structu a before proposed improvement? $
1 have read and completed the application and kp >w it to be true and correct. I am authorized to apply for
this permit and understand that it is my responsil ility to determine what permits are required and to
obtain permits prior to work. I understand that pan review fees are not refundable after review has
occurred. 1 understand that I will forfeit review fe es 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
l 'd E926 'ON
Hd l dOHS HdS Wd66:H MZ I 'unr