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Home My WebLink About1028 W 12th Street Address: 1028 W 12th Street PREPARED 6/28/17, 13:01:54 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/28/17 --- -- - --------------------- ADDRESS . : 1026 W 12TH ST SUBDIV: CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939 OWNER TERESA RUSSELL PHONE PARCEL 06-30-00-0-3-7035-0000- APPL NUMBER: 17-00000438 RES MECHANICAL PERMIT ---- ---------------- PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME99 01 6/28/17 JLL MECHANICAL FINAL TIME: 17:00 --�---------88 ----------- COMMENTS AND NOTES -------------------------------------- Lt I r OF PORT ANGELES ►�'�i� DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION .�� 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 17-00000438 Date 4/11/17 Application pin number . . . 858208 REPORT SALES TAX Property Address . . . . . . 1028 W 12TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-7035-0000- on your state excise tax form Application type description RES MECHANICAL PERMIT to the City of Port Angeles subdivision Name . . . . . . Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 3560 ---------------------------------------------------------------------------- Application desc Install Ductless Heatpump I ---------------------------------------------------------------------------- ( ll�� ✓.• Owner Contractor ------------------------ ------------------------ ` TERESA RUSSELL DAVE'S HTG & COOLING SRVC INC N 1028 W 12TH ST PO BOX 413 PORT ANGELES WA 983637214 PORT ANGELES WA 98362 (3 60) 452-0939 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . INSTALL DUCTLESS HEATPUMP Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . . . 4/11/17 Valuation . . . . 0 Expiration Date 10/08/17 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80 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 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 1 \ 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 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 �cronstr ction. 7 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: 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 E 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: Parkin /Lighting ESA: Landscaping EEISHORELINE: 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 04/06/2017 8:59AM FAX 3604524376 OAVES HEATING & COOLING 20001/0001 qllp— CI"ry„q AN�iELES For City Use 4- A� S. ..FL t iv G T o N U . s _ Permit# - Date Received: L 321 asG- Street l Port'Angeles,44 98362 Date Approved (� 1 P: 360=4; -7` 17 F: 360-417-4711 permitsC0c11tyofpa.us Building Permit Application _.__�� Project Address: r D� g,. / ,+ Main Contact: Phone # - J E-Mail: Property- Naute- Phone Owner= - - _ ;pawi:lugAddress _ .` ” CunaiE .. State Zip Contractor a v p1.O11e if JZ -� - -Math Addre Euxil zipl.�� 'j Contractor License# A 4.V ,IA�� Expiration: 7 Project Value: Zoning: Tax Parcel# Lot# -T $ Type of_- liesildential. Commercial ❑ industrial ❑ Public 13 _ Permit _ �D-emolition ❑ Fire ❑ Repair O -Reroof(tear off/lay over) ❑ For the following,fill out both pages of permit application: -TLeW-C- nstruction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑ ---. �. Mechanical ❑ Phimbing ❑ Otlier C3 ExistingFirgprinkler System? Maximum height of structure Proposed Bedroom s Proposed Bathrooms Yes C No-._ _.._ Descripri' - �-F�a o c�t.�rss c.� Y have read.=completed the application and know it to be true and correct.I am authorized to apply for this permit. I urldtrstand that it is ray responsibility to determine what permits are required and to obtain permits prior tm-w6xlti*on projects, I understand that the plan review fee is.not refundable after plan review has occurred.'14nders4nd that I will forfeit the review fee if I cancel or withdraw the application before the permit-is-I!"%!e#:l.qnderstand that if the permit is not issued within 180-days of receipt,the application will be conside%ecil�a�ial+doped and the fees forfeit. Date Print Name -� Signature -614 y �0 l -nom►,,, --