HomeMy WebLinkAbout1105 E Park Avenue Address:
1105 E Park Avenue
PREPARED 8/23/16, 10:34:11 INSPECTION TICKET PAGE 9
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY _ DATE 8/23/16
ADDRESS . : 1105 E PARK AVE SUBDIV:
CONTRACTOR PENINSULA HEAT INC PHONE (360) 681-3333
OWNER LANNOYE MONTY W PHONE
PARCEL 06-30-11-5-1-0610-0000-
APPL NUMBER: 16-00001186 RES MECHANICAL PERMIT - -
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PERMIT: ME 00 MECHANICAL PERMIT -
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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ME99 01 8/23/16MECHANICAL FINAL
August 23, 2016 10:38:36 AM jlierly.
------------------------- - --------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 16-00001186 Date 8/09/16
Application pin number . . . 354348
Property Address . . . . . . 1105 E PARK AVE REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-11-5-1-0610-0000-
Application type description RES MECHANICAL PERMIT on your state excise tax form
SubProperty
Name . . . . . . to the City of Port Angeles
Pro ert Use
Property Zoning . . . . . . . RESIDENTIAL MEDIUM DENSTY (Location Code 0502)
Application valuation . . . . 3960
Application desc
ductless heat pump
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Owner Contractor
LANNOYE MONTY W PENINSULA HEAT INC
1105 E PARK AVE 782 KITCHEN-DICK RD
PORT ANGELES WA 98362274.0 SEQUIM WA 98382
(360) 681-3333
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Permit . . . . . . MECHANICAL PERMIT
Additional desc DHP
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 8/09/16 Valuation . . . . 0
Expiration Date 2/05/17
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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". S ecial Notes and Comments - - -
Per Washington State Code 51-51-315,
p 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.
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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
�9
d0
- A,
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.on. I hereby certify that I have read and examined this application and know the same t r
PP o be true and correct: All provisions
of laws and ordinances governing this type of work will be complied with whether specified P p herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of a y st a of loc law regulating construction or the performance of
constr cti
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
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 SHORELINE:
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
CITY OF 1T For City Use
U. � Permit#
W ASH INGTO N, U. S. Date Received: — l�
321 E 51h Street Date Approved p l�
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits@cityoi'pa.us BUILDING PERMIT APPLICATION
Project Address: 0 E' S T .
Phone: 360 - ,S — /o
Primary Contact: t4 a LAA)lv6y C Email:
Name NN_ /d Phone 36O
Property Maili ddress Email
Owner '
City POct State w ./� :J�P:9:93
�7,(2
Name Phone W W
Contractor Address Email
Information �. �� I I
City 13
�I 5 k9br State Zip,
Contractor License# PtNWONP
Exp.Date: 10_/
Leeal Descrintion: Zoning: Tax Parcel# Proj t Value: (materials and labor)
06 30 1 ( D 0 $
Residential Commercial ❑ Industrial ❑ Public ❑
-� Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
e Classification For the following.fill out both pages of permit application:
(check New Constructtio)a 11 Exterior Remodel ❑ Addition 11 Tenant Improvement El
appropriate) Mechanical LY! Plumbing ❑ Other ❑
Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms
or Existing? Yes ❑ No ❑ Existing? Yes ❑ No ❑
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater ci o a.us
Project Description ZAcWt v in l l vl /Popm
Is project in a Flood Zone: Yes ❑ NoEf 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 18o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
A0 �6�9/n
Date Print Nam Signature