HomeMy WebLinkAbout118 W. 4th Street Address:
118 W 4th Street
PREPARED 3/01/16, 10:43:21 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/01/16
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ADDRESS . : 118 W 4TH ST SUBDIV:
CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939
OWNER BENJAMIN / ELIZABETH STANLEY PHONE (914) 589-3265
PARCEL 06-30-00-0-0-8815-0000-
APPL NUMBER: 16-00000216 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 3/01/16 MECHANICAL FINAL
y March 1, 2016 8:29:52 AM jlierly.
T
--------------------- --- ----------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
to
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 16-00000216 Date - 2/18/16
Application pin number . . . 352104
Property Address . . . . . . 118 W 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-8815-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT on your state excise tax form
Property
Name . . . . . . to the City of Port Angeles
Pro ert Use
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY (Location Code 0502)
Application valuation . . . . 3990
Application desc
DUCTLESS HEAT PUMP
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Owner Contractor
------------------------ ------------------------
.BENJAMIN / ELIZABETH STANLEY DAVE'S HTG &"COOLING SRVC INC
212 3 3RD ST #1 PO BOX 413
PORT ANGELES WA 98362 PORT ANGELES WA 98362
-----(914)-589-3265 (360) 452-0939
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Permit . . . . . . MECHANICAL PERMIT
Additional desc . . DHP
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 2/18/16 Valuation . . . . 0
Expiration Date 8/16/1,6
Qty Unit Charge .Per Extension
7- BASE FEE 50.00
d 1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
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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. -
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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
C6 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
t null and void if work or construction authorized isnot commenced within.180 days,if construction or work is suspended or abandoned
`9 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
construction. /f
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 I 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
6 4:09PM FAX 00001/0001
THE -
CITY OF L L For City Use
W A S H I N G T O N , U . S . PefCnit# —
Date Received:
321 East 51h Street
Port Angeles,WA 98362 Date Approved /-2 1�,
P: 360-417-4817 P: 360-417-4711
permits@)cityofpa.us
_ Building Permit Application _
Project Address:
Main Contact: W Phone #
E-Mail:
NameProperty rJ Phone Jr
Owner MaMin ddr eB
city z
Contractor ^' 1e )� �/� Phoall ,
Meets R&a_:'k hk Cao {tY1 VI/t
Mai g Addi Email w
city sta?
Contractor License#
1 1)A USS KC,. Expiration-,
Pro ect Value. Zoning: Tax Parcel# Lot#
Type of Residential Commercial 13 Industrial U3Public. [3
Permit Demolition ❑ Fire 13 Repair ❑ Reroof(tear off/lay over) ❑
For the following,fill out both pages of permit application:
New Construction G Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical ❑ Plumbing ❑ Other ❑
mum height,of structure Proposed Bedrooms Proposed Bathrooms
Yes ❑ No Existing Fire Sprltt]tier System? Maxi
Project ..ss
Description l � o �n2 ,�-
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 it is 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. 1 understand that I will forfeit the review fee if I cancel or withdraw the application before the
permit is issued. I under4tand 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