HomeMy WebLinkAbout1209 Campbell Avenue Address:
1209 Campbell Avenue
PREPARED 1/15/16, 9:47:14 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/15/16 -
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ADDRESS . : 1209 CAMPBELL AVE SUBDIV:
CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683-3901
OWNER PATRICK RYDER PHONE (360) 461-0993
PARCEL 06-30-14-5-3-0346-0000-
APPL NUMBER: 15-00001470 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 1/15/16J MECHANICAL FINAL
January 15, 2016 9:51:18 AM jlierly.
---------------------- ----------- COMMENTS AND NOTES
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY &ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST STH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 15-00001470 Date 11/18/15
Application pin number 820920
Property Address . . . . . . 1209 CAMPBELL AVE REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-14-5-3-0346-0000-
Application type description RES MECHANICAL PERMIT on your state excise tax form
Subdivision Name . . . . . .
Property Use . . .. . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY
(Location Code 0502)
Application valuation . . . . 3000
Application desc
HEAT PUMP SYSTEM W/AIR HANDLER
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Owner Contractor
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PATRICK RYDER AIR FLO HEATING CO INC
1209 CAMPBELL AVE 221 W. CEDAR
PORT ANGELES WA 98362 SEQUIM ' WA 98382
(360) 461-0993 (360) 683-3901
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Permit . . . . . . MECHANICAL PERMIT
Additional desc . . HEAT PUMP/AIR HANDLER
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 11/18/15 Valuation . . . . 0 .
Expiration Date 5/16/16
--- - Qty Unit Charge -Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
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Special Notes and Comments
Per Washington State Code 51-51-315,
gip) installation of Carbon Monoxide
> detector(s) is required if you are
installing or replacing a fuel burning
r appliance (wood, pellet, gas)and must be
in place prior to the final inspection
of this permit. They are required to be
f� place directly outside of each sleeping
area and at least one on each floor of
( ------the house.
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a Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
1�j Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .00 .00
` O
'i
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. 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
f` not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Ll
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 FINAL Date Accepted b
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor t
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall Interior Braced Panel Only)_
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pum /Furnace/FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
MANUFACTURED HOMES:
Footing/Slab
Blocking t£Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting ESA:
Landscaping SHORELINE:
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
11/18/2015 WED 13: 11 FAX 360 683 3971 Airflo Heating copier 1&001/002
THE For City.Use
ClrY or= :
Permit# 1
W" R S H I ._.iv_,. d'"'T o N, U. S. Date Received:
321 E 51h Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permitsCa cityofpa.us BUILDING PERMIT APPLICATION
Project Address: 1?,l, ` i
Phone: -
Primaq Contact: ��'� 'y ��— Email:
Name � � Phone
Property Mailina Address Email
Owner kd
City i C State S zip
Name r Phone
iContractor Address �� Email 1M
i Information city 1W\ stace zip
Cct'
i Contractors Ucensek KI
G Exp.Date: 41
- I Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
b I a 3010 $ DDO
Residential 'VV Commercial ❑ Industrial ❑ Public ❑
Demolition ❑ Fire ❑ Repair ❑ Reroof tear off/la ❑
Permit P Y over
Classification For the following,fill out both pages of permit application:
(check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑
appropriate) Mechanical Plumbing ❑ Other ❑
Fire Sprinkler System? Irrigation System? Proposed Bathrooms Proposed Bedrooms
Yes ❑ No ❑ Yes ❑ No ❑
Project Description �1(�, M
NOU U)
MY WLS
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
P PP PP Y
this permit and understand that it is responsibility to determine what permits are required and to
P Y P Y P 4
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.
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Date Print Name Si!; at ire
n