HomeMy WebLinkAbout130 W. 12th Street Address:
130 W 12th Street
PREPARED 12/18/15, 11:06:13 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/18/15 ,
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ADDRESS . : 130 W 12TH ST SUBDIV:
CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939
OWNER :.INDELICATO STEPHANIE A PHONE
PARCEL 06-30-00-0-3-7935-0000-
APPL NUMBER: 15-00001465 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 12/18/15 L MECHANICAL FINAL
December 17, 2015 10:15:38 AM jlierly.
452-0939
-------------------- ---------- COMMENTS AND NOTES --------------------------------------
% CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00001465 Date 11/18/15
Application pin number . . . 348740
Property Address . . . . . . 130 W 12TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-7935-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT on your state excise tax forum
SubProperty
Name . . . . . . to the City of Port Angeles
Pro ert Use
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . '. . 3940
Application desc
DUCTLESS HEAT PUMP
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Owner Contractor
-r_ ------------------------ ------------------------
`_ INDELICATO STEPHANIE A DAVE'S HTG &.COOLING SRVC INC
130 W 12TH ST PO BOX 413
( PORT ANGELES WA 983627714 PORT ANGELES WA 98362
(360) 452-0939
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Permit . . . . . . MECHANICAL PERMIT
Additional desc . . DHP
P. 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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i Special Notes and Comments
Per Washington State Code 51-51-315,
installation of Carbon Monoxide
detector(s) is required if you are
.y installing or replacing a fuel burning
appliance (wood, pellet, gas)and must be
in place prior to the final inspection
C ^ 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
3 Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .00 .00
M
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
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
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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:
Footin s
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 I Under Floor .
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/Chimne
Commercial Hood/Ducts
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
1
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
Plannin 417-4750
Building 417-4815
11/17/2015 2:49PM FAX 1A0001/0001
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CITY OF -.l Wit ,: r , For City Use
` , 1 Permit# � 5'• �`����
W A S H I N G T O N . U . S .
. Date Received:
32'1 East 50, Street
Port Angeles, WA 98362 Date Approved
P: 360-417-4817F: 360-417-4711
permits@cityofpa.us
Building permit Application
Project Address:
Main Contact: Phone #
E-Mail:
Property c Phone �(o
Owner
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06--City slaoe� zIP
Contractor ,P h� wi Phone
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Contractor License# Expiration:
- �:�/_/7
Proje t Value: Zoning: Tax Parcel # Lot#
Type of Residential Commercial ❑ _ Industrial ❑ Public. ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
For the following,fill out both pages of permit application:
New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical ❑ Plumbing ❑ Other ❑
Existing Fire Sprinkler System? Maximum height of structureProposed Bedrooms Proposed Bathrooms
Yes 13No El
Project ” r
Description c�.(�a�-I,a� 4_(.Uc -'-s 4tm s S
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. 1 understand that the plan review.fee is not refundable after plan review has
occurred. 1.understand that I will forfeit the review fee if 1 cancel or withdraw the application before the
permit is Issued. I understand that if the permit is not issued within 180 days of receipt,the application will he
considered abandoned and the fees forfeit.
Date Print Name Signature