HomeMy WebLinkAbout140 Dolan Avenue Address:
140 Dolan Avenue
I T -0 9 Vt.'\ Ave- ,
PREPARED 5/07/15, 9:04:02 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY _ DATE 5/07/15
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ADDRESS . : 140 DOLAN AVE SUBDIV:
CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939
OWNER RICE DAVID L PHONE
PARCEL 06-30-09-5-2-1765-0000-
APPL NUMBER: 15-00000443 RES MECHANICAL PERMIT
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PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ - COMPLETED RESULT " RESULTS/COMMENTS
------------
ME99 01 5/07/15LL MECHANICAL FINAL
May 7, 2015 8:55:34 AM jlierly.
------------ ------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
i
Application Number . . . . . 15-00000443 Date 4/28/15
Application pin number . . . 547351
Property Address . . . . . . 140 DOLAN AVE 1 `,
ASSESSOR PARCEL NUMBER: 06-30-09-5-2-1765-0000- REPORT SALES TAX vv
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . UNKNOWN
Application valuation . . . . 4110 (Location Code 0502)
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Application desc
DUCTLESS HEAT PUMP
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Owner Contractor
RICE DAVID L DAVE'S HTG & COOLING SRVC INC
140 DOLAN AVE PO BOX 413
PORT ANGELES WA 983622508 PORT ANGELES WA 98362
(360) 452-0939
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Permit . . . . . . MECHANICAL PERMIT
Additional desc . . DUCTLESS HEAT PUMP
Permit Fee . . . . 64.80 Plan Check Fee .00 S
Issue Date . . . . 4/28/15 Valuation . . . . 0
Expiration Date 10/25/15.
Qty Unit Charge Per Extension
BASE FEE 50.00 ® I
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
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Fee summary Charged Paid Credited Due
----------------- ---- ---------- ---------- ----------
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .60 .00
Grand Total 64.80 64.80 .00 .00
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.
2 4,1
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
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&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
T:Forms/Building Division/Building Permit
04/27/2015 10'. 14AM FAX 16000110001
THE
CITY OF For City Use
Permit#
Date Received:
321 East 5,1, Street �"'IL E COPU
Port Angeles,WA 98362 Date Approved --171',-2-7
P: 360-417-4817 F: 360-417-4711
perxnits@c1tyofpa.us
Building Permit Application
Project Address: /qO
0o aqjAOe�
Main Contact: Phone #
E-Mail:
Property Phone elzc
Owner
Melling 27-1
city Anq stato zip
/IRJI `76
Contractor !Mve"5 qe'.-7h'h'
'e .q- Cb C)
Mall Add Entail
city
lig
Contractor License# Expiration:
Pr027t Value: Zoning: Tax Parcel# Lot#
t I C)
Type of Residential Commercial 0 Industrial [3 Public 43
Permit
Demolition 0 Fire 13 Repair 13 Reroof(tear off/lay over) [3
For the following, fill out both pages of permit application:
New Construction 0 -Remodel 0 Addition E3 . Tenant Improvement 13
Mechanical 0 Plumbing -C] Other 0 Proposed Bedrooms Proposed Bathrooms
Existing Fire Sprinkler System? Maximum height.of structure
Yes [3 No 0
Project
Description Lsja�-12CA tn 42sem
r
I have read and completed the application and know it to be true and correct.I arn-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 thatt.he plan reViewtee is.not refundable after.plan review has
occurred. T.understand that I will forfeit the review fee if I cancel or withdraw the application before the
permit is issued. I understand that if the.perm it Is not issued within 180 days of receipt,the application* will be
considered abandoned and the fees forfeit.
Date Print Name signature
o'er �5 J—, 0 ( KGS,
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