HomeMy WebLinkAbout1616 W. 5th Street Address:
11616 W 5t" Street
PREPARED 6/17/16, 12:54:36 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/17/16
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ADDRESS 1616 W STH ST SUBDIV:
CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683-3901
OWNER OSAMU WATANABE PHONE
PARCEL 06-30-00-0-1-2815-0000-
APPL NUMBER: 16-00000768 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 6/17/16 L MECHANICAL FINAL
June 17, 2016 9:13:22 AM jlierly.
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----- - ----------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
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�� DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
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321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 16-00000768 Date 5/26/16
Application pin number . . . 243712
Property Address . . . . . . 1616 W 5TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-2815-0000-
Application type description RES MECHANICAL PERMIT on your state excise tax form
SubProperty
Name . . . . . . to the City of Port Angeles
Pro ert Use s
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code-0502) "
Application valuation . . . . 4519
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Application desc
INSTALL DUCTLESS HEAT PUMP
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Owner Contractor
------------------------ ------------------------
OSAMU WATANABE AIR FLO HEATING CO INC f
PO BOX 3073 221 W. CEDAR
PORT ANGELES WA 98362 SEQUIM WA 98382
.ii (360) 683-3901
t --------------------------------
Permit . . . . . . MECHANICAL PERMIT
f: Additional desc .
Permit Fee . . . . 64.80 Plan Check Fee .00
'. Issue Date5/26/16 Valuation . . . . 4519
Expiration Date 11/22/16
-•- Qty Unit- Charge Per Extension
BASE FEE 50.00 ~
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
�q ----------------------------------------------------------------------------
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 `. t
4 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
C"
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`Sd
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
foraeriod of
p 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I herebycern that I have read and examined this application certify app cation 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.
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 I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
05/25/2016 WED 14: 18 FAX 360 -683 3971 Airflo Heating copier 0003/004
THE:
For City Use
CITY op�
- 76 7
Permit#
W A S H 1 f4 y T 0 N, U. S. Date Received: _47
321 E S'h Street Date Approved 5- -
Port Angeles,WA 9836 �®
P:360-417-4817 F:360-417-4711
Email:perinits(mcilyoffpa.us
BUILtING PERMIT APPLICATION
Project Addre1706-E-Lambert Lane Port Angeles, WA 98362
Phone:
Primary Contact: Email:
Name Phone
Terry Siebens
Property Mailing Address 1706 t Lambert Lane Email
Owner
city Port Angeles State WA Zip 98362
Name Air Flo Heating Phone 360-683-3901
Contractor Address+7ee-E-��t ao'( V, Email Christina@airfloheating.com
Information cilysequim State WA I Zip 98362'
Contractor license#Al RF L1*206DG Exp.Date:4/25/2018
Legal Description: Zoning: Tax Parcel# I Project Value: (materials and labor)
Js4886.00
Residential 9 Commercial 0 industrial 0 Public 11
Permit Demolition El Fire 11 Repair 13 Reroof(tear off/lay over) El
Classification For the following.fill out both pages of permit application:
(check New Construction 11 Exterior Remodel 11 Addition 11 Tenant improvement 0
appropriate) Mechanical N Plumbing D Other 11
Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms posed Bedrooms
or Existing? Yes 0 No 0 Existing? Yes [3 No [3
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stournwater R
Project Description
hsW Mitsubishi Ductless Heat Pump Sy.4=
Is project in a Flood Zone: Yes 13 Noll Flood Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $
1 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 i8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
Date Print Nam
'"ature