HomeMy WebLinkAbout1706 Lambert Lane Address:
1706 Lambert Lane
PREPARED 6/17/16, 12:54:36 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/17/16
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ADDRESS 1706 LAMBERT LN SUBDIV:
CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683-3901
OWNER TERRY SIEBENS SR PHONE
PARCEL 06-30-14-6-5-0160-0000-
APPL NUMBER: 16-00000767 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 MECHANICAL FINAL
June 17, 2016 9:14:00 AM jlierly.
------------------------ -------- COMMENTS AND NOTES --------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST STH STREET, PORT ANGELES, WA 98362 - �✓
Application Number . . . . . 16-00000767 Date 5/26/16
Application pin number . . . 123603
Property Address . . . . . . 1706 LAMBERT LN REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-14-6-5-0160-0000-
Application type description RES MECHANICAL PERMIT on your state excise tax form
SubProperty
Name . . . . . . to the City of Port Angeles
Pro ert Use
Property Zoning (Location Code 0502)
Application valuation . . . . 4886
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Application desc
INSTALL DUCTLESS HEAT PUMP
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! " Owner Contractor
TERRY SIEBENS SR AIR FLO HEATING'CO INC
1706 LAMBERT IN 221 W. CEDAR
PORT ANGELES WA 98362 SEQUIM WA 98382
(360) 683-3901
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Permit . . . . . . MECHANICAL PERMIT
Additional desc
Permit Fee 64.80 Plan Check Fee .00
a. Issue Date . . . . 5/26/16 Valuation . . . . 4886
Expiration Date 11/22/16
Qty Unit Charge Per Extension A_
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, 'y
installation of Carbon Monoxide
0, detector(s) is required if you are
4 installing or replacing a fuel burning
�9 appliance (wood, pellet, gas)and must be
O 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
l
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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.
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 Pum /Fumace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts
MANUFACTURED HOMES:
Footin /Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s [ESA:
EPA:
Parking/Li htin
Landscaping HORELINE:
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 0001/004
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Ti4EF
f= or City Use
Ci Fl Y t3o=
Permit#
NW A S Fl I -ri C.. ..:T €) N, U. S ® Date Received:
321 E 51h Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:perntits@cityofpa.us BUILDING PERMIT APPLICATION
Project Address:1616 W Oth Street Port Angeles, WA 98362
Phone:
Prima Contact:Osamu Watanabe Email:
Name Osamu Watanabe Phone
e210-410-3229
Property Mailing Address 1616 W 6th St Email
Owner
city Port Angeles State WA zxp 98362
Name Air Flo Heating Phone 360-683-3901
Contractor Address Email
1616 W 6th Street Christina@airfloheating.com
Information citySequim state WA Izip98382
Contractor License#AIRFLI"206DG Exp.Date:4/25/2018
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
$ 4519.00
Residential 8 Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ElFire ❑ Repair 1:1Reroof(tear off/lay over) ❑
Classification For the following,fill out both pages of permit application:
(check New Construction ❑. Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑
appropriate) Mechanical 8 Plumbing ❑ Other ❑
Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms
or Existing? Yes [3 No E3Existing? Yes ❑ No ❑
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater ci oa.us
Project Description
Ilmslaq Mitsubishi Ductless Heat Pump Sy sle m►
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
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.
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Datedl� Print Name ' Signatur
*Gm\ t �.