HomeMy WebLinkAbout1934 W. 4th Street Address:
1934 W 4th Street
? 3 G( L-" 5t-
PREPARED 10/03/14, 10:29:20 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/03/14
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ADDRESS . : 1934 W 4TH ST SUBDIV:
CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939
OWNER FREELAND, JEFFREY S PHONE
PARCEL : 06-30-00-9-0-0130-0000-
APPL NUMBER: 14-00001089 RES MECHANICAL PERMIT
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PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--------------------- --- ------------------------------------------------—--------------------
ME99 01 10/03/14 L MECHANICAL FINAL
October 3, 2014 10:26:44 AM jlierly.
tkowner needs to meet at 2pm/ sharon 461-0108
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---------------------- -- ---------- COMMENTS AND NOTES --------------------------------------
" CITY OF PORT ANGELES �.
DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 14-00001089 Date 9/12/14
Application pin number . . . 815838
Property Address . . . . . . 1934 W 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-9-0-0130-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT on your state excise tax form
Subdivision Name
Property U3e . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 6440
Application desc
- REPLACEMENT HEAT PUMP SYSTEM \
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�J
Owner Contractor
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FREELAND, JEFFREY S DAVE'S HTG & COOLING SRVC INC
1934 W 4TH ST PO BOX 413
PORT ANGELES WA 98363 PORT ANGELES WA 98362
-(360) 452-0939
----------------------------------------- .
'Permit . . . . . . MECHANICAL PERMIT
Additional desc . . REPLACEMENT HEAT PUMP SYSTEM
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 9/12/14 Valuation . . . . 0
Expiration Date 3/11/15
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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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
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 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 I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
09/12/2014 10:29AM FAX 10001/0001
THE
CITY OF RT NGELEES For City Use
P A.
WASH ING ' 'TON . U . S . Permit# r
321 East 511,Street Date Received:
Port Angeles,WA 98362 Date Approved
P; 360-417-4817 F: 360-417-4711
perrnits@cityofpa.us
Building Permit Application
Project Address: C,
Main Contact: Phone #
E-Mail:
Na
Property e.� Phone
Owner av,2�f�_Fine-e-( qS-7— CT 3
Ma1NugA Idt o s 111muld
Cl!b State zip
Contractor -!Da ve,Is .VX gb VYJ� Phalle
Mail "7
to
al? Add
City
Contractor License# I)A V65'k(Cl,�I I K C, Expiration:
Prot;citv?,lue: Zoning: Tax Parcel# Lot#
0 0 CD q 0
Type of Residential Commercial C3 Industrial 13 Public E3
Permit Demolition [3 Fire 13 Repair E3 Reroof(tear off/lay over) El
For the following,fill out both pages of permit application:
New Construction 13 Remodel El Addition C3 Tenant Improvement E3
Mechanical 13 Plumbing C3 Other 13
Existing Fire Sprinkler System? - Maximum height of structuresed Bedrooms Proposed Bathrooms
Yes [3 No 13 _27-0-70.
Project
Description
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. I understand that the plan review fee is not refundable after plan review has
occurred. I 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 permit Is not issued within 180 days of receipt,the application will be
considered abandoned and the fees forfeit.
Date Print Name Signature
J
THE ��GELEI For City Use
CITY OF
P A
W A S H I N GTON . U . S . Permit#
321 East 511,Street Date Received:
Port Angeles,WA 98362 Date Approved z!
P; 360-417-4817 F: 360-417-4711
perniits@cityofpa.us
Building Permit Application
Project Address:
�
Main Contact: Phone #
E-Mail:�
Property
Phone
Owner Ma lixAddrt
c' nate
-.74 tzip
ContractorPhos.!Da Phos.
ve,Is hp
M1i1 BAddr X71 Email
city
Contractor License# Vi�SExpiration:-
ProEtt VAlue.
Zoning: 'fax Parcel#
$ 0
Type of Residential Commercial C3 Industrial 13 Public E3
Permit Demolition—0 Fire 13 Repair C3 Reroof(tear off/lay over) 13
For the following,fill out both pages of permit application.-
New Construction 13 Remodel E3 Addition 13 Tenant Improvement ❑
Mechanical 13 Plumbing C3 Other 13
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes [3 No [3
Project
Description
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. I understand that the plan review fee is not refundable after plan review has
occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before.the
permit is issued. I tinderstand that if the permit Is not issued within 180 days of receipt,the application will be
considered abandoned and the fees forfeit.
Date Print Name Signature