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Home My WebLink About4005 Fairmount Avenue Address: 4005 Fairmont Avenue PREPARED 1/2G/15, 13:09:00 INSPECTION TICKET PAGE 3 CITY_OF_PORT_ANGELES INSPECTOR: JAMES LIERLY DATE 1/26/15 -- ---- --------------------------------- - ------------------------------------ ADDRESS . ; 4005 FAIRMOUNT AVE SUBDIV: CONTRACTOR : PHONE OWNER SMITH, SHARON L PHONE PARCEL 06-30-08-5-8-0830-0000- APPL NUMBER: 15-00000021 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECMANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME99 01 1/26/15 JL MECHANICAL FINAL January 23, 2015 3:52:35 PM jlierly. Trent completed inspection on 1/23/15 ULL ......................% ------------ COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 15-00000021 Date 1/09/15 Application pin number . . . 3418S7 Property Address . . . . . . .4005 FAIRMOUNT AVE ASSESSOR PARCEL NUMBER: 06-30-08-5-8-0830-0000- REPORT SALES TAX Application type description RES MECHANICAL PERMIT Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY to the City of Port Angeles Application valuation . . . . 0 (Location Code 0502) ---------------------------------------------------------------------------- Application desc ductless heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SMITH, SHARON L OWNER 4005 FAIRMOUNT AVE PORT ANGELES WA 98363 ---------------------------------------------------------------------------- Permit . . . . MECHANICAL PERMIT Additional desc DUCTLESS HEAT PUMP Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . . . 1/09/1 5 Valuation . . . . 0 Expiration Date 7/08/15 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80 ----------------------------------------------------------------------------- Special Notes and Comments Per Washington State Code 51-51-315, installation of Carbon Monoxide detector(s) is required it you are installing or replacing a fuel burning appliance (wood, pellet, gas)and must be 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. ---------------------------------------------------------------------------- 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 forelectrical 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,(e�gulating construction or the performance of construction. Y�X-� 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 Sternwall 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 by AIR SEAL: Walls Ceiling FRAMING: Joists/Girders I Under Floor Shear Wall f Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump/Furnace I FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood I Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighting ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 L Building 417-4815 1 1 T:Form s/B uilding Division/Building Permit THE For City Use' 00 CITY () RT �jGELES IF A] Permit# F- W A S H I N G T 0 N . U . S . Date Received: t 1C)9/2-vi 321 E 50 Street Date Approved i b -2-c , Port Angeles,WA 9836 t P:360-417-4817 F:360-417-4711 Email:permitsQcityofpa.us BUILDING PERMIT APPLICATION Project Address: -I mcn y oonry --1 t Phone: 2 Primag Contact: Email: Name khone C::R W(-N4 fl-�3 . I . Property Mailing Address Email Owner — L(C!C2 4; &�1 1,C 0-:1 K710 t City State Zi4a E� Name Phone - 111;-2 Contractor Address Email Information Ci State X 'Y t rcontractors License# E. Date: 9: Project Value: (materials and labor) Legal Description: ZonirV Tax Paicel # 1 $ Residential Commercial 11 Industrial 0 Public El Permit Demolition 0 Fire 11 Repair El Reroof(tear off/lay over) 1:1 Classification For the following,fill out both pages of permit application: (check New Construction 11 Exterior Remodel El Addition 0 Tenant Improvement El appropriate) , Mechanical ;4 Plumbing 1:1 Other 0 Fire Sprinkler System? Irrigation System? Proposed Bathrooms Proposed Bedrooms Yes 0 No 0 Yes E3 No 0 Project Description Is project in a Flood Zone: Yes 0 NoO 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 reftmdable 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 ii.8o days of submittal,the application will be considered abandoned and the fees will be forfeited.