HomeMy WebLinkAbout431 W. 12th Street Address:
12 Ih Street
� � f Lj / ,�_
PREPARED 4/22/15, 10:37:04 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES - INSPECTOR: JAMES LIERLY DATE 4/22/15
------------------------------------------------------------------------------------------------
ADDRESS . : 431 W 12TH ST SUBDIV:
CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939
OWNER LARSON JESS E PHONE
PARCEL 06-30-00-0-3-4760-0000-
APPL NUMBER: 15-00000363 RES MECHANICAL PERMIT
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--------------------- -------------------------------------------------------------------
ME99 0 MECHANICAL FINAL
1 4/22/15 April 22, 2015 9!51:22 AM jlierly.
---------------------- ----------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00000363 Date 4/10/15
Application pin number . . . 216017
Property Address . . . . . . �431 W 12TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-4760-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . .
Application valuation . . . . 328S (Location Code 0502)
----------------------------------------------------------------------------
Application desc
DUCTLESS HEAT PUMP SYSTEM
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
LARSON JESS E DAVE'S HTG & COOLING SRVC INC
431 W 12TH ST PO BOX 413
PORT ANGELES WA 983627610 PORT ANGELES WA 98362
(360) 452-0939
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . DUCTLESS HEAT PUMP
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 4/10/15 Valuation . . . . 0
Expiration Date 10/07/15,
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 if 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 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 tq violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
LIZ
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
TForms/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:
Tootings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole BIdgs.)
PLUMBING:
Under Floor/Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
BackFlow/Water FINAL Date Accepted by
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 I Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing/Slab
19locking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
farking/Lighting ESA:
.1-andscaping 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
1 Planning 417-4750
I Building 417-4815
T:Forms/Building Division/Building Permit
04/09/2015 9 : 15AM FAX 1100001/0002
THE
A .
41.S�
For City Use
CI
TY OF
W A S H I N G"T 0 N , U . S. Permit#
321 East V, Street Date Received:
Port Angeles, WA 98362 Date Approved
P: 360-417-4817 F: 360-417-4711
Perniits@cityofpa.us
Project Address: Building Permit Applicatio-n-_
Main Contact: Phone #
E-Mail:
Property
Phone
r
Owner E4112il
city State zi
Ly* LJ'A— I
Contractor I�R Phone
Ip4vels Heo��k hP lz� GO a
Mail gAddr &QL
Email
city Stat Zip,
Contractor License# Expiration:
KC.,
Pro?A*ectvaiue- Zoning: Tax Parcel# Lot#
$- �90
Typeof ResidentialX_ Commercial 13 Industrial [3 Public [3
Permit
Demolition (3 Fire 13 Repair 0 Reroof(tear off/lay over) 13
For the following, fill out.both pages of permit application:
New Construction 0 Remodel 0 Addition 13 Tenant Improvement [3
Mechanical 13 Plumbing C3 Other E3
Existing Fire Sprinkler System? Maximum height,of structure Proposed Bedrooms Proposed Bathrooms
Yes [3 No
Project I
Description
r
F
I have read and completed the-applica-tion and know it to be true and eorrect.I am authorized to apply for this
permit. I understand that it is my responsibility to determine what permits are re4uired and to obtain'permits
prior to working on projects. I understand thatthe plan reyipw fee is.not refundable after.plan review has
occurred. I:understand that I will forfeit the review fee if I can'cel or withdraw the application before-the
permit is issued. I understand that if the permit is not issued within 180 days of receipt,the applitatioh will be
considered abandoned and the fees forfeit.
Date Print Name
Signature
0