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Front Street Address: 625 E Front Street PREPARED 12/03/15, 13:41:03 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/03/15 ------------------------------------ ADDRESS . : 625 E FRONT ST SUBDIV: CONTRACTOR PENINSULA HEAT INC PHONE (360) 681-3333 OWNER PIERCE TTE BURTON B/ROSA M PHONE PARCEL 06-30-00-5-1-4075-0000- APPL NUMBER: 15-00001492 -COMM MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------- --------------------------------------------------------------------- ME99 01 12/03/15 L MECHANICAL FINAL December 3, 2015 9:49:04 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 . . . . . 15-00001492 Date 11/23/15 Application pin number . . . 727860 Property Address . . . . . . 625 E FRONT ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-1-4075-0000- Application type description . COMM MECHANICAL PERMIT on your state excise tax form SubdProperty Name . . . . . . to the City of Port Angeles Propert Use Property Zoning . . . . . . . COMMERCIAL ARTERIAL (Location Code 0502) Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Ductless heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PIERCE TTE BURTON B/ROSA M PENINSULA HEAT INC 108A N LAKE DR 782 KITCHEN-DICK RD JESUP GA 315461919 SEQUIM WA 98382 (360) 681-3333 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . Permit Fee . 64.80 Plan Check Fee .00 Issue Date . 11/23/15 Valuation 4538 Expiration Date 5/21/16 0 �-- Qty Unit-Charge _Per. Extension ' BASE FEE 50.00 _ 1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80 ---------------------------------------------------------------------------- v�r Fee summary Charged Paid Credited Due ------- ---------- ---------- ---------- �!, Permit Fee Total 64.80 64.80 .00 .00 y 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 regulating construction or the performance of constru tion. ?/)-o- Li 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 Rou h-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 THE JU-1)R"T"IF 1- Ef CITY CiFss �� ,`. For City Use ,`n t ¢d Permit# W A S H l N G T C? N , t! . . Date Received: 321 East Th Street Port Angeles, WA 98362 Date Approved P: 360-417-4817 F: 360-417-4711 ermits@ci of P tYa.us p Building Permit Application Project Address: / a - E , 'Fro/,1f 9f� Main Contact: �O Phone # L; E-Mail: Property Name f Phone Owner Mailing Address Email Us- :5ie✓cc jvdlt��hs�t•cow City yoyl State 141A Contractor Name pel,4 fi /� � c / o e �7o Phon , �J/1_ 33 33 Maili Address (� ( lir/ Email C � 'o• 13 Pf�bvt�oa�corms ?' City � P State Zi�l�hor f�- w� Contractor License# PEA1 /, O`/ / j Expiration: Project Value: ev Zoning: Tax Parcel# Lot# � Lf�-38 " sy D63��o�� o��a�ao Type of Residential ❑ Commercial 0- Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ For the following,fill out both pages of permit application: New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical C/Plumbing ❑ Other ❑ Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes ❑ No ❑ Project 1 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 Y Residential Structures For Office Use Area Description(SQ FT) Existing Proposed $$value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck Garage Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions(SQ FT) Existing Proposed $$Value Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) Area Totals Lot/Site Coverage Calculations Footprint(SQ FT)of all Structures: Lot Size: %Lot Coverage SQ FT Site coverage(all impervious+ %Site Coverage structures Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: # Haz/Non-Haz Piping #of Outlets: Appliance Vent # Heater(Suspended,Floor,Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # re air alteration Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # portable) Fireplace/Gas Stove Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # Furnace/Heat Pu p/ P Si�: # Ventilation System # Forced Air Unit IF Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Fuel gas piping #of Outlets: Water Heater # Medical gas piping #of Outlets: Water Line # Vent piping # Sewer Line # Industrial waste pretreatment # interceptor Other(describe): T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX