HomeMy WebLinkAbout627 E. Park Avenue Address:
627 E Park Avenue
PREPARED 9/29/14, 12:28:00 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/29/14
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ADDRESS . : 627 E PARK AVE SUBDIV:
CONTRACTOR : GREENWOOD HEATING & A/C PHONE (206) 784-1818
OWNER HOPKINS DOROTHY J PHONE
PARCEL 06-30-10-4-3-0630-0000-
APPL NUMBER: 14-00001073 RES MECHANICAL PERMIT
----- - --------- ------------------- -
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--------------------------
ME99 01 9/29/14 LL MECHANICAL FINAL
September 26, 2014 9:08:49 AM pbarthol.
Dorothy 452-4809
----------------------------- -------- COMMENTS AND NOTES
V
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 14-00001073 Date 9/09/14 �V
Application pin number . . . 737539 t���AAAAIIII
Property Address . . . . . . 627 E PARK AVE
ASSESSOR PARCEL NUMBER: 06-30-10-4-3-0630-0000- 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 . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 3500
Application desc
DUCTLESS HEAT PUMP
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OwnerContractor
------------------------
-
HOPKINS DOROTHY J GREENWOOD HEATING & A/C
627 E PARK AVE 825 S STACY ST
PORT ANGELES WA 983626756 SEATTLE WA 98134
(206) 784-1818
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . DUCTLESS HEAT PUMP
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 9/09/14N Valuation . . . . 0
Expiration Date . . 3/08/15
Qty Unit Charge Per - Extension C
BASE FEE 50.00
1.00-------14.8000 EA ME FURN/HP/FAU < OR - 5TON 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 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
t CITY OF PORT ANGELES
>! DEPARTMENT'OF COMMUNITY&ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 14-00001.073 Date 9/09/14
Application pin number . . . 737539
Property Address . . . . . . 627 E PARK AVE
ASSESSOR PARCEL NUMBER: 06-30-10-4-3-0630-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . an your state excise tax form
Property Use . . to the City ofPorf Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 3500
------------—-----------------------------------------
Application desc
DUCTLESS HEAT PUMP
Owner Contractor
--- -----------------'- ---
HOPKINS DOROTHY J GREENWOOD HEATING & A/C
627 E PARK AVE 83.5 S STACY ST
PORT ANGELES WA 983626756 SEATTLE WA 98134
(206) 784-1818
-------------------------------------------
Permit . . MECHANICAL PERMIT
Additional desc . . DUCTLESS HEAT .PUMP
Permit Fee . , . . 64.80 Plan Check Fee ,00
Issue Date 9%09/1.4 Valuation . . . . 0
Expiration Date 3/08/15
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 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 v
place directly outside of each sleeping
area and at least one oneach floor of
-- the-house.
-----------------------------------------------
Fee summary Charged- Paid - Credited- Due- l�
Permit Fee Total 64.80 64.80 DO .00 1�
Plan Check Total .00 ,00 .00 .00
Grand Total 64.80 64A0 .00 .00
Separate Permits are required for electrical work,SEPA;Shoreline,ESA,utilities,private and p blic improvements.This pvtmit becomes
null and void if work or construction authorized is not commenced within 980 days,if construction or work is suspended or abandoned
fora period of 980 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. Ai)provislons
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 cancei the provisions of any state or local law regulating construction or the performance of
construction: %
v! W7
j,
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permlt
THE 1 For City Use
CITY OF e �4-!
Permit# / - 1073
W A S H I N'. Gf T O N, U. S. Date Received: - l
321 E 5'h Street Date Approved Zv
Port Angeles,WA 9836
P.360-417-4817 F:360-417-4711
Email:perinitsCa cityofpams BUILDING PERMIT APPLICATION
Project Address:627 E Park Ave
Phone:2o6-784-i818
Primaly Con.tact:Greenwood Heating and AC Email:ashleyb@greenwoodheating.com
Name Phone360 452 4809
Dorothy Ho kips
Property Mailing Address Email
Owner 62E Park Ave
City State WA Zip 98362
Port An eles
Name 1'hone2o6-784-1818
Greenwood Heating and AC
Contractor Address Email asllleyb@greenwoodheating.com
82 S Stac St
Information 25
Seattle State WA Zip c�8134
Contractor License#GAEENHA92zU7 Exp.Date,2/3/15,
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
64830
$3500
Residential Commercial ❑, Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
Classification For the following.fill.out both pages of permit application:
(check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑
appropriate)'
MechanicalPlumbing ❑ Other ❑
Will a fire sprinkler system be installed Irrigation System? Proposed Bathrooms Proposed Bedrooms
or modified? Yes [-] No El Yes [I No ❑
Project Description
Install ductless heat pump
Mitsubishi MUZFE12NA
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 18o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
q 1? 4 Ashbtj Bmx./L
Date Print Name Si nature