HomeMy WebLinkAbout825 Madeline Street Address:
825 Madeline Street
PREPARED 1/28/15, 11:09:43 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/28/15
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ADDRESS 825 MADELINE ST SUSDIV:
CONTRACTOR PENINSULA HEAT INC PHONE (360) 681-3333
OWNER NICHOLAS & HAZEL KRAVCHENKO PHONE
PARCEL 06-30-01-7-6-0250-0000-
APPL NUMBER: 15-00000041 RES MECHANICAL PERMIT
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PERMIT= ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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ME99 01 1/28/15 J MECHANICAL FINAL
January 28, 2015 8:59:40 AM jlierly.
547-5236
-------------------------------------- COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
� 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00000041 Date 1/14/15
Application pin number . . . 783296
Property Address . . . . . . 825 MADELINE ST /� q
ASSESSOR PARCEL NUMBER: 06-30-01-7-6-0250-0000- REPORT SALES TMX
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . . . . . on your state excise tax form
Property Use . . . . . . . . to the Cityof Port Angeles
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 4400 (Location Code 0502)
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Application desc
REPLACEMENT AIR HANDLER/OUTSIDE HEAT PUMP UNIT
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Owner Contractor
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NICHOLAS & HAZEL KRAVCHENKO PENINSULA HEAT INC
PO BOX 742 782 KITCHEN-DICK RD
PORT ANGELES WA 98362 SEQUIM WA 98382
(360) 681-3333
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . HEAT PUMP/AIR HANDLER
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 1/14/15 Valuation . . . . 0
Expiration Date 7/13/15
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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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
JO 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.
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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
r Grand Total 64.80 64.80 .00 .00
Q�
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.
J
�'•n' Date Print Name Signature of Contractor/rAuthorized 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 by
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 /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
THE
LES
CITY OF . For City Use
Permit#
W A S H i N G T O N , U . S .
Date Received:
321 East 5l' Street
Port Angeles, SNA 98362 Date Approved
P: 360-417-4817 F: 360-417-4711
permitts@cityofpa.us
Building Permit Application
Pr®ject Address:
Main Contact: Phone # &v- Jf S'7 - r2_34
VIC]< KRA✓c EINK.0 E-Mail:
Property Name Phon
f/
Owner A k vC D ?(00
—
Mailin Address Email J IO
City State �� Z{�
?ar 3,6z
Contractor Name r) nY �o Phone
Mai ' g Add r s Email
City �' lS�r State Zip
W14 —J
Contractor License # n / �� Expiration:
Project Value: Zoning: Tax Parcel # Lot#
R 1/ d(� ooI boa moo
Type oje� esidential Commercial ❑ Industrial ❑ Public ❑Permitemolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
For the following,fill out both pages of permit application:
New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical Qa Plumbing ❑ Other ❑
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathroom:
Yes ❑ No ❑
Project o f U/l?
Description C
Cil/
I have read and completed the application and know it to be true and correct.I am authorized to apply for thi
permit. I understand that it is my responsibility to determine what permits are required and to obtain permi
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 1
considered abandoned and the fees forfeit.
Date Print Name Signa e
y