HomeMy WebLinkAbout925 17th Street Address:
925 17th Street
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PREPARED 10/01/13, 8:23:03 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/01/13
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ADDRESS . : 925 W 17TH ST SUBDIV:
CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683-3901
OWNER KLEIN ROXANNE M PHONE
PARCEL 06-30-00-0-4-4258-0000-
APPL NUMBER: 13-00000885 RES MECHANICAL PERMIT
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PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--—-----------------------—-------------------—-------- -------_'
ME99 01 10/01/13 JLL MECHANICAL FINAL
October 1, 2013 8:23:28 AM pbarthol.
------------------------- ----------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 13-00000885 Date 8/07/13
Application pin number . . . 919270
Property Address . . . . . . 925 W 17TH ST \
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-4258-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . . . . on your state excise tax form v�
Property Use . . . . . .
Property Zoning to the Cit RS7 RESDNTL SINGLE FAMILY Y of Port Angeles
Application valuation . . . . 3185 (Location Code 0502)
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Application desc
DUCTLESS HEAT PUMP SYSTEM
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Owner Contractor
KLEIN ROXANNE M AIR FLO HEATING CO INC
925 W 17TH ST 221 W. CEDAR
PORT ANGELES WA 983637433 SEQUIM WA 98382
(360) 683-3901
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Permit . . . . . . MECHANICAL PERMIT
Additional desc DUCTLESS HEAT PUMP
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 8/07/13 Valuation . . . . 0
Expiration Date 2/03/14
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
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
Grand Total 64.80 64.80 .00 .00
V 1
Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
nul I 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 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 ,
i
CITY OF For City Use
MY A S H - I G T O N, U . S . Perm it# _
321 East Ste Street Date Received:
Port Angeles, WA 98362 Date Approved
P: 360-417-4817 F: 360-417-4711
permits@cityofpa.us
Building Permit Application
Project Address:
Main Contact: Phone #
PropeName E-Mail:
Owner �Zc�x and e� K 12►K� Phone iG- - 3 Ll ZZ
MaihngAddress EmaU `�J '1
C4 vs Vq
city t:bY t f State
Zip
Contractor Name� Phone
Mailing Address
Email
ellen
F6�ty S
State � � 21p �cd3
Contractor License # E
piration:
Project Value: Zoning: Tax Parcel # Lot#
$ 3ils , � Do63oo0
Type of Residential Commercial ❑ 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 M Plumbing ❑ Other ❑
Existing Fire Sprinkler System? Maximum heig4t of structure Proposed Bedrooms Proposed Bathrooms
Yes 13 No — _T
❑
Project
Description
Y
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 perrn[ts
prior to working on projects. 1 understand that the plan review fee is not refundable after plan review has
occurred. I understand that 1 will forfeit the review fee if I cancel or withdraw the application before the
permit is issued. 1,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
EL�..�,�
1 -01 ILSE EB9 09E 0_1J Hiu Wd9b =6 EToa so 2nd
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed S$value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
For Office Use
Area Descriptions(SQ FT) Edsting Proposed SS Value
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe)
Area Totals
Lot/Site Coverage Calculations
Footprint($Q FT)of all Structures: Lot Size: %Lot Coverage
SQ FT Site coverage(all impervious+ %Site Coverage
structures
Mechanical Fixtures
Indicate how many of each tym of fixture to be installed or relocated as part of this project
Air Handler Size jFe ,� Haz/Non-Haz Piping #of Outlets:
Appliance Vent # Heater(Suspended,Floor,Recessed wall) #
Boller/Compressor Size: # Heating/Cooling appliance #
re alteration
Evaporative Cooler(attached,not # Pellet Strove/Wood-burning/Gas #
_porta le) Fireplace/Gas Stove Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct #
Furnace/Heat Pump/ Size: C #- Ventilation System q
Forced Air Unit Z F G
PlumbingFixtures
Indicate how many of each type of lixture 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 #
inlerce for
Other(describe):
T-*\BU1LJDING\APPUCATI0N
describe -
T:\BUIIDQYG\APPLICAtION FORMS\BUILDING PERMIT 081212-DOCX
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