HomeMy WebLinkAbout1011 W 16th StreetAddress:
1011 W 16th Street
PREPARED 7/19/16, 9:14:00 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/19/16
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ADDRESS . : 1011 W 16TH ST SUBDIV:
CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939
OWNER ANDERSEN VALARIE J PHONE
PARCEL 06-30-00-0-4-3092-0000-
APPL NUMBER: 16-00001025 RES MECHANICAL PERMIT
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PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME99 01 7/19/16L MECHANICAL FINAL
July 19, 2016 9:13:11 AM jlierly
DHP
--------------------------Vj ---------- COMMENTS AND NOTES-------
0K
h: CITY OF PORT ANGELES
�� DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 16-00001025 Date 7/06/16
Application pin number . . . 570050
Property Address . . . . . . 1011 W 16TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -4 -3092 -0000 -
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL NEIGHBORHOOD
Application valuation . . . . 3285
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Application desc
install ductless heat pump
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Owner Contractor
------------------------ ------------------------
ANDERSEN VALARIE J DAVE'S HTG &'COOLING
SRVC INC
1011 W 16TH ST PO BOX 413
PORT ANGELES WA 983637431 PORT ANGELES
WA 98362
(360) 452-0939
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 64.80 Plan Check Fee
.00
Issue Date . . . . 7/06/16 Valuation . . . .
0
Expiration Date . . 1/02/17
= 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. .
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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
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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 te or cancel the provisions of any state or local law regulating construction or the performance of
construction. j A
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
i :rorms/5miaing uivision/aunaing vermit
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:
Electrical 417-4735
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
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 / Chimney
Commercial Hood / Ducts
MANUFACTURED HOMES:
Footing / Slab
Blocking & Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s
SEPA:
ESA:
SHORELINE:
Parkin / Lighting
Landscaping
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
07/05/2016 10:16AM FAX 3604524376 DAVES HEATING & COOLING
THE
CITY OF
W A S H I N t,, T O N, U. S.
321 East S'h Street
Port Angeles, WA 98362
P: 360-417-4817 F: 360.417-4711
permits@cityofpa.us
160001/0001
For City Use
. I I- I' _� �-
Permit# --7
Date Received:
Date Approved 7
Building Permit Application
Project Address:
Main Contact:
Phone #
E -Mail:
Property
Name (t 4t lrA,,
'''
Phone
Owner
Malllug Addross
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City
State
C,JA
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Contractor
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Mail gAddre
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Emali
City
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Contractor License # 140 Z' cl c� l' KC,
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Expiration:
Pr qject value-
Zoning:
Tax Parcel #
tot #
Type of
Residential Commercial ❑ industrial ❑ Public 13
Permit
Demolition ❑ Fire ❑ Repair ❑ Reroof (tear off/lay over) C3
For the following, fill out-both.pages of permit application:
New Construction ❑ Remodel ❑ Addition. ❑ Tenant Improvement Cl
Mechanical ❑ Plumbing' ❑ Other ❑
Existing Fire Sprinkler System?
Maximum height of structureProposed
Bedrooms
Proposed Bathrooms
Yes UNo E3
J
Project
Description
h5' -ll ,•� o,F c c� (�.ss �!- a-Lk,,nje ��s�2 roti
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 .revJ.
ow fee isnot refundable after plan review has
occurred. 1, 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 applicationwill be
-considered abandoned and the fees forfeit:
Date
Print Name
Signature