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Home My WebLink About2201 W. 18th Street Address: 2201 1811 St #Al 01,1-0 ( V . PREPARED 7/17/15, 16:14:31 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/17/15 ------------------------------------------------------------------------------------------------ ADDRESS . : 2201 W 18TH ST Al SUBDIV: CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939 OWNER SERENITY HOUSE OF CLALLAM PHONE (360) 452-1439 PARCEL 06-30-99-1-1-0310-0000- APPL NUMBER: 15-00000705 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME� 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME99 01 7/17/15 JLL MECHANICAL FINAL July 17, 2015 4:17:33 PM jlierly. -------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 15-00000705 Date 7/08/15 Application pin number . . . 280265 Property Address . . . . . . 2201 W 18TH ST Al ASSESSOR PARCEL NUMBER: 06-30-99-1-1-0310-0000- 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 . . . . . . . RESIDENTIAL MEDIUM DENSTY. Application valuation . . . . 7820 (Location Code 0502) ---------------------------------------------------------------------------- - Application desc REPLACEMENT HEAT PUMP SYSTEM ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SERENITY HOUSE OF CLALLAM DAVE'S HTG & COOLING SRVC INC PO BOX 4047 PO BOX 413 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-1439 (360) 452-0939 ---------------------------------:------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc REPLACEMENT HEAT PUMP Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . . . 6/19/15 valuation . . . . 0 Expiration Date 12/16/15 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 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. -71q//4- Cod'jZ Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Form s/Building Division/Bu i[ding 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 bv 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 FINAL Date Accepted bV MANUFACTURED HOMES: Footing/Slab _ I - Blocking&Hold Downs ,Skirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighting ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW I Engineering 417-4831 Fire 417-4653 1 Planning 417-4750 1 Building 417-4815 T:Forms/Building Division/Building Permit rf L-i- T For City Use C- )F Permit# -70 t5- �AJ A S 1H I 1\1 G T 0 U . S . 321 Last 51" Street Date Received: Port Angeles, 'W-'A 98362 Date Approved P: 360-417-4817 F: 360-417-4711 perrnits-9,cityofpa.us Building Permit Application ---------- ------------ Project Address: Main Contact: iPhone # E-Mail: Nam Property Phone Owner Mai�jif.,Alda- citv State a Z' Name Phone Contractor S"V- (5 ke'-A h �;2 MailiugAddress I. Email City State Z i Contractor License # Expiration: C-1 /7 Project Value: I Zoning: I Tax Parcel # Lot# $ 'rype'or' Residential Commercial 0 Industrial Public Permit Demolition 13 Fire 13 Repair 11 Reroof(tear off/lay over) El For the following, fill out both pages of permit application: New ConstrUCti011 0 Remodel 13 Addition 11 Tenant Improvement Mechanical 13 Phinibin- 11 Other rl Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes 0 No 0 .......... Project 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 1 prior to working on projects. I understand that the plan review fee is not refundable after plan review has i 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 --------- ............ ---------------- Address: 2201 1811 Street #C9 '), ;� o I �,) - 17 t"- PREPARED 8/03/15, 12:32:00 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/03/15 ------ ----------------------------------- -- ---- --- - ---------------------------------- ADDRESS . : 2201 W 18TH ST C9 SUBDIV: CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939 OWNER SERENITY HOUSE OF CLALLAM PHONE (360) 452-1439 PARCEL 06-30-99-1-1-0310-0000- APPL NUMBER: 15-00000799 RES MECHANICAL PERMIT ------------------- ------ --------------------------------------------------------------------- PERMIT: ME 00 MECHANICAT PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED , RESULT ' RESULTS/COMMENTS ----- ---------------------------------------------------------------------------- ------------- ME99 01 8/03/15 MECHANICAL FINAL AuguSt 3, 2015 12:34:26 PM jiierly. ----------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 15-00000799 Date 7/09/15 Application pin number . . . 101671 Property Address . . . . . . 2201 W 18TH ST C9 ASSESSOR PARCEL NUMBER: 06-30-99-1-1-0310-0000- REPORT SALES TAX Application type ,description RES MECHANICAL PERMIT on your state excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RESIDENTIAL MEDIUM DENSTY Application valuation . . . . 345S (Location Code 0502) ---------------------------------------------------------------------------- Application desc DUCTLESS HEAT PUMP SYSTEM ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SERENITY HOUSE OF CLALLAM DAVE'S HTG & COOLING SRVC INC PO BOX 4047 PO BOX 413 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-1439 (360) 452-0939 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . DUCTLESS HEAT PUMP SYSTEM Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . . . 7/09/15 Valuation . . . . 0 Expiration Date 1/05/1G Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME-FUR-N/HP/FAU < OR = S TON 14.80 ---------------------------------------------------------------------------- Special Notes and Comments Per Washington State Code Sl-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 PLEA SE PRO VIDE A MINIMUM 24-HO UR NO TICE FOR INSPEC TIONS— 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 bv AIR SEAL: Walls Ceiling FRAMING: Joists I Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel OnlyL_ T-Bar INSULATION: Slab Wall/Floor I Ceiling MECHANICAL: Heat Pump/Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing I Slab Blocking&Hold Downs ,Skirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighting ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW Engineering 417-4831 Fire 417-4653 1 Planning 417-4750 1 1 1 Building 417-4815 T'Fnrmq/RLjildir Division/Buildir Permit T" 'D F A N k- C For City Use Permit# Z/21 9? VNI A S H 1\1 G T 0 ffl� U Date Received: 321 East S", Street Port Angeles, IATA 98362 Date Approved ;7- P: 360-417-4817 F: 360-417-4711 perniits@ciq,ofpa.us Building Permit Application F.. ...... ................... Project Address: Main Contact: ' Phone # E-Mail: ty Proper Phone CC Owner Mai J'Addr Email State zip Name Phone J) Contractor kv-k9——Vvi, Mail'un Audi e�sp 'J Email cit'.. S Zi Contractor License# Expiration: -DA ---7- 1 K C� Zoning: Tax Parcel # Project Value: 1 Lot# $ -rype of Residential Commercial 0 Industrial 0 Public Permit Demolition 0 Fire 0 Repair 13 Reroof(tear off/lay over) El For the following, fill out both pages of permit application: New Construction 13 Remodel 1:1 Addition 13 Tenant Improvement Mechanical 0 Plumbinc, 13 Other rl Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes 0 No [3 ---------- ........... Project il _s+,�U( Description 1 have read and completed the application and know it to be true and correct.I am authorized to apply for this 1 permit. I understand that it is my responsibility to determine what permits are required and to obtain permits a 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 /7. .......... Address: 2201 18 Ih Street # C12 PREPARED 8/03/15, 12:32:00 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/03/15 ------------------------------------------------------------------------------------------------ ADDRESS . : 2201 W 18TH ST C12 SUBDIV: CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939 OWNER SERENITY HOUSE OF CLALLAM PHONE (360) 452-1439 PARCEL 06-30-99-1-1-0310-0000- APPL NUMBER: 15-00000802 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME99 01 8/03/15 JLL MECHANICAL FINAL .k a.... Ag.st 3, 2015 12:35:42 PM jlierly. ---------------------7p X_ ----------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 3 21 EAST 5TH STREET, PORT ANGELES, WA 983 62 Application Number . . . . . 15-00000802 Date 7/09/15 Application pin number . . . 466258 Property Address . . . . . . 2201 W 18TH ST C12 ASSESSOR PARCEL NUMBER: 06-30-99-1-1-0310-0000- 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 . . . . . . . RESIDENTIAL MEDIUM DENSTY Application valuation . . . . 3455 (Location Code 0502) ---------------------------------------------------------------------------- - Application desc DUCTLESS HEAT PUMP SYSTEM ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SERENITY HOUSE OF CLALLAM DAVE'S HTG & COOLING SRVC INC PO BOX 4047 PO BOX 413 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-1439 (360) 452-0939 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc DUCTLESS HEAT PUMP SYSTEM Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . . . 7/09/15 Valuation . . . . 0 Expiration Date 1/05/16 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 S1-51-315, 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 pwvisions of any state or local law regulating construction or the performance of construction. -11 a &. I & I-8c ZA�,a-,— �; Date Print Name Sig ctor or Authorized AgentV Signature of Owner(if owner is builder) nature of Contra T:Form s/Bui Iding 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: Tootings Sternwall 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 bv AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Onlyj_ T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump/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 kirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighting ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW /Engineering 417-4831 Fire 417-4653 1 Planning 417-4750 I Building 417-4815 T-Forms/Ruildir Dvision/Buildir Permit OF P For City Use L Permit# �Pv' "�I S H 1; 1\1 G T 0 N . U . S . 321 East S", Street Date Received: Port Angeles, 14---A 98362 Date Approved P: 360-417-4817 F: 360-417-4711 permJtsk41ciqTofpa.us Building Permit Application Project Address: Main Contact: Phone # 1 E-Mail: Property N.1111 P1 one Owner R6CuL-� -2t Maihig Alldre Email Citv State Z' -74n,- Name Contractor Phone v#e Mailing Address Email zip StaZ,', CitV Contractor License # Expiration: A KC-� Project Value: Zoning: 1 Tax Parcel # Lot# Type'or' Residential Commercial 0 Industrial 0 Public [3 Permit Demolition 0 Fire 13 Repair 11 Reroof(tear off/lay over) [3 For the following, fill out both pages of permit application: New ConstrUCti011 Remodel El Addition 13 Tenant Improvement Mechanical 11 Phimbin- 1:1 Other rl In Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes No -- --------- ----------- Project 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 LhaL I will forfeit the review fee if I cancel or withdraw the application before the -miL is not issued within 180 days ofreceipt,the application will be permit is issued. I understand thaL ifthe pei considered abandoned and the fees forfeit. Date Print Name i Signature &12-r) czp'-ri ..............-------- Address: 2201 18 lh Street # CIO cla PREPARED 8/03/15, 12:32:00 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/03/15 ------------------------------------------------------------- ---------------------------------- ADDRESS . : 2201 W 18TH ST C10 SUBDIV: CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939 OWNER SERENITY HOUSE OF CLALLAM PHONE (360) 452-1439 PARCEL 06-30-99-1-1-0310-0000- APPL NUMBER: 15-00000800 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME99 01 8/03/15 4�L MECHANICAL FINAL 10 August 3, 2015 12:34:49 PM jlierly. ---------------------- ----------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 15-00000800 Date 7/09/15 Application pin number . . . 223200 Property Address . . . . . . 12201 W 18TH ST C10 ASSESSOR PARCEL NUMBER: 06-30-99-1-1-0310-0000- REPORT SALES TAX Application type description RES MECHANICAL PERMIT on your state excise tax.form Subdivision Name . . . . . . Property Use . . . I . . . . to the City of Port Angeles Property Zoning . . . . . . . RESIDENTIAL MEDIUM DENSTY Application valuation . . . . 3455 (Location Code 0502) ---------------------------------------------------------------------------- Application desc DUCTLESS HEAT PUMP SYSTEM ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SERENITY HOUSE OF CLALLAM DAVE'S HTG & COOLING SRVC INC PO BOX 4047 PO BOX 413 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-1439 (360) 452-0939 ----------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . DUCTLESS HEAT PUMP SYSTEM Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date 7/09/15 Valuation . . . . 0 Expiration Date 1/05/16 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME-FURN/HP/FAU < OR = S 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. V� --- ------- ------- ---- -------- --- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.80 64.80 .00 .00 Plan Check Total .00 .00 .00 .00 1�1 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 ons of any state or local law regulating construction or the performance of construction. 7/q Ll .2 I/ - a.__. 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 BIdgs.) HUMBING: Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted by_ 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 Oood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighting ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 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/Buildina Division/Buildina Permit W-)2" .3 F For City Use Permit# Z5, Poe VVI Pt. S IL-It G 0 "N' tj Date Received: *7— 321 East S", Street Port Angeles, �%----A 98362 Date Approved 7 - P: 360-417-4817 F: 360-417-4711 perrnits,91cit-yofpa.us Building Permit Application Project Address: ', Phone # Main Contact: E-Mail: Name, Phone Property Cc Owner U 'I E-mail CitV State Z' Contractor N"ie I Phone MailiugAddr Email cit", State Zi P Contractor License # Expiration: -DA 5-P((��`,-/'n-7 I KC� Zoning: Tax Parcel # Project Value: Lot# Type o f Residential Commercial 0 Industrial 0 Public 0 Permit Demolition 13 Fire 0 Repair E3 Reroof(tear off/lay over) 0 For the following, fill out both pages of permit application: New ConstrLtCd011 0 Remodel 11 Addition 11 Tenant Improvement 0 Mechanical 11 Plunibin 11 Other 1:1 Proposed Bedrooms Proposed Bathrooms Existing Fire Sprinkler System? Maximum height of structure Yes 0 No 0 ---------- Project Description Lr-c-4 -K 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 ----------- Address: 2201 1811 Street #B8 02- 0 ( (" I �T(:� � T , 6 ,? PREPARED 7/28/15, 10:03:42 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/28/15 ------------------------------------------------------------------------------------------------ ADDRESS . : 2201 W 18TH ST 138 SUBDIV: CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 4S2-0939 OWNER SERENITY HOUSE OF CLALLAM PHONE (360) 452-1439 PARCEL 06-30-99-1-1-0310-0000- APPL NUMBER: 15-00000798 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT .RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME99 01 7/28/15 MECHANICAL FINAL &D July 28, 2015 9:02:57 AM jlierly. --------------------- A�------------ COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 15-00000798 Date 7/09/15 Application pin number . . . 980142 Property Address . . . . . . 2201 W 18TH ST B8 ASSESSOR PARCEL NUMBER: 06-30-99-1-1-0310-0000- 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 . . . . . . . RESIDENTIAL MEDIUM DENSTY Application valuation . . . . 3455 (Location Code 0502) ---------------------------------------------------------------------------- - Application desc DUCTLESS HEAT PUMP SYSTEM ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SERENITY HOUSE OF CLALLAM DAVE'S HTG & COOLING SRVC INC PO BOX 4047 PO BOX 413 PORT ANGELES WA 98362 PORT ANGELES 'WA 98362 (360) 4S2-1439 (360) 452-0939 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . DUCTLESS HEAT PUMP SYSTEM Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . . . 7/09/1S Valuation . . . . 0 Expiration Date . . 1/05/16 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 C11-1- 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 -N N the house. --- ------- ------- ---- -------- --- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- --------I-- ----------- 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 p vi ions of any state or 1111 o'cal law regulating construction or the performance of construction. 476 k 41 -1� 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 Sternwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-in Water Line(Meter to Bldg) Gas Line BackFlow/Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall I Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump/Furnace I FAU I Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab .Blocking&Hold Downs kirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighting ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 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 -y -R- d r��F un f ho For City Use P Permit# /-5 79-F A S H I N G T 0 N . L) . S . 321 East St' Street Date Received: Port Angeles, 14-"'A 98362 Date Approved P: 360-417-4817 F: 360-417-4711 pernlits@cityof]pa.us Building Permit Application Project Address: 104L Main Contact: Phone # E-Mail: Property Name Phone Rock- Owner �f—CC.. Email 0 State Z* citv Name Phone Contractor �v MailiugAd—�— Entail City St ZIP Contractor License# Expiration: -DA `11 K C--, Project Value: Zoning: I Tax Parcel # Lot# $ 3 Type of I Residential Commercial Industrial Public 0 Permit Demolition 0 Fire 13 Repair 13 Reroof(tear off/lay over) E3 For the following, fill out both pages of permit application: ; New C01IStl-LICti011 El Remodel 0 Addition 13 Tenant Improvement Mechanical 0 Plunibinc, 13 Other rl Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes 0 No 0 ----------- ---------------------- Project 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 -mit is not issued within 180 days of receipt,the application will be permit is issued. I understand that if the pei considered abandoned and the fees forfeit. Date Print Name I Signature Address: 2201 1811 Street #B7 -;) ) o I w, t q, ts- s,- PREPARED 7/28/15, 10:03:42 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/28/15 ------------------------------------------------------------------------------------------------ ADDRESS , : 2201 W 18TH ST B7 SUBDIV: CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939 OWNER SERENITY HOUSE OF CLALLAM PHONE (360) 452-1439 PARCEL 06-30-99-1-1-0310-0000- APPI, NUMBER: 1S-00000797 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME99 01 7/28/15 MECHANICAL FINAL July 28, 2015 9:02:26 AM jlierly. --------------------- --------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 11N Application Number . . . . . 15-00000797 Date 7/09/1S Application pin number . . . 858613 Property Address . . . . . . 2201 W 18TH ST B7 ASSESSOR PARCEL NUMBER: OG-30-99-1-1-0310-0000- 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 . . . . . . . RESIDENTIAL MEDIUM DENSTY Application valuation . . . . 3455 (Location Code 0502) ---------------------------------------------------------------------------- - Application desc DUCTLESS HEAT PUMP SYSTEM ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SERENITY HOUSE OF CLALLAM DAVE'S HTG & COOLING SRVC INC PO BOX 4047 PO BOX 413 PORT ANGELES WA 983G2 PORT ANGELES WA 98362 (3GO) 452-1439 (3GO) 452-0939 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . DUCTLESS HEAT PUMP SYSTEM Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . . . 7/09/15 Valuation . . . . 0 Expiration Date 1/05/16 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. ------------------------------------------------------------------------------ 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 64.8& .00 .00 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 inspectioris 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. -716J 1 11 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/B ui[ding 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 Sternwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Wate FINAL Date Accepted bv AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall I Hold Downs Walls/Roof/Ceiling Drywall(interior Braced Panel Onlyj_ T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump/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: Parking/Lighting ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW I Engineering 417-4831 Fire 417-4653 I Planning 417-4750 1 Building 417-4815 T:Forms/Building Division/Building Permit A gf� HE For City Use FP'O —�TY -Kf kit LT -L 1 1- V^v A S ,-i ': 1\1 G . T 0 U . IS Permit# Date Received: 7- k' 321 Last 51h Street Port Angeles, 'A---A 98362 Date Approved 7- ( C P: 360-417-4817 F: 360-417-471.1 J permits-91ciqrofpa.us Building Permit Application Project Address: 9 --7 Main Contact: Phone # E-Mail: Name Property Phone Owner MailAil-A 1dr I hmall citv, State Z' Phone Contractor a MailingAddr Email City St Z i P- i Contractor License# Expiration: !)A Project Value: Zoning: Tax Parcel# Lot# $ Type o Residential Commercial 0 Industrial 13 Public 13 Permit Demolition 13 Fire 13 Repair 13 Reroof(tear off/lay over) 0 For the following, fill out both pages of permit application: New Construction 11 Remodel 13 Addition El Tenant Improvement 13 Mechanical 11 Plunibin- 13 Other 17 Existing Fire Sprinkler System? I Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes [3 No [I ---------- ------- Project 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 applic ation will be considered abandoned and the fees forfeit. Date Print Name Signature 7�1 ------------- Address: 2201 1811 Street #B6 ,�� -,-L z::. I L,/� 19 f-, s)-. �L PREPARED 7/28/15, 10:03:42 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/28/15 ------------------------------------------------------------------------------------------------ ADDRESS . : 2201 W 18TH ST B6 SUBDIV: CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939 OWNER SERENITY HOUSE OF CLALLAM PHONE (360) 452-1439 PARCEL 06-30-99-1-1-0310-0000- APPL NUMBER: 15-00000796 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT- ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME99 01 7/28/15 MECHANICAL FINAL July 28, 2015 9:01:45 AM jlierly. --------------------- --------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 15-00000796 Date 7/09/15 Application pin number . . . 737084 Property Address . . . . . . 2201 W 18TH ST B6 ASSESSOR PARCEL NUMBER: 06-30-99-1-1-0310-0000- REPORT SALES TAX Application type description RES MECHANICAL PERMIT Subdivisi'on Name . . . . . . on your state excise tax form Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RESIDENTIAL MEDIUM DENSTY Application valuation . . . . 3455 (Location Code 0502) ---------------------------------------------------------------------------- - Application desc DUCTLESS HEAT PUMP SYSTEM ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SERENITY HOUSE OF CLALLAM DAVE'S HTG & COOLING SRVC INC PO BOX 4047 PO BOX 413 PORT ANGELES WA 98362 PORT ANGELES �WA 98362 (360) 452-1439 (3GO) 452-0939 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . DUCTLESS HEAT PUMP SYSTEM Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . . . 7/09/15 Valuation . . . . 0 Expiration Date 1/05/1G 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 Vr 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. -71ci I( 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.) �LUMBING: Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water-- FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION: �;Iab Wall/Floor/Ceiling MECHANICAL: Heat Pump/Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing I Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parking I Lighting ESA: Landscaping iSHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 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/Buildinq Division/Building Permit For City Use OF �i %-J A J:- Permit# A S 1H ! N GTO N- . U . S . Date Received: 321 Last S", Street Date Approved Port Angeles, 'W"A 98362 P: 360-417-4817 F: 360-417-4711 1 permits@1ciq,ofpa.us Building Permit Application Project Address: Main Contact: ' Phone # I E-Mail: Name< Phone Property ROCA V&41 , ! r Owner MailAigA Id -10 zip citv State pz�-m-Anue d- -A Name Plione Contractor (eA' -e�i ( kv'\9,4 , -t 1i ---7-1 w Mailing Addrefis Email ic) City Sta zipe:� 147-11 'J Expiration: Contractor License# D VL, 5 F KC-1 7 Zoning: Tax Parcel # Project Value: Lot# Type o Residential 0 Commercial [3 Industrial 0 Public [3 Permit Demolition 13 Fire 13 Repair 0 Reroof(tear off/lay over) El For the following,fill out both pages of permit application: -LtCti011 13 Remodel 13 Tenant Improvement 13 New COMO Addition 13 Mechanical 0 Plumbing 11 Other 13 Existing Fire Sprinkler System? Maximum height of structure 'i Proposed Bedrooms Proposed Bathrooms i Yes 0 No 0 .............. Project De i n 54 A scription OX U 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 —V Ono ---------- ........... ------------ Address: 2201 18 th Street #B5 �) - ( � +,-, s lf� 5-- PREPARED 7/28/15, 10:03:42 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/28/15 ------------------------------------------------------------------------------------------------ ADDRESS . : 2201 W 18TH ST B5 SUBDIV: CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939 OWNER SERENITY HOUSE OF CLALLAM PHONE (360) 452-1439 PARCEL 06-30-99-1-1-0310-0000- APPL NUMBER: 15-00000795 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME99 01 7/28/15 MECHANICAL FINAL July 28, 2015 9:01:11 Am jlierly. ---------------------------W---------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 15-00000795 Date 7/09/15 Application pin number . . . 615555 Property Address . . . . . . 2201 W 18TH ST B5 ASSESSOR PARCEL NUMBER: 06-30-99-1-1-0310-0000- 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 Proper�y Zoning . . . . . . . RESIDENTIAL MEDIUM DENSTY. Application valuation . . . . 3455 (Location Code 0502) ---------------------------------------------------------------------------- Application desc DUCTLESS HEAT PUMP SYSTEM ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SERENITY HOUSE OF CLALLAM DAVE'S HTG & COOLING SRVC INC PO BOX 4047 PO BOX 413 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-1439 (360) 452-0939 -------------------------------- ------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . DUCTLESS HEAT PUMP SYSTEM Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . . . 7/09/15 Valuation . . . . 0 Expiration Date 1/05/16 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME-FURN/HP/FAU < OR S 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. ---------------------------------------------------------------------------- Fee summary Charged Paid Credite d Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.80 G4.80 .00 .00 Grand Total 64.80 G4.80 .00 .00 Plan Check Total .00 .00 .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 orconstruction authorized is not commenced within.180 days,if construction orwork is suspended orabandoned 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. -71a k` Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) TForms/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 Sternwall Foundation Drainage/Downspouts Piers Post Holes(Pole BIdgs.) �LUMBING: Under Floor/Slab Rough-in Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted bv AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof I Ceiling Drywall(interior Braced Panel OnlyL_ T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump/Fur�ace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet I Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs ,Skirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighting ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 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/Buildina Division/Buildino Permit T i T F For City Use Ci E L A S H I I\! G T 0 U . S . Permit# 321 East 511, Street Date Received: Z Port Angeles, IN"A 98362 Date Approved 7 P: 360-417-4817 F: 360-417-4711 perrnits9-Icityofpa.us Building Permit Application Project Address: : Phone # Main Contact: I E-Mail: Property Name Phone -7-p,-�p L Owner MaiVIifAddr Email q0 L cIt%I State ZiW Contractor Name Phone J)'i C�(�'- MailitigAddre,�,s IJ Email City staL Z i pe: -Contractor License# Expiration: _DA Vi�_75 -7 1 K C, /7 Project Value: Zoning: Tax Parcel # Lot# Type o Residential Commercial 13 Industrial [3 Public [3 Permit Demolition 13 Fire 13 Repair 13 Reroof(tear off/lay over) 0 For the following, fill out both pages of permit application: Netv C0IIStrLICti0II Remodel 11 Addition 11 Tenant Ini'provenient Mechanical [3 Plunibin- 13 Other 11 Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes 0 No [I ----------- -------------------- ---------------- Project Description 21 AC"_-C_4( (� I have read and completed the application and know it to be true and correct.I arn 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 ke-z ............. .............. ................. Address: 2201 18 th Street #A3 PREPARED 7/17/15, 16:14:31 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/17/15 ------------------------------------------------------------------------------------------------ ADDRESS . : 2201 W 18TH ST A3 SUBDIV: CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939 OWNER SERENITY HOUSE OF CLALLAM PHONE (360) 452-1439 PARCEL 06-30-99-1-1-0310-0000- APPL NUMBER: 15-00000793 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECRANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT' RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME99 01 7/17/15 JLL MECHANICAL FINAL July 17, 2015 4:18:08 PM jlierly. -------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 15-00000793 Date 7/09/15 Application pin number . . . 372497 Property Address . . . . . . 2201 W 18TH ST A3 ASSESSOR PARCEL NUMBER: 06-30-99-1-1-0310-0000- 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 . . . . . . . RESIDENTIAL MEDIUM DENSTY. Application valuation . . . . 3455 (Location Code 0502) ---------------------------------------------------------------------------- Application desc DUCTLESS HEAT PUMP SYSTEM ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SERENITY HOUSE OF CLALLAM DAVE'S HTG & COOLING SRVC INC PO BOX 4047 PO BOX 413 PORT ANGELES WA 98362 PORT ANGELES WA 983G2 (360) 452-1439 (360) 452-0939 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . DUCTLESS HEAT PUMP SYSTEM Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . . . 7/09/15 Valuation . . . . 0 Expiration Date 1/05/16 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. ---------------------------------------------------------------------------- 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 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 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 Sternwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-in Water Line(Meter to Bldg) Gas Line Back Flow/Wate FINAL Date Accepted bv 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 FINAL Date Accepted by '�4ANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs ,Skirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighting ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW Engineering 417-4831 Fire 417-4653 I Planning 417-4750 1 Building 417-4815 T:Forms/Building Division/Building Permit T Y r.)F GE For City Use Pernn't# 15---77-3 Vv' A H I I\j G T 0 N, U 321 East 511, Street Date Received: C Port Angeles, IWA 98362 Date Approved -7-e -t- C- P: 360-417-4817 F: 360-417-4711 permits,?cit-yofpa.us Building Permit Application .......--------- Project Address: -�A -3 Main Contact: ', Phone # I E-Mail: Property Name< -A. Phone Owner MaihigAddr Email WD11C State Name Contractor Phone Ta ce-1-5 kf eA,kl q G--e,- (k"" VI/ MailiugAddr e/ss Entail —E cit". State Contractor License# Expiration: DA I K C-, Project Value: Zoning: Tax Parcel # Lot# $ Type of Residential Commercial 13 Industrial 13 Public [3 Permit Demolition 0 Fire 13 Repair 13 Reroof(tear off/lay over) [3 For the following,fill out both pages of permit application: NeWC0IIStI-LICd0II Remodel [I Addition El Tenant Improvement Mechanical [I Plumbin- 0 Other 0 Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes [I No ............ Project Description n 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 ifthe permit is not issued within 180 days of receipt,the application will be considered abandoned and the fees forfeit. Date Print Name I Signature --------------- ................--------------- ------------ ---------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 15-00000801 Date 7/09/15 Application pin number . . . 344729 Property Address . . . . . . 2201 W 18TH ST C11 ASSESSOR PARCEL NUMBER: 06-30-99-1-1-0310-0000- 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 . . . . . . . RESIDENTIAL MEDIUM DENSTY Application valuation . . . . 3455 (Location Code 0502) ---------------------------------------------------------------------------- Application desc DUCTLESS HEAT PUMP SYSTEM ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SERENITY HOUSE OF CLALLAM DAVE'S HTG & COOLING SRVC INC PO BOX 4047 PO BOX 413 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-1439 (360) 452-0939 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . - DUCTLESS HEAT PUMP SYSTEM Permit Fee . . . . G4.80 Plan Check Fee .00 Issue Date . . . . 7/09/15 Valuation . . . . 0 Expiration Date 1/05/16 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME-FURN/HP/FAU < OR = S 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. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Q) ----------------- ---------- ---------- ---------- ---------- Permit Fee Total G4.80. 64.80 .00 .00 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 construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) TForns/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 Sternwall 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.v 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 FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighting ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 1 Building 417-4815 T:Forms/Building Division/Building Permit y V- For City Use n S Permit# P1, S H N1 G T C; U . s 321 East S", Street Date Received: -7 Port Angeles, W-'A 98362 Date Approved 7- P: 360-417-4817 F: 360-417-4711 permits@'cityofpa.us Building Permit Application Project Address: Main Contact: Phone # E-Mail: Nam Property Phone L cc� 11 1 C'C Owner [dr Email cit-v State zip N",e Phone Contractor vi" "7 9 V Email City State ZI Expiration Contractor License # KC, Zoning: �f Tax Parcel # Lot# ProjectValue: $ 3 Type of Residential Commercial 0 Industrial [3 Public 0 Permit Demolition 13 Fire 13 Repair E3 Reroof(tear off/lay over) [3 For the following, fill out both pages of permit application: NewConstrLtCd011 13 Remodel El Addition El Tenant Improvement Mechanical 13 Plumbin- 13 Other rl Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms I Proposed Bathrooms Yes 0 No [3 ................. ------- ......... ---------- Project Description --J 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 ofreceipt,the application will be considered abandoned and the fees forfeit. Date Print Name i Signature C, --------------- --------- ......... .......... Address: 2201 18 Ih Street #A2 9 ;1 . 1 U , IV- �t - � 1 PREPARED 7/28/15, 10:03:42 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/28/15 ------------------------------------------------------------------------------------------------ ADDRESS . : 2201 W 18TH ST A2 SUBDIV: CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939 OWNER SERENITY HOUSE OF CLALLAM PHONE (360) 4S2-1439 PARCEL 06-30-99-1-1-0310-0000- APPI, NUMBER: 15-00000792 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME99 01 7/28/15 MECHANICAL FINAL W. July 28, 2015 8:59:57 AM jlierly. -------------------------%------------ COMMENTS AND NOTES --------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 15-00000792 Date 7/09/15 Application pin number . . . 250968 Property Address . . . . . 12201 W 18TH ST A2 ASSESSOR PARCEL NUMBER: 06-30-99-1-1-0310-0000- REPORT SALES TAX Application type description RES MECHANICAL PERMIT on your state excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RESIDENTIAL MEDIUM DENSTY. Application valuation . . . . 3455 (Location Code 0502) ---------------------------------------------------------------------------- Application desc DUCTLESS HEAT PUMP SYSTEM ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SERENITY HOUSE OF CLALLAM DAVE'S HTG & COOLING SRVC INC PO BOX 4047 PO BOX 413 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-1439 (360) 452-0939 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . DUCTLESS HEAT PUMP SYSTEM Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . . . 7/09/15 Valuation . . . . 0 Expiration Date 1/05/16 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. ----------------------------------------------------------------------------- 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 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 construction. Ilak -) . 0 1-1---7 ,I I I, -, (4 J,4 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/B ui[ding Permit BUILDING PERMIT INSPECTION RECORD PLEA SE PRO VIDE A MINIMUM 24-HO UR NO TICE FOR INSPEC TIONS— 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 I Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow I Water FINAL Date Accepted bv AIR SEAL: Walls Ceiling FRAMING: Joists/Girders I Under Floor Shear Wall I Hola Downs Walls I 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 FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs ,Skirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighting ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 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 A 1 _ _ ? 1- VN� r)F For City Use UN I P., Permit# 2- A S H 11 1\3 G T 0 321 East 5" Street Date Received: —7-9,- Port Angeles, 14.--'A 98362 Date Approved P: 360-417-4817 F: 360-417-4711 pernAts,91cityofpa.us Building Permit Application I Project Address: J. Main Contact: I Phone # E-Mail: Nantes�, Property Phone 41 Owner cc_� Mai�jtg,k Ida- Entail . c State Z' itv Name Phone Contractor -V- Ma Ts Add. Email City State Contractor License# Expiration: _DA Vt�-- S- —'I— I K C, //7 Project Value: Zoning: I Tax Parcel # Lot# $ Type'of' Residential Commercial 13 Industrial [3 Public [I Permit Demolition 13 Fire 13 Repair [3 Reroof(tear off/lay over) 0 For the following, fill out both pages of permit application: New C011SO-LICti011 Remodel 13 Addition 11 Tenant Improvement Mechanical 0 Plumbin- 1:1 Other rl Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathro Cams Yes 0 No 0 ................. Project 5+01_U n__-h'D�� C'S 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 1 Signature t i), –—-----------