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Home My WebLink About617 H Street Address: 617 H Street PREPARED 6/02/17, 8:58:25 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/02/17 -- --------- ADDRESS . : 617 H ST SUBDIV: CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683-3901 OWNER GORE RANDALL R PHONE PARCEL 06-30-00-0-1-5252-0000- APPL NUMBER: 17-00000430 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------------------------------------------------------------------------- ME99 01 6/02/17 MECHANICAL FINAL DHP ------------------------- ----------- COMMENTS AND NOTES -------------------------------- PREPARED 6/02/17, 13:25:44 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/02/17 ------------------------------------------------------------------------------------------------ ADDRESS . : 617 H ST SUBDIV: CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683-3901 OWNER GORE RANDALL R PHONE PARCEL 06-30-00-0-1-5252-0000- APPL NUMBER: 17-00000430 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: MB 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------- -------------------------------- ------------------------- 'ME99 01 6/02/17 MECHANICAL FINAL DHP ------------------------ ------------ COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 17-00000430 Date 4/27/17 Application pin number . . . 676150 Property Address . . . . . . 617 H ST ® ASSESSOR PARCEL NUMBER: 06-30-00-0-1-5252-0000- REPORT SALES TAX Application type description RES MECHANICAL PERMIT Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 5151 (Location Code 0502) ----------------------------------------------------------------------------- Application desc Install Ductless Heat Pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GORE RANDALL R AIR FLO HEATING CO INC 617 S H ST 221 W. CEDAR PORT ANGELES WA 983635414 SEQUIM WA 98382 (360) 683-3901 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . INSTALL DUCTLESS HEAT PUMP Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . . . 4/27/17 Valuation . . . . 0 Expiration Date 10/24/17 ` Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80 ---------------------------------------------------------------------------- �.� S ecial 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 u 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 h® 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 isnot 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. 1 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 I 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 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: Parkin /Lighting ESA: Landscaping EE]E]ASHORELINE: 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 04/04/2017 TUE 12: 55 FAX 360 683 3971 Airflo Heating copier 2001/001 F Tti]EE For City Use CITY 0 qC36 Permit# Jnr A S H I ff''G`-'T 10 N, U. S. Date Received: 321 E 511,Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits@ci_tyofpa.us BUILDING PERMIT APPLICATION Project Address:617 S H Street Port Angeles, WA 98362 1: Phone: Prima!y Contact: Email: Name Dale & Donna Gore Phone 360-452-2654 Property Mailing Address Email Owner city Port Angeles State WA "P98362 Name Air Flo Heating Phone 360-683-3901 Contractor Address 221 W Cedar Street Email Christina@airfloheating.com Information c'tySequim State WA z'P98382 IContractor License#AIRFLI*206DG Exp.Date:4/2018 Legal Description: Zoning: Tax Parcel# Project Value:(materials and labor) $ 5151.00 Residential N Commercial 0 Industrial 1:1 Public 11 Permit Demolition El Fire 11 Repair 0 Reroof(tear off/lay over) 0 Classification For the following,fill out both pages of permit application: (check New Construction 11 Exterior Remodel 13 Addition 0 Tenant improvement ❑ appropriate) Mechanical @ Plumbing 0 Other 1:1 Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms or Existing? Yes 13 No 0 Existing? Yes 13 No 0 1 1 In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormw-ater899T&LmS- Project Description 1hadal One Mitsubishi Ductless Heat Pump Syskm Is project in a Flood Zone: Yes 0 No[3 Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ I have read and completed the application and know it to be true and correct.I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to work. I understand that plan review fees are not refundable after review has occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is issued. I understand that if the permit is not picked up/issued within i8o days of submittal,the application will be considered abandoned and the fees will be forfeited. ISignature I Dat - Print Nam