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Home My WebLink About620 M Street Address: 620 M Street PREPARED 5/28/15, 10:42:58 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/28/15 ------------------------------------------------------------------------------------------------ ADDRESS . : 620 M ST SUBDIV: - CONTRACTOR : AIR FLO HEATING CO INC PHONE (360) 683-3901 OWNER : BLAYLOCK, JIMMIE & ALOMA PHONE PARCEL 06-30-00-8-5-0150-0000- APPL NUMBER: 15-00000531 RES MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ' COMPLETED RESULT RESULTS/COMMENTS -------------'----'------' ------"-'----'--'--'--"-------------------'---------------'-- ME99 01 5/28/15 L MECHANICAL FINAL May 28, 2015 10:13:18 AM jlierly. 460-2592 ----------------------- ------------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 U r Ur Application Number . . . . . 15-00000531 Date 5/14/15 Application pin number . . . 921261 Property Address . . . . . . 620 M ST ASSESSOR PARCEL NUMBER: 06-30-00-8-5-0150-0000- 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 . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 5201 Application desc DUCTLESS HEAT PUMP ---------------------------------------------------------------------------- Owner Contractor BLAYLOCK, JIMMIE & ALOMA AIR FLO HEATING CO INC 620 S M ST 221 W. CEDAR PORT ANGELES WA 98363 SEQUIM WA 98382 (360) 683-3901 Permit . . . . . . MECHANICAL PERMIT Additional desc . . DUCTLESS HEAT PUMP Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . . . 5/14/15 Valuation . . . . 0 Expiration Date 11/10/15 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80 ------- -------------------------------- ---------- V Special Notes and Comments Per Washington State Code 51-51-315, installation of Carbon Monoxide ,. p 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 j of this permit. They are required to be V� 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 opt el't pr is' s of s ate or local law regulating construction or the performance of construction. m 5 0 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 b 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 05/13/2015 WED 15: 34 FAX 360 683 3971 Air Flo Heating Co. 10001/002 THE CITY OF � , For City Use W A S H l N G T O N, U . S. Permit# 321 East 5'h Street Date Received: PLE �� S 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 # ,lw t31ay1oc�. E-Mail: ylo0 -asa2 Property JmPhone mr nt e 4 A%uf^2a �12 I o c,)L. Lv1a0,Z•SR2 Owner Mailing Address Email � p.o• G3o x IL�-� cityState Zip POYA PTnr�2Lt5 W A ci4b3 u Z Contractor Name �r 'Pto1i�a1;n Phone Mailing Address R T Email 'L•LI W . 3�r�lo City 4C State .^ `� ZiP l CT�7 00' Contractor License# Expiration: AIV-FLA;20(oMn o5 201S 3 a Project Value: Zoning: Tax Parcel# Lot# $ C ZO 1 b3oo�4�Sols00000 Type of Residential Ef Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ For the following,fill out both pages of permit application: New Constructi n 13Remodel 13Addition 13Tenant Improvement 13F Mechanical Plumbing ❑ Other ❑ -[ 1 Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms E Yes ❑ No 1:1 Project Description a� SS kle�� um , 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 j 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 05. 13-iS �AvJOTAPIA f