HomeMy WebLinkAbout620 S Liberty Street Address:
620 S Liberty Street
PREPARED 12/27/16, 14:04:55 INSPECTION TICKET -- .PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES-LIERLY-- - - ----- ---DATE 12/27/16
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ADDRESS . : 620 S LIBERTY ST SUBDIV:
CONTRACTOR PENINSULA HEAT INC PHONE (360) 6.81-3333
OWNER Wilburn and Camille H Branch PHONE (360) 477-4838
PARCEL 06-30-00-0-2-1170-0000-
APPL NUMBER: 16-00001819 RES MECHANICAL PERMIT
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PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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ME99 01 12/27/16 JLL11 MECHANICAL FINAL
/�, 1-7AV December 23, 2016 11:25:08 AM jlierly.
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(J-r //I DHP Trent signed off/ ill
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COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
.�� 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 16-00001819 Date 12/07/16
Application pin number . . . 660507
Property Address . . . . . . 620 S LIBERTY ST �/
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-1170-0000- REPORT SALES TA
.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 . . . . 3611
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Application desc
Install Ductless Heat Pump
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Owner Contractor
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Wilburn and Camille H Branch PENINSULA HEAT INC
232 W 4th St 782 KITCHEN-DICK RD
PORT ANGELES WA 98362 SEQUIM WA 98382
(360) 477-4838 (360) 681-3333
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V, Permit . . . . . . MECHANICAL PERMIT
Additional desc INSTALL DUCTLESS HEAT PUMP
\ Permit Fee . . . . 64.80 Plan Check Fee .00
lSa� Issue Date 12/07/16 Valuation 0
�. Expiration Date 6/05/17
LN Qty Unit Charge Per Extension
BASE FEE 50.00
-----1.00-------14.8000 EA ME-FURN/HP/FAU < OR = 5-TON
----------14.80
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Special Notes and Comments
Per Washington State Code 51-51-315,
installation of Carbon Monoxide
detector(s) is required if you are
installing or replacing a fuel burning
appliance (wood, pellet, gas)and must be
1 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
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. I hereby certify that I have read and examined this application an kno a same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied wi he r s herein or not. The granting of a permit does
not pre me o give authority to violate or cancel the provisions any s or w regulating construction or the performance of
constru do
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
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 ti
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 /Light! 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 For City Use
CITY OF
;. Permit# ( b ' l f i 9
W A, S H I N G T O N , U. S. Date Received:
321 E 5lh Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits@cityofpa.us BUILDING PERIMT APPLICATION
Project Address: A461rht
/' Phone: �} '
Prim ��/Contact: V V , a 0(.
lyG( &AVAEmail:
N-M 'boftj ' / Phone / D
Property MailingAddssQ , r, x, Email `,/
Owner p� W -r—c"&-1
City State ', I /j Zip
Name ` h� I_ /o� Phone
J (�f 1 3
Contractor Address 30 3 Email 4e (17sk / , ��/
�/c./✓� (/(itaZ l��
Information City State W A
Zip
Contractor License# / �� Exp.Date: / /� UX—
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
gJJ �3 ODOd( 3�Dzb $ 3(vl
Residential Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
o Classification For the following,fill out both pages of permit application:
(check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑
appropriate) Mechanical ET"Plumbing ❑ Other ❑
Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms
or Existing? Yes ❑ No ❑ Existing? Yes ❑ No ❑
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater ci o a.us
Project Description
Is project in a Flood Zone: Yes ® No 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 iSo days of submittal,the application
will be considered abandoned and the fees will be forfeited.
Date l Print Name Si afore
Residential Structures
Existing Proposed Construction For Office Use
Area Descriptions(SQ FT) Floor area Floor area $Value new area
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 3o"or 2 Ed floor)
Garage'
Carport
Other(describe)
Area Totals
Commercial Structures
Area Descriptions(SQ FT) Existing Proposed Construction For Office Use
Floor area Floor area $Value new area
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe)
Site Area Totals
Lot/Site Coverage Calculations .
Lot Size(sq ft) Lot Coverage(sq ft)foot print of %Lot Coverage(Total lot cov=lot size) Max Bldg Height
all structures sq ft ..
Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site cov_lot size)
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler Size: # Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) #
Boiler/Compressor Size: # Heating/Cooling appliance #
repair/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fireplace/Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct #
Furnace/Heat Pu p/ Size S # Ventilation System #
Forced Air Unit
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps # Water Heater #
Plumbing Vent piping # Medical gas piping #of Outlets:
Water Line # Fuel gas piping #of Outlets:
Sewer Line # Industrial waste pretreatment
interceptor Grease Trap) Size
Other(describe):
T:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx