HomeMy WebLinkAbout1728 E 5th St - Building
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CITYOFPORTANGELES .' .'. ..... .....
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUlLDINGDMSION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
~lic:~H.on .Number . .
PropE!:tty Addr!'ss.. . . .
~f3ESaORP1l.RCELNOMBER :
......~lil;:atiori.d~~c~ip~iql1
subdivisionN~ . .
Prc)peft.yzoning. . .
APPlication.valuation .
03-00Q01031 Date
1728 E 5TH ST
06-30~OO:O-1-a520-0000-
ME~CAL 1\P1?L. PEIOO:T
3000
Contr~ctor
WA 983624918
~~
257151~101
PORT. ANGELES
(360) 452-3366
WA 98362
-~~~-,.~~~,~,~---'-~------------------~._---~--~--------------------------------
I'ermi~ .' .. .
"Additional.. desc
peimit 1"eE!' ;
Issue. Date . .~.
~i.rationDate .
~ClllOO:CAL PERMIT
,PROPANE INSERT, TANK & PIPplG
. '. 57.65 ., Plan Check Fee
10/22/03 valuation . .
4/20/04
.00
o
Per
Extension
47.00
10.65
"''- -- ~"'"" ': - ::;:
....;:...;.,:r
.....~...
....~.
,,;~
BASE FEE
10.6~JO ECH ME-GAS PIPE 1 TO 5
Charg~ Paid credited Due
---------- ---------- ---------- ----------
57.65 57.65 .00 .00
.00 .00 .00 .00
57.65 57.65 .00 .00
~
$epar4it~pininits qre required for electrical work, SEPA,Shorelin.e;f;SA, utilities,private and public improv€lments, mi$~m-ifb:~9meti
null~IJ~;Vf3,fd:if""ol'k Qr.constructioriauthorizedis. not commenced within 180 days, if constn.lctionpr work Is sus'pen~~#'o'~'i1ba"~oij'e~.
. Jor t;ll>(;)~PctPf1 ~O'days after .the work ascommenced, orifrequiredinspectlons have not been requestedwithirr1 ~o#a~:@~;tt,~J~t
illspe~tJ~i'l,Jl1e~I:)YGE3rtify that. ,I have read and exarriined'thisapplicatio,n and know the same tb~tt4ean~c6rfect~:~tproyi$iqO$;Of
lawS~1)9pt~if)a~c~ governing this type of work will be. col11plied with. Whether specified herein or not. . Thegranting,ofa permit~dt:resijot
presume..togivErauttlorityto,violate or cancel the provisions of any state9r local law regulatingconstructionorthe:P~rformance;of
construction. .' . . " ...'.: .. .. '.
','.OAJ. '. PI Le-
"." - ':' ,
, . ,~, ;
Pate
\
SIgnature of Owner (ifolJl(n~ is!>lJild~r).
1-' - .
,
Signature tlfContfador'orAuthorizedAgenl:
T~~r~~:;;':'i ','Cp,:\'~;\i:.:<~f:~~'i''-/' ,":~/';\'i "~"
"~~i,,,~<;F~lf:~:~';:'(f!},. ^'~~'
,~;:,:~
nUIDDING,PERMIT INSPECTION RECORD
,,1J-- w11' ......
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. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
i",.-,' -"- - " ",'" , ' ' ''',' '<- _~' ".
.' '. ,"
INSPECTION TYPE DJ\JE I ACCEPTED I . .. €OMMENTS , ,\,.F" '. ",
~ '. < '" ....
'. I YES , r,
.... .' NO ,
FOUNDATION:, .~'.> .'. I . , '\'.,
.'. .> '. ..~"'l..:..'..
...
FOOTINGS :
WALLS .
FOUNDATION DRAINAGE . .... '.. '.' ....
ELECTRI~AL . . .......... (LIGHT DEPT) SEPAR}.TEPE~:!I . , . ! .'i'),. ."'"
.'
ROUGH-IN .' . I. I . , ',' .,
PLUMBING . '. !
. . ....
UNDER FLOOR {SLAB .' .;
ROUGH-IN ..<
WATERLINE
GAS LINE ..' >
"1'.,,< I \
BACK FLOW 1 WATER i." ;.
AIR SEAL ., .' . "'"
, . . I
WALLS
CEILING I"'. I. i
FRAMING , ,
.
JOISTS / GIRDERS .
SHEAR WALL '.'
WALLS / ROOF / CEILING .
DRYWALL i ,
, ,
T-BAR , .
INSULATION
SLAB . ,.
WALL / FLOOR/ CEILING " I I
MECHANICAL . \ .
, . I i
HEAT PUMP e,as '( . I I' -/4lo3.J.Ll.-
Jlk~
WOOD STOVE / PELLET / CHIMNEY ..' I
HOOD /. DUCTS ; . I I
PW UTILITIES / SITE WORK (Engineering [)jvision) SEPARATE PERMIT /I's:
WATERLINE I METER '. .
SEWER CONNECTION
SANITARY
STORM .
PLANNING DEPT. SEPARATE PERMlT/I's . SEPA:
P ARKINGILIGHTING ESA:
LANDSCAPING ..' SHORELINE:
" , ,,; i". . .,...IN'~IN~,PEc;:JIONS REQUmED PRIOR TOOCCt!PMi~(uS~ , .' ,
RESIDENTIAL '\ [, 'DATE" ' YES NO 'COMMERCIAl. " I:', DATE ACCEPTED i
. yEs .'
....i. ,.', NO
. . " . . ' ; '-".. . . ,i
ELECTRICAL. LIGHT DEPT. ~ \ 417-4735 ELECTRICAL .. 1:." r
I' UGHT 9EPT ,
1 " CONSTRUCTION - R. W. I
CONSTRUCTION R. W./ PW/ ! 417-4807
ENGINEERING , PW / ENGINEERING !.
, FIRE. DEPT. , '!~ " -- .,,' "
FIRE , 417-4653 ,
.
PLANNING DEPT. 417-47Sq ;.,',0 . PLANMNcr DEPT. I ....,.
BUILDING 417-4815 K..J/~ !It \lL BUILDING ;
T:\PLANNING\FORMS\1102.1S [412002]
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PREPARED 5/11/05, 15:11:22
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
1
5/11/05
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1728 E 5TH ST
EVERWARM
GARLING VERNON C
06-30-00-0-1-8520-0000-
03-00001031 MECHANICAL APPL.
SUBDIV:
PHONE
PHONE :
(360) 452-3366
PERMIT
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME6
01
11/14/03
11/14/03
4/27/05
4/27/05
JLL
AP
JLL
DA
MECHANICAL GAS LINE
ME99 01
MECHANICAL FINAL
EVERWARM 452-3366 04/26/2005 03:27 PM RVESS
FIREBOX WAS NOT FILLED WITH CEMENT AND INSERT HAS BEEN
INSTALLED, EVERWARM IS QUESTIONING WHAT THEY SHOULD DO.
04/27/2005 04:48 PM JLIERLY ----------------------------
fill void under unit /jll
ME99 02 ~ ~ ~~7~~;~~~ F~~~~8 PM JLIERLY ____________________________
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . .. . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
DCI!~"",,(~AC? ,Ic: C ",.,.~,,!~,!,e --g .' /5- Received by
erson)
Location of Work to be inspected 179--9 E" bM s..-;:
Name of person requesting inspection
Address of person requesting inspection Phone No. 1-/6"-7- 3 ~ 7D
Type of Inspection (circle appropriate one): Permit No. O~ - /0'31
Sewer . Foundation Framing. Chimney Plumbinr;J:. inal ewer EXC~V. Other I J1 (~ ... f- '
we!>ufJ 11/i..e CL tV /}m Wiornl f€C.-l-coVJ sill/oS-
INSPECTION NOTES:
Inspected: Date
Remarks:
Time
By
RESTORATION REQUIRED . . . . .. YES NO
r
.. ....
~ .. ....... ....
. ..
bl~
--I \
1\ t-L4 .
~ fl{>~ \. :s tL..
SURFACE RESTORATION:
SORFACE'fVPE: o Unimproved ElGravel []Asphalt nO-pee,
...BOther
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
PREPARED 4/27/05, 13:10:40
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1728 E 5TH ST
EVERWARM
GARLING VERNON C
06-30-00-0-1-8520-0000-
03-00001031 MECHANICAL APPL.
PERMIT
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME6 01
11/14/03 JLL
11/14/03 AP
tH~:'(f~ JLL
~J)~
MECHANICAL GAS LINE
ME99 01
SUBDIV:
PHONE
PHONE :
(360) 452-3366
/
PAGE
DATE
MECHANICAL FINAL
EVERWARM 452-3366 04/26/2005 03:27 PM RVESS
FIREBOX WAS NOT FILLED WITH CEMENT AND INSERT HAS BEEN
INSTALLED, EVERWARM IS QUESTIONING WHAT THEY SHOULD DO.
2
4/27/05
-------------------------------------- COMMENTS AND NOTES --------------------------------------
h(/
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o~~
PREPARED 11/14/03, 12:40:32
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
11/14/03
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1728 E 5TH ST
EVERWARM
GARLING VERNON C
06-30-00-0-1-8520-0000-
03-00001031 MECHANICAL APPL.
SuaDIV:
PHONE
PHONE :
(360) 452-3366
PERMIT
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
~;;';;---;;;;;;;;"-~---~~;~~---~-~----~-~---------------------
-------------------------------------- CO,",,", AND NO'" -------;1;----------------------------
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EVERWARM HEARTH & HOME
257151 HWY 101
PORT ANGELES, WA 98362
360-452-3366 OR 1-800-750-7868
tJ ')-10-, ,
STEPS FOR INSTALLING A PROPANE STOVE
. Decide who is going to install gas piping. 4.A.....t.D ~~
. Permit to be obtained by company doing the gas piping, with
option of ~o~owner getting.
Everwarm ^ Homeowner 0 Gas Co. 0
. Once permit has be~n issued, gas piping can be done. When 4/"1
qo~e~o~eowner is r~sponsible for galli_ng to arran~e ~nspectio~. f-'1 J
- -
. When inspection is done and passed, homeowner needs to call
Eve~~and ~t them know. ~ "\. . -~~
.--- 0 ~r--- ...
. Stove installation is scheduled and completed.
..---
--
. Everwarm will inform propane company of install date so they can
plan for tank set and hook-up to gas piping. Homeowner will notify
Everwarm when completed.
. Steps to be completed before final fire-off and stove operation
walk through:
1. . Stove installation completed
2. Tank set
: 3y,Tank hooked up to gas piping
'-"-..-..,,"......-" .
I have read and understand the above schedule.
custom~n-<-,_JK'.Li Date /0//:1/03
Address /7.2-8 f. {d-7ff ~
~;t- t:?/7~tcb fef..5fZ.Phone /T.;s-[:d;Z7C'
(J
Oct-21 '~3 10:49AM EVERWARMNGELES
P.l-
..'
;3804174711
.. 1 /
BUILDING PERMIT a APPLICATION
FOR OFFICIAL Use ONLY:
Oalc R.ec.: 10 -Zl-O~
1'c:rn1it#: I 031
Date Approved:
Dala Wiled:
Fill Qut COMPLETELY and in INK. Your appllca tioD and site plan MUST BE
COMPLETE to be a~epred (or rilvlew. If you have IIny questionl, caU
(360) 417...815
~_l~;~~/r-f~~~~_N<J- N
Address:-1 7 :L B C 5T- City:-P Q
..,
Archi~~' ecr: - Phone:
l:.\J c. ~w I _
Contractor C;~ L '\ ~ State License #:~og-5! NL Exp: "& I Ii 10'1- Phone: Lf'.5<...~33 6f.:.
Addrou: ~ '11 Sf ~ 'I [C:>I City:-.f> q Zip:---9-$ ~ (.,2-
PROJECr ADDRESS:----!..,2Z.. ~ s. 51 H- ~ q ~ ZONING:
LEGAL DESCRIPTION: lot: Block Subdivision;
Cl.ALI..AM COUNTY PARCEL NUMBER: 6 ~ "3 C 0<:) ~ I 8 S.2.. 0
Phone~'-~S2.. 33b<O
Phone:3C:o,. ~57~ 32 70
Zip: Cf33~~
CI'1lCtla Card Bolder N:II
BillfDt Add.....:
Credit C:arct'lypa VISA Exp. Date;
~ OF WORK:
~cIemlaI a New CoMtr. 0 ~-roof /SF. .. $
CJ MUlti-fAmily t:I Addition a Move ISF. .. $
a ~ a Remodel 0 Demolition 0 Deck SF. @ $ /SF. ... $
o Repair 0 Sign 0 Other TOTAL VALUATION .J;; ~O<J> '>l
DRIP DESaIIPTION ~p 11D!: ~JECT, '-jJ A AfV' .-. ~ L ",':""'" -IL e A -f; L~ A K ,
CY-6J"'W<~/~/it. _-
CO.CIAlJRE~ENTIAL' p""y Group: a..up... Lo.d, eo..,"""tion Type:
No. of'SUlrics: - Lot Size: ExistiDB Sq, Ft. & Proposed Sq. Ft. ~ TOTAL Sq.Ft.
ExiItiDi lot COVlUae 'X & Proposed lot coverage 'X - Total lot coverage ~
- 0 - 0-
APPRO V ALS:
" PLAN:
PL\NN[N'c USE ONLY: BLDG:
DPWU;
SEPAChecldistrequired? 0 Yes 0 No Other: FIRE:
BSA/Wcda!ut(.): Q Yes Q No OTHER:_
BUILDING PERMIT AfPllCA'IlON SVBMm AL: The Building Division cau provide you with information on the application and
plu ~aa1 RCJuircmentB if you have questions.
V ALVA nON 011' CONSTRUCTION: In aU u.u, II valuation IImount must be entered by the applicant. Thi:i figure will be reviewed"
IIDd may be rc:viIed by the Buildin,g Division to comply with current fee schedules. Contact the Permit Coordittator at 417-481 S for assistance.
PI...AN cmcx PEl: IF a. pllD ched; fee is due it must be submitted at the time the building permir application and construction plllllS ate
abmibd. All odic pmnit fees au due at the time of permit issuance.
&XPDlAnOJlf OF PLAN REVIEW: Ifoo permit is usued within 180 days of the date ofapplication, the application wilJ expire. The
' a)ildiGi~ tbelime..for.ac.tian..b,..th.e.app lie an t up to lBa.days-upan wrjtteluequest -by th~llPl'licant (S(~ Section '107.4 of
tIac UnifOIm Building Code, current edition). No application can be extended mOre than oncc.
Iltet8by e.ITIy th4t I hi'" fNd and t1xam/ned this rppllcBtian and know the same to be true and correct. I am authorized to apply for this pennit and
mde'*'d ",., Is my f86ponsibUlty to dtJtBrmins what permits are rr:quired ,not the c;ty's, (tria that I mu~t abeam such permits prior to work,
T:\FOaMS\APf'SlaulldinrPmTIi I. ~d
Applicant:
Date:
-... .
/3(?J
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
1/,.07 ~R
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER. THIS PEflMrT
7 -? ~ ,r--h
Site Address I L fa r 'J
) . ORREel ADDRESS lq RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner ! _e' /<<-. IV G' a- /C ( /' ,,/ 0{ Installation By
, /'Iz'
Owner's Address 172-R /- , Installers Address
Day Phone Y s ;> -;; '2- 7 t1 Installers Phone
Application is hereby made for Permit to install Electrical Equipment as follows: c:/o 9-iJ If..! ~./~
~;:?AflA1./7 ~d~
/-
,
,
TOTAL FEE
/6, () 0
CONT. Lie. NO.
TIMETOCOMPLETE
NO. STORIES
LEGAL OCCUPANCY
Wiring Method
NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 112l0R IIYE
CIR 30
LIGHT '" . . \
LIGHT , ,Ai l.>'" ,{j.
CONVENIENCE r\ ~IV t' ",~
CONVENIENCE V i> d' -
APPLIANCE t"I r AI AN
/'
DISHWASHER ~>V l,G I i I
DISPOSAL V , J)
II -
'.: RANGE V \\.01\ ~
OVEN .Ur I
WATER HEATER '~ In 1~
LAUNDRY Y\.IV I \I '
,
DRYER I . "I
FURNACE V~'7
GAS. OIL
FURNACE }J!~/.
ELECTRIC
ELECTRIC HEAT rIA ~ ',/ \ 0"
ELECTRIC HEAT /rll~
AC. UNIT -/ \
FEEDER
SERVICE
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PER
CIR
FEE
240V
100R
30
120V
10
SIGN
50 VOLTS
OR LESS
MOTOR
MOTOR
MOTOR
FIRE ALARMS
BURGLAR ALARM
MISC.
REINSTALLATION LIGHT FIXTURE #
SUB TOTAL FEE
ENERGY FEE
BASIC FEE
TOTAL FEE
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
AMP
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
A.W.G.
I SUB- TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer and in conformance w~ 6f,e N.E.C. Electrical Code.
Date Application made L/A1f/f7 . ,19 By J --M /,1)h<N - -
1/- I CONTRACTOR OR OWNER (OR AUTHORIZED ~GENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ord'lnances of the City of Port Angeles., .
DIRECTOR OF CITY LIGHT
~C.N~~~~ -4
. fJ~;;sued
I WARNING
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY - Duplicate PINK - Triplicate WHITE CARD. Inspector's Report
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REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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sI/h 11 fUr pK, JJfW /~( 10 JU?(1fC( 77fe (')CIS 71 ,I;
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