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Home My WebLink About218 W 12th St - Building .' ~. ~~ ClTY.QF' POR.1" <ANGBLES PUBUC WORKS- BUlLJ)ING DMSION 321 EAST'STH STREET~ PORTANOELES~,Wk98362 BUILDING PERMIT "';'.. .O'~,,' OWNER/APPLICANT JACK HART, 218 W.12TH ST Port Angeles, WA 98362, 360/457-0543 T: S: CONTRACTQR PETTIT OIL 638 MARINE DR ' PA, WA98363-0000 800/972-7002 PROJECT INFO ProjectValue: $2,050.00 Project Type: PROPANE STOVE Occupancy Type: Occupancy Group: Construction Type: Zoning Use: rs7 ISSUED: 11/13/2001 PERMIT NO: 13093 ':'JflfOPERTY LOCATION ,,<~.18 1.2'J~ST"" Lot: 5 Bloq~: 378 fZI, Long .LeQCiI '. Subdivision: tpa Parcel No: 063000037825000 - ,,:.,MCJtlTJ;CT N1A . "",~~!50-O000 360/000-0000 SFD Units: .' SFD sa FT: Commercial: Industrial: Garage: ~ O' o ("-I, -:-- C)la E - N ~I , I I MFOUhits: MF[) SCfFT: o o PROJECT NOTES . INSTALL FREE STANDING PROPANE STOVE RECEIPT#8251 FEES ASSESSMENT Building Permit: Plan Check: state' Surcharge: , House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Mise Fee 1 : PROPANE LINE Misc Fee 2: '~ MiscFee 3:~ $35.0(r, .... $0.00'" $0.00 TOTAL FEE: ,., <AMOUNT PAID: B)XLANCE DUE: $35.00 " $35.00 $0.00 , Separate Permits are required forelecbical work, $EPA;$horelinS;,eSA, utilities,priv~teand publicimprovel1lents.;;T~I~ perri-It becOmes null and,Y9Idifwol'k()~ co.nstruction. authorized is' notC()rTllllenced ,within 180 days, if <:<instruction or \Norl(j~. suspendeCi9r aband6ned for aperled of180'days after the work as commencec3iorlf requfrealn~p8ctlons ha,ve not,tieer"re(fuesfed.y{ltfiin;t~q;'.Jror!i;1f.\~ last Inspection. ..1 h~reby certify that I have read and examined this application and know the same to be trUe and COrrect.'.~lproViSlo~of laws and ordinances govemh1g this. type of work will~~fcompliecr\Nltll. Whether ... .. .he.rein or-not. Ttle:'91li~tiIl9 .()f a.~rmlt does. not presume !o give authority to violate or cancel the prl.>visions of any.~ta . or IdCal VI regulating strOCtion or'ih~,~lformance of construction. ;',' Signature of Contractor or Authorized Agent Da,te BUILDING PERMIT INSPECTION RECORD " .to . "". " >;;'i< '~~; CALL 417-4815 FOR BUlLDIN(] INSPECTIONS. PLEASE PROVIDE' AMINIMI.,IM24 HOUR NOTICE. ITIS,U/+ILA WFULrO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED: Jt()ST PERMIT IN A CO~SPICUOUS LOeA TION. "> . KEEP PERMIT. GARD AND APPROVED. PLANS AT JOB SITE ,. " "0' . FOUNDATION DRAINAGE ". <,,', ""k". ELEC!!UCAL (UGHTDEPT) SEI'ARATEPERMIT:# .j I " . ;n"'DATE.: Ix ,JACCEPTED ,) {;" Jefi'; t I YES . NO " if J ,t:' i >"' CO~.'iW. '/ INSPECTION TYPE FOUNDATION: FO<iTINGS WALLS "". , '.' '. ROUGH-IN' PLUMBING .... "'" I ~$ , , '. .. ". '. UNDER FLOOR I SLAB> ROUGH.IN WATER LINE GAS LINE' BACK FLOW I WATER .'.. ,..'l....'..,.- AIR SEAL '. .... WALLS ," <1. '.' CEILING ) >; '.: .... FRAMING , '. '. J HfcrO I . " i ' ',' .... , ,L SJJJ.- .. ' , " ,! '." -- . . . I I '. '.:' -;'1 . JOISTS I GIRDERS SHEAR WALL WALLS {ROOF I. CEILING DRYWALL T-BAR INSULATION SLAB ...... WALL I FLooRl CEILING MECHANICAL HEA T PU~P. WooDSTOVE I PELLET/CHIMNEY I INSERT .. . I. 'c" .' . ~ ., " I .' I I I . , " .. . , '," '-.l' . ,.-:' . , [./',;-:-, ," "'. HooDIDUCTS . PW UTILITIES I SIJE WORK .,.. tEnSi~cering Diyision) . SEPARATE 'PERMIT #'s: W A TERLINEI METER "'i ...... SEWERCONNECTION.. i:; ,iT SANITARY " . ':<' .' \ ii' . '! StoRM. ~ . . ."ce.,..", .".." ,." / PUNNING DEPT, SEPARATE PERMIT #'s'" ii" PARKlNGlLIGHTING LANDSCAPING i, SEPA: ESA: SHORELINE: . " ..R,V FIRE DEPT. PLANNING DEPT. BUlLDINO,. i ....~,. . . <;.<'\~~~,&iD :1 NO' .' I.. " I ;-,. ! I', .:': ,', I. ~'w", I.. ,ii RESIDENTIAL :;;; ;,.".... .' 'ELEcnu9pi ;.yaJn:DEI:T' ,'j FII\IAL II\ISPECTIONS REQVI!lED PRIORTO OCCUPANevlVSE . . ^' ,~ ~fn\'!~A. TE C"YES ' NO CQ11~EIlCIAL.,.. DA TEi , ") ",?'Ii . [ '11..".' ,i.,..,,:, .";/'. ,,'<'II:';i' '. '.,' 417-4735' ''\Ie;",,' :,.:l'iiLECTIuCAl.'f "',.4;./(, .~. ,';;'1"' ; ,;,;, LIGHT:I>EPT,c." "n ,,':'j'. " ".i0.:!1 CONsTIuienON-R.W:'" ;; .' 417-4807' .oi:. PWIENOINEERING " . CONSTRUCTION RW.I Pw/ '. ;. ENGINEERlNG' ,..- \ PLANNINqpEPT. BmLDINO '; , 417-46S~ , \~. 417-91)()') ~ I!Jd tted. ' :l 417-48W:'l''''~~ . \ FIRE . : <:~'". , tr-"'~~ .& ~ FOR OFFICIAL USE ONLY. DlItc Rcc.: Permit #: Date Approved: ' The Building Permit - Pre-application IIIllSt bejilled Ollt completely. Dale Issued: - type or priat i. iok. ~ .... OIl)' ...._... p..... caB 417-4815 " Applicant and/or Agent: "- T~ t1t1. f/l-7t- Phone: lfJ.7 -DS"Y'S Owner: ~(L ffri-.nA.- Address: ~/ ~ (jJ I 2-- fPJ BUILDING PERMIT - APPLICATION city: ifM ~uJ. q ~ Phone: Zip: t?F:?6 Z- ArchitectJEngineer: Contractor \7:, ) ~ LA//f:tl..-U-1 License #: Phone: Exp: Phone: Address: City: Zip: PROJEcr ADDRESS: ZONING: LEGAL 'DESCRIPTION: Lot: .C; Block: ~7g ~ ~~vision: -r-P4- CLALLAM COUNTY PARCEL NUMBER: <9~ 3>~O 00 37 'I it Card Holder Name: BillIDl Address: City: Credit Card #: Exp. Date: VISA MC TYPE OF WORK: [J Residential [) New Constr. [) Re-roof [J Multi-family [) Addition [) Move [J Commercial" [) Remodel [), Demolition '.' [) Repair [) Sign BRIEF DESCRIPTION OF THE PROJEer: ~ .-L1s:: 7/tJ v.(..SIZFJV ALUATION: [) ~l6.", .SF.@$ ISF.=$ [) Garage SF. @ $ /SF. = S [) Deck SF.@$ ISF. =$ [) ; TOTAL VALUATION $ Jl.t~::.Occupancy Group:.' Occup~~i..oaw"', ',',- " " Construction Type: es:LotSiD:' ,". % LotCd-vetage: ,,' ~ ~, c', ::":..% ' $~~." ,".I.q. fl +Ptuposed Lot ~<i'''~''" "'.'ISq':re;"'IDrAL toT COVERAGB:""*;,.'<y" "(.ijjJ PLANNING uSE ONLY:" . c, - APPROVALS: PLAN Notes: "_" BLDG. DPW FIRE ESAlWet1and(s): [) Yes [) No SEPA Checklist required? [) Yes [) No Other: OTHER BUILDING APPLICATION SUBMlTIAL: Yo", IIJIpllclltitm 1IIIIl!llte pltm IIIIISt 6ejll1ed out completel:J1 to be tU:Cqted fo, 1'a1Iew. The ' Building Division can provide you with more detailed information on the application and plan submittal requirements. :; "< -. BUILDING PERMIT APPUCATION SUBMI1TAL: Your completed application, site plan (for additioDS) and building construction plans are to be submitted to the Building Division. ' VALUATION OF CONSTRUCI'ION: In all cases, a valuation aniount must be entered by the applicant This figure will be reviewed and may be revised by the Building Div. to comply with current fee schedulcs. Contact the Pennit Coordinator at 417-481 S for assistance. I . PLAN CHECK. FEE: Your plan check fee is due at the time the building permit application and constmction plans are .submitted All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno pennit is issued within 180 days of the date of application, this application will expire by limitatioDS. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and mow the same to be true and correct, and I am authorized to apply for this permit. J understand it is not the City's legal responsibility to determine what permits are required,. it remains the applicant's responsibility 10 de.,.li ermine what perm;", are required and to obkdn such. r. tkr, ,. J ; __ / PW-Jl02_13[revSJOI) Applicant: ,M- Date: ~ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date /1- 2<;-0' Time Received by J:.E- 2-18 fA) t'2_rl I1l~.. Wer ~. person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Phone No. Permit. No. I!OCf S Sewer Excav. Other. ~.~ Pr ft~1 Final >f INSPECTION NOTES: Inspected: Date 1/" 20 -"1 Remarks: Time By o,~ RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBblG WORKS . . . . . . . . . . . INSPEGTIONiREPORT . . . . . . . . . . . REQUEST: . ..~ Date 11-/ "5 -0-; Time Received by t7).. (phone. person I /Z-el! Location of Work to be inspected . 21 r I", J Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing /(}:tM) INSPECTION NOrS: Inspected: Date ) - I t(' ~. Time Remarks: Final Phone No. Permit No. 1.30 Of 3 I Sewer Excav. Othf$ C-/#tP By /W (j/k' RESTORATION REQUIRED. ~.... . ... YES NO R~sch ecJ.~\~ -90~ Ib :OOAM q76:::6~ b{e 1,.eA\<. l ,~~\ OcA.- , I - 15-0 I JO~OOA~ 8 ~~ 11- IS-O( t- 00 ...q7Z - tD6L- SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City D Repaired by Permittee o No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)