HomeMy WebLinkAbout812 Golf Course Rd - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Pin number . . . .
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000972 Date
.217620
812 GOLF COURSE RD
06-30-14-5-7-0010-0000-
MECHANICAL APPL. PERMIT
10/22/04
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4642
Owner
Contractor
------------------------
PEABODY, GEORGE/KATHRYN
812 GOLF COURSE RD
PORT ANGELES WA 983624940
(360) 457-5702
------------------------
-----------------------------------------
PELLET HEAT CO.
230 EAST 1ST SUITE C
PORT ANGELES WA 98362
(360) 457-4406
permi t MECHANICAL PERMIT
Additional desc 2- PROPANE FIREPLACE INSERTS
Permit Fee 57.65 Plan Check Fee .00
Issue Date 10/22/04 Valuation 0
{I Expiration Date 4/21/05
Qty Unit Charge Per Extension
BASE FEE 47.00
1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65
-----------------------------------
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
permi t Fee Total 57.65 57.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.65 57.65 .00 .00
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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 as 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 or cancel the provisions of any state or local law regulating construction or the performance of
construction.
6AJ
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Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\ 1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE T ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
GAS LINE Ii _ 1..- -.(Y-I .J ~ I
WOOD STOVE / PELLET / CHIMNEY , f
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
..,--,,- -:- DATE YES NO COMMERCIAL DATE ACCEPTED
RESIDENTIAL
YES NO
ELECTRICAL - LIGHT DEPT. 4 I 7-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNINGIFORMS\\ 102.15 [11/\4/2003]
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BUILDING/FIRE PERMIT APPLICATION
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17Jt! Bui/dinglFinPennfl Applicatfon R/US/ hej1/1~d out completely.
Please type or print iD iok. U you have any questions, please call (360) 417.4815
Fa: Dumber: (360) 411-4711
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FOR OfFIC'IALUSE ONt Y:
Dale Ro.;.: Ib- r"2. -<>V
PermJIIi: C::4~ g "72:"
Dill. Approved:
D&Ulluucd:
Applicant and/or Agent: 'i=kLLI:T .bJ ~ T
Owner: (-,~:'J(-'; 'j)~~j.
Address:.B12 ~. -r::- COLJ~'i E ~
Contrac:to~_Pf' J r<\T I.d~.~'. C.O
Address: 2'?{).C E~. 1ST
Ce.
Phone: ;~:lJ.Ae7- 44C(o
Phone: ~. 45 7 - 5702-
Zip: q?&c'2
Phone:~5?~~
Zip:q~302
City:llrt:r tlJ6C$tES
LiceILSe #:~HC~om~ Exp: 4 ~n-o("s
City;~tJ(~
.
Credit Card Holder Nam,.. M, c.\..l~
LJi/lillK Adliress:LOO..C ~A. I sr
Credit Card Numblll' (') f..J h L h
De t20us j (;: ... ..__""__.._.__
---_____Clty'Pr A"-Jbr;~ Zip"~2
Exp. DtltcN V/SA_ Me_
PROJECT ADDRESS: 8 \ 2
LEGAL DESCRIPTION I Lot:
Gol..~ Co uttS €
2. Block::
l2.n
ZONING
UP La"JD os
_ Subdillision: TJ..lE
CLALLAM COUNTY PARCEL NuMBER:....ol,,30,. 4.5,COL~OO
TYPE OF WORK:
~ Residential Q Multi-tarnily c:l ColDlnen:ial .0 Reroof
c::l LP.ga.~
BRlEF DESCRIPTION OF THE pa~~~T: ., l\JSTA ~ 2._fI fLe:. P~a I t-JSQ1T Cty:;
VAL VA nON (COlt or project m!.1lI lalel tu) s....9i>42. Q!;!
,
lWll.DING PERMIT APPLICATION SUBMITTAL: Your completed applicatioll, situ plah (for additioll!!) IUld building CQns.tnJction
plans are to be subplitted to the BuildinS Division. .
. . ,
VALUATION OF CONSTRVCTlON:Joall cases, II valuation amou.nt WU:l1 be entered by the applicant. This figure will be reviewed
and may be revised by the Buiklina Div. to comply with curr~t foo schwulL.:>. Coutnel the pc::rulit Coordinator at 417-4815 for WlSistance.
EXPIRATION OF' PLAN REVIEWI 'fno pennit is issued within tHO days ol'Lhc <.lute ofapplication, this appllcadon will e.tplre
by limitations, The Building Oflicial cSnelttlll.d thelime for action by the uppllcant up to ISO days, on written request by the applicant
(see Stx:tion 107.4 oftbl'l Unifo ina Code, CWTent edJlion), No applica1ion can be extended more than once.
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1 hereby certijjl that / have read and aamin'd' thls application and know the same to be Irue and correct, Clnd / am QLllhon'zed to apply
for this pemlft. I unrJel'sland it iJ itot the Cify'11egal responsibilil)1 /() dcttmlline what permits are J'equirt!d; It remaillS the applicant's
l'esponsibility to de/ermine l~al permits are rsquired arid to u!Jtaln such
PW.1102_23 (rwv3/.QO)
Credit Card Holder's Silllilllute~
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