HomeMy WebLinkAbout3704 Old Mill Rd - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zoning , . .
Application valuation
04-00000939 Date
.773095
3704 S OLD MILL RD
06-30-15-6-0-0042-0000-
RE-ROOF
10/12/04
RS9 RESDNTL SINGLE FAMILY
2000
Owner
Contractor
COLVIN JEFFREY L
3704 OLD MILL RD
PORT ANGELES
OWNER
WA 983623732
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT
TEAR OFF, FELT,
92.75
10/12/04
4/11/05
- NO PR FEE
COMP
Plan Check
Valuation
Fee
.00
2000
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,..C
Qty Unit Charge Per
15.00
3.0500 HND
BASE FEE
BL-501-2K
(3.05 PER C)
Extension
47.00
45.75
Other Fees
STATE SURCHARGE
4.50
(j)
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 92.75 92.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 97.25 97.25 .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 whe!her specified herein or n The granting of a permit does not
presume to give authority to violate or cancel the provisions of allY/slate" local law re I ti g construction or the performance of
construction.
~,
Signature of Contractor or Authorized Agent
Date
T:\PLANNING\FORMS\I 102.15 [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 UNLA WFUL TO COVER, INSULA TE 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 ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I ,
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHJMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 ,1-/)4 - 0"1 J i J-,. BUILDING
T:\PLANNING\FORMS\1102.15 [11/1412003]
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CITY CliF PORT ANGELES
LIGFtr DEPARTMENT
ELECTRICAL PERMIT
N? 15977
Port Angeles, washlngtonmm.//n=L...nmm.m...m..m....m...., 19oo::.~;
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment In, on, or about any building or other structure In the City of Port Angeles, per-
miss::on Is hereby granted to do electrical work....as listed below.
Address .m.::?20_.Y.__..C:2.J.ooj!i.:!c__2~:I2.oo Occupancy__..oo__...m.m..__oo.___moo________.moo
-- -, ( , ~.; L.- {--
~:~:~:~~~~~;~:~J;~~~::~~:~~::::::::::::::n..~~:~~~;:..::::::::::::':.':.':::::::::::=::::::::::::::::=:::::::::::::::::::::
-j C
Light Outletsnnmm.'"nnmm....m__..__m..
{,(j
Rece!~tacle Outletsu_......_______.__.md.m..
:::;~, ::.......fd....................:.............--.
Service, volts ..._.._..........._.._...._._...__..__.
No. wires .........__.._________________u____...
Size wires____.....__.....___._______.____._._..
Main fuse ......_.__________d__u......_...__.__
Wate:r Heater:
....
KW.....~--t------h----.--......-.
Hea' :<Whh/..Y...n/}/j..h..nhh
Enclosure _______..__................_.____....__
Type of wiring:
Entrance Cable ......u______m.____.
Motors: size, volts and phase:
;~:::t::::::::::::::::::::::::::::::::::::
Rigid Conduit ...__.._________....___....u..
MetaHlc TUbing ..u____M.W.
Current transformers:
No. & Size......__...____....______.....__.......
Ser. No.........__........._._.__u____._____.____...
Ser. No._______.____..............................._.
Ser. No...._........_______..__..........__...........
Type of Wiring:
Armored Cable ..._.........__._____.d...._
Non.MetalUc .................._._......_.....
Knob & Tube.........__.___...................
Rigid Conduit m.nmn........nhmnn.
Metallic Tubing .._m....__.........._..__
Raceway ..........______........................_
Circuits. Llght./::2.mnnnm_.h....._n
Utility h:i..:.m_.....nm.m...__..m.h.
H eat _;.~~~~.:.I_............_.___..........._......
~,
Range .___=-"~___._..............._._._...._......
'9
Water Heater ..~___......._______...d..
Motor ......_......._...........__._____._.........
D,ye< .nhn:;;J.m___m_m._..nm....mn..
Furnace __._......................_.....__._..__.....
Total Load___..........__.............. Ser. No. ___._.u_.....__...........__................ Total ..Z./?;._____...__.............._
Remllrks: _____m.:.?::-.oor:::{,:_.:::....r.;.Ol..~.,.:,"'ii....____.________.oooomm..m..__......moo___mmoomm___.m.m..m....._.___mm___moo
.~~_.~__t.._.__.___.__.______._________._____u_._..__..__.~..........._...._..__.___._.._.u_________._.____.___._.___..__.....__n.___.___.___.._._.___..._...._.____.___..._
.;~~~.~~.------..-------------.----..;~::~...;~~:;~~...mmoo.m---oo.---oo.---..---j(.--z:l;:.;oooo---.-.;.1.mmmoo--- t
$oo__../-Ioo""-.O"___mmoo___mm NO..__oo.......m_oomoo_m By __._..::__il.....I.!._:.:._:.'.c.::__!.::-:--:::~m.?...i!'.rr.,"--oo "
r-:OTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con-
cealerl due notice must be given the Inspector so that work may be Inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
15977
Addrass..................._...__...._........_......__...._.u..........._..................................._........____....._..............Date..._......____.._.__...._.__..____..._......_......_..
Own( r ._....._________._______.___......._......_.._......_....._____._.....__.___.._.._____.......____._.___..___.....____...__ Tenant....___._.__.._...._........._.........................._..........
Wirir g Contractor _..._________._.__________._____._......................___________............_........................_......._.....___. By......_........................______...____________________._
NOTICE-Current must not. be turned on until Certificate of Inspection has been issued. If work Is to be con-
ceale' due notice must be given the Inspector so that work may be inspected before concealment.
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