HomeMy WebLinkAbout123 Dolan Ave - Building CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 12/17/2001 PERMIT NO: 13145
OWNER/APPLICANT PROPERTY LOCATION
GLEN FISHER 123 DOLAN
123 DOLAN Lot: 26 &27
Port Angeles, WA 98362 Block: 16 [] Long Legal
360/000-0000 Subdivision: FOGERTY& DOLAN ADDNT.
T: S: Parcel No: 063000952155800
CONTRACTOR ARCHITECT
LARRY'S ROOFING N/A
352 AVIS ST
Port Angeles, WA 98362 , 98360-0000
360/452-2215 3601000-0000
PROJECT INFO
Project Value: $3,300.00 SFD Units: 0 Commercial: 0
Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0
Occupancy Type: Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFP SQ FT: 0
Zoning Use:
PROJECT NOTES
TEAROFF, FELT ,COMP & TORCH DOWN
RECEIPT#8663
FEES ASSESSMENT
Building Permit: $97.25 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $101.75
Plumbing: $0.00 AMOUNT PAID: $101.75
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits am required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate and public improvements. This permit becomes
nult and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a pedod of 180 days after the work as commenced, or if required inspections have not been requested within 180 days fi'om the last
inspection. I hereby~,~ify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances g[ove~ning this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume [~ give authOrity/to violate or cancel the provisions of any state er local law regulating construction er the performance of
construc~t,\ ~
O l
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
.",,'
~(i
. CrryOF PORT ANGELES
DEPARTMENT OF COMMUNlTYDEVELOPMENT ','- BUILDING DMSION ,.
321. EAST 5TH ~TREET,PORT ANGELES, W A 98362
. c~APpliCati6nNUiiiber
pin nwnber . . . .
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use . . . .
Property ~oning . . .
Application valuation
. ._c 04-00001008.---- Date 11/03/04
.460064
123 DOLAN AVE .
06-30-09-5-2-1668~0000- '
MECHANICAL APPL.PERMIT
Owner
Contractor
~~"
4l~-q /u.~
RS7 RESDNTL SINGLE FAMILY
2600
FISCHER GLEN C/ANN J
123 DOLAN
PORT: 'ANGELES WA 98362
PELLET HEAT,CO.
230 EAST lSTSUITEC
PORT ANGELES WA 98362
(360) 457-4406
Permit . . . .
Additional desc
Permit Fee
Issue', Date
Expiration Date
MECHANICAL PERMIT
PROPANE INSERT, LINES, TANK
57.65 Plan Check Fee
11/03/04 Valuation' . .,.
5/03/05
.00
o
Qty Unit Charge Per
Extension
47.00
10.65
BASE FEE
1.00 10.6500 ECH ME-GAS PIPE 1 TO.5
Fee summary Charged P,lid Credited Due
----------------- ---------- ---------- -------..--- ----------
Permit 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 reqlliredfor electrical work"SEPA, Shoreline, ESAi i..{tjlities, private and pUbli9 improvements.Jhis~,i;;;i,,;-iinJ~!~p,me.'
.>. .' ,.,-, .-,.._ "~:- ," -. .' ,,___. ,'-, .-, _~:-,,:. .' .. '--,',- ,_,_:.: .-\: ,,'. .'.,.. ',,-. -. -'-_-:'_;':~:"J.:,._~~!:~ ,:'~:'I~1':'>r,,~:~,~"'t;.'/:;.,~,:.:
null and vQldifwprkpr construction authorized isoot commEmced within 180 days, if constrUctlonpr work Is fius~~!.f ',' l\))!r:r~()n~
for a periodof,~~~~~1:Ifter the work as commenced; or if required Inspections have not beenr9questedwithJrl."1~P:a .../....'T'1lfie-fast
inspectlQn. f,~ere~y~ertifythatl have read, and examined.this.application.and know the same to be truean4:com@i'S~1.pt9Y{~!9ris~of
laws and ,or<financeSgoveming this type of work will be complied with \\'hether specified herein or not.The~mnti,Ii~!;pf~'~riIlit'cfQ~;not
presume to,. give ~LJthority to violate or cancel the provislon~. of any'state or local law regulating con~trliRtionor'the'performance of
construction.
OM FIL6-
Signature of Contractor or Autho(ized Agent.
D~de
Signature of Owner (if owner is builder)
T:\PLANNIN~~II02.1S [11/1412003]
,
BUILDING PERMIT INSPECTION RECORD
-
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FQRELECfRlCAL INSPECflONS.'
-~EASE PROVIDE). MINIMUM 24 HOURNOTICE:-rrisUNLA'WFiTCtoCOVER,iNsuuTEciR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT INACONSPlCUOUS LOCATION.
KEEP PERMITCARDAND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED ' 1 = COMMENTS
I YES I NO '"
FOUNDATION: '" , , ">,.,
.
FOOTINGS
WALLS "- ,
FOUNDA110N ' I
DRAINAGEIOOWN SPOUTS
, ,
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH.IN I I ,
PLUMBING
UNDER FLOOR! SLAB
ROUGH.IN
W ~TER LINE (METER TO BLOG) .
cfi..s'~ "
BACK FLOW !WATER
AIItl5EAL
WALLS I
CEILING I
FRAMING ,
JOISTS! GIRDERS
SHEAR W ALUHOLD DOWNS "
WALLS! ROOF! CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION "
SLAB I
WALL! FLOOR! CEILING I
MECHANICAL
HEAT PUMP
GAS LINE ' 11t).-1.'1~J./ ~.L 1-
WOOD STOVE! PELLET! CHIMNEY ,
HOOD! DUCTS
PW UTILITIES! SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE I METER
SEWER CONNECTION
,
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT ##'s SEPA:
PARKINGlLlGimNG ESA:
LANDSCAPING " SHORELiNE:
FINAL INSPECTIONS REQUIRED PRlOR,TO OCCUPANCY~
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL ,
UGHT DEPT
,
CONSTRUCTION R. W.I PWI CONSTRucnON,-R.W. ".
ENGINEERING 417-4807 PW I ENGINEERINQ
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING " ,
T:\PLANNING\FORMS\II02.15 [11/1412003]
10-30-04; 3:22PM
360 452 0503;#
.. , ,...,'... '~;~~~:ll.l::"" .,.
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.'":.<.: ',:~i{(:H(O':',.:':.',
e- 1-00; .ol:30PM;Clt)l:O,"':'~A":F~NT, CNT>:l
", """,..,:t::i,'. II'
:1360 417 4i"
. 1'"
. ~:,:, ... ..~ri:ltp.tRE PERMIT APPliCATION "
fiiiii;I .' 111. BWU~~;.~lIc.t;on mutl b, /l1I,d out comple/ely.
Pleale type or prJat hll~~:~UyoU bave any queltious, please call (360) 417-4815
.' ... Fa ~UlDberl(360) 417.4711
POR OFI'ICIAL. USE ONLY:
DalolUr:,;/D-JO ~O~
Ptrmlt/ll: 0 100
Dale Approved:
DalAllullOd;
Applicant and/or Agent:j'.n J ~".~
,-, '..', . .
Owner: ~lJ;:""1 I-,'S~R-w I... .".'.1
Address; I~~ ))(\1 ~~-1 /W.r;
Contr~~~~'P51l ~ ~",:;~~:.'. ,.
Address: ~-C EA. 1ST ,.' " ..,
"I."
City:jh. _ LkJt:,.cn~
License #:~~~go~xp:~ -17~
Ci~Y:~,~ta ~
Phone: ~7-~ln
Phone: 5~-~
Zip:~~ic '2
Phone: 481 -49.tt
Zip:.9&3b2
c~
... . t', t' I
Credit Card Hold.,. Nam,:....tJ,. \~ ~ 1)t::lOtJ\\ ~/~ ,."
Bi/Ong Address:
.~:;..'..:.,...,
Credit Card Nutnbe,r ~J\j ,t;-I'l": ~: :, .'
City Zip:
Exp. Dale:~ nSA_ MCy"-
PROJECT ADDlUi'.SS: ZONING
LEG~ DEsCRIPTION: Lot: >~L.. ct~.,. B~OCk:~ Sl.lbdivi9ion:~ 6 f.'Xi.~~ /)DB.noJ
CLALLAM COUNTY PARCEL NUMBER: ~fqS21 (riIAClY'V)
" 'I :'::\, '
TVPE OF WORK: ., ,
~ at'lidential 0 Multi-family:' 9,. .9~~~ial. . .0 ltC/oaf ~ L.P.gas
, ";',', .>.":':~~:'!~;' /:~:,:!.., . . ---
RlEF DESCRIPTION Oli' T~ paO~CT: .J1.~ . ~ I-IKE:. 1>LAc:.ti IU:5tmT AN~
. :,1 ;l.ii\~i;,i~~.'~I~",\'
VAL UA nON (C on or project ail'~u,"'i~')'~) . $ ?.iA'Y\ <<:e.
, . . . ':,.:::':' ':.~~:::j}~~,~,iLi;;.' ,:. . ',.: .
Bun..nlNG PERMIT APPu~Tio~~fm;~AL: Your complctw application, site pliib (f~r I1dditiong) and building conQ~ction
plllI19 are tD be suh}nil1ed to the Bwl~1 Di.~slon. ,
, "').0,',,\, 1..t"I;"~1':.:'''.(, ,
. . '~'ri~"'ll.~j~~~~~~~~:~?(;, ' "
VALUATION OF CONSTRUcnO~:':;~fau' _, a valuation tuI10Wlt IllU~t be entered by the applicant. This figure will be reviewed
and may be revi8~ by the BuiIdina Div< ~.:~mplY:with CWTCDt fee schedulflJ, Contact the Pcrolit Coordinator at 417.4815 for assistlmce.
EXPIRATION OF PLAN REVIEW,:,,:~l~O permit is issulld withio180 days ofUie date ofuppUcatlon, this appllcation w1U expire
by limitations. The Building ~'~"cxt=q tho'thne for action by the lIpplicant up to 180 dayt, on writtat request by the applicant
(see Section '107.4 'otthe 'UnifOnn"B,"l.ill;d@i:,t04~ 'Current edJtion), No application eM be extended more than once, "
. ''\;\'.:-: ,:. .-:.
. ,: / :,',';~:':'.' ,.....:'..' .. .
1 hereby ctrllfy thaI I have read ant! qa~#d thiS. opplicalion and know the same to be 'rue and correct, and I am Quthon'zed fO apply
forlhis pmn',. I understand /I i4 not i~e., CilY.:~1~IQI respol/sibillty 10 dete/'mlne whot permilJ' art! I'equ(red; il remains the applicant's
responsibility fO d~/ermine what p~r!"~~tf(\.~,~:Ui,:d and ~o obtain such. . ~ L.:?
PW.II02 %3 [lWl/,OO) CroWl.Card Holc1er's SlgualUre: ~ haT.., .Jo - 3ttP..-csy
- ", I .
PREPARED 12/15/04, 13:32:29
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
123 DOLAN AVE
PELLET HEAT CO.
FISCHER GLEN C/ANN J
06-30-09-5-2-1668-0000-
04-00001008 MECHANICAL APPL.
PERMIT
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME6 01 1~~~s.!J:'cl JLL
---------~-~---------
MECHANICAL GAS LINE
COMMENTS AND NOTES --------------------------------------
SUBDIV:
PHONE
PHONE :
(360) 457-4406
PAGE
DATE
8
12/15/04