HomeMy WebLinkAbout1025 W 10th St - Building
f pORT ~
cf,O~~~
.hiIi
1!:0 --
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
RS7 RESDNTL SINGLE FAMILY
900
~
~
EXPIRED
e9/"/c+
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000004 Date 2/03/04
1025 W 10TH ST
06-30-00-0-3-0168-0000-
WOODSTOVE INSERT
MECHANICAL APPL. PERMIT
Owner
Contractor
BREITHAUPT,JUNE/DEUTSCH,LEEANN
651 ONELLA
PORT ANGELES WA 98363
KATHOL CONSTRUCTION
835 W. 6TH STREET
PORT ANGELES
PORT ANGELES WA 98362
(360) 417-5594
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
50.00 Plan Check Fee
2/03/04 Valuation
8/01/04
.00
o
-
Qty Unit Charge Per
Extension
.00
50.00
o
N
\/'\
BASE FEE
1.00 50.0000 ECH ME-WOOD STOVE
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
-,Permit Fee Total 50.00 50.00 .00 .00
~Plari Check Total .00 .00 .00 .00
,Grand Total 50.00 50.00 .00 .00
c
CJ
}
Separate Permits are required for electncal work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null arid. v9Id if work or construction authorized IS not commenced within 180 days, If construction or work is suspended or abandoned
for a periOd oj 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.
ON FIL6-
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner IS builder)
T IPLANNINGIFORMSll102 15 [11/14/2003]
FOR OFFICIAL USE ONLY
BUILDING PERMIT - APPLICATION
Date Rec
Permlt # 0 I{-
Fill out COMPLETELY and in INK. Your application and site plan MUST
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815
Date Approved
Date Issued
~ Z -&, c.{ 3 "2.-
ZIp: 'i'3-3loL
4 /7-5'5CJ 'f
Phone:
Zip:
ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
City:
lo~S-\-,. CPD'-\- I~<"
Block: SubdIVisIOn:
PROJECT ADDRESS: \ O~ W
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA
TYPE OF WORK:
o ResidentIal 0 New Constr. 0 Re-roof ;{ Stove
o MultI-family 0 AdditIon 0 Move 0 Garage
o CommercIal 0 Remodel 0 Demohtion 0 Deck
o Repair 0 SIgn 0 Other
BRIEF DESCRIPTION OF THE PROJECT: p \~~
o,~ ~\,e-~~~
COMMERCIAL/RESIDENTIAL: Occupancy Group:
City:
MC
#
Exp. Date:
SIZEN ALUATION:
SF.@$ /SF.=$
SF.@$ /SF.=$
SF.@$ /SF. =$
TOTAL VALVA TION $ q()O () C
o~ c... I..0DDd S\-C0e- \ ^ ~i- I n-\o
Occupant Load:
Construction Type:
= TOTAL Sq.Ft.
%
No. of Stones: Lot SIZe: Existmg Sq. Ft. & Proposed Sq. Ft.
EXIsting lot coverage _ % & Proposed lot coverage _% = Total lot coverage
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s). 0 Yes 0 No SEPA ChecklIst reqUIred? 0 Yes 0 No Other
BUILDING PERMIT APPLICATION SUBMITTAL: The BUlldmg DiVIsion can proVIde you WIth Information on the apphcatIOn and
plan subnnttal requIrements If you have questIons.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by tlIe applicant. ThIs figure wIll be reVIewed
and may be reVIsed by the BUlldmg DIviSIOn to comply WIth current fee schedules. Contact the Permit Coordmator at 417 -4815 for aSSIstance.
PLAN CHECK FEE' IF a plan check fee is due it must be subnntted at tlIe tune tlIe bUlldmg perrmt applicatIOn and constructIOn plans are
subnntted. All other perrmt fees are due at the tune of perrmt Issuance.
EXPIRATION OF PLAN REVIEW: If no perrmt IS Issued WIthin 180 days of the date ofapphcatIon, the application will expire. The
Bmldmg OffiCial can extend tlIe time for actIon by the apphcant up to 180 days upon wrItten request by the applicant (see SectIOn 107.4 of
the Uniform Building Code, current edItIon). No apphcation can be extended more than once.
I hereby certify that I have read and examined this applicatIOn and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responslbJ/tty to determine what permits are required ,not the City'S, and that I must obtain such permits pnor to work.
T.\FORMS\APPS\BUlldmgpermlt wpd APPlican~~ ~-d-.Date: t f d I O~
..../
PURCHASE ORDER
@1998 ~FORM@ 1 L 140
3705
--
..
UNIT
IMP 0 R TAN T
OUR ORDER NUMBER MUST APPEAR ON ALL
INYOICES-PACKACES. ETC. 1 ~
PLEASE NOTIFY US IMMEDIATELY IF YOU ARE 1-1
UNABLE TO SHIP COMPLETE ORDER BY DATE
SPECIFIED.
PLEASE SEND
COPIES OF YOUR INYOICE.
PURCHASINC ACENT
+k..cC10l clc
ORIGINAL
"'!..ES _ Construction Pllms
CITY Of PO~i /.'\\\8.. these plans. speclfi-
mlt based upon , I
The Issuance of this per \I ot mevent the bUlldlOg Of.ICla
catIOns and other data sha . n c~rreclIOn at errors 10 said
'om thercaftei reqU\[\n~ ,he I"t or two preventing
Ir :i o"'e" 00 a
plans, speclhc~tlOns. an". ol~.. ."rrl on t1lcrel'nder Wilen 10
bUlldmJ, oper~l\ul1S u"IH, c, "'11' 0' c; \i1IS IlI-" 01u'3n
:~l~'.;/;:":~:' ;\~\~~
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt.>
17067
Port Angeles, washJngton...___L.q____=_2__~__________________________, 19_2:.1
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, oJ)., or about any building or other structure in the City of Port Angeles, per-
:~:::s: i~_~~~~:;~~.:;;~~~~~.r~__:~_I:~~_~:._:~_iO:~cupancy___/tg~~_~'_'______'_h_'_'____"
~:::~-~~~~~~~~-:::::::a:.~~::::::~J:~:~~;:::::::::::::'-:-:--.~::::::::::=::::::::::::::::::=:::::::::::::::::::
Light OuUetL.uu____..u_________..___._..____.. Service, volts u,/,:?nY:?n'?!.._i:) Type of Wiring:
R t I Outlets No wires 3.. Armored Cable nm__n...m.h_._h.......
ecep ac e ___.___nnn,nnnnn___'U, SI . I nnu_ '7;;;::;uV) Non-Metallic ___uuuu.u.______.___U.___n
Dryer, KW.....___....uun..___.....___....._ ze w resh..........._h_h_....h......._..
/~@ 0 A-
Main fuse .h............h..._h.......nh.....
5
Enclosure n..m_un.m....m ..0000..00.....
Knob & Tube..................._............_
Range, KW.___..._______nnn_._____.____n_._..__.
Rigid Conduit .____________'_________00__.___
Water Heater:
Metallic Tubing .___n_mn_n............
Heat~:~:.:::J.::p~:L,J11u:'n.
Type of wiring:
Entrance Cable ..___m...um..u.nnnn
Motors: size, volts and phase:
Rigid Conduit '''000000000000........00.....'
Metallic TUbing mnmuu...n
Raceway ___...._________._........__..._
Circuits, Light____._..._______.._.____...............
Utllity UnUU_______________u___Um'_'___n,___
Ser. NO.nn_...._..___._______._____._._.._..
Heat ____________.....__...................._.._
Range .....________.....______________._....__.....
Water Heater _._.._......m"__"h"''''''
Motor ..._...................................___._
Current transformers:
No. & Sizem____nmmmm........
Ser. No. _..__..............._........h____._______..
Dryer _......__............_........__..........._..._
Furnace ._._.....u_..............~_____._____.__..__.
Ser. NO..___n_.___h_...__..__.____.__......__.._....
Total Loadn_____....._.n.............
Ser. No.........-.;;:.::::............-..............._.
Total._..._.._._.............._..__._._...__
Remarks: h_nh_n_mm__.________.,--~__~:~:t..d..____________------..-.__--.....___..n-________--______-__________________________
m__________h._______._mnm._______________h._mn.mn__m_______________.______._______m____n_~m_ ~_________h _hhm___nnm__,__________.______________
Permit Fee Treas. Receipt C, /J / '1. d
$:.-----.----.------..----0.0..-------- No.___.___________............. By 7-2"-----, ..______.___Wf'J:_t;:___-:::-_~f:.~_~:::a..--~
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
cealed 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?
17067
Address....._...._....._____._.__..............h__..__._.___......._.....................h__n_____._.....n.............._...______.____....Date._____________.........................._.............__..
Owner..__.__.___._......................_...________......_......_.._.......__._......__........._________________._____..._....Tenant..__......._.._..________..__________...___..................__.._..
\
\
,
,
',-.-
Wiring Contractor ........................................._....._._.._.............................._....______..._................________ By.__..._..___._.___..___..___.....__................_.......___
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work 1.!J to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
I
\
1M Olympic Printers.\Inc.