HomeMy WebLinkAbout2107 W 16th St - Building CITY OF PORT ~GELES
DEP~TMENT OF COMM~TY DEVELOPMENT BU~D~G DWISION
321 EAST 5TH S~EET, PORT ANGELES, WA 98362
A~plicat ion Number ..... 03-00000049 Date 1/29/03
Property Address ...... 2107 W 16TR ST
ASSESSOR PARCEL NLrMBER: 0630009201500000
Application description . . . MECHANICAL REPAIR
Property Zoning .......
Application valuation .... 2400
Property owner ....... SPARKS BARBARA
0w~er address ........ 2107 W 16TH
PORT ANOELES WA 98363
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Contractor ......... EVERWARM
...... Structure Inforrmation FREE STAT~DING G;%S STOVE,PIPING,TANK .....
Construction Type ..... TYPE V NON-RATED
Occupancy Type ...... SINGLE FAM & CONGREGATES
Permit ...... MECHANICAL PERMIT
Additional desc . .
Per~it Fee .... 57.65 Plan Check Fee . . .00
Issue Date .... 1/29/03 Valuation .... 0
Expiration Date . . 7/28/03
Qty Unit Charge Per Extension
BASE FEE 47.00
1.00 10.6500 ECH ME-GA~ PIPE 1 TO 5 10.65
Fee summary Charged Paid 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
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 l
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions ell
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does riel
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance el
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\1102.15 [4~2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-z~815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 I DATE I YEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERJMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
G^SLINE 5
BACK FLOW / WATER
AIR SEAL
CEILING
FRAMING
JOISTS / GIP~DERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR /CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PWUTILITIES/ SITEWORK (EngineeringDivi$ion) SEPARATEPERMIT#'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTIL!CAL - LIGHT DEPT. 417-4735 ELECTKICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
~LANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15 [4/2002]
PlulI ~ or p~l I~ ~ ~u have Ioy
Applic~t m~or Agent~ ~~ = Phone:
LEG~ D[~ON ~ B~ ~'
Credl~ Ca~ ~:~ ~ ~n~: ~ .... MC ~ .
O'M~-~F o Ad~fi~ 0 Move o O~e
o Co~e~i~ o ~el o ~o0~ 0 D~
Net~: .... , ,,,,, ~..
......
a UILD[NG I'Ei~4IT APPLICATION aUBI~rrrAL: Your completed ,~lic~fioa, si~e plan (for mtditlom) a~4 buildi~ cot~%c'don
pku are to b~ sub*fitted ~o t~ Buil~ Divi~i~.
VALUAI~ON OF CON~rRUC'I~OP~: f~ ~11 ~ a vaJuafl~ amolmt mu~ be ml~m~l by the ap~li~l~ 'rots ~ will be toy(owed
nay be revis~ by ~e BuQd~l~ Div. to compty with ~t fe~ ~edu.lea. C, eut~'t tbe Pe~a~: C__.,~a~at ~t 4174It$ Car
~L.~N CI-I~C1C r~'~: Yo~ plan chuck fee b due *~ the t~e the buildiag permit q:~plJc, at~a ~ coll~mctl~l plana ItVmzbmit~etL All ot~er
~¢~t f~es ar, due ~ the time ofpetmfl b/u~ce,
~.X?BL~TION OF PLAN IRa'"VIeW: lfao permit b b~ed withbm ll0 ~7~ of the dm of Iplm~oe, t{~ appt4cmt%oa will expire by
imitadon~, T~e !~ulldi~g OffiCIILI Ca.U ¢xtend La time for action by the applica,t up to 180 days. oa v,~lttm requmt by ~e appllc~t (~ce
;e orion 107.4 ~f the Un~'orm Build/rig Code, cwpsnt ~d/gou), No al~li~ttort cnn be e~l~md~t m~ru ~ oucu,
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date c:::~-/~-~' ~ Time Received by ~('/' (phone, person)
Location of Work to be inspected 2/~--~ 7 ~ //~_J ~
Name of person requesting inspection -~c'~'~;,J~
/
Address of person requesting inspection Phone No./)/'~-%~'-
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:~ ~
Inspected: Date ,,,J ' ? '~ Time By , ·
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved {~Gravel []Asphalt I~PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
~--] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)