HomeMy WebLinkAbout3617 Mt Angeles Rd - Building
,
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362 .. ~
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
7/26/05
05-00000671 Date
236213
3617 S MT ANGELES RD
06-30-14-3-2-02]0-2001-
MECHANICAL APPL. PERMIT
RS9 RESDNTL SINGLE FAMILY
2933
Owner
Contractor
DRAIN DOROTHY
3617 S MOVNT ANGELES RD
PORT ANGELES WA 983628910
PELLET HEAT CO.
230 EAST 1ST SUITE C
PORT ANGELES WA 98362
(360) 457-4406
Permit MECHANICAL PERMIT
Additional desc PROPANE INSERT
Permit pin number 55947
Permit Fee 57.65 Plan Check Fee .00
Issue Date 7/26/05 Valuation 0
Expiration Date 1/22/06
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
----------------- ---------- ---------- ---------- ----------
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 required for electncal work, SEPA, Shoreline, ESA, utilities, pnvate and public Improvements This permit becomes
null and void If work or construction authonzed IS not commenced Within 180 days, If construction or work is suspended or abandoned
for a penod 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 compiled With whether specified herein or not. The granting of a permit es not
presume to give authonty to Violate or cancel the proviSions of any state or local law regulating construction or the pertor a e of
construction.
Signature of Contractor or Authonzed Agent
Date
Signature of Owner (If owner IS bUilder)
T \Pohcles\1102_15 buIldmg pennlt mspeclion record05 wpd [114/2005]
Date
<<
.,
BUILDING PERMIT INSPECTION RECORD
tALL 417-4815 FOR BUILDING INSPECTIONS CALL 417 -4 735 FOR ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
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 ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS )
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 WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE 1-1.-'1-0) Jl,,{....
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
,
,
SKlRTING
PLANNING DEPT SEPARATE PERMIT #'s SEPA
PARKING/LlGHTING ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
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 BUILDING
T \PolIcIes\1102_15 bUlldmg permIt mspecl10n record05 wpd [1/4/2005]
b-'-f-O.s
ICash AdJustmet'lt
Receipt #
I
05 '- b I (
ID259
PF
5'7 I bS
Cashier info
Payment Type
Check #
~c
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Application #
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TOlJJ~f\.J
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Fee Type
Amount Paid
Refund Amount 57, b~
M v' k e ))e.12oLl s.:e
:Pellet- ;/ea-i --~
srr ~ lI'f .5<50020 I e2.6)'
6xp "7!o7- Me
Adjustment
Posted Fee
New Fee
Signature
~MV~
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7- 2",--:0 ,a'; 9: 46AM . .. . ...""" II"""
~ . FlU G.t COMPLETEL Y .nd J. "VI<. YO" .p,ll..... ..d dl. pi", MUST DE
<.:OMPLETlt to bo Ileceptecl for tn'.iew. If you have 111'1)' qUIl&tionll eaU
(360) 417-4815
360 452 0503;#
--Da-leRcc'~ --
i'en"""~~U_
0010 .il.p~'oved._ .
0110 b~u;i.l. 7-/J-tra-
=
I Apphc.n< or Aecn".P"1 ...... lJ.....'I: c.,
I Own~r: D~"'frUi ~12.A~U
Address: '~l.-.Ii ~M~ Ii~ Cjty:~J~m..ir'\ Zip:g~~2.
' ArchitectlEnSlnc;cr: ~ l'C'ufo -e- Phone:
Con...tor_~ ('t'l _ Stat. Licon.. ,r:---ceom /iAp:~ Phon.:~
Adcllc;s!l;~?1J-L EA. ~ City;~ Zjp~b2_
PROJECT ADDRESS;~t 7 SO. Mr ~ft.J~ f.T) ZONING:
LEGAL DESCR.1P1ION: ].I)t; Block: SubdlVl~ion; _____
CLALLAM COUNTY PARCEL NUMBER: l')b9""lI~3'2rO ~'2{')~)
l~ r
_Phone:~ 4~1-~<O
Phone:
:'recllt Card HoWer Naml!:~~1 Ii:...
lillulk AIIt.lrt!llW: 2.2{)~ " . 't:'i ~fYI~~
~redh CardType VISA _Me N ~ _, L_ ====== 1:11'. Dl'Itll:__
fYl'& OF WORK: SIZEIVALU4nON:
J Re~itk:ntilll 0 New COl1SIr. 0 Re-roof ~Stg"e SF. @ $ . ISF. '" $
J M'.Ilti.farnily Q Addll1OJ1 0 Move 0 Oarage SF. @ $ ISf, .. $ _~
1 Commercial 0 Romodel 0 Dell'lCllitioa C O~r;k SF.@$ ISF. "'$
a R~a'r :I SIgn 0 Other rQIAL VALUATION $~ .ClO -=--
IRlEF DESCRlPl')ON OF'THE PROJECT. I-t.JSTZlU G~ru!"iJtJ)c.s 1~ IJo..i~..__
'OMMERClALIIUl:SIDENTlAI.: Occupancy Orol.lp: OceuJ'ant Load:
Ju. of Sraries: _ Lot Size: ~ &iatine Stj. Fl. & Proposed Sq. FI.
'xhtinglol coverallC _ % & Proposed lot coverllgo __% - Totllllot cov"Clic
ConsW..tion Type:._
'" TOTAL S'I.FI.
~
p~G USE ONLY:
APPROV ALS:
PLA.'l: '_
BLOC!
DPWU:--":::-
lfl.R.E:___._ '
o 11lER.:_
F~MW~tlanrl(s)' 0 Yes C No SEPA Checkli8t I=qulltld? t:I Yet C No Other;
rm .OrNe PERMIT APPLlC'A nON StrBMl'fT AL: The Building Di\o'i.~iotl ..an 1"0 y idll ;yuu wilh iTlfQrmalloli on the qppJlI:aUoo anJ
Il!l ~I.lbrn:lt41 r"quir~JnCntll if you hu.ve quesriolU.
"-1. UATlON OF CONSTRUCTION; In All Cll.lIes, 8 vah.l_Unn .mount mUlt b! entered by the appllcant. This fl(Ulc wlll be re\'lcw('lI
d !'l1lI~' be revIsed by the Bulldlns Divl'!Oll t~ CO~ Ty with c:urrel1t fec"chedulet. CCllltacl1.hc PI:nT1ir CoordLnacorat 417.4815 fOrl$$IS lanl:~.
.A" ,. ClaCK FEE: IF \I plan check fee ig d~ It U1U8t be aublTl.1tted 81 the time the buHdiaa permit BpplicJ.lioII wd cClDliIlm~tinn pla.nl ate
:lmHted. ^ll other permit fcos art: due I.' the. time of pl:lnnit '~"llIanea,
CPTRA'nON 0' PLAN REVIEW, UnD panni! i, issued within 180 daYI oftl1~ JlIle "fllppltentfon, the appUClItlOQ will npire. Tb.c
:ldbi Official can clC.lend the llm! for action by tll. appliclU1t up to 180 day. upon written request by the appJicaza (Nee Section 107.4 or
: Uniform Btlildi!1& Code, current oditlon). Nu appJication cln be ex.tended more than once.
mlby certify fflBt I have ~Bd Br.d examined thIs SppllclllfOllllnd know the SIlfns /0 b8 IN! and crxmc I MI 8utharlled to epply lor t~/s pllrrmt and
terstand th,1 H Is my f8$pOns/blllfy to dotoo'/ll'ne whlll rJtNf17Jt~ 'ff requIred ,not tflB CItY',f. and thst I blain such ptfmlts prior to worl<
nR ~~\APP.lMI~ltrlj"lJPmnll ~
Applicant:
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Vertical Datum = NA VD 88
Hortwntal Datum = NAD 83191
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ThiS map IS nat mtended ta be used as a legai deScriptIOn
ThiS map/drawmg IS produced by the Clfy of Port Angeles for lis own lIse and purposes
AnI' ather use of thiS map/drawmg shal/not be the respollSlbilllV of the Ot\'
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PREPARED 7/29/05, 13 08 17
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
8
7/29/05
ADDRESS
CONTRACTOR
Ql~NER
PARCEL
APPL NUMBER
3617 S MT ANGELES RD
PELLET HEAT CO
DRAIN DOROTHY
06-30-14-3-2-0210-2001-
05-00000671 MECHANICAL APPL. PERMIT
SUBDIV.
PHONE (360) 457-4406
PHONE
,PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
~~~__~~_~_~~___~~~~~I:::M:::SL::: NOTES ______________________________________