HomeMy WebLinkAbout1010 S Cedar St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
property Use
Property Zoning . . .
Application valuation
06-00000039 Date
211960
1010 S CEDAR ST
06-30-00-0-3-2205-0000-
THOMAS BERTMAN
MECHANICAL APPL. PERMIT
1/12/06
Owner
Contractor
r,\l N4Cto
'1/14-/0& .1lc-
RS7 RESDNTL SINGLE FAMILY
2200
BERTMAN A. THOMAS
1010 S CEDAR ST
PORT ANGELES
OWNER
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
-:---.:.
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G
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WA 983627315
68718
50.00 Plan Check Fee
1/12/06 Valuation
7/11/06
.00
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Qty Unit Charge Per
1.00 50.0000 ECH ME-WOOD BURNING APPL.
Extension
50.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 50.00 50.00 .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
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.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
T:\Pohcles\1102_15 bUlldmgpermlt mspectlOn record05.wpd [1/4/2005]
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BUILDING PERMIT - APPLICATION
Fill out COMPLETF~L Y and In INK. Your application and site plan MUST BE
COMPLETE to be acc~pted fOT reliew. If you have an) questions, call
(360) 4i 7-4815
Applicant or Agent.1/ItJlIIlI5 A- x5'€~.I/7lJ
Owner T)/t)11I /IS /9- ~0-/7# /171./
Address: 10/0 ~ t!IZ()f;e ~T
Phone: 3~() 45" 7 q i(C(s
_ Phone: 3~o 457 9;??~
City Ib~T M~li.$.S Zip: W3t::>~ ._.
ArchitectlEngmt.er
Contractor e:1AJ~1e-
Phone:
State License #:
Exp:
Phone.
Address. City: ZIp:
PROJECT ADDRESS: /~/I) tS MiJM. t.51 ;J"~T MiPli2E5 I<J#ZONI]t;G:
LEGAL DESCRlPTION..$o6'() ~/(J7S 11WJ:1J31ock: 3 Ja SubdlYlSlOn: ~IJS!.'1S- ;JII
CLALLA-vI COlNIY P AReEL NUJvlBER. Jd.&'3600 (!) 3 ;);l()S
Credit Card Holder Name:
Billul~ Al.ILlr~:
Credit CardType YlSA_MC _ #
TYPE OF WORK:
X RC~I,.knltllJ 0 New Cons\]' Q Re-roof
CJ \hltJ-farrnly 0 Addmon 0 J\-Iove
J Commercial 0 Remodel 0 Demolitlon
o Repair ::J Sign
BRIEF DESCRIPTION OF THE PROJECT
City:
E~. Date:
(J Stove
o Garage
o Deck
.J! Q,ther
/Jef/er ~T6Uc
SIZF1V ALUA TTON:
SF. @ $ /SF. = $
SF.@$ ISF.=$
SF, @ $ ISf = $
TOT AI.. VALVA TIO"!,; $
I.lJSmtL
~ 'Z t::JC' -
COMMERClAL/RESIDENTIAL: Occupancy Group: Oc::.upant Load
No orStone~. LotS:zc' Existing S4. Ft __& Proposed Sq. Ft
EXIstlIlg 101 coverage _ % & Proposed lot co':eragc ___~.~ = Total lot coverage
ConstruCTIon Type,._
:- TOTAL Sq.ft
%
r PLA..'\T"'IlNG USE ONLY:
APPROVALS' ;
PLAJ'l: I
BLOG:
DPWU._
.F1RE:______
OTRER:_
-
E~A/W~tlanrl(s) 0 Yes C No SEPA CbeckJIsllequlIed? 0 Yes 0 No Other:
RT In .OJ1'\lG PERMIT APPLICATION SUBMlTTAL: The BUilding Divulon can provlde yuu ~ ll.h infnr.nalion on the appltl<itlOo an.j
pia!'. ~ubl1l:tlal requIrements if you have quesnons
\. i\,1.UATlON OF CO:-.rSTRUCTION. In all cases. a valuation amount must be entered by the appl1cant TIus figure WIll be re\'JCW,U
.'J'd '1l:JY be revls~d by-the BUIldir,g DIV),!Qll to comply 'oVlth current fee schedules, Contact th~ Perrmt Coordi.nator at 417-4815 for aSS1Star.ce
rLA." CHECK FEE IF a plan check f~e IS due It must be subrrutted at the nrne the bUlldmg pennit appli~.l1101l iWd cun~tnJrr1nn plans are
~llblTUrted i\ll other pernut fees arc due at the tune of permit i~!;llance
EXPrRA'nON OF PLAN REVIEW: It no pennillS lS5ucd within 180 day! orll1.~ udle of'apphCRtion, the application will expire. ThL
B'J dJL'lg OffiCial can ex.tend the tim~ for action by the applicant up to 180 dllYs upon wntten request by the applicant (see Secnon 10' 4 )j
'-he 1,)rufolTIl BUlldmg Code, current cdluon). Nu application can be extended more than once.
.' 1ereby ceMy t.hall have r9ad =r:d examined this application and know the same to be troe and correct I am authorized to apply for t'jlS perml and
"""",:"d /ho" I, my '''',pon".lity 10 d""'" "ne wl,~ I"""" '" "qul"'rJ"9"f GIY";;maln '"'" per",;! pn;' "()I'
r \FOR M<;\APP';,RulhlmgpMTnll wpd Appllcllnt ~ Date i,: I;). 6 ~
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"l" SHERWOOD INDUSTRIES IS AN ENVIRONMENTALLY RESPONSIBLE COMPANY. THIS MANUAL IS PRINTED ON RECYCLED PAPER.
.., PLEASE KEEP THESE INSTRUCTIONS FOR FUTURE REFERENCE
PELLET STOVE
Mini
OWNER'S MANUAL
~'~1ERr.~
. ;'CM:'.J
C Iz,; e~ us
~rl)ock \,\e~'"
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PLEASE READ THIS ENTIRE MANUAL BEFORE INSTALLATION AND USE
OF THIS PELLET-BURNING ROOM HEATER. FAILURE TO FOLLOW THESE
INSTRUCTIONS COULD RESULT IN PROPERTY DAMAGE, BODILY INJURY
OR EVEN DEATH.
Contact your building or fire officials about restrictions and installation
inspection requirements in your area.
50-1220
PREPARED 1/19/06, 13 05 30
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
1
1/19/06
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1010 S CEDAR ST
THOMAS BERTMAN
SUBDIV
BERTMAN A. THOMAS
06-30-00-0-3-2205-0000-
06-00000039 MECHANICAL APPL
PHONE
PHONE
PERMIT
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME4 01 1/19/06 JLL MECHANICAL WOOD STOVE/PELLET TIME 13:00
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