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Home My WebLink About4512 Old Mill Rd - BuildingPREPARED 12/05/03 12 27 56 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/05/03 ADDRESS 4512 S OLD MILL RD SUBDIV CONTRACTOR EVERWARM PHONE (360) 452 3366 OWNER PAGE GERALD D PHONE PARCEL 06 30 22 2 2 0100 0000 APPL NUMBER 03 00001066 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 12/04/03 JLL MECHANICAL GAS LINE 12/04/03 DA 301b test shown to drop in short time period check for leak and recall for inspection /jim ME6 02 12/05/03 MECHANICAL GAS LINE COMMENTS AND NOTES Job Located at Date 6 3 BUILDING DIVISION CITY OF PORT ANGELES Correction Notice DO NOT REMOVE THIS TAG Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction aks bar__ stvo,,L; p_ 1-- These corrections must be made and are not to be covered until reinspection is made When corrections have been made, please call 4 (-/k/ to i► for inspectio spector for Building Dibision PREPARED 12/04/03 12 40 43 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/04/03 ADDRESS 4512 S OLD MILL RD SUBDIV CONTRACTOR EVERWARM PHONE (360) 452 3366 OWNER PAGE GERALD D PHONE PARCEL 06 30 22 2 2 0100 0000 APPL NUMBER 03 00001066 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 12/04/03 JL MECHANICAL GAS LINE 1 F COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMM~ITY DEVELOPMENT BUILD~G DWISION 321 EAST 5TH SHEET, PORT ANGELES, WA 98362 OWNER/APPLICANT PROPERTY LOCATION 4512 OLD MILL RD S GERALD PAGE 4512 OLD MILL ROAD Lot: N810'/S350'/TWP30/SEC22 Port Angeles, WA 98362 Block: [] Long Legal 2061000-0000 Subdivision: RANGE 6W T: S: Parcel No: 063022220100 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Pod Angeles, WA 99360 , 98360-0000 206~000-0000 3601000-0000 PROJECT INFO Project Value: $1,235.00 SFD Units: 0 Commercial: Project Type: RE-ROOF SFD SQ FT: 0 Industrial: Occupancy Type: RESIDENTIAL Garage: Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS9 PROJECT NOTES TEAR OFF, FELT, COMP RECEIPT#9749 FEES ASSESSMENT Building Permit: $47.90 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: $52.40 Plumbing: $0.00 AMOUNT PAID: $52.40 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 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 spec fled here n or not. The grant ng of a perm t does not presume to give authority to violate or cancel the provisions of any state or local law regulating consJ~uc, tioo._or the performance ofl construction. - -- l! Signature of Contractor or Authorized Agent Date Signature of Owner (if owner ~s.l~'~lder) Date / BUILDING PERMIT INSPECTION RECORD CALL 417-4815 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 DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH IN WATER LINE GAS LINE BACK PLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR /CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES ! SITE WORK (Engineering Division) SEPARATE PERMIT #'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 ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W, / PW/ CONSTRUCTION - R.W. ENGINEERING 41%4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 J ~/~'~/~')~ *.~ ~-~-- BUILDING T:\PLANNING\FORJMS\ 1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date /~//~-/6 ~, Time Received by /~/ (phone, person) Location of Work to be inspected ~//--~/'~- (~/'~_~ ~,~[I ~ Name of person requesting inspection Address of person requesting inspection. Phone No. Type of Inspection (circle appropriate one): .~ Permit No. ~ Plumbin Final Sewer Excav. Other Sewer Foundation Framing Chimney ~u ~:~,~C:~/ INSPECTION NOTES: ~ ~ Inspected: Date !.-~1.~t'0~:~, Time ~ By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [-]Gravel [-1Asphalt 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) ~,~,,,,%~ .... CITY OF PORT ANGELES ~(~'~' DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ;~lication Nunfoer ..... 03-00001066 Date 11/04/03 Property Address ...... 4512 S OLD MILL RD ASSESSOR pARCEL NI~dBER: 06-30-22-2-2-0100-0000- Application description . . . MECF3tNICAL ARPL. PEP~dIT Subdivision Name ...... Property zoning ....... Applicatio~ valuation .... 3765 Owner contractor PAGE GEP-%LD D EVERWARM 4512 OLD MILL RD 257151 h"~Y101 PORT ANGELES WA 983621910 PORT ANGELES WA 98362 (360) 452-3366 Permit ...... ~EC~L~NICAL PERMIT Additional desc . . Permit Fee .... 57.65 Plan Check Fee . . .00 Issue Date .... 11/04/03 Valuation .... 0 Exqpiration Date . , 5/03/04 Qty Unit Charge Per Extension 1.00 10.6500 ECH ME-GAS 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 fram 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 previsions 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~c~ the.provisions of any state or local law regulating construction or the performance of constructi~. ~ / S gnature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNFNG\FOKMS\1102.15 [4/2002] FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION Date Eec.: /0 Permit#: Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date Approved: COMPLETE to be accepted for review. If you have any questions, call (360) 4174815 Date Issued: Applicant or Agent: ~-~-,- ~-~_lg ~ ~.-..~ Phone: 3(~ ~? - 'q 5- 3 - ~r~'~-?/ Owner: (~1~ ],~,Y~.~ ~,~ Phone: ~0 ~7-~g/~ Address: q~Ia O~0 ~,J? ~dT- Ciw:~v.ff .~.~lex Zip: ~qL~ Mchitect~ngineer: Phone: Address:~71~/ ~w~/ tel Ci~:~,~. ~3.:,les Zip: PRO~CTADDRESS: ¢5t~ F;Lt ~,'11 ,~,-1 (3 ZO~G: ~,-~1 C 5u~v~y LEG~ DESC~ON: Lot: Block: ~ N ~ ~ W q, CL~L~CO~TYP~CEL~BER: o6'~0~0 t 00 Credit Card Holder Name: Billing Address: City: Credit CardType VISA__MC __ # Exp. Date: TYPE OF WORK: SIZE/VALUATION: o Residential [] New Constr. [] Re-roof [] Stove SF. ~ $. /SF. -- $ [] Multi-family [] Addition [] Move [] Garage SF. ~ $. /SF. = $ [] Commercial [] Remodel t3 Demolition [] Deck SF. ~ $ /SF.-$ [] Repair [] Sign [] Other TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: COMMERCIAL/RESIDENTIAL: Occupancy Group:. Occupant Load: Consl~mction Type: No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq. Ft. Existing l~t coverage % & Proposed lot coverage % = Total lot coverage. % APPROVALS: PLANNING USE ONLY: PLAN: BLDG: DPWU: FIRE: ESA/Wetland(s): [3 Yes [] No SEPA Checklist required? [] Yes [] No Other: OTHER: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. ContactthePcrmitCoordinatorat417-4815forassistance. PLAN CHECK FEE: IF a plan check fee is duc it must bc submined at the time thc building permit application and construction plans arc submitted. All other permit fees arc due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of thc date of application, the application will expire. Thc Building Official can extend thc time for action by the applicant up to 180 days upon written request by the applicant (sec Section 107.4 of the Uniform Building Code, current edition). No application 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 responsibility to determine what permits are required ,n?t the City's, and th.a~f~ain such permits prior to work. T:~FOP~VlS~APPS\Buildingpermit.wpd Applicant: ".~'~ li CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :121 EAST 5TH STREET. PORT ANGELES. W^ 98J62 ELECTRICAL PERMIT Issued: 11/02/98 Permit No: 6462 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ GERALD PAGE 4512 OLD MILL RD S 4512 OLD MILL ROAD Lot: N810'/S350'/TWP30/SEC22 Port Angeles, WA 98362 Block: Long Legal:' . 206/0CO-0000 Sub: RANGE 6W T: S: parc No: 063022220100' CONTRACTOR-----------------------------DESIGNER~-------------------------------- OWNER VARIOUS Port Angeles, WA 99360 206/000-0000 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: RES.GARAGE prj Value: $0.00 Occ Type: Cnstr Type: ADD CIRCUITS Occ Grp: Occ Load: Land Use: RS9 Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fa:1/Wall KW: o o o o Service Type Riser X Overhead Service Underground Service Temp Service voltage: Diameter: Service Size: Feeder Size: 120,240 X-I -3 200 AMPS 100 AMPS PROJECT ~OTES------------------------------------------------------------------- DETATCHED GARAGE PROJECT FEES ASSESSMENT---------------~----------------------------------------- Service: $42.50 Additional Feeders: $0.00 Circuit wiring: $0.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $42.50 $42.50 --------------------------------- ------------~-------------------- TOTAL FEE: $42.50 Balance Due: $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD " CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COlIER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEFrED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECfION TYPE DAn I ACCEPTID . COMMENTS I YIS INO Uii Ctl -iN I CUVbK ~lCb I III. 'I I . . GENERAL COMMENTS: PW-I 102.1) 14'96l J~' ~ ELECTRtC:KL PERMIT CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .'21 EAST 5T1l STREET. PORT ANCiELES. WA 9H162 Issued: 4/27/9R Do~~;~ Nn. ~?Q.d. OWNER/APPLICANT------------------------PROPERTY LOCATION--~--------------------- GERALD PAGE 4512 OLD MILL RD S 4512 OLD MILL ROAD Lot: N810'/S350'/TWP30/SEC22 Port Angeles, WA 98362 Block: Long Legal: 206/000-0000 Sub: RAUGE 6W T: S: Parc No: CONTRACTOR-----------------------------DESIGNER-~---------------~--------------- OWNER VARIOUS Port Angeles, WA 99360 206/000-0000 , 000/000-0000 PROJECT INFO-------------------------------------------------------------_______ prj Type: RES. MISC. prj Value: $0.00 Occ Type: Cnstr Type: Occ Grp: Occ Load: Land Use: RS9 Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: o o o o Service Type Riser Overhead Service Underground Service Temp Service Voltage: Diameter: Service Size: Feeder Size: -1 o -3 DAMPS DAMPS PROJECT NOTES------------------------------------------------___~--------------- add electrical for hot tub PROJECT FEES ASSESSMENT--------------------------------------------_____________ Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc 1 circuit $41.00 TOTAL FEE: Amount Paid: $41. 00 $41.00 --------------------------------- --------------------------------- TOTAL FEE: $41. 00 Balance Due: $0.00 COt\H\1ENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANI' WORK BEFOR.E IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATF. ACCRPTED COMMENTS YES I NO Ull~n KUUuti-lN I CUV1::.K ~AL , I .qfl l-r,~ I GENERAL COMMENTS: pW-lI02.1~(4/9(jl ~,/ . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: S/Z- rSJl/ ~ Installed By: Owner/Business: OWner/Business Address: ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW_ o FAN/WALL KW _ o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS )is SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE DetailslDescription: ~A.;s(;,-/I 290 ~ ;e~~ "t:,.a~ . PERMIT NO. S...z y~ DATE /2/ 0~ o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. o RISER ~ OVERHEAD SERVICE o UNDERGRO~RVICE VOLTAGE: /2.0 !O 1 r/J D3'r/J SERVICE SIZE 0<&0 FEEDER SIZE AMPS AMPS ~ I W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER D-;J ~ CiA-{{ e '~~ o Ditch Inspection O.K. o Rough-in/cover O.K. o O.K. to connect service o Final O.K. ,Site Address: Notify Port Angeles City Light Street Address and Permit Number when ready for inspection. Work must not be covered . before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the BuiJPiRg Permit. PHONE 457-0411, EXT. 224. ..4 . ___ . \ ~ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ~ ~ \ 'Electricallnspecto, . Pe'mll Fee 'E - File by address PINK - Top: Eng, Bottom, Customer GREEN _ Top: Meter Depl., Bottom: City Hall InstJller: ~/L ()y #1/ ~. fa d \,"TERS,"C Permit/Receipt No. Selfy New Meters