HomeMy WebLinkAbout1509 W 8th St - Building
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CITY OF PORT illiGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32! EAST 5TH STREET, PORT ANGELES, WA 98362
Applicatlon Number
Application pln number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Appllcatlon type description
Subdlvlslon Name
Property Use
Property Zonlng . . .
Applicatlon valuation
06-00000217 Date 10/11/06
042604
1509 W 8TH ST
06-30-00-0-2-4684-0000-
ROBERT LINDQUIST
RES REMODEL
.!MT ~$IDt--..\
Lasered
CED
RS7 RESDNTL SINGLE FAMILY
3000
Owner
Contractor
LINDQUIST ROBERT 0
1509 W 8TH ST
PORT ANGELES WA 983635408
OWNER
"
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc
Permlt pln number 72819
Permlt Fee 109.75 Plan Check Fee 43.90
Issue Date 3/31/06 Valuation 3000
Expiration Date 9/27/06
Qty Unlt Charge Per Extension
BASE FEE 95.75
1. 00 14.0000 THOU BL-2001-25K (14 PER K) 14.00
Special Notes and Comments
PERMIT EXTENDED, LETTER ON FILE.
10/11/2006 08:38 AM DYASUMUR -------
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credlted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 109.75 109.75 .00 .00
Plan Check Total 43.90 43.90 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 158.15 158.15 .00 .00
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Separate Permits are reqUired forelectncal 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 complied with whether clfied herein or not. T granting of a permit does not
presume to give authority to violate or cancel the provisions of any state r law regulating co tructio or the performance of
construction. ~
Signature of Contractor or Authonzed Agent
Date
/p-//~
Date
T \Policles\J 102_ J 5 bUlldmg penmt mspectJOn record05 wpd [J/4/2005]
BUll.,DING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTiCE IT IS UN LA WFUL TO COVER, INSULATE OR CONCEAL AN}' 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
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS I I
POST HOLES (POLE BLOGS ) lOll I I()~ . \:I k/
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLOG)
SHOWER PAN FINAL DATE ACCEPTED BY
MEDICAL GAS LINE
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR W ALlJHOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (rNTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP / FURNACE / DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
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
ELECTRJCAL - LIGHT DEPT 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R W./ PW/ CONSTRUCTION - R W.
ENGINEERJNG 417-4807 PW / ENGINEERJNG
FIRE 417-4653 FIRE DEPT
PLANNING DEPT. 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
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T \Pohcles\11 02_15 bUlldmg penmt mspectlOn record05 wpd [1/4/2005]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Applicatlon Number
Application pln number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr. name . .
Application type descriptlon
Subdlvlslon Name
Property Use
Property Zoning . . .
Application valuation
06-00000217 Date
042604
1509 W 8TH ST
06-30-00-0-2-4684-0000-
ROBERT LINDQUIST
RES REMODEL
3/30/06
RS7 RESDNTL SINGLE FAMILY
3000
Owner
Contractor
LINDQUIST ROBERT 0
1509 W 8TH ST
PORT ANGELES WA 983635408
OWNER
Permit . . . . .
Additional desc .
Permlt pln number
Permit Fee
Issue Date
Expiration Date .
BUILDING PERMIT -RESIDENTIAL
72819
109.75
Plan Check Fee
Valuatlon
43.90
3000
9/26/06
Qty Unit Charge Per
Extension
95.75
14.00
-
BASE FEE
1.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
Cl)
~
-n
Fee summary Charged Pald Credited Due
----------------- ---------- ---------- ---------- ----------
Permlt Fee Total 109.75 109.75 .00 .00
Plan Check Total 43.90 43.90 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 158.15 158.15 .00 .00
to
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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 kn the same to be true and correct. All provisions of
laws and ordinances govemlng this type of work will be complied with whether s cifi d herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or. 0 a regulating construction or the performance of
construction. -
Signature of Contractor or Authorized Agent
Date
Date
T \Pollcles\ II 02_15 bUlldmg peTImt mspectlon record05 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
I INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS )
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY'
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s SEPA
PARKINGILIGHTING ESA
LANDSCAPING SHORELINE-
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W 1 PW 1 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 \Pohcles\1102_15 bUlldmg permIt mspectlOn record05 wpd [1/4/2005]
PREPARED 10/11/06, 9 12 25
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
2
10/11/06
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER:
1509 W 8TH ST
ROBERT LINDQUIST
SUBDIV'
LINDQUIST ROBERT 0
06-30-00-0-2-4684-0000-
06-00000217 RES REMODEL
PHONE
PHONE
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL6
-ff-
-------------------------------------- COMMENTS
01
10/11/06
BUILDING POST/COLUMN FTG .
10/10/2006 01 15 PM JLIERLY -----------:----------------
bob 452-4820
AND NOTES --------------------------------------
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TECHNICAL BULLETIN
BARRIER MEMBRANES & PRESERVATIVE TREATED WOOD
;! 'i, t I"
Strong~Tie
TM
Page 3 0(.4
,- ,I" INSTA:LLATJON DETAILS l",",
~ , . , .} l.
. With barrier membrane, do not use standard (brite) A"':::3
or stamless steel fasteners, ~ 1-
. Due to Its slight asphaltic odor, do not leave Grace Vycor<' e
Deck Protector™exposed to interior liVing spaces (per Grace "
product recommendatIOn).
. Trim bamer around connector as reqUired by
Grace Construction Products,
. See www.na.graceconstructlon.com/deckprotector for
additional Installation instructions and other requirements,
Installation Instructions:
. Refer to chart on page one (Rgure 1) to determine appropriate
connector finish for your application.
· Apply barner membrane In fair weather when the air, surface
and barrier are at 250 F or higher,
. Install onto a clean surface.
. Cut to the desired length.
. Peel the release paper, align the membrane and
press into place with heavy hand pressure.
. Install the barrier such that all laps shed water.
. Install Simpson Strong-Tie connector with Hot-Dipped
Galvanized (HDG) fasteners (ASTM A153).
Typical Hanger Installation
with ~omposlte Wood
'Interior, Dry Use
Typical Hanger Installation
with Solid Sawn Wood
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G90 MIN
CONNECTOR
,
G90MIl
CONNEtTOR
NON Pl JOIST
DO NOT WRAP
JOIST Willi
BARRIER
MEMBRANE
ONLY INSTAll
HOG FASTENERS
Typical ledger
Installation
PT, lEDGER
'EXIe riof- (NoQ~~xt,reme l"Use
NON PT JOIST
DO NOT ~
WRAP JOIST
WITH BARRIER
MEMBRANE
GRACE VYCOR"
DECK PROTECTOR~
Typical Exterior Hanger Installation
with Solid Sawn Wood
Typical Exterior Post Base
Installation
ONLY INSTAll
HOG FASTENERS
GRACE VYCOR"
DECK PROTECTORN
ON SIDES AND
BOTTOM OF POST
P. To = Preservattve- Treated Wood
mm4
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NON PT
WOOD POST
Typical Holdown Installation
(MudsiIJ connector
applications similar)
Typical Exterior Post Base
Installation with Trim
P. T POST
ZMAX"'IHDG
FINISH, MIN,
ONLY INSTAll
HOG FASTENERS
~
:~~ 10 jO~
,tl.~~_D-
GRACE VYCOR"
DECK PROTECTOR~
ON SIDES AND
BOTTQM_ Qf f'QS'L
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EIEm
Strong-Tie
TECHNICAL BULLETIN
BARRIER MEMBRANES & PRESERVATIVE TREATED WOOD
TM
CONCLUSIONS .
Page 4 of 4
· To obtain maximum corrosion benefit proper Installation is required.
· Test results mayor may not have a relation to actual service life.
. Use only stainless steel fasteners with stainless steel connectors. Use only hot-dip galvanized fasteners (ASTM A 153)
with ZMA)(TM/HDG connectors.
. Do not use Grace Vycor" Deck Protector™ With stainless steel fasteners or connectors
. When uSing a barner With G90 or ZMA)(TM/HDG galvanized connectors, Hot-DIp galvanized fasteners (ASTM A153) must be used.
. Simpson continues to recommend the use of stainless steel fasteners, anchors and connectors with treated wood when possible.
At a minimUm, customers should use ZMAJ<TM (G185 HDG per ATSM A653), Batch/Post Hot-Dip Galvanized (HOG) (per ASTM
A123 for connectors and ASTM A153 for fasteners), or mechanically galvanized fasteners (per ASTM B695, Class 55 or greater)
with many of the alternative treated woods. (See T-PTWOOD04).
. ThiS research indicates that Grace Vycor" Deck ProtectorTM can be an option, under appropriate circumstances, in providing
additional corrosIOn protection when applied between certain preservative-treated woods and metal connectors, in so me applications.
. ACQ-D (Carbonate) and CA-B treated woods used In conjunction with the Grace Vycor" Deck ProtectorTM barrier mem brane
are less corrosive than CCA-C treated wood.
. For interior, dry applicatrons Simpson's standard G90 galvanized connectors in conjunctron with Grace Vycor" Deck ProtectorTM
barrier membrane can be used as an alternative to ZMAJ<TM/HDG galvanized connectors, as shown In Figure 1. Examples of interior
applicatIOns Include wall Sill plates and ledgers installed in wall and ceiling cavities of enclosed bUildings.
. For general exterror applications, a minimum of ZMAJ<TM/HDG galvanlzerJ connectors should be used. While historically G60 and
G90 galvanized connectors have been satisfactorily used In many outdoor applicatrons, a minimum of ZMA)(TM/HDG connectors
will provide addllrorl.11 protectIOn and is QPnerally wn~idflre(i ~ better oplrnl1
· Grace Vycor" Deck Protector™ barrier membrane used in conjunction with 7.MAJ<TM/HDG galvanized connectors may also
provide additional corrosion protection for certain exterior preservative-treated wood applications, but is not reqUired.
. Grace Vycor" Deck Protector™ is the only barrier membrane tested by Simpson Strong-Tie at this time. Other barrier membranes
may be evaluated. Visit www.strongtie.comlinfo for tre latest information.
. Hot, arid environments may require a different barner membrane solutron. Consult www.na.graceconstruction.com/deckprotector
for product information.
· Type 304 and 316 stainless steel provides the best corrosion resistance. The use of stainless steel (Without a barrier) IS
recommended whenever possible, particularly In exterror applicatIOns
· Stainless steel IS always recommended for extreme envllonmental conditions, inclUding exposure to ocean salt air,
large bodies of water, fumes, fertilizers, and some preservative treated woods.
. By selecting products that offer more corrosion protection, you can extend the service life of your connectors. However, corrosion
Will still occur. A perrodlc inspection of connectors and falteners is recommended when possible. In some cases, It.may be
necessary to have a bUilding profeSSional perform these Irspections Due to the many variables Involved, Simpson Strong-Tie
cannot proVide estrmates on service life of any connectors, fasteners, or anchors.
. See technical bulletin T-PTWOOD04 for additional information ..
. This technical bulletin does not alter testing conclUSions reathed in earlier bul/ellns.
This bulletin Is effecllve until June 3D, 2005, and reflects Information avalllble as of September 1, 2004. this Inlonnallon Is updated periodically and
should not be relied upon after June 3D, 2005; contact Simpson for currentlroductlnformatlon and limited warranty or see www.Slrongtle.com.
SIMPSON STRONG-TIE COMPANY, INC.
Home OIIlce Northwest USA Southwest USA
4120 Dublin Blvd., Ste 400 5151 S. AIrport Way 260 N. Palm St
Dublin, CA 94568 Stockton. CA 95206 Brea, CA 92821
FAX: 925/833-1496 FAX: 209/234-3868 FAX: 714/871-9167
Warehouses: Enfield, CT, Jacksonville, FL; Kent, WA; Langley, B.C.
Southeast l.r.A
1720 Couch ~r
McKinney, lX 15069
FAX: 9721542-!379
Northeast USA
2600 I ntemational St
Columbus, OH 43228
FAX: 614/876-0636
Eastern Canada
5 Kenview Blvd
Brampton, Ontar1o L6T5G5
FAX. 9051458-7274
Western Canada
11476 Kmgston SI.
Maple Ridge, B.C. V2X-oY5
FAX: 604/465-0297
800-999-5099
www.strongtle.com
@ Copyright 2004 Simpson Stong-Tie Company Ine
Pnnted In the U~ ~
T-PTBARRIER04 9/04 exp 6rOS
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CITY OF on. ructlOn Pinos
The Issuance of this permit based upon th se plans, specIfi-
cations and other data snail not prevent t bUlldmg official
from thereafter requiring the correction f errors m said
plans, specifications and other data, or from preventmg
buildmg operations being carned on th eunder when In
ViolatIOn of all codes and ordmances of thIS:b1Is~ctIOJl'_ ~L
(5WflSfl3ll3(8) 11~;f7n.18iJlldlll~ Cllne.) =='\V;tO~ ..)tL.
Approval Date By
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BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY
ate Rec ~ / -=!> / Dc..
permIt#~2.1
r, '"l' _ . ,~..,__ "..l
~ ::: ;~~:~: . ~ p
Fill out COMPLETELY and in INK. Your application and site plan MUST
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Appl1cant or Agent ~h.Rrrj !vhCjU-f}S')
Owner 7o~/Z1 ,L,"A=f~,i:S~
Address' JS D9 l..J t" 7f., si
SaJfJ
~/jJ
/509 ~~
Phone
Phone
sCa C> -4's::::?- c./ 62 D
:SUo -Vs.;:;J-~r ;:zo
Zip: 9~g{p;Z
I
'is.;2 - ~i:2c)
CIty'
f)n.+ JL,~J~S
Archltect/Engmeer
Phone:
Address'
City:
?Oll ~
Exp
~
Phone:
Contractor
State LIcense #:
PROJECT ADDRESS'
~~
Zip:
ZONING:
9 r sIR ::l.
LEGAL DESCRIPTION Lot.
CLALLAM COUNTY PARCEL NUMBER:
Block'
SubdlVlslOn
Credlt Card Holder Name
BIllmg Address
Credlt Card Type VISA _ MC _ #
D New Constr
D AddJtlOn
;SC Remodel
D Re-roof D Stove
D Move D Garage
D DemohtlOn D Deck
D
SIZENALUATION:
SF. @ $ /SF = $
SF @ $ /SF = $
SF @ $ /SF = $
TOTAL VALUATION $
d
EXIStlllg S q Ft
Occupant Load
& Proposed Sq Ft
ConstructlOn Type
COMMERCIAL/RESIDENTIAL: Occupancy Group.
No of Stones' Lot Slze
Total lot coverage
= TOTAL Sq. Ft
%
APPROV ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
ESA/Wet1and(s) DYes D No SEPA CheckhstreqUlred? DYes D No Other.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the apphcant
TIllS fIgure wIll be reVIewed and may be revIsed by the BUlldmg DlvIslOn to comply wIth current fee schedules Contact the Penl1lt
Coordlllator at 417 -4815 for assIstance
PLAN CHECK FEE IF a plan check fee IS due Jt must be submJtted at the tlme the bUlldmg perunt appl1catlOn and constructlOn plans
are submItted. All other permIt fees are due at the tlme of permlt Issuance.
EXPIRATION OF PLAN REVIEW: Ifno permIt IS Issued wlthm 180 days of the date of apphcatlOn, the apphcation will expire. The
BUlldlllg Offlclal can extend the tlme for actlOn by the appl1cant up to 180 days upon wntten request by the apphcant (see SectlOn
R I 05.3 2 of the InternatIOnal BUlldmg/Resldentlal Code, 2003) No applicatlon can be extended more than once
I hereby certIfy that I have read and exammed 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 deter rmits are reqUIred ,not the City'S, and that I
must obtain such permits prior to work. _ J;? . ~/_
ApplIcant Date Y':;/ Ow
. -, .. " -OSEIGE (;) 'M . . .
;~~t~i~~~(t l ~ ~~ _ ~> ~ *t2Ise~ ~ WW~ i:;~~1~Vr;:X%:;j~,~;:~
PLUMBING
TRAPS:
WATER HEATER:
SEWER:
WATER:
MECHANICAL:
VENTS:
FURNACE:
GAS FIREPLACE:
WOOD FIREPLACE/STOVE:
MECH APPLIANCE:
~
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 11/21/2001 PERMIT NO: 13108
OWNER/APPLICANT PROPERTY LOCATION
1509 8TH ST W
BOB LINDQUIST
1509 W 8TH Lot: 18
Port Angeles, WA 98363 Block: 246 [] Long Legal
360/452-4820 Subdivision: TPA
T: S: Parcel No:
CONTRACTOR ARCHITECT
owner N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $1,500.00 SFD Units: 0 Commercial: 0
Project Type: PELLET STOVE SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use: RS7
PROJECT NOTES
install pellet stove and build exterior chase for recessed installion
FEES ASSESSMENT
Building Permit: $54.00 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: $58.50
Plumbing: $0.00 AMOUNT PAID: $58.50
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 las!
nspect on I hereby~ read and examined this application and know the same to be true and correct. All provisions of
aws and ~~ng~his type~'Of-wo~will be complied with whether specified herein or not. The granting of a permit does not
pr~ to violate or cancel tlYe~rovisions of any state or local law regulating construction or the performance of
CO
Signature o'~"ontra~'0T or Aumonzed Agent ~ Signature of Owner (if owner is builder) 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 LOCATI~)N.
INSPECTION TYPE I DATE ACCEPTED COMMENTS
I
YES I NO
FOUNDATION:
HOOD/DUCTS ~---~'
PLANNING DEPT 417-4750 ] } ~ PLANNiNG DEPT.
BUILDING 4~7-4815 ~ I ~ ~- %.~ '~ BUILDING
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:'>_
Date ~ --Z_~ ~ Time Received by (phone, person)
Location of Work to be inspected j~-~-~<~ ~ ~'~
Name of person requesting inspection ~::~-~
Address of person requesting inspection Phone No. /-/'~-'~
Type of Inspection (circle appropriate one): Permit No. /
Sewer Foundation Framing C~hi~Plumbing Final Sewer Excav. Other
INSPECTION NOTES: '~-
Inspected: Date " . Time By
Remarks:
RESTORATION REQUIRED ...... YES. NO_
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel [~]Asphalt ~]PCC []Other
~_1 Repaired by City Work Order #
~] Repaired by Permittee [~ COMPLETE
El No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:~/
/
Date ~/~ (,O Time Received by (~ (phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney_ Plumbing ~Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date - -~ Time By
Remarks:.
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved {~Gravel ~-~Asphalt []PCC [~Other
[] Repaired by City Work Order #
[--] Repaired by Permittee [] COMPLETE
~[No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)