HomeMy WebLinkAbout909 E 9th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Pl.n number
property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000241 Date
.487651
909 E 9TH ST
06-30-00-0-2-7655-0000-
MECHANICAL PERMIT
4/05/05
Owner
Contractor
H 1'11\ LfV
S/%;0~
05~ a:? 4/
RS7 RESDNTL SINGLE FAMILY
2789
CHURCH JACK A
909 E 9TH ST
PORT ANGELES
WA 983628012
EVERWARM
257151 HWY101
PORT ANGELES
(360) 452-3366
WA 98362
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
PROPANE STOVE & TANK SET
57.65 Plan Check Fee
4/05/05 Valuation
10/02/05
.00
o
Qty Unit Charge Per
Extension
47.00
10.65
-.Q
\)
'-Q
BASE FEE
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5
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 electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. Tfiispermit 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.
CJ /II t:= I 1- r::.
Signature of Contra~tor or AuthOrized Agent
Date
Date
Signature of Owner (if owner is builder)
T \Pohcles\1102_15 bUlldmg permIt mspectlOn record05 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIQNS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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.
INSPE;CTIQN 1;YP!" . DATE ACCEPTED COMMENTS
. I
. . YES NO
FOUNDATION: .
FOOTINGS .
.
WALLS
FOUNDATION DRAINAGE I DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS )
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL MEal.FINAL.1J/')(,/Of.,-Ju...-AP
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE l5 -cC)-O<s JL\..-
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 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
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.\Pohcles\1102_15 bUlldmg penmt mspectlOn record05 wpd [l/4/2005J
PREPARED 5/26/05, 12-51 40
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
6
5/26/05
ADDRESS
CONTRACTOR
OWNER
PARCEL _
APPL NUMBER
909 E 9TH ST
EVERWARM
CHURCH JACK A
06-30-00-0-2-7655-0000-
05-00000241 MECHANICAL PERMIT
SUBDIV
PHONE (360) 452-3366
PHONE _
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME6
01
5/05/05
5/05/05
JLL
AP
MECHANICAL GAS LINE
JACK CHURCH 461-2502
PERMIT AT COUNTER FOR
05/05/2005 04 38 PM
MECHANICAL FINAL
OS/26/2005 12 48 PM
Jack 461-2502
05/05/2005 11 33 AM JLIERLY
DELIVERY TO SITE
JLIERLY ----------------------------
ME99 01 ~rPf-
-------------------------------------- COMMENTS
JLIERLY
AND NOTES --------------------------------------
PREPARED 5/05/05, 13:07:55
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
ADDRESS
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER
909 E 9TH ST
EVERWARM
CHURCH JACK A
06-30-00-0-2-7655-0000-
05-00000241 MECHANICAL PERMIT
SUBDIV
PHONE
PHONE
(360) 452-3366
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME6
~
MECHANICAL GAS LINE
JACK CHURCH 461-2502 05/05/2005 11:33
PERMIT AT COUNTER FOR DELIVERY TO SITE.
01
-Af2-
PAGE
DATE
AM
JLIERLY
3
5/05/05
-------------------------------------- COMMENTS AND NOTES --------------------------------------
FROM :EVERWARM HEARTH HOME
FAX NO. :13604523367
Apr. 05 2005 08:10AM Pi
; :3604 17 47' ,
11: 1/
BUILDING PERMIT. APPLICATION
FOR OPFICtAL USE. ONLY
Dale Rec :<9f/,lr9S;Iob-
Permit 1/, <!)5 -{}..Jj {
Dale Approved:
Dale IlIued:
e
.
pJ p~,." 5- 3-D S-
Fill out COMPLETELY and in INK. Your appllcllUon and site plan MUST BE
COMPU~TE to be accepted Cor review. If you bave any questions, caU
(360) 417-4815
5'7()/J ~ S-~ -bS-
Applicant or Agent: Ell ~ Rw 1H!.M
O-AherJ~e..~ (Gil1'l......, r~h Ll. yC"-.
Address: q 0 9 E:. q 'I-t.. City:, P Q
Phone: .JI5~. 3 31c 10
Phone: ~/~-4IAJD!w 1/S;.~
;
Zip:. qf3~~
ArchitectJEngincer: - Phone:
r "i: lJ C e WI. ,_ ':) ':;,
Contractor.c:...v &IZ t,..U~ State License #: 0 'a ~ IV L Exp: ~ , 1"110 S Phonc:l-/~ 2~ :::. =:> ~~
Address: Jl.5-'7 /S / #V'J Y I ~ I City: Po r ~ ~ ~ 0 ~ ..A Zip: q K 3 ~..:.2...-
PROmCf ADDRESS: q 0 q G. 9 Y"f-. P a. ~ ZONING:
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER: 0 ~ Boo 00 :l." i.lJS ~ 0 l!> t":J i)
-
CrOdlt C.rd Holder N..... ~ )..{ Co ~ -1 _
BUllo. Addrell: ----1l. , . Clty:~
Credit CardType VISA Me #
TYPE OF WORK;
~identiaJ 0 New CODlIlr. 0 Rc-roof C Stove
D Multi-family 0 Addition 0 Move 0 Oarage
o Commercial 0 Remodel 0 Dcmolition 0 Deck
o Repair 0 Siitl 0 Other
BRIEF DESCRIPTION OF TIlE PRO~CT: I ~ ...... x1 :::r~ J
~ -r~ c f!-~.o.J g
COMMERCIAL/R.ESIDENTIAL: Occ~ancy Or p: Occupant Load:
No, oCStorics: _ Lot Sizc: Bxisting Sq, Ft. & Propolled Sq. Ft.
BxistiDg lot coveraae _ % & Proposed lot coverage _% "" Total lot coverage
SIZEN ALUAnON:
SF, @ $ /SF. .. $
SF,@S /SF, =$
SF. @ $ ISF. = $
. TOTAL VALUATION $ .;l.""Z~
1') .MJ-rkl ~ al . .2 ~.
( "JiJ f/ k,~
Exp. Date:
COrulttuCtlon Type:
"" TOTAl, Sq Ft..___
%
APPROVALS:
PLAN:
BLDG: ___
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland{s): eYes 0 No SEPA Checklist required? 0 Yes 0 No Other; ~
BUILDING PERM1'r APPLICATION SUBMITTAL: The Building Division C8.D provide you with information on the application and
~1an .submittal rcquiroment.t if you have queluom,
VALUATION all' CONSTRUCTION: In aU cales, a valuation amount must be entered by the applicant, Tb.1s figure WIll be revJcwed' "
Illd may be revised by the Building Division to comply with current fee schedules. Contaet the Pem1it Coordicatorat 417 -48 15 for assistance:'.
!'LAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application a.nd construction plans are
lubmitted. All other permit fecs are due at the ~ of permit iuuance. .' '
tXPIRATION OF PLAN REVIEW: Ifno pennit is issued within 180 days of the date' ofapplication, the application wlll expire. Th~
allilding.o.fficiaLcmRteii.d tbe..timelor..acticm.b~.th.e.applicant up-to 180-d&ya-upen writtc.a l'e<juest by the-applicant (see' Sect1ol1 -107 4 or
he Uniform Bwlding Code, current lldltion). No application can be extcndc:d more than once, 'I{
hereby certify thst ( have read and examIned thIs sppflcs'flon and know the same to be true and OO"sct. I am authon'ze.cNo apply for thiS porrmt and
rnderstsnd that" Is my responslblJ/ty to determine what permits Bre t'&qulred ,not fhe CIty's, and that I must obtain such permits prior to work.
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