HomeMy WebLinkAbout1025 E 4th St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
Y 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 10- 00001202 Date 10/18/10
Application pin number 202098
Property Address 1025 E 4TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-5-4- 0250 -0000
Application type description MECHANICAL APPL. PERMIT on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 1100
Application desc
WOOD BURNING INSERT
Owner Contractor
PEREZ, ANTHONY M MANDY M OWNER
1025 E 4TH ST
PORT ANGELES WA 98362
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 175687
Permit Fee 60.65 Plan Check Fee .00
Issue Date 10/18/10 Valuation 0
Expiration Date 4/16/11
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 10.6500 EA ME- STOVE /FIREPLACE /MISC. APP. 10.65
Fee summary Charged Paid Credited Due
Permit Fee Total 60.65 60.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 60.65 60.65 .00 .00
a
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 has 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. e
u rralqd AA I/ kJ,
Date Print Name Signature of Contra or or Authori ed Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling is
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
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
Inspection Type Date Accepted By
t
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750 Cs-'
Building 417 -4815 f;' /-�-r✓
T:Forms /Building Division /Building Permit
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PROJECT STATUS UPDATE
Permit# 10 (ZiJ2
Date: I 5-
I phoned the pplicant V &no at 5 g Z- �Z
Property Owner at
Contractor at
(left a phone message, o discuss
t6 -1(
The permit (has expired, or ill expire sooP What is the status of this project?
Please call and schedule a final inspection.
Or
Submit a "permit extension request" letter.
5c))'" O r
Nn
W° Let me know if the project is abandoned.
t idy-duo-7-
T:Fonns /Building Division/Project Status Update
60
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
For City Use Only:
-Attn: Building Permit Technician Date Received /d�y iO
321 E. Fifth St., Port Angeles, WA 98362 p
Permit l
(360) 417-4815 fax (360) 417 -4711 Date Approved %U le?
Applicant ion ?ircz— Phone (60
Property Owner zz/.7 Phone •340 Z_ 7/q2.
Property Owner's Address /Oz5 jfic,z Are ,4 CLcf wet via
Contractor /hint d purLC,e Phone
Contractor's Address
License Expires E -mail
PROJECT ADDRESS
Parcel Number Lot Zoning
Project Type Brief Description: Residential Multi- family Commercial Industrial
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof 'use garage other tear off re -roof lay over one layer
tAHeat System Heat pump Xwood-bu g stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq. ft.
1St Floor
2 Floor
3rd Floor
Garage
Carport
C.overed Porch
Deck
Shed
Other
TOTAL VALUATION C.D0
Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage
Max. height of proposed structures ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed? Occupant load of full baths
Wili a fire sprinkler system be installed? Construction type of half baths
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and unders d
that it is my responsibility to determine what permits are required, and to obtain permits prior to w.rking on p oje
Date/ Print Name E (M p g 0 r Q 7 S i nat eN r
►_;•_�L(/
T:Forms /Building Division /Building permit ap pliOLD(c cation 1 r
1
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00001168 Date 12/10/03
Property A~dress ...... 1025 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-4-0250-0000-
Application description . . . MECHANICAL APPL. PERMIT
Subdivision Name ......
Property Zoning ....... RS7 RESDNTL SINGLE FAMILY
Application valuation .... 2900
Owner Contractor
(360) 457-~
Issue Date .... 12/10/03 Valuation .... 0
Expiration Date . . 6/08/04
1.oo lO.65oo Eta m~-~As PsPE i 'ro 5 lO.65
Fee suz~ary Charged Paid Credited Due
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 nspect OhS 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) Date
T:\PLANNING~FORMS\1102,15 [11/14/2003]
FROM ; SPA EHOP-PELLET HEAT CO FAX NO. : 36045205[33 Dec. [38 2[3[33 [32:[39PM P1
BUILDING PERMIT ~ APPLICATION
l"i~l out COMPLETY~Y and In I~. Your application a~d ~te plan ~IUST BE ~t~
CO~ to be acc~pt~ for r~iew. If you have an}' qu~slioni, call
(M0) 4i7-4815 Dot. hau~.
Applicant or Agent: ~/~ ~ A fro ~ Phou*: .Tg~ ~- ~ ~
O~er: ~ A~ V ~u ~ ....... Phone: ~- 7.1~ .~ ~
Add.ss: ]~L~ ~ ~/~ ~ Ci~: ~ ~ay~ , ,, Zip: ~lg~ ....
~chi~c~ngiuuer: Phone:
ConWaet~ ~1~ ~ ~. S~te~ccnse~:~~p:~-/7~S~
LEG~ DESC~ION: I.ot:~ Bloe~ /~ 7 SuMin~im: ~_& g ~
Credit Ca~ Ho~er ~me: ~ ,'~4~ ~ ~ g /~ ....
CreditCardT~e~SA MC ~ ~ ~ ~'/~ E~.D~Ie:
l~E OF WO~:
~ R~i~fial O New Co~. D Re.oaf ~ SWx, e $F. ,~ $ /SF = ~ .
~ R~air ~ SI~ ~ O~t TOT~ V~UA~ON $ ~.~
COM~ER~S~E~I~: ~ Om~: ,, , Oc~p~ ~ad:., Com~cfio~ T~c: __
,
F~: ....
BI ~,D~G PE~IT ~PLICA~ON SL~'~: ~,e Build~g Di~io~ ~ p~uvide you aSth lnfomtion on the applicauon ~d
~.'_~.U A'I'/O~ O~ CO~S~Er~O~: ~ all ~ a valuation amo~l m~t be e~rered by ~e appl~. 2~s fi~c wiU Ec
c~d ~>. bg rrv~s~ by ~ Build~g Division ~ comp~' ~th cu~c~ f~ s~dukm
PL~ CHECK ~E; · u plan ch~k f~ i~ due k m~t be mb~ at ~he ~e ~e b~ld~g p~t ~plic~n ~d co~mmtinn plan~ ~c
stlbm~d, A~ o~ pe~t fcc~ m ~ ti ~ ~ of peri i~lmnce,
E~'~ON O~ P~ ~l~W: If'no ~t is issued ~thin 1~ day~ of'the ~le of a~lica~on, ~ appliestiou will expire,
gu i~iag Offic ~ ~ u extend lhe ~ f~ ac~o~ by ~e app~c~t up to 1 ~ days ~ou x~cn m~ ~ ~e applicant (~ee ~c~on t 0 7.4
· e Umfo~ B~lding ~de. c~t edition). No applica~on can bc cx~ m~ ~
BUILDING DIVISION
CITY OF PORT ANGELES
Correction Notice
Job Located at [~:i;~-~' El ~.J~L~
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
These corrections must be made and are not to be
covered until reinspection is made. When corrections
have been made, please call ~,// ? - c/~'j~? I
for inspection,i /
/
/ Irfspector for ~uddmg D~ws~On
DO NOT REMOVE THIS TAG
"
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date -m- 17-Z"!>"-o(
Time
fl I'l ~ Received by D~",-~:s E (phone. person)
Location of Work to be inspected (0 ZS- r5: - 4~
Name of person requesting inspection D<-..... '- ,-<; E.
Address of person requesting inspection G,,"f -'( o....r-j)
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
(7&-!S
Phone No. (/('1 -t{8'f~
Permit No.
Sewer Excav. Othe~"'--f-e.r--)
INSPECTION NOTES:
Inspected: Date ~ -S-- 2-5' -o? Time
Remarks: Rev<..~..Je4 3/4" :Serv,-=.e..-
tVi::rL >'6.f" P-c. ~&l 3 .
10 ~ '''- By D<.....'^-:":> 6: .
{ f ~ ..(2"-0"",," ~\ '",,- -f-o ;~"'-V'
RESTORATION REQUiRED...... YES
NO )(
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # 50'S C(-b -{g{
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)