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U ~ .... <>:0 UJE-<~ ..:1 ;.. a 0 ..: ~~E-<&1tJ..:1 H UJ "'>< ~ '- '" ME-< OZZZ<>:'" '" '" l>:H OMO~":'" >< M "'U ":E-<UO"''': '" E-< :>: af "aRT ~& ~~('" 0hii~ L~ ~ "l.t\,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32\ EAST 5TH STREET, PORT ANGELES, W A 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 07-00000893 Date 897030 607 E 4TH ST 06-30-00-5-2-6480-0000- KATHE SMITH MECHANICAL APPL. PERMIT 7/30/07 I I RS7 RESDNTL SINGLE FAMILY 2400 Owner Contractor KATHE SMITH 607 E 4TH ST PORT ANGELES (360) 457-1493 WA 98362 EVERWARM 257151 HWY101 PORT ANGELES (360) 452-3366 WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT F/S WOOD STOVE 108084 100.00 Plan Check Fee 7/30/07 Valuation 1/26/08 .00 o Qty Unit Charge Per Extension 50.00 50.00 BASE FEE 1.00 50.0000 ECH ME-WOOD BURNING APPL. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 100.00 100.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 100.00 100.00 .00 .00 .9~ --;:::- cv- ~ ~ ~ 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. IC~.~"~ 7~)a-d7 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PoliciesIlI02_15 building pennit inspection record05.wpd [1/4/2005] 3 CALL417-4SI5 FOR BUILDING INSPECTIONS. CALL 4]7-4735 FOR ELECTRICAL INSPECTIONS. , CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES ~ PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY IJlOPcK BEFORE ....0 INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TlON. . ~ KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. V. BUILDING PERMIT INSPECTION RECORD INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS 1 WALLS FOUNDA TION DRAfNAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-fN WATER LINE (METER TO BLOG) GAS LfNE FlNAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF 1 CEILfNG DRYWALL (fNTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I WALL 1 FLOOR 1 CEILlNG I MECHANICAL ROUGH-fN HEAT PUMY I FURNACE 1 DUCTS ~ J 12/07 GAS LINE DATE J~L ACCEPTED BY: WOOD STOVE 1 PELLET 1 CillMNEY I ' MANUFACTURED HOMES FOOTING 1 SLAB BLOCKlNG & HOLD DOWNS SIURTING PLANNING DEPT. SEPARATE PERMlT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTlONS REQUIRED I'RlOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO - ELECTIUCAL - LIGHT DEPT. 417-4735 ELECTRJCAL ~ LlGHTDEPT CONSTRUCTION R.W./PWI CONSTRUCTION - R.W. g ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FlRE DEPT. PLANNlNG DEPT. 417-4750 PLANNfNG DEPT. BUlLDING 417-4815 BUlLDlNG 6"- o --J f\1 ....c ~ V) t r t <:' T:\Policies\1102 15 building penn it Inspection record05.wpd [1/4/20051. ~ ~ ~<. ........ ,...... O'.:_.;~'~' "'''VG(I,.. 6: j~A~~~~;_" 'J' ~----~ l~<:f;1 ~ ~ BUILDING PERMIT - APPLICATION FOR OFFJClAL USE ONLY: Date Rec.: 7- 30 ~-:J Permit #: ("91- '1., Date Approved: ...., -'SO -() 7 Date lssued: 1\ Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: Owner: Ko.:tk e ~ Address: Phone: City: Phone: 4 S 7 - I L\ q 3 Zip: ~ 1M ~ ",'v... Architect/Engineer: Phone: r' f-to II"'- ~ Contractorr:"e'C" W/AC"l'" r\ ~...,..tk -t State License #: 100 \ 3lo \ 0 \ lP Exp: \ - 3 \ - 0 ~ Phone: If S 2. -"3 '3 fob - - ~ Address: City: PROJECT ADDRESS: (0 Of Eo. 4 ~( st. Zip: ZONING: LEGAL DESCRIPTION: Lot: Block: CLALLAM COUNTY PARCEL NUMBER: Subdivision: ~ TYPE OF WORK: . W ~~ o Residential D New Constr. D Re-roof X Stove. o Multi-family D Addition D MoveD Garage o Commercial D Remodel D Demolition D Deck D Repair D Sign D Other BRIEF DESCRIPTION OF THE PROJECT: T.,;IA. ~f...U SIZEIV ALUATlON: SF. @$ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = ~ t:i1. TOTAL VALUATION uO, tlO fY~ eo ~ +CA,.....&: ~ ,.:; aaot S+o\Je COMl\1ERClALIRESIDENTlAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage % Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESAlWetland(s): 0 Yes D No SEPA Checklist required? 0 Yes D No Other: 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. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days ofthe date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section Rl05.3.2 of the International BuildinglResidential Code, 2003). 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 ,not the City's, and that I must obtain such permits prior to work. . Date:~ ~ T:\FORMS\BJdgPermitform.wpd Applicant: !II'" .- CITY OF PORT ANGELES LIGHT DEPARTMENT N~ 18008 ELECTRICAL PERMIT L .3 / ?d. Port Angeles. Washlngtoll....... .....:::::....._................................,.... 19...../ In accordance with the City Ordinance to regulate the installation. extension. or repair of elec- trical equipment in. on. or about any building or other structure in the ,Slty of Port Angeles. per- mission is hereby granted to do electrical work as listed below. --vrA-' t:I::: M t= L t;; +t.. '1"0 NS- Address ...&.J!..2...=...~=....:~.J!...........................h---..... occupanc:;;5-!!::~=...&dd.-!.(;f>od'. j;~k- Owner .!2:JJ.4.......&(..,...~..............___;.. T~ant..m....w.........';....h_..Z....h.........h............ Wiring Contractor .1:v1.C!._e.2"'."'..~.."-~4:t-<~.,.4_..~...By_.........;z..G~~h__g..!?_................ .,_. , /r Light Outlets_........_________............._.._.... Service, volts ....!__~"_':/::L~iL..... Type of Wiring: Receptacle Outlets.m........................... No. wires ......:~..............h..____h._.h Armored Cable .__mm.....nh.......__... Dryer, KW m...n......__..........______._________ Size wires.....~...:....~..-.. Non-Metallic ............................h... ~cJ .4- Knob & Tube................................_ Main fuse hmn........nmnn...... Euclosure ....__2_C'..r?.1J"....___.______ Range, KW _....__.h........__h______.. RIgid Conduit .........................._... Water Heater: Metallic TUbing .............___._......... KW.______...._____m____m_.....___ Type of wiring: Entrance Cable ...........................00 ---- RigId Conduit ______mm_m.... Metallic Tubing .nn..mn...... Current transformers: Raceway ......................................._ Circuits, Light....................................... Utlllty._._______..._______..___________._______. Heat: KW.n..........n.......n.n.__n...nn..... Motors: size, volts and phase: Heat ......................................._.._.. Ser. NO....n......nn............................... Range ............................................. Water Heater ............................... Motor ............................................. No. & Size.........................nn Ser. NO.........................n__.n.......__...... Dryer n.n__...nnnn............n__.n.........__ Furnace .........................'~.m............... Ser. NO...n.......n.........................n__... Total I..oad__............n......n.n.. Ser. No. ..00...000000...._................00........ Total ...........00000000.....00__00......... Remarks: .....................................____..__..........................................................................__................................... ...n_~nnn_unnUUbnnn.n__n_nnuh.n.nnn___u___unu..n...nn____unnnnun.....__~nnun__n___nu._.hn..nnn_n_n_.__n._nunn_n___nn ..n_....n.nnnunn.n....n.Uh._..nnn.__unh.__......nn.nn.h.unU.U.n.n.nnn.nu...u~..__n_nn__nnn.u__.n__nu.___u...._.n.__nnn.n_nn ::~.=.::;2?~:.:.~........ ::~~.~:..~~.~.~~.~.~........ By ~{~7~1-~~................ NOTICE-Current must not; be turned on until Certificate of Inspection has been ti':'ued. It work Is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTO"'_~"JS",CTOR BY PERMIT NUMBER WHEN REAOY FOR 'NSPECTION ( ~_ ~..(l~ N~ 1 800 8 "--- _ __ ELECTRICAL PERMIT ='~~~:z-i-_=~':~:~~~~== NOTICE-Current must not be turned on until Certtncate of Inspection has been issued. It work Is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc.