HomeMy WebLinkAbout422 E 10th St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
~,.~.,~ r~-rw~,. ~ ISSUED: 6/19/2002 PP-.I~.MI I NO: 13493
OWNER/APPLICANT PROPERTY LOCATION
422 10TH ST E
KAREN MARSAW
422 E. lOTH STREET Lot: 4
Port Angeles, WA 98362 Block: 288 [] Long Legal
360/452--4740 Subdivision: TPA
T: S: Parcel No: 063000033150000
CONTRACTOR ARCHITECT
EVERWARM N/A
257151 HWY 101
Port Angeles, WA 98362-0000 , 98360-0000
360/452-3366 360/000-0000 ..~
PROJECT INFO ~.~
Project Value: $2,700.00 SFD Units: 0 Commercial: 0
Project Type: PROPANE INSERT SFD SQ FT: 0 Industrial: 0
Occupancy Type: Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
INSTALL PROPANE INSERT,LINES AND TANK
RECEIPT#9225
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $35.00
Plumbing: $35.00 AMOUNT PAID: $35.00
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 car[iff/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,
o/t/
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
':\PLANNING\FOKMS\1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MIN1MUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT 1N 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 PEHMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
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. SEPAP,~TE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHOKELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTKICAL - LIGHT DEPT. 417-4735 ELECTPdCAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEEPdNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 41%4815 (~ -Iq-aT- Lt~-I~ BUILDING
T:\PLANNING\FORMS\1102.15 [4/2002]
JUN 1~3
BUILDING PERMIT- APPLICATION
IPt_~"'J t'Jfl~ or pHM b ink. ll'~ou bm. uny quuUou, p~ nil 417-451S
~-~ o A~ u ~ o O~ ... ~.~S: ~ ~.'S _ _ ,.
.........
may ~ ~ ~ ~ B~g Div. ~ c~ly ~ ~ ~ ~., ~ ~ ~ ~ ~ 41~ ~ u~ce.
~~ OF PL~ ~W: ~no ~ b ~ wi~h IM h~ ~b ~ of ~B~ ~ ,p~n will flpire by
I~i~. ~ ~ ~oM m ~d b ~e ~ ~ou ~ ~e ~pl~t ~ M l~ ~, ~ ~ ~u~ ~ &e ~Uc~t (see
' ~ ~t~ t~ l ~ ~ ~ ~ ~ ~plt~ ~ ~ :~ ~ to ~ ~ ~ ~t, ~ 1 ~ ~ to apply for
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date '7 ~ ~"-~" Time Received by P V (phone, person)
Location of Work to be inspected /-'//2~- ~--~ /~
Name of person requesting inspection
Address of person requesting inspection Phone No..v_~,G~
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney 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
[] 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 PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~-- /~--~- 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): ~ Permit No. / ,~ ~--~/q-~
Sewer Foundation Framing Chimney Plumbing F~nal~ 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 #
[--I Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE)