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Home My WebLink About111 W 12th St - Building q ':.. ~.. CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East Sdi' Street;' Port Angeles, W A 98362 Application Number . . Property Address , . . ASSESSOR PARCEL NUMBER: Application description SUbdivision Name . . Property. Zoning . . . Application valuation . 03-00000913 Date' 9/17/03 111 If 12TH ST 06-30-00-0-3-4488~0000- FIRE ABANDON TANK INSPECTION 100 Owner Contractor BEDFORD SHERYL SUE 111 W 12TH ST PORT ANGELES NA 983627713 OWNER -----------~------~---------------------------------------------------------- Permit ... . Additional desc Permit Fee . . Issue Date . . Expiration Date UNDERGROUND TANK RES ABANDON TANK IN PLACE-SLURRY 15.00 Plan Check Fee 9/17/03 Valuation . . 3/16/04 .00 100 Qty Unit Charge Per BASE FEE Extension 15.00 ........... - Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 15.00 15.'00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 15.00 15.00 .00 .00 --- 9 ~t;1 CIJ ~ This penn it becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not. been requested with 180 days from.the last inspection. I hereby certify that I have read and examimrl this application . and know th~ s~l11e t() be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be com pied with whether specified herein or not. The granting of this pennit does not presume to give authority to violate or cancel the provisions of any state or local law regulating the work specified in the penn it. Signature of Contractor or Authorized Agent Date s~nd6~ FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful 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 FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM , Rough-in inspection Alarm final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test #1 Above ground piping inspection/pressure test Piping pressure test pSI Tank (container) inspection Time initiated Test #2 Appliance inspection Piping pressure test psi Time initiated LP-gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal offlammablelcombustible liquids Tank appropriately abandoned UST abandonment final ?-10 -0:> JL 11.!:) PERMIT OTHER (specify) permit final Inspection Type I Date Passed I Comments J GENERAL COMMENTS: 2/15/00 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DWISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 A~plication Number ..... 03-00000278 Date 3/17/03 Property Address ...... 111 W 12TH ST ASSESSOR PARCEL NUMBER: 0630000344880000 Application description . . . RE-ROOF Property Zoning ....... Application valuation .... 5000 Owner Contractor BEDFORD SHERYL SUE LARIAT CONSTRUCTION 111 W 12TH ST P. O. BOX 280 PORT ANGELES WA 983627713 PORT ANGELES WA 98362 (360} 457-0952 Permit ...... BUILDING PERMIT - NO PR FEE Additional desc . . Permit Fee .... 134.75 Plan Check Fee . . .00 Issue Date .... 3/17/03 Valuation .... 5000 Expiration Date , . 9/13/03 Qty Unit Charge Per Extension BASE FEE 92,75 3,00 14.0000 TNOU BL-2001-25K (14 PER K) 42.00 Other Fees ......... STATE SI/RCPL~RGE 4,50 Fee summary Charged Paid Credited Due Per.it Fee Total 134.75 134.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 ,00 Grand Total 139.25 139.25 .00 .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 certify that I have read and examined this application and know the same to be true and correct. All provisions ol laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does nol presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance, construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANrNING\FORbd6\1102 I$ [4/2002] 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 LOCATION. INSPECTION TYPE I DATE IYEsACCEPTEDI NO COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERIVlIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL 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. 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. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. '117~4750 PLANNING DEPT. BUILDING 417-4815 I'~ ~),~--. ~ '~ ~J BUILDING T:\PLANNING\FOILMS\1102A5 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~ -~'~ ~7>',~ _Time ~/,' /,<~ Received by ~.S ~. ~ (pho~person) Location of Work to be inspected person t[/~~ ~ ~~ Name of requesting inspection ~ ~ C C~ Address of person requesting inspection e Type of Inspection (circle appropriate one): Permit No. er Excav. Other Sewer Foundation Framing Chimney Plumbing inal INSPECTIONNOTES: I~0 ~ 9~-~; ~ ~u~ ~ ~ . 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 PermitteD [] COMPLETE El No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)