HomeMy WebLinkAbout929 W 12th St - Building CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
~ 321 EAST 5TH STREET, PORt ANGELES, WA 98362
BUILDING PERMIT ~SSUEO: 2/07/2002 PERMIT NO: 13222
OWNER/APPLICANT PROPERTY LOCATION
SCOTT GOSSARD 929 12TH ST W
929 W 12TH STREET Lot: E1/2KT12<S13&14
Port Angeles, WA 98362 Block: 352 [] Long Legal
360/452-3042 Subdivision: TPA
T: S: Parcel No: 063000035258000
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $1,000.00 SFD Units: 0 Commemial: 0
Project Type: WOOD STOVE SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use: RS7
PROJECT NOTES
INSTALL 1WOODSTOVE AND STAINLESS STEEL LINER
RECEIPT #8752
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: $50.00
Plumbing: $0.00 AMOUNT PAID: $50.00
Mechanical: $50.00
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 certify that I have read and examined this applicatiQn~and know the same to be true and con'ect. All provisions of
laws and ordinances governing this type of work will be complied with whe[th~r specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any sta{e/or local law re~31a, ting.~construction or the performance of
construction. 5z~f~ ~ '~c7~.,~,,~
__ ,, _ , OZ- o
Signature of Contractor or Authorized Agent Date 'Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSUILATE OR CONCEAL ANY WORK BEFORE INSPECTED/IND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
~c~P PERMIT CARD AND APPROVED ~'~ANS
FOUNDATION:
WALLS
ELECTRICAL (LIGHT DEPT) SEPA~TE PE~IT: ~
~o~._~ I I I
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT
REQUEST: ~'~ (phone, person)
Date /*- ~/~ ~'- ~-~ ~ Time Received by
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.
Sewer Foundation Framing Chimney Plumbin~ewer Excav. Other
INSPECTION NOTES: _ -
Inspected: Date f -' ~d.~ _(~) ~ Time By
Remarks: f-~ /.~
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel []Asphalt F~PCC ~]Other _
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
El No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE)
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N'? 16223
'I -/1' ;> )
Port Angeles, Washlngtonm.m...m_.m...__.m.nnm.mm.m____.______m., 19n_n._.
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 City of Port Angeles, per-
mission Is hereby granted to dO electrical work as listed below.
e/ 15/'
Address n__''l'.::.?:n2:.m?'-!..:./_..';::m1!!._________n__.m_.mn.__mm._.n Occupancy____n____nn_.m.n_.____n._._____mnm__
Owner __ __nnm.nnnm..______nmmmm_....______mmnn. TenanLnm._.___m.____nm__nm_.__nnm_____.______n.nm.m__.n
Wiring ~-~~~actor n?lIP.~t:A~!____..Ea~~nn_n._ By.__._n__.____nmn____.m.m.mnnn___nn.___m.m__nm__
V ""'.0 < f-'
Light Outlets....................._........_........... Service, volts .....<?...:..:(.~.m~_::::.. Type of Wiring:
Receptacle Outlets_n.n................_...___.. No. wires .._..n.h..;!.......m.m.._r.-.. Armored Cable ................00....._...__
<C,;/ /') 1./
Size wires..........Lt.:_.._~~~:~~_.. Non.MetalUc .....m......................._.
. ^','11:;:"\:;'/
''''I'"/''V,{;,' Knob & Tubenn..__..........................
Main fuse __-':::~:::.m:_:_....hnnnh_....
S
Enclosure ...._._._00......_..______
Dryer, KW du.........u..__..nn_.n_n._____n__
Range, KW _n_._____.nm_uu.__u_._____n_
Rigid C<>ndult uu_mmmm_nnn.mm
Water Heater:
Metallic Tubing ............m_...........
KW.mn__..mmmm n____m__m________u
Heat' KWm/QnB./3uuumunu
Type of wIring:
Entrance Cable ....._._...__......._..
Ser. NO..h........nn.___.n__....n_.__...n__..h.
Raceway .__..___.._...................._n.n_
Circuits, Light..........._.._nn_._n......._.......
Utility ummmnU.U__uummmmum____
I-Ieat ....___0.__............................_......
Range ................._.._______...__.............
Water Heater ....0..............__.00.......
Motor ____._......__..........__.........._.......
Motors: size, volts and phase:
Rigid Conduit m__nmmm.....
MetalUc Tubing .'..mmmm
Current transformers:
No. & Size..........................h..
Ser. No. ..0000.......................................
Dryer...........n.n...n_....n......................
Furnace _........................._.............._.00.
Set. NO.nn_nn__..................................
Total Load..mu..uumf\2J'~ [/-;O~?mm.u::u._.uuuuumuuu..u.. . Total .m'__m.m..__u__.umuu.mu
Remarks: -n---~.R..~~:.-m-.-n-E':c.:f-r_.nml)~.e~muu--~~.mu----.....--
.:i.:.;.~_f.::-:.-.-_.~.u...~-.~~~~..u~--um.::~.~.~:~~:~.~:~.~~~..:~~__um--m.mh.-:~.:::zEij&~l~,=~
NOTICE-Current must not be turned on until Certificate 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.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
16223
Address..................._.._.......__.._..._......._......__....._...__...._.....__..__......_..._..._..._..__..__.._.......................Date...____.._____.,....__.........___......_._..___.__.__...
Owner..........__......._.._..__........_._..__..........___.........._........_.___................._..______..__..._._....._....Tenant_....______._______..______..._.___________.______..___._.._..___.._
Wiring Contractor................................nn_n.....n..__.__.._....n_.n.............._......._.n......__n....n.__._.n..n._ By............._......_....................................n...
NOTICE--Current must not be turned on until Certificate ot Inspection has been issued. If work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected before cODcealment~
1M Olympic Printers, Inc.