HomeMy WebLinkAbout622 E 9th St - BuildingPermit a— l 5 i
Date
6- LV
(left a phone message
The permit (has expired
}7- 5- I I .1 o
o1/4_ ApAficr,N4-P
T Forms/Building Division/Project Status Update
PROJECT STATUS UPDATE
I phoned the Applicant I 1V\ at 79 a $3
roperty Owner at
Contractor at
r discussed)
6 -7-1- II
r will expire soon)
hat is the status of this project?
Please call and schedule a final inspection
Or
Submit a `permit extension request' letter
Or
Let me know if the project is abandoned
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
GAS COOKING STOVE TANK SET GAS LINE
Owner Contractor
THOMAS 0 MOORE AND
ANN R MILETICH
PO BOX 9289
KETCHIKAN
(360) 797 4883
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Qty Unit Charge
1 00
1 00
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
10 6500 EA
10 6500 EA
50 0000 HR
T:Forms /Building Division /Building Permit
10 00001512
211856
622 E 9TH ST
06 30 00 0 2 8615 0000
THOMAS MOORE ANN
description MECHANICAL APPL PERMIT
AK 99901
RS7 RESDNTL SINGLE FAMILY
1200
PIONEER PROPANE LLC
931 CARLSBORG ROAD
SEQUIM
(360) 683 9988
MECHANICAL PERMIT
GAS COOKING STOVE
179671
121 30 Plan Check Fee 00
12/29/10 Valuation 0
6/27/11
Per
Charged
121 30
00
121 30
BASE FEE
ME STOVE /FIREPLACE /MISC APP
ME FUEL GAS PIPING 1 5 OUTLETS
ME INSPECTION MIN 1 HR
Paid Credited
121 30 00
00 00
121 30 00
filM mil /667
Date 12/29/10
M
WA 98382
Due
Extension
50 00
10 65
10 65
50 00
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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. r
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
Inspection Type Date Accepted By I 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
AIR SEAL.
Walls
Ceiling
FRAMING
Joists I Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
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
MANUFACTURED HOMES.
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
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.
I FINAL Date Acceoted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Accepted by
Date Accepted By
Total footprint of structures
Site Coverage the amount of impervious surfa
and other impervious surfaces (see PAMC 17
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant 197V Aj A-I e J
Property Owner 7 1--/...)A/ /-(1 c.e7 7 �f�--. 7Z/v1 V4 0(5
Property Owner's Address
Contractor Pt oh rQ p .o rp,(q-
Contractor's Address 0./I .S
License Expires
PROJECT ADDRESS
Parcel Number
Project Type Brief Description. AResidential Multi- family Commercial Industrial
Check all that apply
New Construction Se2 L, /✓1 E C A-5 Coc)/4,i ,66 .S W r..)
Addition
Remodel
Repair
Demolition
Re -roof House garage other tear off re -roof lay over one layer
o eat System Heat pump wood- burning stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (_g. ft.)
Basement
2 Floor
1 s Floor
3rd Floor X
Garage
Carport
Covered Porch V
Deck
Shed
Other
d
ft. size r sq
on parcel including structures ,'aved
35 for exemptions)
cupancy group
cupant load
Construction typ
Phone
Phone
Phone
E -mail
TOTAL VALUATION
For City Use Only
Date Received 12— 2(1-10
Permit# ck2
Date Appfoved
360 7.q -7 —y
3�1) 7 97- Y'g's�V
Lot Zoning
per sq ft.
of bedrooms
of full baths
f half baths
/,20o.
coverage
iveways sidewalks patios
Site coverage
I have read and completed this application and know it 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, and to obtain permits prior orking on projects.
Dat€4 -1 /16 Print Name AWN Ml te/ l e,17-4 Signatur
T Forms /Building Division /Building permit application
Clallam County Assessor Treasurer Property Details 58705 THOMAS 0 MOORE Page 1 of 6
Clallam County Assessor Treasurer
Property Search Results 58705 THOMAS 0 MOORE AND ANN R MILETICH for Year 2011
2012
Property
Account
Property ID 58705 Legal Description LOT 4 BL 286
Geographic ID' 0630000286150000 Agent Code
Type Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space. N DFL N
Historic Property' N Remodel Property' N
Multi- Family Redevelopment: N
Township Section.
Range
Location
Address. 622 E NINTH ST Mapsco
PORT ANGELES WA
Neighborhood: Cycle 5 Res Map ID 2
Neighborhood CD' 10955130
Owner
Name. THOMAS 0 MOORE AND ANN R MILETICH Owner ID'
Mailing Address: P 0 BOX 9289 Ownership
KETICHIKAN AK 99901
Taxes and Assessment Details
Property Tax Information as of 12/29/2010
Amount Due if Paid on. 7.
Exemptions.
193746
100 0000000000%
NOTE If you plan to submit payment on a future date make sure you enter the
click RECALCULATE to obtain the correct total amount due.
First Second
Half Half
Base Base
Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid A
2010 41624 ST SCH STATE SCHOOL $150 88 $150 87 $12.07 $3 02 $150 88
2010 41624 CC -GEN COUNTY CLALLAM $80.29 $80 30 $6 42 $1 61 $80.29
2010 41624 PORT PORT OF PORT ANGELES $11.28 $11.29 $0 90 $0.23 $11.28
2010 41624 PORT ANG CITY OF PORT ANGELES $185 91 $185 89 $14 87 $3 71 $185 91
2010 41624 SD #121 SCHOOL DISTRICT #121 $195 43 $195 42 $15 63 $3 91 $195 43
2010 41624 NTH OLY LIB NORTH OLYMPIC LIBRARY $23 33 $23 33 $1 87 $0 47 $23 33
2010 41624 HOSP #2 HOSPITAL #2 $32 94 $32 94 $2.64 $0 66 $32.94
2010 41624 WSMET PK DIST WILLIAM SHORE MET PARK DIST $10 48 $10 48 $0 84 $0.21 $10 48
2010 41624 CITY_STORMWATER CITY STORMWATER $36.00 $36 00 $2 88 $0 72 $36 00
2010 41624 WEED CONTROL WEED CONTROL $0 82 $0 81 $0 06 $0 02 $0 82
2010 41624 TOTAL. $727.36 $727.33 $58.18 $14.56 $727.36
2009 587052008 ST SCH STATE SCHOOL $172 18 $172.18 $0 00 $0 00 $344 36
2009 587052008 CC -GEN COUNTY CLALLAM $87 14 $87 14 $0 00 $0 00 $174.28
2009 587052008 PORT PORT OF PORT ANGELES $12.34 $12 35 $0 00 $0 00 $24 69
_2009 587052008 PORT ANG CITY OF PORT ANGELES $191 13 $191 12 $0 00 $0 00 $382.25
2009 587052008 SD #121 SCHOOL DISTRICT #121 $212.93 $212.93 $0 00 $0 00 $425 86
http. /vpn.clallam.net.8084 /propertyaccess /Property aspx ?cid =0 &year =2011 &prop_id =5 12/29/2010
16932
)-.;:JC }?y
port Angeles, Washlngtonn___n...n______..........n___.....___..______.....___.___.. 19mn___
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt.'
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.
Address ....nf..?:?.~n~___..Z~n..__.n.~__n.....___n.n.n___.. OccupanCym.L"<o?.;?.n..,..___n...___...___...n
Owner
____________..______._________________________________.______.___n_____
Tenant___.n.___...n.mn____.m___n___n..mm___.___m.___._n___..n
Wiring Contractor __.n___.nn__n___m.___...______....___.______nnn.n...___. By..__..______..______...___...___.nm__n..______...nnn__nm....
d
Light Outlets....m......m:fmn......_.._..._. ServIce, volts .....__................................ Type of Wiring:
Receptacle outletSnc./9.................. No. wires ........___........____.........___.... .Armored Cable ..............................
Dryer, KW _n.....h...n.......____n...____...____
SIze wires...........n__...................._..
Range, KW ____...___n....._____________:____..
Water Heater:
Main fuse ......n.......__..........__..........
Enclosure n......___......._____..._______......
HeatK:~..:::::.:#..:...::21li::.::::.::::..:.
Type of wiring:
Entrance Cable mm...nom..............
Motors: size. volts and phase:
Rigid Conduit ........m....................
Metallic Tubing m._................__....
Current transformers:
No. & Size.......................................
Ser. No.......................-......................
Ser. No..............................................
Ser. No...............................................
Non-MetalUc ...............-.-.............-
Knob & Tube.................................
RIgid Conduit ...............................
Metallle Tubing ...........................
Raceway ......................._.....___._
Circuits. Light...u_............................__..
Utility.............................................
Heat .u...d..............................._.._.
Range .................d..........___............
Water Heater ..........-....................
Motor .............................................
Dryer ......u........_.............................__
Furnace ........................~_.d..._.._.......
Remark:~ta:..:~.~....::;~:~::~___n~;:::.:i;k.~.~~~~::...:::....:.:::~::..:::.:::::::.:::~::
..._._________u_________________.________.___..______________._._.._______________._______.._.._______.______...._.____._______________._n.________._..__________._--......--
~::~=~::-::~~:=---::9t:lJi:LL
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con.
cealed due notice must be given the Inspector so that ~'ork may be Inspected betore concealment.
"
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
\
\
,
ELECTRICAL PERMIT
Nt?
16932
'.
Address..................._..................................._......................................._......................................Date..._..._.._.._.._.._..........-......-......-.......-
Owner...................................___...._.._......_......_.._..........................-................................Tenant...............u.......................---.............-.-....-...
\
WiringContractor...........n..............d......_..................._.................................................................By.....................................................-.......
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. ..
\ I ,,-
1M Olympic. Printers, Inc.