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Home My WebLink About1130 W 15th St - Building ~:~:~e~~~j;~fk~~c~~~~::nrea:6~:~~~~r~~~e~M'~~tffi~Wg~:~~;a:~~~~~~cJ~~~~el%~~~~~J,:r~~~~~:: for a perlod(jf180~ays after the work as commenced.or~rfi':fulr!a;I~~pe~~lons h~v~ not b~nrequested\Ylthini~;~lr~a~~J'!l~the1ast Inspection,; Il:Ier~by certify that I. have, read, and eXaminEldJhisii!ppiiq@tion.aJ;ld know the' same, to be true a~dC()rre<:t AJI provisions of :r::u~~~:~7:;Wu~~:t~nei~~~e~:;:f ;::':~~i~m~~~~~~~~~I!e~rSio~rt::~~~:t~~O~~~~~:~~'t:~:~~~~6e"~} cOnstruction, , . ','j ,,~ ., , · .' " , ' , \' . (ON "PIJ.~ . Signature of Contractor or Authorized Agent\SiQpature ()fQwner (if owner is buil~er) ~tI ~~ - - -::---~,-J--.,-cJF2"':~ ce. :'.'n, -, --:},;:~-----;,", . ',' , ,CITYOF'R0R~ANGELES ,'.. DEPARTMENT 'OF coMMtJNiry: DEVELOPMENT~~BUILDING DIVISION 321 BAST s'tH'STREET.PORTANGEEE$.WA'98362. ; .< ,'. , ';- ), Application Number pin number . , , , PropertyAddress. ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use' . . . . Property Zoning, . . . Application valuation ; owner 04-00000523 .015958 , 1130 W l~n(,si'" ", " 06-30 - OO)/Q-'. ::"3130.:.gpOO- MECHANI~, AP~L:' p'ERMl:;r, RS7 RESDNn. SINGLEFAMILyi '7300" "'~i ,,-, , ;;'.> ,:;' Cont.1':actoi: -~--~~~~~~-~------------- BLOSSC>M'.A1U;EENM 1130 ,W 15TH ST PORT ANGELES 'EV$~;" 257151'HWY101 EORT;;hNGELES, (360) '452,;.~3E;6 WA98362 WA 983637038 - ' ' ' ---------------~-------------------------------, --------~~------, ------------- . , Permit . . " . Additionaldesc permit Fee. . Issue Date EXpiral:ion Date MECHANICAL PERMIT ZERO CL FIREPLACE; 57.65 6/10/04 '12/07/04 ,,,.00 0- PROPANE ' ;Plan'Check ,Fee . va:lJa:tio'ii ' Qty Unit, Charge Per BASE PEE 1:00 10.6500 ECHiME-gASPIPE 1.T05 "";'i1;' Fee sununary Charged Paid .crE~dited Due --------~~--~--~- ---------- ----...---- -~-_7T.------ -----..---- Permit Fee Total 57.65 57.65 '.00 .00 "Plan Check Total .00 .00, ",00 .00 Grand Total 57.65 57 ',65 .00 .. .00 , ' T:\PLANNINQ\FORMS\1102; IS [Wl412003] .....~ .... "I BUILDING PERMIT INSPECTION RECORD - . CALL 417-481 ~ FOR BUILDING INSPECfIONS. CALL 417-4735. FOR ELECfRlCAL INSPECTIONS. PLEASE PROVIDE A MINIMUM24 HOUR NOTicE. ITIS 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. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO . FOUNDATION: ... FOOTINGS WALLS FOUNDATION DRAlNAGEIDOWN SPOUTS ... . ELECTRICAL (UGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I .. PLUMBING UNDER FLOOR/ SLAB ROUGH-IN . WATER LINE (METER TO BLDO) GAS LINE BACK FLOW / WATER AIR SEAL . WALLS I , CEILING I . I i .' FRAMING JOISTS / GIRDERS SHEAR W ALIlHOLD DOWNS WALLS / ROOF / CEILING . DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR . . INSULATION SLAB I WALL / FLOOR/ CEILING MECHANICAL . HEAT PUMP . . GAS LINE 'C' -~~ ./tJl-J TI J WOOD STOVE / PELLET / CHIMNEY . . ...... ........ HOODI DUCTS . PW UTILITIES / SITE WORK (Engineering Division) SEPARATEPERMlT.#'s: WATERLINE IMETER SEWER CONNECTION . .' SANITARY STORM .... , " PLANNING DEPT. SEPARATE PERMIT #'5 SEPA; PARKlNGILIGHTING ,. ESA: LANDSCAPING '. . SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCVPANCYIUSE 'C' . RESIDENTIAL DATE YES NO .. .. COMMERCIAL DATE ' ACCEPTED .'. , " YES NO . .. BLECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL UGHT DEPT CONSTRUCTION R. W./ PW/ CONSTRUCflON - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 411-4653 ..' '. FIRE DEPT: . PLANNING DEPT. 417-4750 ~- l~-( ~ PLANNING DEPT. BUILDING 417-4815 ~>,~,r~cl RV BUILDING ., T:\PLANNINO\FORMS\1102.15 1111412003 . FRO~ :EVERWARM HEARTH HOME FAX NO. :13604523367 4-30-03; 8:12AM;CITY PO~T ANGE~ES ..... Jun. 10 2004 09:01AM P1 ;~(i0417~711 1(. I,' ~,. '~'.'CO=~~'~d::M::-,p:=~~~~~~:MUSTBE ... COMPLETJ: to be ......... for......... It Y'. hay. ally.."".... .aU (360) 417-4815 FOR OPPISJAL USE ONLY:., Dalc Re,.:~<3 - CJ yo Permit II; 0<7/ - 52.s Dille Approved: Date IfSued: Applicant or Agent: ~/ ~ R /~ u1~fI " }/ Phon.: 452. 3'3 b fa O''h1''',~ Y ~/) }-1 B I o.s~.f! ~ U(l)V'C/J ':;J::n"~ I o'J. Phone: ~I.?:l.. -.2.. e Jfl/ ' ,. I S -rH- "": 7'\+ ..J.. 0--- r~ 0 ~ ~ Address:--LJ 30 V'-J.' l CIty: t-', TTl'""'" 8 e..1e-().." Zip: -, 0 ~ <c ~ ArchitectlEngineer: r---- _~ Phone: r::- d..l..... E-V(.tE!,wJ'"F'_ 0-1.-.1._" ... iF Contractor+-VcRL0ARM ~.!~StatcLioellse#: c>~q;~ t... Exp:~ Phone:'-t"S2..-35~1O Zip: q '8 ?, b ""2... Address: :>'57 J ,S', ttN'i I 01 City:J:>1..Jn"~fJ t...~ PROJECT ADDRESS: I \ "3 D L0 I l ~ TH . LEGAL DESCRIPTION: Lot: Block: CLALLAM COUNTY PARCEL NUMBER: 0 i, '3 ZONING: _~ Subdivision: DOeJO 1./ .3/3 0000 r) Credit Card Holder Name: ,.::1 e>fY,/ BUlinl Address: Credit CardType VISA MC # 1YPE OF WORK: SIZEN ALUATION: ;.J!!(R.elidentiaJ 1:1 New Coneb'. C Rc.roof Cl Stove SF. @ $ /SF. = $ C Multi.family C Addition C Move 0 Oarnge SF. @ S /SF. .. $ o Commercial Cl Remodel 0 Demolition 0 Deck SF. @ $ /SF. eo $ ~ o Repair C Sign 0 Other TOTA~ VALUATION $..!1. "5 C?...&. eey BRIEF DESCRIPTION OF TIm PROJECT: gaLl Ft re./} TO ~. ~, jj,' "?Q a r-,\ rt fp A K. .s .0+ . . U"3~Vt?a~ ' J ~>--t t.'Ca. Y"-t n~y City: .. ON F/l.f2 Exp. Date: COMMERCIAL/RESIDENTIAL: Oc(:upancy Group: Occupant Load; No. of Stories: _ Lot Size: .... Existing Sq. Ft. & Proposed Sq. Ft. Existini lot coverage _ % & Proposed lot coverage __% '"' Total lot coverage Construction Type: "" TOTAl, Sq.Ft.. ~ PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DI'WU: FIRE: OTIIE:R:_, ESAJWet1U1d(s): 0 Yes 0 No SEPA Checklist required? C Yc., t:J No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building DiVision can provide you with information on the oppliclltion and plan submittal requircmc:nb if you have questions. V ALUATJON OF CONSTRU(''TION: In aU CA$OS, a vAluation amount mud be entered by the applicallt. This figure will be reviewed'" and maybe revised by the Bullding Division to comply with current fee Ilchedules. Contact the Pennit Coordinator Ilt417 -48\ 5 for asllistzulce. PLAN CHECK FEE: IF a piau check fee is due it must be aubmitted at the func the building permit applieation Ilnd constructi()n plans are su.bmitted. All other permit fees are dllc at the time of p~it illsulUlce. ,,' EXPIRATION OF PLAN REVIEW: Ifoo pemlit is issued within 180 days of the ,date ofapplicfltion, the application will expire, The . BnildiDg..Qffieialcl!l..eXtelid. tbeJime.for.action...by..the-applicant up-to l8O-da-Y8-ypen.writtell:rcquest.by tbe-applicant (see Section I 07Aof the Uniform Building Code. CUIl'ent edition). No application can h,e extended more than once. T:\FORMS\APPS\BulldlngpClTTlit. ~d I he~by certify thElf I have mact and examined thIs application end know the same to be true and correct. I am Buthon'zed to apply for this pennit end undf1f$f8nd thai It Is my responsib11lty to determIne what permits ere required ,not the CIty's, and that I must obtain such permits prior to work. Applican~ f~.i.- DRt., "'I q /Ot.{ MECHANICAL GAS LINE LINDA 452-3366 AFTER 2P.M. PLEASE no gas line /tank in place and unit installed inside/finish t 6/~~:1L) gas line and re-call/jll ~::__:~__~__~___~~~~::~::::sL::: NOTES ____ PREPARED 6/28/04, 13:07:57 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1130 W 15TH ST EVERWARM BLOSSOM ARLEEN M 06-30-00-0-4-3130-0000- 04-00000523 MECHANICAL APPL. SUBDIV: PHONE PHONE : (360) 452-3366 PERMIT PERMIT, ME 00 MECIDlNICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 6/24/04 6/24/04 JLL DA 01 PAGE DATE 10 6/28/04 PREPARED 6/24/04, 12:57:58 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES L LIERLY 1130 W 15TH ST EVERWARM BLOSSOM ARLEEN M 06-30-00-0-4-3130-0000- 04-00000523 MECHANICAL APPL. PERMIT PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 01 6/24/04 .t)~ % MECHANICAL GAS LINE LINDA 452-3366 AFTER 2P.M. PLEASE SUBDIV: PHONE PHONE : (360) 452-3366 PAGE DATE 9 6/24/04 COMMENTS AND NOTES -------------------------------------- ~ lA ~c0 ,-I .... CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 I~UILL)ING PEI~MIT ISSUED: 7/15/2002 PERMIT NO: 13562 OWNER/APPLICANT PROPERTY LOCATION 1130 15TH ST W ARLEEN BLOSSOM 1130 W 15TH STREET Lot: 8 Port Angeles, WA 98363 Block: 431 [] Long Legal 360/000-0000 Subdivision: TPA T: S: Parcel No: 063000043130000 CONTRACTOR ARCHITECT ALL CUSTOM CONTRACTING N/A P. O. BOX 2824 PORT ANGELES, WA 98362-0000 , 98360-0000 360/457-2192 360/000-0000 PROJECT INFO Project Value: $3,000.00 SFD Units: 0 Commercial: 0 Project Type: BACKFLOW VALVE 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 LAWN SRINKLER BACK FLOW DEVICE RECEIPT#9439 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: $27.00 Plumbing: $27.00 AMOUNT PAID: $27.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are requir for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and voi~l if work or con~ ~ction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period ~f180 days ~t~ ~e work as c~nmenced, or if required inspections have not been requested within 180 days from the last inspection/~ I here~y c~ tir~/ hat I have r~d and examined this application and know the same to be true and correct. All provisions of laws and ~inanc~,~ ~ ~r~ing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume't~/give/~,,~r ~/to violate or cancel the provisions of any state or local law regulating construction or the performance of i i Signature of C~ntlr~ctor or Authorized Agent Date Signature of Owner (if owner is builder) Date