HomeMy WebLinkAbout212 E Ahlvers Rd - Building
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CITY OF PORTANGELES
DEPARTMENT OF COMMUNITY P:EY'ELOPMENT - BUILDING DMSION
321 EAST 51H STREET; PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
property Use . . . .
Property Zoning . . .
Application valuation
5/06/04
04-00000384 Date
.546880
212 E AHLVERS RD
06-30-15~6-0-0105-0000-
MECHANICAL APPL. PERMIT
RS9 RBSDNTL SINGLE FAMILY
1200
owner
Contractor
------------------------
CHAMBERLIN CLYDE
212 E AHLVERS RD
PORT ANGELES
SOB~ PROPANE
25 SETON RD
PORT TOWNSEND
(800) 6~7.,.5485
WA 98368
WA983623704
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Permit . . . .
Additional desc
Permit Fee
Issue-Date
Expiration Date
MECHANICAL PERMIT'
PROPANE COOK STOVE " PIPE I TANK
57.65 'Plan Check Fee
5/06/04 Valuation
11/02/04 '
.00
o
Qty Unit Charge Per
Extension
47.00
10.65
~
-
?
:ntv')
r '
,~
BASE FEE
1.00 10.6500 ECH ME-NON~HAZ PIPE 1 TO 4
Fee _ summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57.65 57.65 ,00 .00
plan Check Total .00 .00 .00 .00
Grand Total 57.65 57.65 .00 .00
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~
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Separate Permits are requiredforelectrical work, SEPA, Sho..~lin~,E,SA, utilities, private and public irnPIp,,~rne~~.1lJisp'!""i.tbEtcomes
null and<vold ,if workorco,nstruction authorized is not c()mrnen~edwithln 180 days, If constructlon.orwor~'ssuspe.n(ftid"Orabandoned
for a period;9f180 days atterthework as commenced, o~ if required inspections have not been Jequestedv@hi~180d~ fri>mthe last
insp~ctlon"Jhereby ce~ifythat ,I have read and examined tttiS application and know the samfj .to be true and C()rre'Ct.',Ajlp./pvisionsof
laws and ordinances. governing this type of wot!< will be complied with whether specified herein or not Th!'l granting of a pEmnit do.esnot
presume to,give authority to violate or cancel the provisions of any state or local law regulating construction or thepert;ormance of
construction. '
cPt(
Hl~
Signature of Owner (If owner is builder)
Date'
Signature of Contractor or Authorized Agent
Date
T:\PLANNING\FORMS\II02.IS [11/14I2oo3J
( . ,'uILDING PERMIT INSPECT.I~~ RECORD /";.."., > ".
CALL 4174815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR-ELECTRICAL INSPEcTIONS.
PLEASE PRDVIDE A MINIMUM 24 HdURNOTICE.IT IS UNLAWFUL TO COJ/Ei,.JJVSULATEPRCONCEALAlIYWoiixBEF()llE '
INSPECTED AfvpAq(J~PTF:'.~ST PERMIT IN J\~Q~~~W~W()~~~ATION.' ,:n,.,.. .
KEEl> PERMIT CARD AND APPROVED pLANS'J\.T:10B,;SITE. . .n, . ,
INSPECTION TYPE f 'DATE I ACCEPTED .n . , ~MMEr,'lTS"j '(. ....
i ~.\
'. I YES NO .;. ;
I .,'. "
FOUNDATION: I .
FOOTINGS
wALLS ., I
FOUNDATION DRAINAGEJDOWN SPOUTS..... · .' L .
EI..ECrRlcii' (uGlriDEri)S~illn: ~ERMIT:# . .....
. .
ROUGH~tN I I I . '.'
PLUMBING . , .. .; ,On ',,'r .
.
UNDERFL~l\1 SLAB
ROUGH"IN
WATER'~ (METER TO BLOG) I ,
GAS LINE . I "
, , I .
BACK FLOW IW ATER i .
AIRSEAL' . r '''',' .'
'.', .
WALLS I : ........ .
CEILING I I I ,
.'
FRAMING
JOISTS , GIRDERS
SHEAR W ALUHOLD DOWNS I
WALLS I ROOF' CEILING i.... '.
DltYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR I
i .
INSULATION I
SLAB ..' '. I
WALL, FLOOR' CEILING I I T ;
. .
MECHANICAL ;
HEAT PUMP I
GAS LINE I' IC-ln_i\U IGV
WOOD STOVE' PELLET' CHIMNEY . . -.
HOOD I DUCTS .. ..'
PW UTILITIES' SITE WORK (EngineerinS l>ivi~ion) SEPARATE PERMIT #'s:
WATERLINE I METER . I
SEWElt CONNECTION i ...
SANITARY I
I .
STORM
PLANNING DEPT. SEPARATE PERMIT #js . SEPA:
pARKINGlLlGHTING I 'ESA:
LANDSCAP~G I,;,.) , ,,~~
. :r+l,',... .... , .
> I" .,~~p~PlIIS REQUIRED PRIOR '(OOO(!uphN~!Y.~~,: , ,en J.
RESIDENTiAL 1. k' ',"DATE YES NO co~CIAL DAT&,. ,~~~~
.
',! ." . . ,; .... , .. .: . . 'YEs. 'itl/o';,
ELECTRICAL~ UGHT DEPT. 417-4735 "f, .-,',/ .' 1.>-" ....
ELECTRICAL
I UGHTDEPT' '" .i. ".
CONSTRUCTION R. W.I PWI I . CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW I ENGINEERING "
. Ai...w3 . .
~ FIRE DEPT.
4h-4750 ,-.. , 1>:-. -,-. ~ .. : ,....
~GDEPT. PLANNING, DEPT. .
411-4815 r7 ..,/# -(!) '" J.I i BUILDING .. .. ..
BUILDING
T:\PLANNING\FORMS\II02.15 [11/1412003)
PREPARED 7/14/04, 12:36:45
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
3
7/14/04
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
212 E AHLVERS RD
SUBURBAN PROPANE
CHAMBERLIN CLYDE
06-30-15-6-0-0105-0000-
04-00000384 MECHANICAL APPL.
SUBDIV:
PHONE
PHONE :
(800) 647-5485
PERMIT
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME6. 01
5/12/04
5/12/04
RV
AP
NO PHONE NOli
MECHANICAL GAS LINE
BUCK OF SURBURBAN PROPANE
GAS LINE AND TANK SET
ME99 01 :":/~:/r, f ~L MECHANICAL FINAL
~ CLIDE 457-7705
------------------------- ------------ COMMENTS AND NOTES --------------------------------------
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.: 5"- b - 6~
Pemlit #: 04 -3~
Date Approved:
Date Issued:
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
At-x
Phone:
3C() 3g5-~/o 7
3~5~SOcrb
<<6?-77es-
Zip: ?g36Z
Applicant or Agent: 5U~f~ \1c>~
Owner:_k'i. CJt ltMb.et-l t-"'\
Address: 2.\ '2.. ~ AA J \)("n eJ. City:
Architect/Engineer: Nt A- Phone:
Contractor S''-..)kA~~ ~~~ State License #5..J:.ure'lqp,4- Exp: D"3/os-
Address: 25 S-e..~ R. (\, "City:_.R" ( () ~s-ev..o(
PROJECT ADDRESS: '2\ Z E A-h 1~5 (j2J
Phone:
.\).A-
Phone: :3~-~~
Zip: $:3:b8
fll wlJ-~
ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
Credit Card Holder Name: dt~ Koen 2: ( 5t..)bur~ ~p.
Billing Address: 2..S- Se:-~ ~ CIty: ~ Vol ('r
Credit CardType VISA MC X #
Construction Type:
= TOTAL Sq. Ft.
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:~
PLANNING USE ONLY:
ESAIW etland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will
ion will expire. The
Building Official can extend the tinle for action by the applicant up to J 80 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, cunent edition). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibiUty to determine what permits are required ,n the y's, and that I must obtain such permits prior to work.
T:\FORMS\APPS\Buildingpennit. wpd
Applicant:
Date: ,-<;1 L;ja~
PREPARED 5/12/04, 13:07:07
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR ROGER VESS
212 E AHLVERS RD
SUBURBAN PROPANE
CHAMBERLIN CLYDE
06-30-15-6-0-0105-0000-
04-00000384 MECHANICAL APPL.
SUBDIV:
PHONE
PHONE :
PERMIT
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME6 01 5/12/04
14+>
RV
((1/
MECHANICAL GAS LINE
BUCK OF SURBURBAN PROPANE
GAS LINE AND TANK SET
(800) 647-5485
NO PHONE NO#
PAGE
DATE
1
5/12/04
-------------------------------------- COMMENTS AND NOTES --------------------------------------