HomeMy WebLinkAbout2027 E 1st St #6 - Building
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CITY OF PORT ANGELES
,DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property zoning . .
Application valuation
05-00000477 Date 6/14/05
134339 #-0(.,
2027 #~ E 1ST ST
03-63-01~2-8-8284-6000-
FIREPLACE/ INSERTS/FREESTANDING
RS7 RESDNTL SINGLE FAMILY
280
Owner
Contractor
SMITH SUSAN A
2027 E 1ST ST TRLR 3
PORT ANGELES WA 983629094
FERRELLGAS LP
ONE LIBERTY PLAZA
LIBERTY
(360) 683-9029
MO 64068
Permit
Additional desc .
Permit pin number
Pe rmi t Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
REPLACE ELEC.STOVE
51961
57.65 plan Check Fee
6/14/05 Valuation
12/11/05
.00
o
~
'0
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~
~
~
Qty Unit Charge Per
Extension
.47.00
10.65
.00
BASE FEE
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5
.00 13.7000 ECH ME-REPAIR/ALTER/ADD APPL.
Fee surrunary Charged Paid Credi ted
----------------- -------~-- ---------- ----------
Permit Fee Total 57:65 57.65 .00
Plan Check Total .00 .00 .00
Grand Total 57.65 57.65 .00
Due
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.00
.00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements.Jhispermit 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 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
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Signature of Contractor or Authorized Agent . Date Signature of Owner (if owner is builder) Date
T:\Policies\] ]02_15 building pennit inspection record05.\\'Pd {1/4/2005]
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BUILDING PERMIT INSPECTION RE~ORD
CALL417-4815 FOR BUILDING INSPECTIONS. CALL417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES I
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVE,R; INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS A T JOB SITE
I INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOVNDA nON DRAINAGE I DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS I I I
CEILING I I I
fRAMING
JOISTS I GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL (INTERIOR BRACED PANEL ONI. Y)
I-BAR
INSULATION
SLAB I
WALL I FLOOR I CEILING I
MECHANICAL
HEAT PUMP I FURNACE I DUCTS
GAS L"INE
WOOD STOVE / PELLET / CHIMNEY
COMMERCIAL HOOD I DUCTS
MANUFACTURED H01\1ES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARA IE PERMIT Il's SEP A:
PARKINGfLIGHTING 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./ PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417.4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Polkies\II02_15 building pennit inspection record05.wpd {1/4n005]
BUILDING PERMIT - APPLICATION
FOR OFFICIAL 0SE ONLY,
Datt Reo.' (lb 14/dl5
P"mit#"OS.4-'1-r
Date Approved:"jl4-~
Da,,],sutd r;./l4/0!3>
Fill out COMPLETELY and in INK. Your applicatior: and site plan MUST BE
COIvlPLETE to be accepted for review. If you have any questions: call
PEEMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: <;)/./ ON
Owner 5If /II- .;e;; .
Address- 2(J 27 C. /,r c;; /1-;;;(
ArchitectJEngineer: Fe" r C 1 - C /J <'
-
Contracior~,z..eL GAS
/~A I 'L -f#JJ
Phone .5 tf () - i-!7-:2 - ? 2 91
Phone:
City tltf I1dc; ?j <:(
.
L/,c
Phone:
Zip 9 7 ? 6 '7--
~ J'j -962 '7
-:
State License #:
Exp:
Phone:
Address City:
PRO,mCfADDRESS . '20 ')..1 E: (<;;J Si ...j\- y,
.
LEGAL DESCRIPTION: Lot: Blocle
CLALLAM COUNTY PiuZCEL NUMBER:
Zip:
ZONING:
Subdivision:
'. '.
p. .
Credit Card Holder Name:
Billing Address:
. Credit Card Type VISA
TlTE OF WORK:
o Residential 0 New Corutr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Co=ercial 0 Remodel 0 Demolition
o Repair 0 Sign
BmEF DESCRll'TION OF THE PROJECT:
!2'E..F'l.-Ao NC, t..l~G. SbV6 Vo/ fh::,~VIe. s-love.
COMMERCELfRESIDENTIAL: Occupancy Group: Occupant Load:
City:
MC
II
Exp. Date:
tJ( Stove
o Garage
o Deck
o Other
SIZE/VALUATION:
SF @ $ ISF. ~ $
SF. @ $ ISF. ~ $
SF. @ $ /SF. = $
TOTAL VALUATION $ .::.130-
Corutruction Type:
No. of Stories: Lot'SiZe:
Total lot coverage
Existing Sq. Ft.
& Proposed Sq. Ft
~ TOTAL Sq. Ft.
%
PLANNING USE ONLY:
.. ...-.....-....-.-.-- .... _ ...... .... n .-...-- ....-.
ESNW etland(s): OYesDNo SEP A Checldist required? 0 Yes 0 No Other:
APPROVALS:
PLAN:
BLDG:
DP"WU:
FIRE:
OTHER:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contactthe.Permit Coordinator at 417-4815 for assistance.
PLAN CRECK FEE: IF. a plan check fee is due it mustbe"submitted at the time the building permit application and corutmction' plaru are
submitted. AJl other permit fees are due at the time of perut issuance.
EXPU'..ATION OF PLAN EliVIEW: If no permit is issued witllli~ 180 days of the date of applicatiou, the application will expire. The
Building Official can extend the lirae for actiou by the applicant up to 180 days upon written request by the applicant (see Section Rl 05.3.2
ofllie International BuildingJResidential Code, 2003). No application can be eA'tended mDre than once.
/ hereby certify thai / have read and examined this application and know the same to be true and correct. / am authorized to apply for this permit and
understand that il is my responsibility 10 derermi II< at permits are JJ quired ,not the City's, and that / must obtain such permits prior to work.
T:\PoliciesIBL-] l02_13.wpd
Applicant:
Date:
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