HomeMy WebLinkAbout207 Dolan Ave - Building
'.
RS7 RESDNTL SINGLE FAMILY
1200
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4/r;rrIOCi;
CITY OF PORT ANGELES
DEP AR1MENT OF COMMUNI1YDEVELOPMENT - BUILDING DIVISION
321 EAST5TH STREET. PORT ANGELES, W A 98362
;1Wpi.icll;tion Number
.,' Prope~yAddress .
;.j\SStu,lSOR PARCEL NUMBER:
, .;Aw:tication d,esc#ption
., SUbdivision Name
property Use . . . .
Property ZOning. . . .
. Application valuation
04-00000085 Date
207 DOLAN ST
06-30-09-5-2-1574-0000-
RE-ROOF
2/03/04
OWner
Contractor
~-----------------------
HEADRICK CAMILLE
915GLENBROOK CIR
PORT ANGELES
WA 983626736
PENINSULA ROOFING
1216S. H ST.
PORT ANGELES, WA
PORT ANGELES
(360) 417-1039
WA 98363
Permit .. . .
Additional desc
Permit Fee . . .
Issue Date . . .
Expiration Date. .
BUILDING PERMIT - NO PR FEE
REPAIR REAR VALLEY FLASHING
68.35 Plan Check Fee
2/03/04 Valuation, . . .
8/01/04
.00
1200
Qty Unit Charge Per
Extension
.47.00
21.35
BASE FEE
1.00 3.0500 HND BL-501-2K (3.05 PER C)
- - - -.-- - -.... -.--" - - -.. - - -.. -..... -- - --...... - -.. -.. -........ - -.. - -.. -...-.. - - - - - - - - - - - - - - - - ~ - - - ----
.;1.;' Other Fees
",,<;<'>'" -- '.
STATE SURCHARGE
4.50
Fee Summary
Charged Paid Credited Due
---------- ---------- ---------- ----------
68.35 68.35 .00 .00
.00 .00 .00 .00
4.50 4.50 .00 .00
72.85 72.85 .00 .00
~:~~~~~~~----------
~permit Fee Total
~~lanCheck Total
",Other Fee Total
.dl.rand Total
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SltP~r@t~,~~:pp~are required for electrical work, SEPA, Shoreline, ESiA, utilities, private and public improvements.]hispel1l1i~~QIj'''~~
n~Jta~4~~~fworkorconstruction authorized is not commenced within 180 days, If Construction or work is suspende~ .oraba~~'()n.~d
fo. fa ,~",::mQ".d~f<l-80daysafter the work as commenced, or if requiredJnspeCtlons have not been requested within180daysfrcjm.tt:ie~:'as,J
l"speqtt<Jh?~~erebycertifythat I have read and examined'thisappllcationand know the same to be true and cOrrect. AtIPrOyisiollsof
la~saila-ofdi'iJancesgoveining this type of work will be complied With whether specified herein or not The granting ota pelTl1itciqe~not
presPrr1e to give authority to. violate or cancel the , provisions of any state or local law regulating construction or the ' perfoimarlceof
c:onsWctlQn. "
Date
Signature of OWner (if owner is builder)
T:\PLANNING\FORMS\1102.IS [11/1412003]
',ii" .' .~<' './0
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..... , > CALL 417-4815 FOR BUILDING INSPECfIONS. CALL 417-4735 FOR ELECfRlCAL INSPECfIONS. "'f.!l i,
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>JiDT 1::A co", PROVIDE A MINIMl.JM24HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE, OR ".\,' (.;,' ;,
,', ,~ INSPECTED ANpACCEPTED.. ~T PERMIT IN A CONSPICUOUS LOCATION. .. i....;;,;
.'.,'.. , . '. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. .. ,,<
INSPECTION TYPE DATE . ACCEPTED ':;." . <<;:OMMENTS .....
ii. .....,
'. '. YES I NO . \..:;<....< ;
",.;;",',, '._,,'C . ..... . , . ". '\/"" .:',
*.,'tJNDATlON: ."
.... -. ' ' -.. . . :. . , J.
~..~GS , . .
j... .' '.
.i WALLS , .. ,
'f ". FOUNDATION.DRAlNAGFJOOWN SPOUTS .... ..
; : ELECTRICAL (LIGHT DEPl') SEPARATE PBRMIT: # "'". .....,
". ROUGH-IN '. I I ". ,.
'". PLUMBING '.. ".
't .' ,,.
'.\, UNDER FLOOR I SLAB
.,.. ROUGS-IN
.....;..' VI ATER LINE (METER TO BLOG)
..... GAS LINE
C~i.>.t iiBACKFLOW IWATER . .
_:,,:'_'')';'i,.. .
'Am SEAL
, WALLS
....
CEILING
. .
FRAMING '.
JOISTS I GIRDERS
\ SHEAR WALUHOLD DOWNS .
........ WALLS! ROOF I CEILING
.... DRYWALl. (INTERIOR BRACED PANEL ONLY)
" T~BAR
.
" .
. INSULATION
e::t . SLAB
, > WALL/FLOOR/CElLlNG ' I
>i\ MECHANICAl. .
! I .
HEAT PUMP
GAS LINE .
WOOD, STOvE1 PELLET I ClUMNEY
.' HOOD I DUers '.' .
P)V UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE I METER
SEWER CONNECTION . . .
SANITARY
STORM
PLANNING DEPT. SEPARATEPERMIT#'s SEPA:
PARKINGlLIGHTlNG ESA:
'4NDSCAPING .. . . SHORELINE: , .
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE 'y. .' .'
RESIDENTIAL ,,'DATE YES NO " COMMERCIAL DATE ACCEPTED
.. YES. NO
'ELECTRICAL - UGHT DEPT. 417-4735 ELECTRICAL
UGHT DEPT .
I
, CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW I ENGINEERING ..
... . .'
FIRE .417-4653 FlREDEPT... '\f ' ...
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNlNG\FORMS\II02.15 [11/1412003]
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CITY OFPORT ANGELES
DEPARTMENTOF COMMUNI1'Y DEVELOPMENT - BUllDING DMSION
. 321 EAST 51H S1REBT, PORT ANGELES, WA 98362
APplication Number . .
pin number ... . .: .
Property Address
ASSESSOR PARCEL NUMBER:
Applicat.ion.description
_ Subdivision Name ..
PropE!rty Use
Prope~ty Zoning . . .
Application valuation
04-00001117 Date
.730099
207 W DOLAN AVE
06-30-09-5-2-1574-0000-
MECHANIcAL PERMIT
12/03/04
RS7 RESDNTL. SINGLE FAMILY
500
owner
Contractor
HEADRICK CAMILL'E:
915 GLENBROOK..CIR
PORT ANGELES
WA 983626736
.PELLET HEAT CO.
230 EAST 1ST SUITE C
PORT ANGELES WA 98362
(360) 457-4406
-------------~-----------------------~--------_._-------~-------------------
Permit . . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
INSTALLATION OF DUCT WORK
57.65 Plan Check Fee '_
12/03/04 Valuation . .
6/02/05
.00
o
Qty Unit Charge Per'
BASE FEE
1.00 10.6500ECH ME-VENT SYSTEM OTHER
Extension
47.00
10.65
Fee swmnary 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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Separate Pennltsare required for electrical workrSEPA, Shorel.ine,ESA,.utilitles, private an~ ~*iglprQven)e~~ ]l)i~;Pf~~S,
null and void if work or construction authorIZed Is not commenced within. f~9ctays, if constructlonorworklssu~pefld~d.orab~n~o":~
for a period of 180 da. ys. after the work a.s comme. need, or if required In. sp8cti..-:.' ona have 00. t bee. n requested WIthin 18Jl.'~8ys.. .. '''. fro. m. ^lhe. his. t.
InspectfOn~. 1.~ereb~certifY that I have read and eXamined this application and know the same to be trueandcorreci. ,6Jlproylsionsof
laws and ordinances governing this type of work Will be complied with Whetherspeclfled herein or not Thegrantlngofapertnltdoesnot
presume; to. give authority to violate or cancel theprovlslons of any-state or local law regulating construction or theperfortnance of
construction.
cD.AI ....FIL.~
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner Is builder)
T:\PLANNlNG\FORMS\II02.IS [1111412003]
IV':
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BUILDING PERMIT INSPECTION RECORD
!
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CALL 417-4815 FOR BUlLDINGINSPECI'IONS. CALL 417-4735 FORELECfRICAL INSPECflONS.
, ,::.. ""~ . ' - , " " , - ' " ".-':' ':,~" --- ' " -' - " , " :
PLEASE PROVIDE A MINltdUM24 HOURNOTlCE;/T IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANYWORK~EFORE
. INSPECTElJ,:ANDACpEfTED~ .POST PERMIT IN'A (:ONSPIcyO{JS J.,()(;ATION.
"KEEPPERMrrCARDANDAPPROVEDPLANSATJOBSrrE. '.1 ".
INSPECTION TYPE DATE ACCEPTED ' ... . COMMENTS
I YES I NO -r'le
. . '.
FOUNDA.TION: . .'.
FOO'riNos , .
wAiLs i ,i ,
.
FOUNDATION llRAINAGEIDOWN sPouTs , , .
ELECTItI~ '(l.IGHTDEPn " Sm;A.RArn~: # . I
...... t
ROUGII~IN . I I , I 1 .
. .' '.'
PLUMBING , , .
, . . . ..
UNDER FJ&OR I SLAB , ,
.
ROUGH-IN ,
WATER LINE (METER TO BLDG) ,
, " , "
GAS LINE ". '/
BAcKFLoWiw!.TER .
, " " I,'
AIR 8EA:L. . ,.' '.
WALLS .. I ..
,
'CEDi.liltG . ", I I .
FRAMING'" ' ..' , .
. ,'.' .r
JOISTS 1 GIRDERS . , ,
SHEAR WAllJHOLD DOWNS "
W AI.LS 1 ,ROOF 1 GBILING . i' ,
.
DRYWALL (INTERIoR. BRACED PANELONL Y) .
T-BAA, ." "',.'," '. .
,
: ,. '."
INSULATlOl'I
SLAB ", I , .... I
WALL: 1 FLOORl CEILING I I '.'.
MEC~ '.
,'. i
HEA.f,~ . I
0AS;1>1IG "
wool) sTOwiPELiBT 1 tiJIMNEY , ,
. HOOPI Dticrs,ii .... . !
PWUl'lLlTIEs.l 'SrO:WORK \~~;;~ '~"- "';"., ' -, " . t
~1li~iIKiD)~ARATE PERMIU's:
'.,-,-, I
WA~I"9~ .'
.' "
I
SEWER CO~cnON, '. . I
SANITA1ty "", i
. "
S"I'ORN ' ','
,.'
PLANNING DEPT. . SEPARATE PERMIT #'s , SilP A: I
PARKII"fG/!:-I.GHTIJIiG ,':,' , , ESA:
. [
~ING ...-,..--..'-,.,.._,........ ." ',".," :' . " . SIIO~
:",,'.,c, ,.,......'"". , " .
. "" /,,.i.., :;c.';' ':".' .~#:~~I'~()NS REQUIRED pmoRro.9Cqw.~~N~.: .
". A' ' , :'
,.' RESIDENTIA1. ' !; ...;' . ' DATE YES NO COMMERCIAL , DA~ ",A,~~" "
. s '. .;; , i', .c' .....) ':"YES;:. <.::NO';';
.' ... ". . . .i 'i,' .. :, .
ELECTRlCAL~ UGHTDEPT. 417-4735. EU:criuCAL .
.' , .. UGHT DEPT , i :
,
CONSTRUCTIONR. W.I PWI 417-4807 CONSTRUCTION ~ R.W. ... .
ENGn.IEI!RING : PW 1 ENGJNI!ERING ,.
FIRE;' .J' 417-4653 FIRE DEPT.'. .. ' .'. ",
PLANNINGI)EPT. '. , 417-4750 PLANNING DEPT. . . '.. " . "~"",
"
BUILDING .... .'. 417~15 I/~,I q-lir Jc L BUILDING , ..... . .. .... ....
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T:\PLANNING\FORMS\1102,IS 11/1412003 . I ,
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11 -24,-04; 4: 15PM
360 452 0503;#
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e- 1 -00: . <I : :.!OPM I C I t)/ , Of'" P.A';;F~NT, CNTR
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~17 471' ~ \/
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.' .~. ,'''; /t'J:':~~.,',. ;,.,~
, "'BO'ltBtfl'~f~:E PERMIT APPliCATION ,ij
'.',"'.'",''' '/~fi:,;:).ji)""",
. ", ; ',:,;:. .i'?~':.t.Y.fj:~lt ~.:.... ' ,
,17le Building/Fii-t'PVmJl ApplicQf(on mus/be /1/1", OUI completely.
Plein type or prlDt bi'b)~:',U')'ou have any que.UoQ~ please call (360) 417.4815
.: '.',Fu'~u.mber: (360) 417-4711
fOR OI'Pl~ usa ONL. Y:
~:u~~: - ~(&:
DAle Approv~d:
D&lo luuCld:
Applicant and/or Agent: ?F:t J' ~ ,.' ~
Owner: KLl~..~ ~f.ldi".".;.
Addr"S:A='~ ....
Contra~~~~ I'~ ,~j~,':,:.., ,
Address; 'Zr.l-C EA J sr ...'''; ",' "
C'Pl
Phone: ~~'7-ASCb
Phone:
City:1?c..J)ub~
License #:~~EXP:~4 _~
City:~r .~6m.~
zip:gAA~?
Phone:4Ei'J-44l'\ (0
Zip~3W
... ", I"
C,edit Card Holder Naln':...AJ'lf L.:.t^~. ~\" 16"
BilUngAddtsss:
Credit Card Numbe,r C>kJ :' .'. :8 G:
City
Exp. Date,'
Zlp:
nSA_MC_
PROJECT ADDRESS: ' ?n:LJ)Q.- ~LJ
. ,
LEG~ DESCRIPTIONr Lot:~.9?, ~33!.-B!~ck:J ':) Subdivision: n,.~Llc:.
CLALLAM COUNTY PARCEL N~ER: 0lo3~-1574.CCl:X:)
"."",', .
ZONING
~()(} rTIl"lU
JYPE OF WORK: . .,'.:',
~ Rtl.lliden till 0 MUlti-famlly.:., ,~:. .f.r~~iAl. .0 Retoof
:BRIEF DESCRIPTION OF 'I'Bi'PRo%c+i'" J AJSrAu
. L:';;\I,i~~'.~~":.'1..?\'
. "
. ,~, ".~'~'t;~.,I~,:~~".:,.
VALUATION (Colt of project mi.ui I~el'tu) S S- (!)O, 00
. . . ",'; ?,,:~'::.~':i,~;~T.:,::;:: '.: , . .
' . "'. '. ."\~,\ ij~, .('1. _', .
'. . ..',' ",,,',I}..~,I'i~"I:''''l'''I'' \
BUILDING P&RMlT APPLlcAUON.'SWMlrrAL: Your complcted application, site plBh (f~ additions) and building C(JJ:litrUction
pions lU'e to be suq,mltted to the B\ii14.iij DiViilon. . '
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V ALUATION. OF CONSTRUcnO~:;;~:,iIM"cas'C!, a v8:luation amOWlI must be entered by ~e IlPplic~t. This figure Mil be reviewed
and may be rIMBed by the Bulldlnl Div. to comply. WIth currmt fee scl1edulel:l. Contact the Pe11ut CoordlJlator at 417.481 S for assistance.
I ..,1,. .
a LP-gaa
V glJT 'j), ~~ 1="LJ.1I
~ 5-rnvlS'
EXPIRATION OF PLAN REVIEWI,;Jfn,C! permit is issuc:d within 180 day. of1be tlate of application, this application will expire
by limitations. The Bui.1ding Ofticiarcili:'~tcD~.ihe.time for action by the Ilpplicant up to 180 da)'s, on writtm request by the applicant
(see Section J07.4 'otthe Unifbm{BUu'd.lii.~C04~'Current edition). No application can be eXlended more than once, ;'
. ", . '~.'\;\:. :.: : '.'-:, .. '
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1 hereby certify Iha/ I have read and qQ;"i~:e~'lh~ application and know the .rame 10 be true and correct, and I am Qulhonzed to apply
for (his pennif. / understand it tJ n.OI iht. CilY,.f!~SQI responribilll')' to deli!/'I/Iine what permits are re red: it remains the applicant's
f'esponsibl/{ty ro determine what permits .a~ 'required and (0 obtain such.
'. ...;.....L~:.:: .\:r>: .
PW.l102..23 (m'J/.oo) Cr~it...C"cl Holder's SillJ.\8(\U'C:
//-2 Lj.-"o/
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PREPARED 1/19/05. 12:05:50
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
12
1/19/05
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
207 W DOLAN AVE
PELLET HEAT CO.
HEADRICK CAMILLE
06-30-09-5-2-1574-0000-
04-00001117 MECHANICAL PERMIT
SUBDIV:
PHONE
PHONE
(360) 457-4406
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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""'-.:--~,-~---:.~:::;::::~ AND NOTE' --------------------------------------