HomeMy WebLinkAbout1006 S G St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000586 Date 6/16/03
1006 S G ST
06-30-00-0-3-1400-0000-
MECHANICAL APPL. PERMIT
2600
Owner
Contractor
DOUGHERTY HOWARD J
1006 S G ST
PORT ANGELES WA 983635528
ALL WEATHER, HEATING & COOLING
302KEMP ST.
PORT ANGELES, WA
PORT ANGELES WA 98362
(360) 452-9813
Permit MECHANICAL PERMIT
Additional desc
Permit Fee 57.65 Plan Check Fee .00
Issue Date 6/16/03 Valuation 0
Expiration Date 12/13/03
Qty Unit Charge Per Extension
BASE FEE 47.00
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65
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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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 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 applicatron 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 VI te or ca el the provisions of any state or local law regulating construction or the performance of
construction .
Signature of Owner (if owner is builder)
T IPLANNINGIFORMSIII02 15 [4/2002]
Date
"
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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:. . ~ ,J
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE ~;'7J()5 (\1. J-.
BACK FLOW / WATER ,
,
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYW ALL
T-BAR
INSULATION
SLAB I
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIVISion) SEPARATE PERMIT #'s.
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA
PARKING/LIGHTING 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 / PW/ CONSTRUCTION - R W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT. 417-4750 r PLANNING DEPT
BUILDING 417-4815 It: /il.."'2. /0 ", "J)... BUILDING
T \PLANNING\FORMS\1102 15 [4/2002]
FROM : ~LL WERTHER HERTING & COOLING
FRX NO. : 360 452 5177
Jun.
13 2003 09:24RM Pi
FOR OffICIAL use ONLY.
0.111 Rcc.~
Permit,: S ~6
Date Apprvved:
Oala luuo4:
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BUILDING PERMIT · APPLICATION
The Building Pennir - Pre-application ",lISt be j1Jkd ollt completely.
rleue type or prillt in iDk. If you have Iny qUFStions, pleue call 417-4815
t? d Y/1f?J phonc:3t<<OrL/5J-ff:0
, Phone~jlltJ - (L?z.. -77td[)
/tJilN. (.;,<9 CityPtrf-&7lde-') ~ _ Zip: ?jw;3
Architcm/Enginc:cr: , Phone:
CoDIIw:lor If1IIJJ/tr!it.f LiCf:lDOe #:/J/((I/f!fcf5:kc)Bxp: q l/O~~ Phone: tJ52-?f/ :::>y
AdUI;~:-e~G Cj!!!,I--~!(~ Zip: 9g3tP;?
p.~ ~t:fiS:. !l!2.c,-h. _~f-rzp~ L- ___ ZONING;
LEGAL DESCRIPTION: Lot: Bl~; SubdiviaiOD:
~I J.UI COUNTY PARCEL ~ Credit Card Bolder Nanse; ~
1IIIUq~: City:
Credit Cud ,: Esp. Date:
Applicant or Agent:
Owucr:
Addrcaa:
VISA
Me
I
!7P&OP~ ~~1AnON'
iO'R~Mmi'l 0 New Ccmstr. 0 Ile-roof 0 Woodstove SF. @ $ ISF. "'" $
o MlIlti-family 0 Addition C Move 0 Garage SF. @ $ /SF. _ S
o c.m-.:w ~ ~I ~ ~:tilioD ;; Deck 'tAli'''A To~'thUATIONISP-;$ -:;;;;u
~ftOP4rKljf:w~~~;;zfn~Jf ~W J :J----;fJ'f
COMMEa~EN11AL: Occupancy Group: Occupant Load: Constmction lypc;
No. of Starica: Lot Siu: % Lot Coverage; %
Existing Lot Coverage: Isq. ft. + Proposed Lot Coverage: /sq: ft. = TOTAL LOT COVERAGE: Isq.ft
~GUSEONLY: APPROVALS: PLAN
Nota: ~
DPW
PIllE
ESAJWctland(a): 0 Yes ~ No SEPA Checldist required? Q Yes l::J No Other: OTHER
" ' :, BUILDING RRMIT 4PPlJCAnON SUBMlTrAL: YDur IIpJ'1i<<tiotl tUtd s/U phil"'" be JIIW Dill ~", _ <<\ 'lJlMlJ-r
review. Tho Buildiug Division can provide you with more detailed information on the application and plan submittal requirements. Your
completed applic:ation, site plan (for additions) and building consauction plans are to be submincd to the Building DiviBion.
V ALUAll0N 01' CONSTRUcnON: In aU c:uea, . muation amount must be elltered by the applic:ant. Tbia figure will be ~
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistaucc.
PLA.N CHECK PEE: Your plan cbec:k. fOl:l is due at the time the building permit lIppUc.tion aDd CODSauction plana are submitted. All othor
permit fees arc due at the time of permit isswmce.
EXPDlATION OF PLAN REVIEW: If no permit is issued within ] 80 days of the date of application. this ,appUeatioa d upire. The
Building Official can extend the tune for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, C'IllTeQt edi~)" NQ application can be extended more,than once.
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date b"'--li-63
.:
Time
~
Received by
RJ
(phone, person)
Location of Work to be inspected I CDb ,<;(""') ~.
Name of person requesting inspection A (I t.0ea..,+~ Br-
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
SJ-
INSPECTION NOTES: ~ ,j.__
Inspected: Date ~ 7 / (')l Time
Remarks: '
ole
iJ~
f
By
,]C
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Other
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date C'(", !'r"?/00
( I
/
Time
J I ~
.~
{
Received by ~ je~l.J~-
S' person I
So, \I <::," r -r-.
Location of Work to be inspected ( otf'd b L:L:. ~ ~
Name of person requesting inspection m I J-<. e.-
Address of person requesting inspection Phone No. liS/) -J.j I"~
Type of Inspection (circle appropriate one): --=- Permit No. s-l{ b
Sewer Foundation Framing Chimney Plumbing 6) Sewer Excav. Other
~ c.-c--
-DC
INSPECTION NO~f~~ f .^ t')
Inspected: Date ~
Remarks:
Time~ 1'4.
By
~?
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC
D Other
D Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
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FEE TCEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
000435
PERMIT NUMBER
.
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TOTAL FEE'
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. 3 c/ ~. 0':. ,~.{RSce, .J1JW- ,/ - ,
.' ,I.. " CON;r.L1C.Nq. i TIME.TOC~~f'LE:rE '.
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NO. STORIES
LEGALQCCUPANCY
Owner
Owner's Address
Day Phone Instaih3rs Phorie
APPlicai,on is hereby m'ade for"Permit to install ElectricaJEquipm~nt as f61lows:
I .
ERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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Wiring Method /1 hi.
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USE OF CIRCUIT
,
, ,
NUMBER
CIRCUITS
",AMP,
'PEA
CIA
"120V\ '.
'"
240V j~"
100R FEE
30
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PER
CIA
120V
'0
240V
100R
30
FEE
LIGHT
LIGHT . ,.
,
CONVENIENCE
CONVENIENCE
I
APPLIANCE
,
DISHWASHER
,
DISPOSAL
. RANG'e
I
OVEN
I
WATE'R HEATER
LAUNDRY
,
DRYER'
,
FURNACE
GAS -:OIL
FURNACE.
ELECTRIC
ELECTRIC HEAT ,- , , J
( ELEC~RIC HEAT fo/L X v'
A.C. UNIT
,
FEEDER
,
SIGN
50 VOLTS
OR LESS
MOTOR
MOTOR
MOTOR
FIRE ALARMS
BURGLAR ALARM
MISC,
REINSTALLATION LIGHT FIXTURE #
SUBJOTAL FEE
ENERGY FEE
BASIC FEE
TOTAL FEE
?t!, tlO
.
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
dtJtJJ AMP~~ PHASE
SIZE OF SERVICE ENTRANC~~O~~RS
SERVicE l,J,o 0 j/ J(Jp:O AW-G,
, I SUB-TOTAL '-2~~rO SIZE OF GROUND SIZE OF ENTRANCE SWITCH
'I _ . , ,
I certy that the work to be performed under this permit will be done by the installer and iuce ~~,C, Electrical Code,
DateApplicationmade @r;1: /0 ,g::c;-- ,19 By IJ . --
I - / ff CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
P~rmission is hereby given to do the above described work, according to the conditi~s hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the.City of Port Angeles.- '.'\ v.\~. ,\
I ' ~~O~.CI~y,Lj~HT _,'I _I,' \
Date ,crmillssued " ~C.NS :?Z~VEO ," ~'
ItJ'r/tJ- Z' 5 - Notify Department of City light by Street Address and Permit Number when ready for inspection. Work mu~t ~ot
; be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158.
WARNING
I
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. OrIginal CANARY - Duplicate PINK - TrIplicate WHITE CARD -Inspector's Report
OLYMPjC PRINTERS, INC.
~,~~,~':\ ~fi:i,:~:;
REPORT OF INSPECTOR
- - \ '..
,. \
DATE OF VISIT MADE BY --- REMARKS
-
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10' .2 j- f's- //1 ;Y ~ O.K. FOR COVERING
(@'l/-r"..- 111 -
O.K. TOCON~ECT SERVICE
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I'''III-,Its'-- 0 FINAL O.K.' ,
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