HomeMy WebLinkAbout156 E Park Ave - BuildingPREPARED 6/02/04 12 34 50 INSPECTION TICKET PAGE 13
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/02/04
ADDRESS 156 E PARK AVE SUBDIV
CONTRACTOR PA SWIMMING HOLE FIREPLACE S PHONE (360) 565 1163
OWNER JONES ELAINE PHONE (360) 452 4857
PARCEL 06 30 15 2 2 0450 0000
APPL NUMBER 04 00000453 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME6 01 6/02/04, JLL MECHANICAL GAS LINE
SETH 565 1163
TAKE PERMIT TO SITE
C, A ec L
r
COMMENTS AND NOTES
l aPtL
(.4EA-cd:,tiso
Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
JONES ELAINE
156 PARK LN
PORT ANGELES
(360) 452 4857
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
T•\PLANNING\FORMS \1102.15 [11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 98362
MECHANICAL PERMIT
PROPANE INSERT DIRECT VENT
57 65 Plan Check Fee
5/26/04 Valuation
11/22/04
Per
10 6500 ECH
Charged
04 00000453
047256
156 E PARK AVE
06 30 15 2 2 0450 0000
MECHANICAL APPL PERMIT
57 65
00
57 65
2500
Contractor
BASE FEE
ME -GAS PIPE 1 TO 5
PA SWIMMING HOLE
518 W 8TH ST
PORT ANGELES
(360) 565 1163
Paid Credited
57 65 00
00 00
57 65 00
Date 5/26/04
FIREPLACE S
WA 98362
00
0
Extension
47 00
10 65
Due
00
00
00
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 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
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
f PLANNING FORMS \1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL 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.
INSPE TION TYPE DATE ACCEPTED COMMENTS
FOUNDATION
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN
PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP
GAS LINE a_ -oI1 I c `i-
WOOD STOVE PELLET CHIMNEY
HOOD /DUCTS
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
YES NO
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
I I I
laitekH"
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
I I I
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I I I
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Address S 125 Ci ty t
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LEGAL DI_S( fill 110(N 11h)Lit
(:LALLAM('(SUNI\ l' h( 1.t NLi 1LI'SLR
Credit Card ((older N .nit
Billing Address (itt'
Credit C,arrlL vpc VISA M(._______ ti F sp. Date
TV PE OF WORk. 'ii1.l\ ALU'UJON
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BUILDING PERMIT APPLICATION
L Ill out PL.F -1 ELI and In INL4. our alt(,tit•nriuu a n t l .silt plait N i l I' I• R1!
O!\11 1. F FE to he accepted for review If vnu ►ra■e any questions, call
(360) 417-481.
Phon,.
Phone ‘l$5'
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ehune
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ttt ufIatlt L u;nl (:.tlll.,truc(ion I1.•i.
ri Pr.lpo.cc:d Sq. Fr
ftrl.11 lot coveritLl'
N I I
3 1 1 1 1)1NC 1'1' HMI L R 1 1 1 It t ilt)ti tit 16:'11 i U (he Liuilttutc I.)i ri. 1,111 sun pruvidt you Irtrontiatiin Oft tr!t. apJ,lic:at I ants
1.t.111 Ki11)11/1t0 11;(111U'c :.11t /J ✓VU N:11 ,1N1. 111 'h
N 1L l!A f1(/N OF C 'O'i' I IRI.J(. I ION (ii all casts a valuation ttrnourrt woo be eltrered by the applt..•itu fin' Iltr.ure ill be rut R.'.t,a
_aid autyheretsellby Ill.1.lul.itnt ►.,fun coluplv\t'il'tt;mrent ht.ttulc uulatt the Permit C uu1(11rl.itur.1141' 411 Ito a: imams
I'1 't.N C.tiI.(l I'EL II .t 1)la,l 471s1_1k 1 •t. I; jut li 11114. L ;)L dhllutletl al lb 1'11111, ill budding permit 1iPPt1I ,tlt)1t ;llttl L. Iit.truttlul= phll: .ut
�t.buiytt c3. ali t�lllw Ile, taut iec:t. :Aft. 11111.1 ut th:c• lrti•, r,J luaauu 13:iuuute
it XPIItA flONI 011 I'1 1h ItF:\ IE1 \I If nu nIr•,lnil i. I, ailed wtrl 181) \tat, Ill the ILLIe ill applic ,Ii appltcallu,t 1' 111 expire `I ht.
I-iuildulg' (_)ftic.lal Lull tklrlid dlt tu iur clt.tltnl b I!t: ah u tr.I ISO tlatia tOJ, 11 tt 1ir(et1 rt.LIue. I l) I!tt appIi :uu I 'i lit)rt Ii, 4 n
the I ott, t.lir'1',1 c'Itliull) NO WI) lll lit.atltllt Lau lit LAl Ill!: 11 luurt Ili,ll t)ltLe
I hereby certify that I have re id and examined this; application and know thn ri--ma in hr rrnN ar nrr'art I :ern iuthc in7nrl to apply tnr thrc. writ ;rrt
understand that it is my responsibility to determine what perrnits are reorred not the f it r's, aCld 1 must obtain such permits prior to work.
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
./'
ELECTRICAL PERMIT
Nt!
16546
S"- Y :>r
Port Angeles, Washlngton..mm..m__..m__,....__mmm__..mm........__m., 19,,000000
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission Is hereby granted to do el~caJ work as listed below.
Address __..l.~.~m.t:.~m.(?YF:;:?~.~,__....______m__m.__. Occupancy____~~.~----___--__mm.m.--
~::~~.~:~:~~~~:~:!~<!:::::~~;:::::::::::::.....::.~::::::::::~::::::::::::::::~~::::::::~:::::~::
Light Outlet...........__............................_ Service, volt. .'!.jt:,J?/-.:?.f6..~.... Type or Wiring:
Receptacle Outlets.........__...m............._ No. wires ..--...~.7.......mu....':"--... Armored Cable .......n..m....U........_
SI 1 >;r;? &ft.// Non-Metallic ................_m............_
Dry"" KW m.m...____..m.......__.m____...... ze w res...~;;..........;n,... .........
'...../f..v (!. .rI Knob & Tube.........__............__.u...._
Range, KW hn...hmnh....mm..h..m....... G7
:::~o:::: :::::'0:5:::.:::::::::.::.::::::: RIgid Conduit .............................--
Metamc TUbing ..__.......................
Water Heater:
KWm.--m--m----;7,.'...1fl3mm
Heal' KW..../.Q.&..'?>!....................
Type of wiring:
Entrance Cable .........mmno__..
Motors: size. volts and phaB~:
Rigid Coudult ...............................
Metallic TubingJ2.~.............n.........
Current transformers:
No. & Size.......................................
Ser. No..__...........................__._......_....
Ser. No. ...__........~...............................
Ser. No....____..............................._......
Raceway ......_................_.....___._
Circuits. Llght..................................._..
Utillty .............................................
Heat ......_................................_......
Range ........................................_....
Water Heater ............_..................
Motor ._._............n..........................
Dryer .......;.............._.__....................__
Furnace .........................._......_...........
Total Load....................~ Ser. No.............................................. Total.......................................
Remark:;,e:----.---------._.-'7'(;----m~----:~.?:'::;~~.~~J2~...~--...--;::c.::.!::--c::.----:--;:....f'~
m----..l&fr~..--..~.J:!.:."..--m--------.----m..m--...---...----..--mm.m---"mnm..,::--.--m--.--"......000____000.000___000000000000.
__._m._________n_______m__m_____.m___.______________mm._________m';:________________.____.n.__n.m.___.m.m~m------.-- ____...........000000........__..
Permit Fee Treas. Recei~~' 9/; ...(?- .. k~
$_______..__000____000___________.____. NO.__m__.____.___________... By ."--r------K-~--..~ .__ m..t:::tJ.~.___..____..."m..m.~-....~
,
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
I
ELECTRICAL PERMIT
".,,/
.-
N'?
16546
Address................................................__.d.............................................................__................!...Date..._....:._.._.._.._.........._......_......_.........
Owner........................_.....________...._.._......_......_.._...........................................................Tenant.............................._.........___.........................
WIring Contractor....................................... ..........................................................................._.......By............................................................._
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work ls,ito.- be con-
cealed due notice must be given the Inspector so that work may be inspected before concealDl:ent. .
;1---"'-""
1M
Olympic Printers, Inc.
.-/