HomeMy WebLinkAbout612 Rose St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
WRIG HT TERRY R /ALICE
PO BOX 3092
SEQUIM
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00 50 0000 ECH
WA 983825006
MECHANICAL PERMI T
FREESTANDING WOOD STOVE
65102
50 00
11/09/05
5/08/06
Fee summary Charged
Permit Fee Total 50 00
Plan Check Total 00
Grand Total 50 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.
of Contractor or Authorized Agent/ Date Signature of Owner (if owner is builder) Date
TA \1102_15 building permit inspection record05.wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
05 00001110
230280
612 ROSE ST
06 30 15 5 4 0555 0000
MECHANICAL APPL PERMIT
RS9 RESDNTL SINGLE FAMILY
2000
Contractor
PA SWIMMING HOLE
518 W 8TH ST
PORT ANGELES
(360) 565 1163
Plan Check Fee
Valuation
ME WOOD BURNING APPL
Paid Credited
50 00 00
00 00
50 00 00
Date 11/09/05
FIREPLACE S
WA 98362
Due
00
00
00
00
0
Extension
50 00
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 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 FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750 I t
BUILDING 417 -4815 I L XP
r ws 1 I 1117 15 III ildinn nermit inspection record05.wpd (1/4/2005)
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
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 1 NO
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
1 1
I I
I I
I
I I
I I I
I I
I I
I I
I
I I
I I
I I
I I
I I
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
I -63I'IU
SEPA.
ESA.
SHORELINE.
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
I I
I I 1 I
1 I I 1
,s;y)oilmin /hone/ Q /16 Owner II 1 W Mk
Address C!/ /e-(/, L c 171 City' hbY/ YT'ZW'S ,111A- Zip D J6
Architect/Engineer cogino Phone Contractor X /L, State License J /V /J //7o ��;p /6 Q Phone 3
Address /mot/ /?th /-at City* 19`1 /lf (66o Zip Q136a
ZONING
PROJECT ADDRESS 6)/(9 18f
LEGAL DESCRIPTION Lot: Block.
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK.
.Residential New Constr
Multi- family Addition
Commercial Remodel
Repair
BRIEF DESCRIPTION OF THE
PLANNING USE ONLY
T\Policies\BL 1102_13.wpd Applicant
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review If you have an) questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
Re -roof
Move
Demolition
Sign
PROJECT
X Stove
Garage
Deck
0 ser
COMMERCIAL/RESIDENTIAL. Occupancy Group
No of Stories: Lot Size. Existing Sq Ft.
Total lot coverage
ESA/Wetland(s). Yes No SEPA Checklist required? Yes No 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. Contact the Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE IF a plan check fee as due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2
of the International Building/Residential Code, 2003). 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 responsibility to determin whet permit are require ,not the City's, and that I must obtain such permits prior to work.
�J
Date: /l
Subdivision.
ST7E/VALUATION
SF /SF
SF /SF
SF /SF
TOTAL a UATI�
FOR OFFICIAL USE ONLY
Date Rec -U
Permit 4' m6— i ii0
Date Approved.
Date Issued.
Occupant Load. Construction Type:
Proposed Sq Ft. TOTAL Sq Ft.
APPROVALS
PLAN
BLDG
DPWU
FIRE
OTHER.
.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. 'l'~? S-
Ii //7ffY'
.
DATE
ELECTRICAL PERMIT
Site Address:
0/1. /4;sc...
J"'
o WILL CALL FOR
INSPECTION
Phone:
o READY FOR
INSPECTION
License Number:
Installed By:
Sq. Ft.
Owner/Business:
Phone:
Owner/Business Address:
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW
? FAN/WALL KW ~
fK RESIDENTIAL
'b - COMMERCIAL
-g NEW CONSTRUCTION
b REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
~ RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE: /lfJ k0J
~qb 03161
SERVICE SIZE ,;;l.&cJ AMPS
FEEDER SIZE AMPS
Details/Description:
rtw~
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
/lI~~ROUgh-in/cover OK
./}'If" 'I' O.K. to connect service
o Final O.K.
Site Address:
~-
Installer:
New Meters
--
Notify Port Angeles City ght by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224. g.
r~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT {P $0
. $
Electrical Inspector
Permit Fee
WHITE ~ File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meier Dept., Bottom: City Hall
OLYMPICPRINTEASINC.
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