HomeMy WebLinkAbout201 N Liberty St Up 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
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000569 Date
249042
201 N LIBERTY ST UP 6
06-30-00-5-3-1445-0000-
JOHN YEO
PLUMBING REPAIR
5/29/07
UNKNOWN
510
Owner
Contractor
YEO JOHN
190 LOST MOUNTAIN RD.
SEQUIM WA 98382
(360) 582-9003
ANGELES PLUMBING
P. O. BOX 1151
PORT ANGELES
(360) 452-8525
WA 98363
N
a.
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
NEW H20 HTR & REPAIRS
102319
121.00 Plan Check Fee
5/29/07 Valuation
11/25/07
.00
510
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Qty Unit Charge Per
BASE FEE
2.00 7.0000 ECH PL- EA. INSTALL WATER PIPE
1. 00 50.0000 HR PL- ADD PLAN REVIEW
1. 00 7.0000 ECH PL- EA.WATER HEATER
Extension
50.00
14.00
50.00
7.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 121.00 121.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 121.00 121.00 .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
lawfnd ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
pres me to give authorit to violate or cancel the provisions of any state or local law regulating construction or the performance of
con ruction.
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Signature of Contract Signature of Owner (if owner is builder) Date
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T:\PoliciesIlI02_15 building pennil inspection record05.wpd [1/4/2005]
"
BU~DING PERMIT INSPECTION RECORD
CALL 417-48]5 FOR BUILDING INSPECTIONS CALL 4] 7-4735 FOR ELECTRICAL INSPECTJONS.
CALL 4J 7-4807 FOR PUBLIC WORKS UTILITIES
PLL".SE PROVIDE A j"m..JIMUIv124 HOUR NOTICE. IT IS UNLAWFUL TO COVER. LNSULATE OR CONCEAL ANY JVORK BEFORE
INSPECTED A.ND ACCEPTED. POST PERMIT IN A CONSPJCUOUS LOCATJON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DA TE ACCEPTED COMMENTS
YES I NO
FOUNDA nON:
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDA TION DRAINAGE 1 DmVN SPOUTS
PIERS I I
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH.rN
WATER LINE (METER TO BLDG) FrNAL OIoJI1JJ/61 DATE
GAS LINE JL-L- ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALL/HOLD DO\VNS
WALLS 1 ROOF 1 CEILING
DRYWALL (fNTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
ROUGH-IN
HEATPU~/FURNACE/DUCTS
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOVE 1 PELLET 1 CHIMNEY
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT SEP ARA TE PERMlT #'s SErA:
I' ARKING/L1GHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJcAL - UGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W. IPWI CONSTRUCTION - R.W.
ENGD-rEERING 4] 7-4807 PW 1 ENGmEERING
FIRE 4] 7-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUlLDrNG 417-4815 BUlLDD-rG
T-IPolJcleslll02 IS buildIng penmt II1spectJon recordOS.wpd [114/2005]
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.: 06-2\""'07
pennit#:~
ate Approved:
Date Issued: . - - 2 - 7
Fill out COMPLETELY and in INK. Your application and site plan MUST
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
..,) 6/-1-N Y€n Phone: ;;-8' 2 ~ Y ~3
Owner: ,,/ n/I-N Yif D "'3Ohh L ~ Scoii::- Phone: .
-
Address: 19 () /JJ3f #1>> K/ City: ~tJI^n.,
ArchitectlEngineer:
Contractor I/nfeJe.> P;:~ht.b/?:J.ate License #:
Address: City:
PROJECT ADDRESS: ~O ) IV" L (ber}j >f
LEGAL DESCRIPTION: Lot: Block:
Applicant or Agent:
Zip:
<jg"'3 g2-
Phone:
Exp:
Phone:
Pit
Zip:
ZONING:
Subdivision:
CLALLAM COUNTY PARCEL NUMBER:'
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof 0 Stove
o Multi-family 0 Addition 0 Move 0 Garage
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT:
I l'
No. of Stories:
Total lot coverage
Lot Size:
Existing Sq. Ft.
w~ier b4er -(Or
r
() \') I
& Proposed Sq. Ft. = TOTAL Sq. Ft. _-1~
, I 'J.."'/_ W ,",e. \'\zP Kee~{
~ C.onne~ Ui"'\IT 7> Kr"",",en __..L, J\e.r.
I)n \t~ to ~t3 t\ Cl\\ noJle Se,f~a~ov~
APPROVALS:
PLAN:
BLDG:
DPWU:
FillE :
.OTlIER:_
%
PLANNING USE ONLY:
ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 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 is 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 itis myresponsibility to determine what permits are required ,not the City's, and that I
must obtain such permits pri~r to Wfdork -;7 ~~
T:\FORMS\BldgPennitform.wpd Applicant: _~~ ~ Date: Ii' 4; /C' 7
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