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Home My WebLink About116 E 12th St - BuildingPREPARED 5/16/06 13 29 32 INSPECTION TICKET PAGE 17 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/16/06 ADDRESS 116 E 12TH ST SUBDIV TENANT NBR FRANCIS KETCHUM CONTRACTOR ANGELES PLUMBING PHONE (360) 452 8525 OWNER KETCHUM FRANCES L PHONE PARCEL 06 30 00 0 3 8025 0000 APPL NUMBER 06 00000428 PLUMBING REPAIR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 5/16/ 6 LL PLUMBING ROUGH IN TIME 13 00 5H547706 09 27 AM DYASUMUR JOHN f I E I 477 1458 COMMENTS AND NOTES hf 0,1- Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner KETCHUM FRANCES L C/O JOHN KETCHUM PORT ANGELES Other Fees CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 98363 06 00000428 664132 116 E 12TH ST 06 30 00 0 3 8025 0000 FRANCIS KETCHUM PLUMBING REPAIR RS7 RESDNTL SINGLE FAMILY 2800 Contractor ANGELES PLUMBING P 0 BOX 1151 PORT ANGELES (360) 452 8525 Date 5/08/06 WA 98363 Permit PLUMBING PERMIT Additional desc Permit pin number 76562 Permit Fee 64 00 Plan Check Fee 00 Issue Date Valuation 0 Expiration Date 11/04/06 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 ECH PL EA INSTALL WATER PIPE 7 00 1 00 7 0000 ECH PL EA REPAIR/ DRAIN VENT 7 00 STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 64 00 64 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 68 50 68 50 00 00 Separate Permits are required forelectrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permitbecomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned fora 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 h rein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local I regulating stru on or the performance of construction. 4/0 Signature of Contractor or Authorized Agent Date nature of Owner (if owner is builder) Date T \Policies \1102 15 building permit inspection record05.wpd [1/4/2005] FOUNDATION: FOOTINGS SHEAR WALLS 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 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T \Policies \1102_15 building permit 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 /tt /off I I YES 1 NO FINAL DATE ACCEPTED BY. FINAL DATE ACCEPTED BY. n SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING I 1 1 1 1 1 I 1 1 Applicant or Agent. el o h ei C KE Gi -10/4r Owner c Nu J Kf%%Cff U/#i Address: W toe F KJ Architect/Engineer Phone: Contractor #411gef 4 1)//i/ State License II Exp Phone: Address: City Zip PROJECT ADDRESS al- 11 P,4 ZONING LEGAL DESCRIPTION Lot: Block. CLALLAM COUNTY PARCEL NUMBER. (7C 3 0 o 0 TYPE OF WORK. BUILDING PERMIT APPLICATION Fili out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions. call PERMITS (360) 417 -4815 FAX(360)417 -4711 SIZE/VALUATION Residential New Constr Re roof Stove SF /SF Multi family Addition Move Garage SF as /SF Corpmercial Remodel Demolition Deck SF /SF Repair Sign Other TOTAL VALUATION o2..8 4 0 BRIEF DESCRIPTION OF THE PROJECT /fie a /A C e c,1 Al i c-sc ,L, ,v 4. Felt/ ee-le 1 ate t2?.b 4c c •4-- 404 �p K /u A A I s -e, a /-a ,..if- t COMMERCIAL/RESIDENTIAL. Occupancy Group No. of Stones: Lot Size: Existing Sq Ft. Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other TIFORMS\BldgPerrnitform.wpd Applican FOR OFF15 ONLY Date Rec. Pennit 4-28 Date A pproveF /1 4 Date Issued: Y Phone: 260 9'77 y rR 3 6 D o 7 City RA- J t.✓� Zip 6 3 Subdivision. c� 3 .6c20Lr Occupant Load. Construction Type: Proposed Sq Ft. TOTAL Sq Ft. 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. EXTIRATION 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 RI05.3.2 of the International Buildmg/Residential Code, No apphcation can be extended more than once. I hereby certify that 1 have read and examined this application and know the same to be true and correct. l am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that I must obtain such permits prior to work. Date: L! APPROVALS PLAN BLDG DPWU FIRE. OTHER.