HomeMy WebLinkAbout1224 S Oak St - BuildingApplication Number 06 00000505
Application pin number 031755
Property Address 1224 S OAK ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3-7892 0000
Tenant nbr name PHILIP CHURCHLEY
Application type description PLUMBING REPAIR
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Owner Contractor
CHURCHLEY PHILIP L OWNER
1224 S OAK ST
PORT ANGELES WA 983627747
Date 5/15/06
T•\Policies\ 1102.15R 1/051
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Permit PLUMBING PERMIT
Additional desc LAWN SPRINKLER BACKFLOW VALVE
Permit pin number 77537
Permit Fee 57 00 Plan Check Fee 00
Issue Date Valuation 0
Expiration Date 11/11/06
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 7 0000 ECH PL- EA LAWN BACKFLOW 7 00
Fee summary Charged Paid Credited Due
Permit Fee Total 57 00 57 00 00 00
Plan Check Total 00 00 00 00
Grand Total 57 00 57 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. 1 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 goveming this type of work will be complied with whether specked 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.
/1/1
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder Date
PERMIT INSPECTION RECORD
CALL 417 -4807 FOR UTILITY 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.
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
CONSTRUCTION RW PW/ 417 -4807
ENGINEERING
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T•\Policies \1102.15R 1/05]
RESIDENTIAL
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES 1 NO
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1
1 1
1 1
1. 1 1
1 1
1 1
M 1 1
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
1 1
1 1
1 1
1 1
CONSTRUCTION RW
PW ENGINEERING
FIRE DEPT
1 PLANNING DEPT
BUILDING
COMMENTS
1 1
1 1
1 1
1 1
Applicant or Agent:
Owner
Address:
Architect/Engineer
Contractor
Address:
PROJECT ADDRESS
LEGAL DESCRIPTION Lot:
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF W
Residential
Multi family
Commercial
Repair
TAFORMS\BIdgPer nitform.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 any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
ORK.
New Constr
Addition
Remodel
Sign
COMMERCIAL/RESIDENTIAL. Occupancy Group-
Phone:
j.?_y Phone: 760 S 10 S t
S O K City Par'? .V1 Zip 9 2y
Oh
State License
Block:
Re -roof Stove
Move Garage
Demolition Deck
Other
City
BRIEF DESCRIPTION OF THE PROJECT
Sig i r7 k I i n
i
No of Stones. Lot Size: Existing Sq. Ft.
Total lot coverage
PLANNING USE ONLY
ESA/Wetland(s) Yes No SEPA Checkhst required? Yes No Other
Subdivision.
Phone:
Exp
SIZE/VALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION
Phone:
Zip
ZONING
Occupant Load. Construction Type
Proposed Sq Ft. TOTAL Sq Ft.
FOR OFFICIALE ON Y
Date Rec. '67/ S'76
Permit dti1 iC T
Date Approved./S
Date Issued: 7
APPROVALS
PLAN
BLDG
DPWU
FIRE.
OTIIFR.
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
Coordmator 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 it is my responsibility to determine what permits ate required not the City's, and that
must obtain such permits prior to work.
Date: /44,, 4., )__6 0