HomeMy WebLinkAbout1124 W 12th St - Building
s
~~
====stJ(I.DIIVG PERMIT
CITY OF PORT ANGELES
DEPARTMENT OF'COMMUNITY DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA98362
OWNER/APPLICANT
BILLIE FONVILLE
1124 W.12TH STREET
. Port Angeles, W A 93630
360/457-6740
T:
CONTRACTOR
FOXS REMODELING & ROOFING
4280RCAS
PORT ANGELES, W A 00009-8362
360/457-4742
PROJECT INFO
Project Value: $3,224.00
Project Type: RE~ROOF
Occupancy Type: RESIDENTIAL
Occupancy Group:
Construction Type:
Zoning Use:
ISSUED: 9/19/2002
PROPERTY'LOCATION
1124 12TH ST W
Lot: 6
Block: 369
Subdivision: TPA
Pahi~1 No: 063000036925000
S:
ARCHITECT
N/A
, 9~60-0000
360/000~000
SFD Units:
SFD sa FT:
o
o
,PERMIT NO:
13727
MFD Units:
MFD sa FT:
o
o
D Long Legal
Commer.cial:
Industrial:
Garage:
o
o
o
PROJECT NOTES
REFEL T 1 3T AB
RECEIPT #9702
FEES ASSESSMENT
Building Permit:
Plan Check:
State Surcharge:
HOUl~e Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radol):
$97.25
$0.00
$4.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Misc Fee 1:
Misc Fee 2:
MiscFee 3:
$0.00
$0.00
$0.00
TOTAL FEE:
AMOUNT PAID:
BALANC~.DUE:
$101.75
$101.75
$0.00
Separate Permits are required for electrical work, SEPA; sho~linE;: ~SA, utilitles,pnvate and public improvements. This pe~ltbe~omes
null and void if work or construction authorized is not conmienced within. 180 days; if cOnstruction or work Issuspanaed craban'd()ned,;
for a period of 180 days after the work as commenced,()rif reqUited Inspections havenot been requested within 180 days fr()l'Ilth~last
Inspection. I tierepy certify that I have read andE;lxa'!llned tliTs application and know the same~o be true ari'a'correct.~~rpr9Yiil.()~~ot
laws and ordinances governing this type of work will be complied with whether specified herein or not The granting ofapel11ilt does\not
~~~ ."~~ :;;or~n::~ro::::=Y _ or ~~llaw ~ulating oonPu~on or ~. ~dQ~.~of
Sig~ctor or Authorized Agent,bate SigQature,o~ Owner (Ifowner is builder) [)ate .,
t!, .
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T:\PLANNING\FORMS\II02.IS [412002]
.,
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASEPROVIDEiAMINIMUM 24 HOUR ~OTICE./T ISUNLAW/?UL 1;0 COVEl!.
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND ABl*ROVED PLANS AT JOB SITE
INSPECTION TYPE
. ... DAn:" C ACClPTED
','oLJ
, ..p, i YES NO
COMMENTS. '" . <: """,
'. :
FOUNDATION:
FOOTINGS
WALLS
H;'-~;
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FOUNDATION DRAlNAGEC .\,n
ELECTRICAL (LlGIfl'DEPT) SEPARATE PERMIT: #
."
'..',1.1 ';," '-,'
ROUGH-IN
I
"'''I' ';,'"
PLUMBING
UNDER FLoolt/.SLAB
ROUGH-IN
',' !
,
,
W ATERLn:m
GAS LIJIlE" .
BACK:FLOW I WATER
AIR SEAL .' ;
WALLS,
CEILING <
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;
rt
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: .
,
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SHEAR WALL
WALLS I ROOF I CEILING ' . . , .
DRYWALL .
.' .'
T-BAR
INSULATION ;,
SLAB
j., WALL I FLOOR I CEILING '.' I I I
MECHANICAL
HEAT PUMP ;"
WOOD STOVE / PELLET / ~Y
HOOD / . DUCTs , ) '. ..
, '
I
I
FRAMING '.;
JOISTS I GIRDERS
;..'
.
'7'
" '. '.
'. ,
PWUTILlTIESI SITE WORK (Engineering Division) SEPARATE PERMIT #'s: ..
WATERLINE/METER "..'
SANITARY
/'i~~'"
: 'z.
.. " ",U )~,1;
,"", ,,' ,.',---, ~,.
'. r', .:' C
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,
,
~
SEWER CONNECTION
'.
;,',
STORM
" ...' "
sj. ;"~':;.
PLANNING DEPT. SEPARATE PERMIT #'s
SEPAl
PARKINGlLIGHTlNG
LANDSCAPING,
'"
,"H' "," ~;..'
,
FIRE J?EPT. ,. '.
.'-'.. ',.
Pi..ANNING DI~rC '< :,
BUILDING
, ,,' ,"'.' ".',
.AC~ED " II
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p~INGDEn.
BUILDING
RESIDENTiI\L" ' ,', "~TE"" ,t;; YES
, '.': 'it;;',:'/,,<, ';;;~\'('c:" /'1:;'::,>
ELEC'IiUCAt.LIGHTDEPT. < '''{~b~,ms '.~ 1'nT:'V/,J;'.'. I' ': ."q
, ., lit ",1"'0:) I....".
..- 'I' ,"
417-4807
417-4653
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,
~OMMER~- ,'L})~:n.
.1' ,'> ,/,'."" ; :" rc'
,; 'ttE600cAL' ','.' .', \IF,'j\
LIGHT DEPT'(' , " . . ",
, ',' ," ~>
'CoNsTRucTION. a:\V~
PW / ENGINEERING
"" .
CONSTRUCTION R. W./ PW/
ENGmEERlNG
FIRE
,
T:\PLANNING\FORMS\1102.15 [412002]
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
~77'3
R /..< 9/YP
, ,
.
ELECTRICAL PERMIT
DATE
Site Address:
D READY FOR
INSPECTION
License Number:
)<WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
D Add/alter circuits
D Auxiliary power
(list below)
D Special equipment
(list below)
D Overhead
~ Undergroun~ sIV
Voltage /.::l :.:z.,
~10 D 30
Service size 7&0 ~mps
D Temporary ~/1e
~b
D Residential
Heat KW
D Baseboard D Furnace/Boller
D Heatpump D Other
D Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
D New Construction
D Remodel
D Service update/alter/repair
DetailslDescriptlon:
SUt/tCL &1 'kr-df-L 4 ~~/;/ h
I
.
W.S. No. Service Size
Capacity: D O.K. D Not O.K. Comments
~ Ditch inspection O.K.
D Rough-in/cover O.K.
~1/; O.K. to connect service
~ Final O.K.
Date
Hold for: D Easement D Letter
D Signed up for service/meter
D Meter Department notified for Installation
D Fire Department notified of inspection
D Plan Review approved/pending
Site Address:
Permit/Receipt No.
c9 793
.
Notify the Department of Cit Lig y Street Address and Permit Number when ready for inspection. Work
must not be covered or electricall ergized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
/ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 3..0 ~
, Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Half
OLV"'''IC PRINTERS. INC.