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Home My WebLink About1228 W 19th St - Building ,..--::-.:. ":: :~... --::--'- CrtY OF PORT ANGeLES' .... , D~PARTMENT OF COMMU'NTI'Y DEVELOPMENt ..BUILDING DIVISION 321 EAST 5TH snEEr, PORT ANGELES, W A 98362 . '...1. ....,. ,', " , ':'X'~';!~ Se"paratel'eri11ltsare required for'el.ectrical work, SEPA, Shoreline, ESA,utillties, private and public improvement~. T~is permit beCOmes null ,and vOid. if work or construction authorized is not commenced within .180 ~ays,if cQnstruction or work Is suspended or abar'ld.on..d for,a periodbf 180d;;lYS after the work as commenced, or if required Inspections have-not been requested within 180dlilys frori'lthe last Inspectlon.lhere6ycel'tify that I haveread andexarilined this application and 'know the saMe to be true andcolTectAII provisions of laws and ordinances governing this type ofw9rk will be complied withwhet~er 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. AppHsat:ion.Nwnber. Property Address . . :.. ~SESSOR PARCEL NUMBER: Application" description Property. ZOD:ing .:. . Application valuatio~ . .' " 03-00000545 Date 6/02/03 1228 W 19TH ST. 0630Q004583ClOOOO MECHANICAL APPL. PERMIT 943 . . Owner Contractor. . , '. . . ------------------------ THO~SON ELIZABETH C 1228. W19TH ST PORT ANGELES WA 983637018 MOUNTAIN PROPANE 265 cHrMACUM RD. PORT-HADLOCK (360) . 385:-!>883 WA 98339 . Permit . . . . Additional desc Permit Fee ;.. Issue Date . . Expiration Date MECHANICAL PERMIT 57.65 Plan Check Fee 6/02/03 Valuation . . 11/29/03 '.00 o Qty Unit Charge Per Extension 47.00 10.65 BASE. FEE 1.00 10.6500 ECH ME-GAS PIPE 1 T05 Fee swnmary Charged Paid Credited Due ----------------- ---------- ._--.------ --......------ ---------- Permit. Fee Total 57.65 57.65 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.65 57.65 .00 .00 .. - . Date ~~~ Signature of Owner (if Owner is builder) T:\PLANNING\FO/{MS\I1()2.1S [4n002) -:: \::. C':' --.. -0.' "'S;? S' (l)' N c,- :2'-c)~ Date I ~ I ,jlI! j)UILl)ING PERMIT INSP~CTION RECQRD CALL 417-4815 FOR J;Jt)ILDING INSPECTIONS. PL6ASE PROVII;>E A MINIMl)M 24 HOUR NOTICE. IT IS l/NLAWFUL TO COVEll, INSULATE QR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE . INSPECTION TVPE DATE I . ACCEPTED COMMENTS . r YES . I NO . ~ .. - - - FOUNl)ATION: . FOOTINGS WALLS . FOUNDATION l.>RA!NAGE . EI,.ECTRICAL (LIGHT l.>EP't). SEPARATE PERMIT: # . . ROUGH-IN r I PLtJMBING l,lNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE ~-U -6~ .J . J... BACK FLOW / WATER AIR SEAL WALLS CEILING . l' I . I . FRAMING JOISTS / GIRDERS SHEAR WALL . W AI,.LS / ROOF / CEILING . ORYWALL . T.BAR . INSULATION SLAB WALL / FLOOR / CEILING 1 MECHANICAL HEAT PUMP . . . . WOOD STOVE / PELLET / CilIMNEV HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'8: . . WATERLINE / METER SEWER CONNECTION SANITAIW . . STORM . . - . . . . PLANNING DEPT. SEPAKA TE PERMIT #'s SEPA: P ARKlNG/LlGHTING ESA: LA~DSCAPING . . . SHORELINE: . - . - FINAL INSPECTIONS REQUIRED PRIOR TOOCCUPANCV/USE -; - ~ IlESIDENTlAL : DATE VES NO COMMIi:RCIAL DATE ACCEPTED . . '. YES ..' NO ELECTRICAL- LIGHT DEPT. 417-4735 ELECTRICAL . . . - LIGHT DEPT CONSTRUCTION R. W. / PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 . FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. . BUILDING 417-4815 I... _ "'.l .n z.. LL BUILDING T:\PLANNING\FORMS\IIO:2.IS [412002] BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: b..... Oz -(Y3" Permit #: 5'-1 <;"" Date Approved: Date Issued: 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 (360) 417-4815 Applicant or Agent: \-" \jl'n \:)'m~ CyV\ Owner: '; ~o Address: -r L '2& ~ - '\ ~1'~ ~\' ~ Phone: Phone: City: ~ o:r\ \-i-Yl'b~ YS'7 --G lj <[ b ~~ Zip: L~1 ~ '3> ArchitectlEngineer: Contractor h. () \J "'-\u..M Address: :l~ s- C h , YY'I PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Phone: r'OfCYv4.. State License #:MI:l\J,:,t p\ 'i'1~ g If Exp: 'o...t.\..;~ 'it ~ City: ~o'~ ttf}.1\l.)c\.<: l )..).~ W - ) '1\ \A ~\ ' P ,1-\ __ ,Wc:z- ZONING: Phone: b<S 3 -/??g 1 Zip: L ~ 1 'S 7 ~.~I' Block: Subdivision: Credit Card Holder Name: Billing Address: Credit CardType VISA MC # 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 0 Deck ",0 Repair 0 Sign')\ Other BRIE:f DESC~TION OF THE PROJECT: -fl'""Q foJv.Jl City: Exp. Date: SIZEN ALUATION: SF. @$ /SF. =$ SF. @ $ /SF. = $ SF.@$ /SF.=$ TOTAL VALUATION $ ..,.\0...., .. CJ..o~K. ~ i> \~. r ; ';., ;,'."... COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage Construction Type: = TOTAL Sq.Ft. % APPROVALS: PLAN : BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. 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 107.4 of the Uniform Building Code, current edition). 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 are required ,not the Gitts, and that I must obtain such permits prior to work. T,\FORMSIAPPSIB,ild;'''''''''t.wpd Appli"",," 1; ~ ~ Av--, Date: I:, ^;). -{} 3 rr---- CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date t.J - 25'- cg ~~( / Time Received by {JJ (phone, person) Location ofW,ork to be inspected Name of person requesting inspectio~ Addresso~.eersonrequesting inspection Type of Inspection (circle appropriate one): Permit No. 5'-t.s;;- Sewer Foundation Framing Chimney Plumbing' ~) Sewer Excav. Other =1>,..006..1A...Q... CY' I I 5 ~~ I, it. e.... 12 Z 8 to R'1-'4 kLL y,' -'-~IY1!5IJ/1 Phone No. Afr;7- b4't6 INSPECTION NOTES: Time--f"t By ac -, .. ......~................. Inspected: Date Remarks: ~ RESTORA TION REQUIREE>. .... .~ . YES NO SURFACE'RESTORATION: SURFACE TYPE: 0 Unimproved o Gra"el o Asphalt OPCC o Repaired 'by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continueonr~,!er~esideif necessary) STREET SUPERII\IJf;NIlENJ.-"i? .,..... ,U:)~TE) CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15537 '. ( . '. ~; ~ '" - . Port Angeles, Washlngtonmm....:mmm.....m...............m.m..._m...., 19.:mm In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec- . trIcal equipment In, on, or about any building or other structure In the City of Port Angeles, per- mission Is hereby granted to do electrical work as listed below. /2 Z ''6 Ur ) ;r . -;:- ,- , .I Address h'n.'nm..m__.....nnnnm.'.nm.-'.:..........d...d..___...nnm.nmnd' Occupancym.m.cLn!e.,.:oom___m.____.....oo.__ .. , Owner uh___n!._!__..n._~::nn__u..___...u__...:__u.n__:.~n~::_h___n Tenant.n_unnh.u...n_...uu.u___n.__.n_uh__.~h.______....._nn Wiring Contractor oooo.ooooc.mm.........m'oooooo'...Ld.'..nooh~__oo__m By...___mm....:..d.mm..m.m...oo...h..moo___.oo..m..... I Service, volts ....................................... Light Outlet8---.........,-.:"............._....n... Receptacle Outlets..............___...__......... No. wires .................__.............._..... Dryer, KW......_.n._.__..........__............... Size wires..................................._.. Range, KW..n....h__..__....__...,... Main fuse ....._................................. Water Heater: Enclosure ......_.............m....___......... KW._____n..___...nnh.......__......n.n..... , , .- /' / '.- Heat: KW........._............!....:':............... Type ot wiring: Entrance Cable ..................._... Motors: size. volts and phase: Rigid Conduit ............................... Metallic Tubing ........._................. Current transformers: No. & Size_...._................................. Ser. No.........................._..........._....... Ser. No. ............................................. Ser. No..........._.._............................... Total Load............................. Ser. No.................._.........._.............. , .., Remarks: ___.___..mnm.m__.:mn::oon.oon__n."oo.L.:n__.'.md..____oooo.moooooooomm__m.....moo:m...mm'....:...:__...~.:__.mm.m.. Total .........._......._.................... Permit Fee $:oo......___m.m....m..mmm. Treas. Receipt NO.......m.......oo.......... By ._._.~_.__~.:._~:.......___.._____.~_~_..__._..'.._:.~.:._.~~~.__~_.._. , Type of Wiring: Armored Cable .............m.............. Non.MetaJllc ................................. Knob & Tube...._............................. RIgid Conduit ............................... Metallic Tubing .m....__................. Raceway ......................._......._._..._ Circuits, Light.................._._................._ Utility ......................._.................... I-Ieat ......................._.............._..__ Range .............................._.............. Water Heater ................._............. Motor ____......................................._ Dryer ....._..............._........_..._............_ Furnace ...u....................._......_........... NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con- cealed due notice must be given the Inspector so that work may be inspected betore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION "-; '/ ELECTRICAL PERMIT . " ~.- / Address /, . , N? 15537 , Date..._......_......_.._.........._.._.._......_h....._ Owner............:......................_.:........_......_......:.___.:........__........'...'=::...............................Tenant........._.............................._.__............_........... Wiring Contractor ..........................._........_...............:..._.._..................._.......'.........................._.....:~ By ___.........._................................................ NOTICE-Current must n()t be turned on until Certificate at Inspection has been issued. It work fs to be con- cealed due notice must be given the Inspector so that work may be inspected belore concealment. 1M Olympic Printers, Inc.