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Home My WebLink About2312 W 12th St - Building __....._ ."~~~~",._,_....;.-.,,,~,:f'~_ .---... CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 04-00000301 Date .179721 2312 W 12TH ST 06-30-01-5-8-0240-0000- MECHANICAL PERMIT 4/13/04 RS9 RESDNTL SINGLE FAMILY 7425 Owner Contractor FOX JOHN/NANCY 2312 W 12TH ST PORT ANGELES WA 98362 PENINSULA HEAT 502 W. 8TH ST. PORT ANGELES (360) 457-2775 WA 98362 ---------------------------------------------------------------------------- Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 35.30 Plan Check Fee Issue Date 4/13/04 Valuation Expiration Date 10/10/04 .00 o ~ t)\ ........ f> Qty unit Charge Per 1.00 35.3000 EC EL-LOW VOLTAGE Extension 35.30 ---------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc permi t Fee 61.70 Plan Check Fee .00 Issue Date 4/13/04 Valuation 0 Expiration Date 10/10/04 Qty unit Charge Per Extension BASE FEE 47.00 1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70 c - Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 97.00 97.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 97.00 97.00 .00 .00 ? .1 fA .:-t 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 ()f laws and ordinances governing this type of work will be complied with whether 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. o/v ;CIL-c Signature of Contractor or Authorized Agent Date Date Signature of Owner (if owner is builder) T:IPLANNINGIFORMSI! 102.15 [11/14/2003] ~.. BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4]7-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 YES I NO FOUNDATION: FOOTINGS WALLS FOUNDA TlON DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION RW. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 S;-/7-oL/ RJ<.. BUILDING T:IPLANNINGIFORMSIl 102.15 [11/14/2003] BUilDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: if.-/Z -Dc.; Permit #: 04 --- .3 (j ( 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: (Jju~,. /~f-Ie- A 7~/t?r>cYY7 Owner: ..::ft');11 1b.>L. Address: "'.~ 3 /.,;l U/ . Phone: '-/57-;;;1 775- ~S 7-cJLf7V Zip: 9'7136'3 Phone: l~ M sf City: fi//r-./lJ~~s Architect/Engineer: Phone: Contractorh>Jt ~n??(.la &?l-f- State License #I!EIf)//VITI~ Address: 5??";~ /,L/ B cf2 City: n/j- ~'1?/~1/5 . ./ PROJECT ADDRESS: ,jl- 3/ ~ t.tl. /~~ J;:!2 ~3T.. Phonei/57-';? 7 7J'~ Zip: ~%36:::;L ZONING: LEGAL DESCRIPTION: Lot: Block: CLALLAM COUNTY PARCEL NUMBER: Subdivision: Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: irResidential 0 New Constr. 0 Re-roof 0 o Multi-family 0 Addition 0 Move o CommerciaI 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: t1>/In~ / City: Exp. Date: 'SIZENALUATION: SF. @ $ ISF. = $ SF. @ $ ISF. = $ SF. @ $ ISF. = $ TOTAL V ALUAJ. ION; $.... ,? /-1, 'C'/1c:1. n,' t"'d- COMMERC /RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: = TOTAL Sq,Ft. % No. of Stories: _ Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: APPROVALS: PLAN: RLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: BUILDING PERMIT APPLICATION SUBMITI AL: The BuiIding Division can proyide 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 pennit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. . EXPIRATION OF PLAN REVIEW: Ifno pennit 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 ~re reqUi~.. 'the pti/ nd /9f I ~st ~btain such permits prior to .w~rk. T:\FORMS\APPS\Buildingpennit.wpd Apphcan . ~ j{../ Nc.t~fLkate: ~~ ~