HomeMy WebLinkAbout3107 Maple St - Building
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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
04-00000804 Date
.191336
3107 S MAPLE ST
06-30-15-5-1-2750-0000-
MECHANICAL APPL. PERMIT
9/10/04
RS7 RESDNTL SINGLE FAMILY
3510
Owner
Contractor
RYAN, ROBERT P.
3107 S MAPLE ST
PORT ANGELES
(425) 766-0978
WA 98362
PELLET HEAT CO.
230 EAST 1ST SUITE C
PORT ANGELES WA 98362
(360) 457-4406
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Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
PELLET STOVE INSERT
50.00 Plan Check Fee
9/10/04 valuation
3/10/05
.00
o
Qty Unit Charge Per
1.00 50.0000 ECH ME-WOOD BURNING APPL.
Extension
I
50.100
I
Fee summary Charged Paid Credited
----------------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 .00
Plan Check Total .00 .00 .00
Grand Total 50.00 50.00 .00
Due
.00
.00
.00
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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 of
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.
C9N j:::f L[;
Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
Date
Date
T:\PLANNlNG\FORMS\] ]02.15 [I ]/]4/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-48] 5 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER UNE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERJOR BRACED PANEL ONL Y)
T-BAR
]NSULATlON
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEA T PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEP ARA TE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKINGILIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL ' UGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W.
ENGINEERJNG 417-4807 PW I ENGINEERJNG
FIRE 4] 7-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 /] -IJ. -0 .,' ~ ..,).., BUILDING
T:\PLANNING\FORMS\] ]02.]5 [11114/2003]
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360 452 0503;#
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BUILDING PERMIT. APPUCA TION
FOR OI~fo'lC'IAL US~ ClNI.V'
0"1: Rcc..!:f.=LO - 0 '-J
/'trml! q; 04... <80 ~
OllIe ^pprol':d:_
Calc h~uc":
FlU Ollt COMPLETELY Inn in INK, YOllr application and site piau MUST BE
COMPLETE to b. accllpted for mi.", If you ha\'e an)' question.; call
(360) 417-4815
Applicant or Aient: ~1-i1 ~r CO,
Owner: &!B l~ :J1')fJ ?- " (ffJ
Address: 3101) S. m~
Phone: 1~,~ - ,-/s-' - '-Ifi'C/
Pho~; /- I./2{- )(,{,. 09/f
City~J~ ~ Zip: 'l/JI.,,}::.
ArchitcctIEnBint:cr: Phone:
Contractor'pi,-L.~ l~ Ct), State li'c~~"'fo~ Bllp: l./-J?-o5' Phone:~-I/SI'-'1~
Address: 2:30-c. 6\!., M144r ~ Cjty:..P~r- StVtutJ I I Zip: ~y2
PROJECf ADDRESS: 3/ V, :$ _ m lif>t..l. - fbI~:r- iH~f ' ZONING:
LEGAL DESCRlPTI0N: T~ot: I~ ~ 17 Block: SubdiV1sion: Ggf:\J::lJ..5" Al)DATI a~
CLALLAM COUNTYP MeEL !\VMBER: Q Ia3C)I:55 j 2 7~Cj ar-c.rn
Cr.cSJt Cud Hold.r Nlme: ",",., '-~(.. 'D'-~r,)iJ~
BUll..." Add,...: 2~--G fAsT- F==1f'?,S/ .~sr. CItYI ~ ~
Credit CardType VISA Me....2:.-... II ~ f1.i..L- _
TYPE OF WORKI SlZllVALUATlON:
::J RCfliilimlill1 0 N~"", COlUlr. [J Ite.roof 0 Stove SF. @ $ ISF, _ $_
:J M'Jlti-[amily a AdcfStio.D Cl Move 0 Oarase SF. @ S ISF, .. $_ _
'j Commm:ial 0 Romodel 0 DemolitioD 0 Deck SF~@S ISP. = S
" R"",lt " SIp 0 0.... TOTAL VALVA TlON 1:3., I 0 -~ ~
BRU!r DESCRIPTION OF THE PROBCf: I AJ>Xk-/AJ-h<1-...) o? P€-u. ~f' r,;z,vl.. l,Nj1ca-...---i.N .Ie
.Exp.Oete: ~>-
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COMMERClALIRESIDEN1'IA1.: Occupancy Or~~ Occupanl Load:
No, of Stene.: _ Lot Slzo: ExUlina Sc.j. Fl. &: Propoleci Sq. Ft.
E.'ClstinS lot coVenlle _ % Ie Proposed lot coveragc _%.. Total lot CClYl:Inl&e
CO\1StNl:tiOIl Type:.___.,
III TOTAl. Sq.ft._
r.
~~.vWetlanil(s): eyes t:i No SBPA ~cklilt l'eq\l.irCld? 0 VeJ 0 No Other:
APPRO\'ALS:
PLA.'!:
BLOG:
DPWU:_
l<'1REI___
OTRBR:_
PLANNING USE ONLY:
RT rn .nTNG pl!:RMIr APPLICATION StrBM1Tr ALl The Buildin& Di'o'Ulon can pJOYid~ yuu wilh infur:nnllor. on the application anJ
plM. submittal requUe~tllrY014 hllve quultiOlW.
v Al.lJA'fION OF CONSTRUCTION; In all ClIlCS. . yahuatlnn amount mu,t bt ered by the appliclU!l, This l1i\tre will be re\'lCW~u
:".I1d nuy be tev.\Scd by the BulldJllg Dlvbioll to c01llJl'>' with CUtrent fcucneoulc.t. Contactlhts hrmic Coordwror&~ 41 7 .481 ~ fur usislan.e,
rLA,;'I CHICK FEE; IF .. plan dlcck tee Ii d.ue it InUIt be .ubrnitted It the tirrw the buildU:la permit appllCiltiOll aud CtlnSlnlr.tinn plll.ns are
liubnurt8d. All other permit feCI are due It ~ tUne of permit hl\u.nce.
EXPrRATION 0' PLAN UV1EWI Jfno Jtennit j4 issued within 180 dlYlI oftl1~ uw.lc: Dr applicAtion, the applicatloll will expire. The
8'Jildi."l& Official can "lI.lend the time for action I:ly the applioant Up to J80 day, upon written request by the .ppJi~alll (~ee Secrloll 107.4 of
the IJnifol'Tn 8llildlnl Cade. C\Urerlt oditiol1). Nu appJicltJon can be excanded nJore tIwl on~~.
I heroby cerlify ffJ.t' I helVe ~ end 9t1mlMd this 'ppJ/c.tlon .rid know the ',171I 10 De 1M .nd correct I MllIlJfhcJIilPJd /0 8pply for t,~i$ permit and
!/n<lef'l1lend tile' I ,14 my I'Npofl8ibJlttvto de(enJl(ne w/JIII rwmlt.s ,,, required ,not the City'l, and rhst I mU!Jr obtain auoJt permits prior 10 work
T;\F()~ wt~\I\PP','l\lIgl1olf"IJIImn\\ ~ AppliCAnt: -~~~~~~-::;.Dllte: f _ r - 0 '7
031<(
FEE RECEIPT NUMBER
-
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A~oo;clr
PERMIT fClUMBEA
.
-p Ho NI. .e.
TOTAL FEE It ~ -LECTSI340B
CONT. Lie. NO. TIME TO COMPLETE NO. STOAIES LEGAL OCCUPANCY
d / 0 ElECTR:~d ONL/e:.-O OCCUPANCY OR USE eSTABLISHED UNDER THIS PERMIT
CORRECT ADDRESS IS SPONS1BIlITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner --r-l Installation "By Electric Service
Owner's Address InstallersAddress 1168 Mt. E1easant
Day Phone qg-- ;!.-- - J-..:h I z--- Installers Phone 457-5010
Appllpatlon is hereby ma efer Permit to iQstal1 Eleqtrical Equipment as follows:
~'
Site Address
In'c.
Rd.
Wiring Method
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PER
CIR
120V
10
240V
1 121 OR
30
FEE
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
'PER
CIR
120V
10
240V
100R
30
FEE
LIGHT
LIGHT -
CONvENIENCE --
CONVENIENCE
APPLIANCE -
DISHWASHER
DISPOSAL
. RANGE
OVEN
WATER HEATER
LAUNDRY
DRYER
FURNACE
GAS. OIL
FURNACE
ELECTRIC
ELECTRIC HEAT
ELECTRIC HEAT
- .-
A.C. UNIT
FEEDER
SERVICE
SIGN
50 VOLTS
OR LESS
MOTOR
.
MOTOR
MOTOR
FIRE ALARMS
BURGLAR ALARM
MISC_
REINSTALLATION LIGHT FIXTURE #
SUB TOTAL FEE
ENERGY FEE
BASIC FEE "
TOTAL FEE I C~
SIZE OF SERVICE SWITCH OR CIRCUIT. BREAKER
/IFf') --7"7</ f7 AMP / ~
I SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
A.W.G.
I SUB- TOTAL
SIZE OF GROUND
SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer and in conformance with the
~ ~
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!i--
/6
, 19
S?'~y
.C. Electrical Code.
Date Application made
.
Date Permit Issued
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission Is hereby given to do the above described work, according to the conditions hereon and,according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the Cjty of Port Ar:"Igeh:3s.- r..... ." . ,
IR ;;O~_r-~ITY, LIGHT _', \. _ .
s--r.r- <(S- ~~ , "
.,~ \ \ ,
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457.0411 Ext. 158.
'-
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OlY~lC PRINTERS. INC.
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DATE OF VISIT
MADE BY
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REPORT OF INSPECTOR
REMARKS
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O.K. FOR COVERING
O.K, TO CONNECT SERVICE
'FINAL O.K.
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TURN ON WATER 0 Date ')-
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NAME
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'C. LIGHT 0 I
SHUT OFF WATER 0 I
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ADDRESS
ACCT. NUMBER
DEPOSIT
Mailing Address AMOUNT
The undersigned hereby makes application to the City of Port Angeles for Utility Service subject to the terms and conditions
of applicable City Ordinances which are hereby agreed to and are made a part of this application.
NEW APPLICANTS:
EMPLOYER
ADDRESS
PHONE NO.
..;50fl//(p Ie ('c'"
"'3'TC{)
wAS C"r/.'Iv{,.eo
OWN
o
Ai T r' t? r>J}
5-1)'-f'';
7/" /11~7"K
RENT q/ (!lJ. if/i1.C- e. PR':"E.fYOWNERSNAME
'V () ~ I c.1- !J/< () S-<2J 1
ADDRESS CITY STATE
APPLICANT ACKNOWLEDGES RECEIPT OF A COPY OF "CtTY OF PORT ANGELES. GENERAL
WFr'\nrfNflON RESfDENT~.t_t. u1'ILITY SERVICE". .
',- II/~'.. i' /i. '';'.-,,-; ".--;:,.. Date ,<'-';~ /-;:;::::;
, -
PREVIOUS RESIDENCE
SIGNATURE {,.
OLYMPIC PIlINTIfIlS, INC,