HomeMy WebLinkAbout2004 W. 8th Street Address:
12004 811 Street
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PREPARED 3/10/15, 11:31:12 INSPECTION TICKET PAGE 9
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/10/15
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ADDRESS . : 2004 W 8TH ST SUBDIV:
CONTRACTOR EVERWARM INC PHONE (360) 452-3366
OWNER BETTY JANE NELSON PHONE (360) 477-4190
PARCEL 06-30-00-9-3-1080-0000-
APPI, NUMBER: 15-00000190 RES MECHANICAL PERMIT
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PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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ME99 01 3/10/15 JLL MECHANICAL FINAL
L--!2 1 -.. &___ March 10, 2015 10:07:29 AM pbarthol.
477-4190
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00000190 Date 2/27/15
Application pin number . . . 227710
Property Address . . . . . . 2004 W 8TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-9-3-1080-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT on your state excise tax form
Subdivision Name
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 4900
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Application desc
FREE STANDING WOOD STOVE
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Owner Contractor
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BETTY JANE NELSON EVERWARM INC
2004 W 8TH ST 2S7151 HWY101
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 477-4190 (360) 452-3366
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Permit . . . . . . MECHANICAL PERMIT
Additional desc . . FREE STANDING WOOD STOVE
Permit Fee . . . . 60.65 Plan Check Fee .00
Issue Date . . . . 2/27/15 Valuation . . . . 0
Expiration Date 8/26/15
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65
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Special Notes and Comments
Per Washington State Code 51-51-315,
installation of Carbon Monoxide
detector(s) is required if you are
installing or replacing a fuel burning
appliance (wood, pellet, gas)and must be
in place prior to the final inspection
of this permit. They are required to be
place directly outside of each sleeping
area and at least one on each floor of
the house.
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---- -------- ---
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ----------- ----------
Permit Fee Total 60.65 60.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total' 60.65 60.65 .00 .00
Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit become's
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 has 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.
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Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall(interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor I Ceiling
MECHANICAL:
Heat Pump/Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting ESA:
Landscaping ISHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction- R.W. PW Engineering 417-4831
Fire 417-4653
Planning 417-4750
L Building 417-4815
T:Forms/Building Division/Building Permit
COPY
THE ORT N_6EL��ES, For City Use
CITY OF
,P, A Permit# 16-,l 5�0
W A SH INGTON , U . S.
Date Received:
321 E Sth Street Date Approved 'R-�;;'7-/s---
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
-Email:permitsOcityofpa.us BUILDING PERMIT APPLICATION
Project Address: J-DLVA c,�5T
Primary Contact-.-_-��ne_ Phone:
yon Email: :5�r\65c��c-i 5(,e2.Z_
Name Phone
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Property Mailing Address Email
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Name Phone
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Contractor Addp�ss Email
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Information 2 -A �Q_-A E 0_0 I k=A DeJ_�
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Contractors LicensLe# Exp.Date: '-2f 31 Cp
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Legal Description: Zoning: Tax Parcel# Pr Ct alue: (materials and labor)
�h/ADQQaIoW � $ !�qoo
Residential Commercial El-- Industrial 11 Public
Permit Demolition El Fire* D * Repair. 11 Reroof(tear off/lay over) El
Classification For the following, fill out both pages of permit application:
(check New Construction 11 - Exterior Remodel 1:1 Addition 11 Tenant Improvement El
appropriate) I Mechanical h Plu mbing Other 1:1
Fire Sprinkler System�?_ !Irrigation System? Proposed Bathrooms roposed Bedrooms
Yes 0 No 0 Yes 0 No 0
Project Description 1 11 ' Fstryl Ve OcA UC)00_C�11 �((f
Lao ., Re—pl) ir,
Is project in a Flood Zone: Yes 0 No[3 Flood Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $
1 have read and completed the application and know it 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 and to
obtain permits prior t6 work. I understand that plan review fees are not refundable afterreview has
occurred. I understand that.1 will forfeit review fees if I withdraw the application before the permit is
issued. I understand that if the permit is not picked up/issued within 18o days.�of submittal,the application
will be considered abandoned and the fees will be forfeited.
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Date Print Name Si a