HomeMy WebLinkAbout2017 W 6th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Appl1cation description
Subd1v1s1on Name
Property Use
Property Zoning . . .
Application valuation
11/10/04
04-00001037
.748813
2017 W 6TH ST
06-30-00-1-0-3440-0000-
MECHANICAL APPL. PERMIT
Date
RS7 RESDNTL SINGLE FAMILY
2900
fE-KPOZEO
S;1o/d;
Owner
Contractor
MILLER DALE A
2017 W 6TH ST
PORT ANGELES
EVERWARM
257151 HWY101
PORT ANGELES
(360) 452-3366
WA 983631611
WA 98362
Permit
Additional desc
Permit Fee
Issue Date
Expirat10n Date
MECHANICAL PERMIT
PROPANE STOVE, LINES, TANK
57.65 plan Check Fee
11/10/04 Valuation
5/10/05
.00
o
Qty Unit Charge Per
Extension
47.00
10.65
BASE FEE
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5
Fee summary 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
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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 pr visions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a perm does not
presume to give authority to Violate or cancel the provisions of any state or local law regulating construction or the perfo ance of
construction.
c0,/l1 F, J-- b
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
T'\PLANNING\FORMS\1102 15 [11/1412003]
FROM :EVERWARM HEARTH HOME
FAX NO. :13604523367
Nov. 08 2004 12:39PM Pi
4-~O-U~, s: 1ZAMjCITY POHT ANG~~g$ :3604174711
S' ':m nut CO~~~::'~d :~:~::'P::~~~~~I: MUS; U
COMPLETE to be .accepted for revIew. If you bave any questions, call
(360) 417.4815
JJ. , /
FOR OffICIAL USE ONLY'
Dale Rcc.: //-- 8 - oS!
l'c:m.it#: 6Lj, /Ds7
Daltl Approved:
Dille IsslIed.
AppliClUlt or Agent:r~i?WQ.. 'R N\.
(h(lnc.;1) Cl I -e g '"R 01 ~ 'l .M- \ \ , e. \.-""
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Address: ~ 0 ,-, W. ~ '-J+ Ci ty:
-DcL
Phone: I-lS'"2. 33l:... t.o
Phone: "-15 7 ... SO&. .c;
Zip: c, 8 3 b ~
ArchitectlEngineer: --- Phone:
c ~'u('_e~.
Contractor C v f l<l..Ua.~ State License #:~o f6 ~ ,...J(... Exp:~ 1\-.10"$
Address: c;?57/~-1 J.J.....N y J 0 I City: ""Pi-. A'~.I/LLI\
PROJECT ADDRESS: ~ 0 1'7 W. ~ cu... 0
LEGAL DESCRIPTION: Lot: Block:
CLALLAM COUNTY PARCEL NUMBER: 0 G, 3 (') CD (.') / 0... "'3. # ~ ~ C 0 ~ 0
-
Phone: 45 2- "3 3 ~
Zip: Cf %' "3 (.., :J.
ZONING:
Subdivision:
Credit Card Holder Name: -r~:- Y:. J..~ t.. G..t.. v""-I. v\ -e." /
BilliDI Address: ("'"!:) /11"_ _' --::!Z- City: '
Credit CardType VISA Me #
TYPE OF WORK:
)( R.eaidentl.al 0 New Constr. CJ R.c.roof D Stove
o Multi~family CJ Addition Cl Move 0 OlU'llge
o Conunercial lJ Remodel 0 Demolition 0 Deck
o Repllir 0 Sign ~~ Other
BRIEF DESCRIPTION OF THE PROJECT: r'l< 0 e a, "-L
CL ~-v-<- ~....... &.. 't~.Ji 0
COMMERCrAL/RESMENTIAL: Occupancy Group: Occupant Lond:
No. of Stories: _ Lot Size: Existing Sq. Fl. &: Proposed Sq. FE.
Existing lot coverage _ % & Proposed 101 coverage _% :; Total lot coverage
E~p. Date:
SIZEIV ALUATION:
SF. @ $ /Sl-", - $ c:::; '7 ~ 0 {19
SF. @ $ /SF. ~ $
SF. @ $ /SF. "" $
TOTAL VALUATION L ,$
S/~ V E: ,I qc. S -\ Y'\-.t ,
7 (J J
COlUltructlon Type:
'" TOTAL Sq,Ft.
%
APPROVALS:
PLAN:
BLDG:
DPWU;
FIRE;
OTHER;_
PLANNING USE ONLY:
ESAlWetland(s): D Yell 0 No SEPA Checklist required? 0 Yes C No Otl1cr:
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 c:aSt!8t a valuation Rhlount must be entered by the applicant. This figure will be rc:vieweu .
IInd IDIIY be revised by tho Building Division to comply 'With currem fee schedules. Contact the Pennit Coordinator at 417.4815 fol' llsSi5tallcc.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit applicntion and construction plans are
submittod. All other pemut fees are due at the time of pemrit issuance. .
EXPIRATION OF PLAN REVIEW: Ifno pennit is issued within 180 days of the datc'ofapplicotion, the application wlll expire. The
. B11i1dingDfficial.clUl.oXtcnd the .time.for..actionh~_the..app1icant up to lSn.da.ys-upaD,wl'ittes request by th~Pl'1icant (see Sectioll -107:4 of
the UDifonn Building Code, current edition). No application can be extl:nded more thal1 once.
I hef8by certify tflat I have read and examined this application and know the same to be true and correct. I am authonzed to apply for this pormit and
understand that it Is my responsIbility to determine what permits ere required ,not the City's, and that I must obtaIn such permits prior to war/<.
T->PORMSlAPPSIB""m.....;'..,. ~J.,,::j ~~~ 0."" 1/- 8 -0""-: