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HomeMy WebLinkAbout1025 W 10th St - Building f pORT ~ cf,O~~~ .hiIi 1!:0 -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 RS7 RESDNTL SINGLE FAMILY 900 ~ ~ EXPIRED e9/"/c+ Application Number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000004 Date 2/03/04 1025 W 10TH ST 06-30-00-0-3-0168-0000- WOODSTOVE INSERT MECHANICAL APPL. PERMIT Owner Contractor BREITHAUPT,JUNE/DEUTSCH,LEEANN 651 ONELLA PORT ANGELES WA 98363 KATHOL CONSTRUCTION 835 W. 6TH STREET PORT ANGELES PORT ANGELES WA 98362 (360) 417-5594 Permit Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 50.00 Plan Check Fee 2/03/04 Valuation 8/01/04 .00 o - Qty Unit Charge Per Extension .00 50.00 o N \/'\ BASE FEE 1.00 50.0000 ECH ME-WOOD STOVE Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- -,Permit Fee Total 50.00 50.00 .00 .00 ~Plari Check Total .00 .00 .00 .00 ,Grand Total 50.00 50.00 .00 .00 c CJ } Separate Permits are required for electncal work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null arid. v9Id if work or construction authorized IS not commenced within 180 days, If construction or work is suspended or abandoned for a periOd oj 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. ON FIL6- Signature of Contractor or Authorized Agent Date Signature of Owner (if owner IS builder) T IPLANNINGIFORMSll102 15 [11/14/2003] FOR OFFICIAL USE ONLY BUILDING PERMIT - APPLICATION Date Rec Permlt # 0 I{- Fill out COMPLETELY and in INK. Your application and site plan MUST COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 Date Approved Date Issued ~ Z -&, c.{ 3 "2.- ZIp: 'i'3-3loL 4 /7-5'5CJ 'f Phone: Zip: ZONING: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: City: lo~S-\-,. CPD'-\- I~<" Block: SubdIVisIOn: PROJECT ADDRESS: \ O~ W Credit Card Holder Name: Billing Address: Credit Card Type VISA TYPE OF WORK: o ResidentIal 0 New Constr. 0 Re-roof ;{ Stove o MultI-family 0 AdditIon 0 Move 0 Garage o CommercIal 0 Remodel 0 Demohtion 0 Deck o Repair 0 SIgn 0 Other BRIEF DESCRIPTION OF THE PROJECT: p \~~ o,~ ~\,e-~~~ COMMERCIAL/RESIDENTIAL: Occupancy Group: City: MC # Exp. Date: SIZEN ALUATION: SF.@$ /SF.=$ SF.@$ /SF.=$ SF.@$ /SF. =$ TOTAL VALVA TION $ q()O () C o~ c... I..0DDd S\-C0e- \ ^ ~i- I n-\o Occupant Load: Construction Type: = TOTAL Sq.Ft. % No. of Stones: Lot SIZe: Existmg Sq. Ft. & Proposed Sq. Ft. EXIsting lot coverage _ % & Proposed lot coverage _% = Total lot coverage 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 BUlldmg DiVIsion can proVIde you WIth Information on the apphcatIOn and plan subnnttal requIrements If you have questIons. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by tlIe applicant. ThIs figure wIll be reVIewed and may be reVIsed by the BUlldmg DIviSIOn to comply WIth current fee schedules. Contact the Permit Coordmator at 417 -4815 for aSSIstance. PLAN CHECK FEE' IF a plan check fee is due it must be subnntted at tlIe tune tlIe bUlldmg perrmt applicatIOn and constructIOn plans are subnntted. All other perrmt fees are due at the tune of perrmt Issuance. EXPIRATION OF PLAN REVIEW: If no perrmt IS Issued WIthin 180 days of the date ofapphcatIon, the application will expire. The Bmldmg OffiCial can extend tlIe time for actIon by the apphcant up to 180 days upon wrItten request by the applicant (see SectIOn 107.4 of the Uniform Building Code, current edItIon). No apphcation 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 responslbJ/tty to determine what permits are required ,not the City'S, and that I must obtain such permits pnor to work. T.\FORMS\APPS\BUlldmgpermlt wpd APPlican~~ ~-d-.Date: t f d I O~ ..../ PURCHASE ORDER @1998 ~FORM@ 1 L 140 3705 -- .. UNIT IMP 0 R TAN T OUR ORDER NUMBER MUST APPEAR ON ALL INYOICES-PACKACES. ETC. 1 ~ PLEASE NOTIFY US IMMEDIATELY IF YOU ARE 1-1 UNABLE TO SHIP COMPLETE ORDER BY DATE SPECIFIED. PLEASE SEND COPIES OF YOUR INYOICE. PURCHASINC ACENT +k..cC10l clc ORIGINAL "'!..ES _ Construction Pllms CITY Of PO~i /.'\\\8.. these plans. speclfi- mlt based upon , I The Issuance of this per \I ot mevent the bUlldlOg Of.ICla catIOns and other data sha . n c~rreclIOn at errors 10 said 'om thercaftei reqU\[\n~ ,he I"t or two preventing Ir :i o"'e" 00 a plans, speclhc~tlOns. an". ol~.. ."rrl on t1lcrel'nder Wilen 10 bUlldmJ, oper~l\ul1S u"IH, c, "'11' 0' c; \i1IS IlI-" 01u'3n :~l~'.;/;:":~:' ;\~\~~ CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nt.> 17067 Port Angeles, washJngton...___L.q____=_2__~__________________________, 19_2:.1 In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, oJ)., or about any building or other structure in the City of Port Angeles, per- :~:::s: i~_~~~~:;~~.:;;~~~~~.r~__:~_I:~~_~:._:~_iO:~cupancy___/tg~~_~'_'______'_h_'_'____" ~:::~-~~~~~~~~-:::::::a:.~~::::::~J:~:~~;:::::::::::::'-:-:--.~::::::::::=::::::::::::::::::=::::::::::::::::::: Light OuUetL.uu____..u_________..___._..____.. Service, volts u,/,:?nY:?n'?!.._i:) Type of Wiring: R t I Outlets No wires 3.. Armored Cable nm__n...m.h_._h....... ecep ac e ___.___nnn,nnnnn___'U, SI . I nnu_ '7;;;::;uV) Non-Metallic ___uuuu.u.______.___U.___n Dryer, KW.....___....uun..___.....___....._ ze w resh..........._h_h_....h......._.. /~@ 0 A- Main fuse .h............h..._h.......nh..... 5 Enclosure n..m_un.m....m ..0000..00..... Knob & Tube..................._............_ Range, KW.___..._______nnn_._____.____n_._..__. Rigid Conduit .____________'_________00__.___ Water Heater: Metallic Tubing .___n_mn_n............ Heat~:~:.:::J.::p~:L,J11u:'n. Type of wiring: Entrance Cable ..___m...um..u.nnnn Motors: size, volts and phase: Rigid Conduit '''000000000000........00.....' Metallic TUbing mnmuu...n Raceway ___...._________._........__..._ Circuits, Light____._..._______.._.____............... Utllity UnUU_______________u___Um'_'___n,___ Ser. NO.nn_...._..___._______._____._._.._.. Heat ____________.....__...................._.._ Range .....________.....______________._....__..... Water Heater _._.._......m"__"h"'''''' Motor ..._...................................___._ Current transformers: No. & Sizem____nmmmm........ Ser. No. _..__..............._........h____._______.. Dryer _......__............_........__..........._..._ Furnace ._._.....u_..............~_____._____.__..__. Ser. NO..___n_.___h_...__..__.____.__......__.._.... Total Loadn_____....._.n............. Ser. No.........-.;;:.::::............-..............._. Total._..._.._._.............._..__._._...__ Remarks: h_nh_n_mm__.________.,--~__~:~:t..d..____________------..-.__--.....___..n-________--______-__________________________ m__________h._______._mnm._______________h._mn.mn__m_______________.______._______m____n_~m_ ~_________h _hhm___nnm__,__________.______________ Permit Fee Treas. Receipt C, /J / '1. d $:.-----.----.------..----0.0..-------- No.___.___________............. By 7-2"-----, ..______.___Wf'J:_t;:___-:::-_~f:.~_~:::a..--~ 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 before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 17067 Address....._...._....._____._.__..............h__..__._.___......._.....................h__n_____._.....n.............._...______.____....Date._____________.........................._.............__.. Owner..__.__.___._......................_...________......_......_.._.......__._......__........._________________._____..._....Tenant..__......._.._..________..__________...___..................__.._.. \ \ , , ',-.- Wiring Contractor ........................................._....._._.._.............................._....______..._................________ By.__..._..___._.___..___..___.....__................_.......___ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work 1.!J to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. I \ 1M Olympic Printers.\Inc.