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Home My WebLink About1538 W 12th St - Building A ~ ~ORT ~ l"O~~~ ~ "--~ ~ 'l.&i:,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number P~n number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Appl~cat~on valuation 04-00000981 Date 10/27/04 .755748 1538 W 12TH ST 06-30-00-0-3-6545-0000- MECHANICAL APPL. PERMIT RS7 RESDNTL SINGLE FAMILY 2500 EXPIRED 5/4-;05 Owner Contractor EDWARDS ROCHELLE A 1538 W 12TH ST PORT ANGELES WA 983635518 PA SWIMMING HOLE & FIREPLACE S 518 W 8TH ST PORT ANGELES WA 98362 (360) 565-1163 Permit Add~tional desc Permit Fee Issue Date Expiration Date )1 MECHANICAL PERMIT FREE STANDING PROPANE STOVE 57.65 Plan Check Fee 10/27/04 Valuat~on 4/26/05 .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 ----------------- ---------- ---------- ---------- ---------- Perm~t Fee Total 57.65 57.65 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.65 57.65 .00 .00 VI \J'J ~ '<: f'J ct" .5 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 atter 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 performa ce of co S UC I n. /D-27~# Date Signature of Owner (if owner is builder) T \PLANNING\FORMS\1102 15 [11/14/2003] \ BUILDING PERMIT INSPECTION RECORD ..' CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER, INSULA TE 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 FOUNDATI<?N:. , ....'~~ ~ 'or .~ " FOOTINGS ; .., . " . ~ ~ ..,'. WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT. # ROUGH-IN 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 W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE 11- .1:) -01-1 J,L WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIVISIOn) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA PARKINGILIGHTING ESk LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T.\PLANNlNG\FORMS\1102 15 [11/1412003] BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY Date Rec 1(') - Z 5~O'f Perrmt#. DL/- q B( 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 PERMITS (360) 417-4815 FAX(360)417-4711 F\ye ~l~ce s'HO f ApplIcant or Agent. R. A. SWl fYl f(\ ) f.J ~ t1-t'll E ~ ~ " _ ()~ Phone: Owner'~OGhe U (' \Ll- ~ W~ ('rlS Address: \ S ~ ~ W - \ ~~ ~-t~t- Clty:t6cz..T ftNuf:-{...f~ .:sG:::>O - 5 bS - Illo3 Phone: 3 (PO - Y. 57 - 4-~ t.{ 7 ZIp: q~~~ 3 Architect/Engmeer: Contractor Phone: State LIcense #: Exp: Phone: Address: CIty: PROJECT ADDRESS: I 5 3 ~ w ' , 1.. -U- <; + re e... -\- ZIp: ZONING: ~ ~ -I LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: SubdlVlSlon: Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: o ResIdentIal 0 New Constr. 0 Re-roof o Multl-fanuly 0 AddItlon 0 Move o ConunercIal 0 Remodel 0 Demohtlon o Reparr 0 SIgn BRIEF DESCRIPTION OF THE PROJECT: City: 2( Stove o Garage o Deck o Other ? t" t!;> po-,^- lL Exp. Date: SIZEN ALUATION: o<=' SF. @ $ /SF. = $;2::,00 -- SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ -..--r ~+~rv1~'2r- COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot SIZe: EXISting Sq. Ft. Total lot coverage Occupant Load: & Proposed Sq. Ft. Construction Type: I APPROVALS: I PLAN: BLDG: I DPWU: I FIRE: I OTHER: I ~ BUILDING PERMIT APPLICATION SUBMITTAL: The Building DIVISIOn can provide you WIth information on the apphcation aJd plan subnuttal requrrements If you have questIOns. I VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the apphcant. Tills figure WIll be revIewed and may be revIsed by the Bmldmg DIVISIOn to comply WIth current fee schedules. Contact the Pernut Coordmator at 417 -4815 for assistancb. PLAN CHECK FEE. IF a plan check fee IS due it must be subnutted at the tlme the bUlldmg pernut apphcatIOn and constructlon plans afe subrmtted All other pernut fees are due at the trme of pernut Issuance. I EXPIRATION OF PLAN REVIEW: Ifno pernut IS Issued Wltllin 180 days of the date of apphcation, the application will expire. The BUlldmg OffiCIal can extend the tlme for action by the apphcant up to 180 days upon wntten request by the applicant (see SectlonRI0S,3l,2 of the InternatIOnal Bulldmg/ResIdentlal Code, 2003). No apphcatlon can be extended more than once = TOTAL Sq. Ft. % PLANNING USE ONLY: ESA/Wetland(s): 0 Yes 0 No SEPA Checkhst requrred? 0 Yes 0 No Other: I hereby certJfy that I have read and exammed thiS applIcation and know the same to be true and correct I am authonzed to apply for thIS permit and understand that it is my responsibility to determme what permJts are required ,not the Clt~ I must obtain such permits pnor to work I T \RVESS\BLDG-forms-brochures\2003-BUlldmgpenmt wpd Appli~:..:2 Ii.. ~ Date: /d - ~si at/. PREPARED 11/05/04, 12 24 34 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 7 11/05/04 ADDRESS CONTRACTOR OWNER PARCEL _ APPL NUMBER 1538 W 12TH ST PA SWIMMING HOLE & FIREPLACE S EDWARDS ROCHELLE A 06-30-00-0-3-6545-0000- 04-00000981 MECHANICAL APPL PERMIT SUBDIV- PHONE (360) 565-1163 PHONE PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 ~~ -------------------------------------- COMMENTS AND NOTES -------------------------------------- 01 MECHANICAL GAS LINE SETH