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Home My WebLink About3620 Old Mill Rd - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION ~ STREET, PORT ANGELES, WA 98362 321 EAST 5TH BUILDING PERMIT ISSUED: 10/31/2002 PERMIT NO: 13827 OWNER/APPLICANT PROPERTY LOCATION 3620 OLD MILL RD S LEWIS ERICKS 3620 OLD MILL RD Lot: 14 Port Angeles, WA 98362 Block: [] Long Legal 360/452-7976 Subdivision: HAWTHORN DIV 1 T: S: Parcel No: 063015600045000 CONTRACTOR ARCHITECT AFFORDABLE SERVICES N/A 258663 HWY 101 W SEQUIM, WA 98362-0000 , 98360-0000 360/452-5264 360/000-0000 PROJECT INFO Project Value: $1,995.00 SFD Units: 0 Commercial: 0 Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES TEAR OFF, FELT, COMP RECEIPTg9880 FEES ASSESSMENT Building Permit: $69.25 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $73.75 Plumbing: $0.00 AMOUNT PAID: $73.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate and public improvements. This permit becomes null and void if work or construction authorized is not commenced w thin 180 days, if construction or work is suspended or abandone¢ for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the las inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions o 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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 t DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PER341T: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN ~VATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD/ DUCTS PW UTILITIES ! SITE WORK (Engineering Division) SEPARATE PERMIT WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: 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:\PLANNING\FOKMS\1102.15 [4/2002] BUILDING/FIRE PERMIT APPLICATION T~e Butlding/Flr~ P~rrnll 4pph'can'on rnu~rt be filled out complele[y, Credh Card Numbe~ _ - - - xp, Date.~ VISA LEGAL D~SC~TION: ~: Block: Subdivisba:. CLALLAM CO~TY P~CgL 2 Residmtial n Multi-family La Commercbl ~'Reroof ca L?-gas, VALUATION (Coat of project mlnu~ IMcs tas) S l"l~l ~ BUILDING PER3~'T APPLICATION ~TJ~MITTAL: Your completed ~pllcahm, site plan (tLr ad, dition~) ami builci/.n8 con~ractJot~ plans ~e to bc submitled, to the Build. ing Division, '~'ALUAYION Ol~ COblSTR1JCTlObl: In ail cases, a valu~ amolmt must be ~tcr~ by D,e applicant, This figta'e w~ll be r~ ~d may b¢ r~s~ by the B~Jl(I. ing Div, m mmp(y w~th currmt t~ sch~aics. C~atact th~ Pcrtmt Coorctiaator at 4 ! 7-481 $ for usist~ce.. [XPIRATION OF PLAN REVIEW: lfno permit ts iuu~ witl~a lBO days ofll~c dale of application, ~is appllcaflofl w~ll expir~ ~¥ hr~tlst~c:ma T'bc l~lild~g O~.~til c. ttt ~l. eg.d ~'le time far ~tio~ by thc aoplic~t up to 180 days, oa writ'tc~ toque! by thc aOgi. ic~.t i~ec Secnon 107,4 o£ the Unifom Builctiag Code, cu.r'rmt ~ifion), No application can b~ e~t~cied more ~an oace, CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date_ J/-- /~ -- (~-~ Time Received by /~ !/ (phone, person) Location of Work to be inspected .,~c.~ ~G (~)/~J ~/~lj Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. /~ Sewer Foundation Framing Chimney Plumbing~/~Fin~ Sewer Excav. Other INSPECTION NOTES: ~ Inspected: Date /? ' Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel [~Asphalt [~]PCC []Other El Repaired by City Work Order # [] Repaired by Permittee ~-~ COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES LIGHT DEPARTMENT '. ELECTRICAL PERMIT N? 16456 / () -- (). /,~ Port Angeles. Washlngtonoomoo_..mm.._..........oo..__.mm.moom...._m. 19moo"'_ In accordance with the City Ordinance to regulate the installation, extension. or repair of elec- trical equipment in, on. or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. j C :;? c..> 0 flJ:F)j/ iiI ZtrClijil ~a..... b~:::soo::(~~e.~~=:::~;~;~::.J~:::~:::::::::-m;~~~~~:::.__~~~~~~.=~:::::::=::::::::::::::::::::::::=::::::::::::: /.) /) - '~' r'~ c,;,.. Wiring Contractor m!:h:r..l!:_:_~m_(;i7.!.t:2f7.n__oom:..m__.._m_m By_.m_mm___.___m_____nnm_mnn__n_____nm_m___n__n . .J-O l.lght Outletsummm.____u____n____u__u_m.. /0 ~eceptacle Outlets......._.___..m.n..__....... Oryer, KW nn.....n&.....................___... Range, KW nnn_h__/~.nn----nnnn-n-n Water Heater: 5' KW.oou_______n~_______n_________nn___n ~eat' KWuum_Lt.b./-3.nn___n______ Motors: size. volts and phase: /~ ::;..::"i:.~::.~;;;.::::::::::::::::::::::::::: Total Load........__n................. Service. volts ....mmm........_......______..n. No. wires ......_.._...............00.....00..00_ Size wires........................._u......._.. Main fuse n___m._____u___.nn............... Enclosure ........._........_.....0000._..____... Type of wiring: Entrance Cable ......_.......00__...._ Rigid Conduit mu___m.__m___..._____n. Metallic Tubing .mm........._.......... Current transformers: No. & Sizem_m_mmm..un..u............ Ser. NO..n..................................__...... Ser. No. ......00000000__..........00_.0000___00.00... Ser. No. ..........____.................._..0000...... Ser. No..................__......................... Type of Wiring: Armored Cable ............._..m_m....._. Non.Metallic u..............n__.n_......... Knob & Tube.......__n..___................_. Rigid Conduit uumum_n._______Uhm_ Metallic TUbing .m_m_.n.n............ Raceway ___.______.............n......_......_ Circuits. LlghLm4.'..nunuu____uuhum__n Utility .n/f.nnummm_um________n_____ Heat myumum____uhu_u_mm_mm &- Range ....._................_00.00.___............. ~ Water Heater ............_._mnm_U..... Motor _______......_..........___._......._......_ Dryer ...u~~..............m___m__n........._ Furnace 000000___00_...............00................. ;JG Total ..______.__._........_.............._._ Itemarks: n_uun_.....__"!1_~L_::!~.J.::::uuu..u..J~!::~_~12~~~""~__!..__u_nn..___..._..u......U.n.n......_.___n...n..uuununnnnuun.. /. _~...._n._..n.u.nnnnn_n_unnnnn__nnnun__nun..n__n_n_..uu..n...n___nn..nn_nnn_n___n__unnn.n_n_n__h_.nnnnnn_nnnnndun. :.:=i.i~_..~~~~..~._-..n_.n__-__mmm::~_~_~:~~:~.~.~~~_~_~_._-..-_moo--mnmoo::..~1~Z1~:Z,.::=::::: NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If' work is to be con. cf)aled 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? 16456 A,ddress....._............................................._..............._............................_........................_.________....Date_..__.....____.._.._..........___...._._....___....... 0' wner ..........00....................++............._.............._.._...........00..............___000000.00000000.....__00_..._ TenanL...u___...___.........___..................................._..... Wiring Contractor....n_.h.nn__.........u..............................._.............................._.............................. By 00.__0000_..000000000000000000_..........00_0000___.00_...._._ NOTICE-Current must not be turned on until Certlticate of Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olvmpic Printers. Inc.