HomeMy WebLinkAbout115 E 5th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT
PERMIT NO: 13563
OWNER/APPLICANT
BRIAN COUGHENOUR
101 E 5TH STREET
Port Angeles, WA 98362
360/000-0000
T:
S:
ISSUED: 7/15/2002
PROPERTY LOCATION
115 5TH ST E
Lot: 13
Block: 168 D Long Legal
Subdivision: TPA
Parcel No: 063000016875000
CONTRACTOR
LANCY CONSTRUCTION
27 BLUE VALLEY ROAD
Port Angeles, WA 98362
360/457 -0952
PROJECT INFO
Project Value: $5,040.00
Project Type: RE-ROOF
Occupancy Type:
Occupancy Group:
Construction Type:
Zoning Use:
ARCHITECT
N/A
, 98360-0000
360/000-0000
SFD Units:
SFD sa FT:
Commercial:
Industrial:
Garage:
o
o
o
o
o
MFD Units:
MFD sa FT:
o
o
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PROJECT NOTES
TEAR OFF RE-SHEET, FELT, COMP
RECEIPT#9440
FEES ASSESSMENT
Building Permit:
Plan Check:
State Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
$125.25
$0.00
$4.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Mise Fee 1:
Mise Fee 2:
Mise Fee 3:
$0.00
$0.00
$0.00
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE:
$129.75
$129.75
$0.00
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 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
constru 'on.
T:\PLANNING\FORMS\1102.15 [4/2002]
1.--
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Date
Signature of Owner (if owner is builder)
Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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
i? 5fo")
INSPECTION TYPE DATE T ACCEPTED COMMENTS
r YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERM:IT: #
ROUGH-IN I I T
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS T
CEILING r
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
WALLS I ROOF 1 CEILING
DRYWALL
T-BAR
INSULATION
SLAB I I
WALL 1 FLOOR 1 CEILING I I I
MECHANICAL
HEAT PUMP
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEP ARA TE PERMIT Ws:
WATERLINE 1 METER
SEWER CONNECTION
SANIT AR Y
STORM
PLANNING DEPT. $EPARA TE 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.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 , PLANNING DEPT.
BUILDING 417-4815 I/~yln.,,- J.-I~H BUILDING
T:\PLANNING\FORMS\1102.15 [4/2002]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT. . . . . .
./
~
REQUEST:
Date t - 2.4 - DG..--
Time
Received by
RV
(phone, person)
IJ~ E 5+'-(
Location of Work to be inspected 2)
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney PIUmbingc5 Sewer Excav. Other
I2'd
1.5S-6_~
INSPECTION NOTES:
Inspected: Date
Remarks:
Time
By
RESTORATION REQUiRED...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date J.. v.. )-0 G
Time
:5 ; .J' u f ~eceived by
7(7
Bperson)
- - T/'"
Location of Work to be inspected / I ~ /:: ::;-
Name of person requesting inspection W VI. fer ,0, t/.
Address of person requesting inspection ) 70"3 6" R :;r
Type of Inspection (circle appropriate one):
Phone No. c.; 17- '/1f '/ '1
Sewer Foundation Framing Chimney Plumbing
Permit No.
Final Sewer Excav. ~ v.../c:{ te .r
INSPECTION NOTES:
J -cl:;-- D6
Time {,:oV 11M By '7/7
Inspected: Date
Remarks:
f)." c::..I r?la/~'L 61~'lf
(" e: lair- bent J .
I
/' e .t7a I/e ~
/
Vz/,l~
-full CI/'cl'f'
RESTORATION REQUIRED . . . . .. YES Y NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC jXI0ther 'T~-SCJ{'j
o Repaired by City Work Order # --S D J Lid - 080
o Repaired by Permittee 0 COMPLETE
o No Damage Found ~ INCOMPLETE
(Continue on reverse side if necessary I
STREET SUPERINTENDENT
(DATE)