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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
08-00000601 Date
645605
1610 E 4TH ST
06-30-00-0-1-8330-0000-
MICHAEL GILBERT
MECHANICAL APPL. PERMIT
5/19/08
RS7 RESDNTL SINGLE FAMILY
1662
Application desc
LPG TANK SET, GAS COOK RANGE / HEATER / FIREPLACE
Owner
Contractor
MICHAEL M GILBERT TRUSTEE
1610 E 4TH ST
PORT ANGELES WA 98362
(360) 457-1504
FERRELLGAS LP
ONE LIBERTY PLAZA
LIBERTY
(360) 683-9029
MO 64068
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
LPG TANK SET & 3 APPLIANCES
126946
142.60 Plan Check Fee
5/19/08 valuation
n/15/08
.00
1662
Qty Unit Charge Per
BASE FEE
3.00 10.6500 ECH ME-OTHER APPL. N/R
1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5
1.00 50.0000 HR ME-INSPECTION OTHER
Extension
50.00
31.95
10.65
50.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 142.60 142.60 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 142.60 142.60 .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 has 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
:;~~;i~OY MJ-riu4 Gilbert ~~~
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms/Building DivisionIBuilding Pennit (1O/01/07).wpd
BUILDING PERMIT INSPECTION RECORD
o
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. oQ
CALL 417-4807 FOR PUBLIC WORKS UTILITIES 1
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. 6'
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. 0
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEA T PUMP / FURNACE / DUCTS
GAS LINE 0../;J..-OR -n./~
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
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 4 \ 7-4807 PW / ENGINEERING
FIRE 417.4653 FIRE DEPT.
PLANNING DEPT. 417-4750 ,PLANNING DEPT. .
'....... -".",'
BUILDING 417-4815 Cf .A./ .... ()<:j, ~L.L- BUILDING
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T: Forms/Building Division/Building Permit (1010 l107).wpd
CITY OF PORT ANGELES For City Use Only:
Attn: Building Permit Technician Date Received 5-} q--og
321 E. Fifth St., Port Angeles, WA 98362 Permit # ()5S--roo(
(360) 417-4815 fax (360) 417-4711 Date Approved
Applicant or Agent ?a-f ~i (!j tc a4Jj}11 d, C/ e I Q WPhone 'l51- /50 '-/
Property Owner m __ c h /1( e/ @ i-f.t ~/ . Phone
PropertyOwner'sAddfesso/Io/O Earl- If _ f-ree.T
Contractor/Engineer ~ r I . Phone 6 i 3 - q 02- q
Contractor/Engineer's Address
License # {,oJ 553 5tf2. Expires e..c,3/ Zoo
r---
--- ~
BUILDING PERMIT APPLICA TION Print in ink
/6/0 C, r - Sf-
Pori Il11- des
Parcel Number
PROJECT ADDRESS
Lot
Zoning If eJ .
)s: Residential
o Multi-family
o Industrial
o Commercial
Proiect Tvpe & Brief Description:
Check all that apply
o New Construction
o AdditiOn ._____o. .--.
p(Remodel
o Repair
oRe-roof
o Demolition
pHeat System
o Other
Total footprint of structures
1/r Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
Floor Areas
Basement
1 sl Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Ire.. -
Existinq (sq. ft.) Proposed (sq. ft.)
@$
per sq. ft. = $
TOTAL VALUATION $ /bb
sq. ft. -+- Lot size
sq. ft. = Lot coverage
%
ft. Occupancy group
Occupant load
Construction type
# of bedrooms
# of full baths
# of half baths
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on
projects. ~ tL ~/J /J I-
DateS--1q-otPrintName 1?L+rr'CIA brl/;U-+ Signatur~~~
T:FormsfBuilding DivisionfBldg Permit Appl.-2006 Code.doc
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15460
</ -;;G . )>,--
Port Angeles, washington_________3_n_____n_________________________________________, 19_____,;J
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 d~triCa1 work as listed below.
Address --/C;-jn~-hnn?-_!f;--~------nn--hh--n----h-h-n--nn----h-- Occupancy__,4__R"""~__________n________________
::: <O.;~~~~Jl~~=::-:===--:==:
Llgbt outlets_u_mciZm2_mmm_u_______ Service, volts /?:__CJ./__.f'.CtJ._m__ Type of WIring:
Receptacle OUtletB;./?__J..=___um_m_ No_ WIr_eB m--f7dmm/Y-uu- Armored Cable _m__mmmmm___Um
c..,.... //0. trt Non.Metallic mn__uun_____m___n.....__
:::::, ::-----_--_----Z:;?--::-h :::: ;~::B_-~_~;t-_-_-_-:~:_- Knob & Tubem_______m__mmmmmm
---S Rigid ConduIt m..__mm____onm__mm
Enclosure m_m___m.onm........._.._______
Water Heater: /"
SI, S
Heat~:;:::u_:::;::)i;I_~1!/1.
Type of wiring':
Entrance Cable ___.m__m.___m__m.....
Rigid Conduit ....____m___...m______m_.
Metallic Tubing ._____m.n__n_____......
Current transformers:
No. & Size....___________m........_............
1\lotors: size, volts and phase:
::::ttt..::::::::::::::::::::::::_:::::
Ser. NO.n_n..__..___n_.._n.__n........__........
Ser. No..____._._______......._..................____
Ser. No.___..._..._.._................__________.....
Total Load__nmm....____...........
Ser. No. ..____._____...___.______..___..__........__
Metallic Tubing ___m....___
C i I"c:::.e :::h ~.7?j::::~~~~~_.~~_.~~~~~~~:~:~_-:~~~
~:::itY__:t~<::::::::::::::::::::::::::::
Range ____.;;1..m____m______u_____mu_um
Water Heater::!............._.__m_......
:~::~-~~.-----.----~~-.~~~--~~~~~~~--~~~~~~~~~~~~~~~~~~~~
F urIl;:et~~---.-_-_1~~~~_-_-_-_._-~~_~_..._.~~~~::::~~~~~_.
Remarks: _n_________n_h__,."02!L.P__"...l._____~___c.-dn,'___~__.__nn___________h__nnn_n_______________nh________nn_______n_______
~ ~ ~
i~_:_~~ii_~_:-_:-:_:___-_-_-_-__nh----ni~~_~_~:::~~_~_~~i_~::-_-~:::------------h-h-:~-~~~~~-;~~:R~=~
NOTICE-Current must not, be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed due noUce must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
/ >/_t;J(t.v ;JB
ELECTRICAt PERMIT
N?
15460
Date called f/lf.ptctlam____u{.Zn~c.l'nunuu-uum--m-munmum-----mnnununnuuunnm_m_n_mnuuuUUm_____hmmmuu_
prelimlnarlZ,(p-!cJon ~-~~~=uu~-::ri-mmnmu-mu--mhmhu----um---mmm--------mm---m--_Uh___Um__mUmm
InspectioncomPleted____.:.___________.."\r.._______..____---------------------.-..----....---...-.......---------.---.........--------.-..........-.....,...--....--.----.......-........-......-
Total Load _n___________u________....____......______......____________u____n.._.......__.....__ .....00 ..u.....__.__.__.nm_____.....n....____....___...__.________......_.....___n__..__....._......_
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