HomeMy WebLinkAbout1427 W 11th St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Nun~oer ..... 03-00000125 Date 2/10/03
Property Address ...... 1427 W llTM ST
A~aESSOR PARCEL NL~BER: 0630000314600000
Application description . . . FIREPLACE/ INSERTS/FREESTANDING
Property Zoning .......
Application valuation .... 1000
Owner Contractor
Expiration Date . . 8/09/03
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 previsions 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.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\I 102. ] 5 [4/2002]
FOOTINGS
WALLS
FOUNDATION D~iNAGE
ELECTRICAL (LIGHT DEPT) SEPA~TE PE~IT: ~
PLUMBING
~DER FLOOR / SLAB
ROUGH-IN
GAS LINE
BACK FLOW / WATER
AIR SEAL
JOISTS / GIRDERS
SHEAR WALl.
WALLS [ ROOF / CEIL~G
DRYWALL
WOOD STOVE / PELLET / CHI~EY ~ -[~- O ~ /~ ~
/V CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date c~ - / ~ ~ ~ ~ Time Received by ~ ~// (phone, person)
Location of Work to be inspected //"/'~ '~ ~ / / -/- ~
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 ~ Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date ~- "/~ -(~ Time_ By
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel [Asphalt ~PCC ~Other
~ Repaired by City Work Order #
~-J Repaired by Permittee b~ COMPLETE
~-I No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)