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Home My WebLink About1016 W 12th St - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 OWNER/APPLICANT PROPERTY LOCATION 1016 12TH STW BRAD BURKETT 1016W.12TH ST Lot: 4 Port Angeles, WA 98363 Block: 370 [] Long Legal 360/457-1550 Subdivision: TPA T: S: Parcel No: 06300003701600 CONTRACTOR ARCHITECT ANCHOR PRESSURE WASHING N/A 218 MAIN ST KIRKLAND, WA 98033-0000 , 98360-0000 206/909-8979 360/000-0000 PROJECT INFO Project Value: $4,800,00 SFD Units: 0 Commercial: 0 Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 MFD Units: 0 Occupancy Group: Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES TEAT eOF / REFELT! 3TAB RECEIPT#0964 FEES ASSESSMENT Building Permit: $111.25 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: $115.75 Plumbing: $0.00 AMOUNT PAID: $115.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $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 euthorized is not commenced within 180 days, if construction or work ia auspended or abandoned for a period of '180 days after the work as commenced, or if required inspections have not been requested within 180 day~ from the last inspection. I hereby certify that have read and examined this application and knowthe same to be true and correct. All provisions o! laws and ordinances governing this type of work wil~ be complied with whether specified herein or not. The granting of a permit does presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. ~e of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:~PL ANN IN(~'dFORM S\ 1102,15 14/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSUL/~TE OR CONCEAL ANY ~VORIC BEFORE INSPECTED/~ND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE I S' CT ONTYPE I DATE I VES^CCEPTEO] NO COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPAKATE PERMIT: # PLUMBING UNDER FLOOR. / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL FRAMING JOISTS 1 GIRDERS SHEAR WALL WALLS / BOOF / CEILING DR,YWALL T-BAR INSULATION MECHANICAL 14~AT PUMP WOOD STOVE / PELLET / CHIMNEy HOOD / DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT WATERLINE / METER, SEWER, CONNECTION SANITARY STOEM YES NO B. UILDING n17~815 /,.~- '3~-~ -o ~., ~_~-~L BUILDING CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ....... REQUEST: ~ -~ ¥ Date ///-- Time Received by ~,"/~) (phone, person) ~ocation o, Work to be ~ns.ected /~/~ /<? / 7 ~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): ~ Permit No. Sewer Foundation Framing Chimney Plumbin~['/~=inal~ewer Excav. Other INSPECTION NOTES:~ _ O ~__ Inspected: Date /'Z_.~ Time By Remarks: ~,~,~. ~ RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel []Asphalt ~-~PCC ~-~Other [] Repaired by City Work Order # [:}Repaired by Permittee [] COMPLETE [-INo Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES LIGHT DEPARTMENT N~ 17959 ELECTRICAL PERMIT Port Angeles, washlngton__m_____m__SYa1.__m___m___m__m_mh____, 19_~} 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 d2; electrical work as listed below. 10lt tAl / Z I- ~= ~=i?:~~~~~::~::~,~i;:O'~'":?~==:::=::-==:=: Light Out1ets......h.._.__....~.................. Service, volts __......0.........._..........._...... Type of Wiring: Receptacle Outlets.....7h............_...... No. wires ....................................... Armored Cable .............__............._ Dryer, KW 0000.......00............................. Size wiresh.h.....____.......________......_.. Non.Metalllc ..................0.............. Knob & Tubeh........................__...._ RIgid Conduit ............_.................. Metallic Tubing h......................... Range, KW....___........__................... Main fuse ..__.__..__.........__..____........... Water Heater: Enclosure __..............................0...... KW.h.........n__...-........u...... 0.... n... He." Kw.du......k..iY.H,.0.F..f.. Type of wIring: Entrance Cable ...0..0................ Motors: size, volts and phase: Rigid Conduit .0..__..............0.......... Metallic Tubing ...0.._ Raceway ......................................._ Circuits. Light.........._..................h........ Utility ......................._.................... Hent .__............................................ CUrrent transformers: No. & Size............_____.......h..h Ser. No................__.._.........____.... Range ..............................._............. Water Heater .........0...__...____......... Motor .....___.....................0..______...__.. Ser. No. ..0._.0.................0.__..............._. Dryer __....__...____........0......0....__..........._ Furnace .............._..........__................... Ser. NO...h______.................__................. Remark:~ta~~_____.:.:_~_.:~:_.::.::...:._~__~:::.::____..__:.:::~.:_nmm__.m__.m__~:~::__:.::~:::~_::.___~:::.:::~:::'___'__ nnnu.n__.nn__.._n.n.n.uh.nn_nnn__nnnn_n.n.nnn.n.n...n.nn~..nnnn.nnnn.._h_nnnn.nh_nnn....nnnu.._nn.nn~nnnnn..un__ --nn....-____nuh_n_nnnnn.._....nnu.nnn.n_n.__nnn.hd____..nnnn-.nnn.._...nnnn....nnnn..nnn.u~..nnnn._____n.un.n.nnn...u... Permit Fee Treas. Receipt ~ .--- . $.m____mmm.._._mmm..m_ NOhm___........____.___..... By mm______mm _ __ m....mm.._.m_m_...__m____._m__ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con. cealed 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 N~ 1 7 9 5 9 ELECTRICAL PERMIT Address.................................................................._...._..........................._....................................Date..._......_.._.._.._.................._......_......... Owner ................0..............._._......_.._......_......_.._........................................................... Tenant.........................h.............h...._............h....... Wiring Contractor....................................................................0..................._...........0............0........ By....................h..............h..............h........ NOTICE--Current must not be turned on until Certificate of Inspection has been issued. It work is t-;-t;;'eo'"D.. cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc.