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HomeMy WebLinkAbout929 W 12th St - Building  CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION ~ 321 EAST 5TH STREET, PORt ANGELES, WA 98362 BUILDING PERMIT ~SSUEO: 2/07/2002 PERMIT NO: 13222 OWNER/APPLICANT PROPERTY LOCATION SCOTT GOSSARD 929 12TH ST W 929 W 12TH STREET Lot: E1/2KT12&LTS13&14 Port Angeles, WA 98362 Block: 352 [] Long Legal 360/452-3042 Subdivision: TPA T: S: Parcel No: 063000035258000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $1,000.00 SFD Units: 0 Commemial: 0 Project Type: WOOD STOVE SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES INSTALL 1WOODSTOVE AND STAINLESS STEEL LINER RECEIPT #8752 FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $50.00 Plumbing: $0.00 AMOUNT PAID: $50.00 Mechanical: $50.00 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 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 applicatiQn~and know the same to be true and con'ect. All provisions of laws and ordinances governing this type of work will be complied with whe[th~r specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any sta{e/or local law re~31a, ting.~construction or the performance of construction. 5z~f~ ~ '~c7~.,~,,~ __ ,, _ , OZ- o Signature of Contractor or Authorized Agent 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. ITIS UNLAWFUL TO COVER, INSUILATE OR CONCEAL ANY WORK BEFORE INSPECTED/IND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. ~c~P PERMIT CARD AND APPROVED ~'~ANS FOUNDATION: WALLS ELECTRICAL (LIGHT DEPT) SEPA~TE PE~IT: ~ ~o~._~ I I I CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT REQUEST: ~'~ (phone, person) Date /*- ~/~ ~'- ~-~ ~ Time Received by 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 Plumbin~ewer Excav. Other INSPECTION NOTES: _ - Inspected: Date f -' ~d.~ _(~) ~ Time By Remarks: f-~ /.~ RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel []Asphalt F~PCC ~]Other _ [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE El No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE) CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N'? 16223 'I -/1' ;> ) Port Angeles, Washlngtonm.m...m_.m...__.m.nnm.mm.m____.______m., 19n_n._. 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. e/ 15/' Address n__''l'.::.?:n2:.m?'-!..:./_..';::m1!!._________n__.m_.mn.__mm._.n Occupancy____n____nn_.m.n_.____n._._____mnm__ Owner __ __nnm.nnnm..______nmmmm_....______mmnn. TenanLnm._.___m.____nm__nm_.__nnm_____.______n.nm.m__.n Wiring ~-~~~actor n?lIP.~t:A~!____..Ea~~nn_n._ By.__._n__.____nmn____.m.m.mnnn___nn.___m.m__nm__ V ""'.0 < f-' Light Outlets....................._........_........... Service, volts .....<?...:..:(.~.m~_::::.. Type of Wiring: Receptacle Outlets_n.n................_...___.. No. wires .._..n.h..;!.......m.m.._r.-.. Armored Cable ................00....._...__ <C,;/ /') 1./ Size wires..........Lt.:_.._~~~:~~_.. Non.MetalUc .....m......................._. . ^','11:;:"\:;'/ ''''I'"/''V,{;,' Knob & Tubenn..__.......................... Main fuse __-':::~:::.m:_:_....hnnnh_.... S Enclosure ...._._._00......_..______ Dryer, KW du.........u..__..nn_.n_n._____n__ Range, KW _n_._____.nm_uu.__u_._____n_ Rigid C<>ndult uu_mmmm_nnn.mm Water Heater: Metallic Tubing ............m_........... KW.mn__..mmmm n____m__m________u Heat' KWm/QnB./3uuumunu Type of wIring: Entrance Cable ....._._...__......._.. Ser. NO..h........nn.___.n__....n_.__...n__..h. Raceway .__..___.._...................._n.n_ Circuits, Light..........._.._nn_._n......._....... Utility ummmnU.U__uummmmum____ I-Ieat ....___0.__............................_...... Range ................._.._______...__............. Water Heater ....0..............__.00....... Motor ____._......__..........__.........._....... Motors: size, volts and phase: Rigid Conduit m__nmmm..... MetalUc Tubing .'..mmmm Current transformers: No. & Size..........................h.. Ser. No. ..0000....................................... Dryer...........n.n...n_....n...................... Furnace _........................._.............._.00. Set. NO.nn_nn__.................................. Total Load..mu..uumf\2J'~ [/-;O~?mm.u::u._.uuuuumuuu..u.. . Total .m'__m.m..__u__.umuu.mu Remarks: -n---~.R..~~:.-m-.-n-E':c.:f-r_.nml)~.e~muu--~~.mu----.....-- .:i.:.;.~_f.::-:.-.-_.~.u...~-.~~~~..u~--um.::~.~.~:~~:~.~:~.~~~..:~~__um--m.mh.-:~.:::zEij&~l~,=~ 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 ELECTRICAL PERMIT N? 16223 Address..................._.._.......__.._..._......._......__....._...__...._.....__..__......_..._..._..._..__..__.._.......................Date...____.._____.,....__.........___......_._..___.__.__... Owner..........__......._.._..__........_._..__..........___.........._........_.___................._..______..__..._._....._....Tenant_....______._______..______..._.___________.______..___._.._..___.._ Wiring Contractor................................nn_n.....n..__.__.._....n_.n.............._......._.n......__n....n.__._.n..n._ By............._......_....................................n... NOTICE--Current must not be turned on until Certificate ot 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 cODcealment~ 1M Olympic Printers, Inc.