HomeMy WebLinkAbout1916 W 4th St - Building
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Pin number . . . .
property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
property Use . . . .
property zoning . . .
Application valuation
04-00000178 Date
.071090
1916 W 4TH ST
06_30_00-9-0-0115-0000-
MECHANICAL APPL. PERMIT
3/02/04
RS7 RESDNTL SINGLE FAMILY
3200
Contractor
Owner
------------------------
------------------------
THURMANS (HOAGLAND INC.)
1807 E FRONT STREET
PORT ANGELES WA 98362
(360) 457-8591
RAY BARCZEWSKI/J E JAMESON JT
1916 W 4TH ST
PORT ANGELES WA 98363
-------------------------------------------------------------------------
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
FREE STANDING PROPANE STOVE
57.65 Plan Check Fee
3/02/04 Valuation
8/29/04
u
.00
o
Sl
Qty unit Charge Per
Extension
47.00
10.65
3\
~
BASE FEE
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5
c'
Fee sununary Charged Paid credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57.65 57.65 .00 .00
. plan Check Total .00 .00 .00 .00
Grand Total 57.65 57.65 .00 .00
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S¶te 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
construction.
oA.J I- /LE
Signature of Owner (if owner is builder)
Date \
Date
Signature of Contractor or Authorized Agent
T:\PLANNING\FORMS\1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
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 LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
CALL 417-48 I 5 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
INSPECTION TYPE DATE T ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW /WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEA T PUMP
GAS LINE L^ __-;[ 1,1
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLlNE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCVPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 4] 7-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION KW./ PW/ CONSTRUCTION - KW.
ENGINEERING 4] 7-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 4]7-4750 PLANNING DEPT.
BUILDING 417-4815 M ,7-1') if I.I BUILDING
T,IPLANNINGIFORMSII ] 02.15 [1] 114/2003]
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