HomeMy WebLinkAbout2427 W 16th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 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
07-00001085 Date
459335
2427 W 16TH ST
06-30-99-1-0-8030-0000-
MICHAEL R WOOLSEY
MECHANICAL APPL. PERMIT
9/20/07
RS9 RESDNTL SINGLE FAMILY
2262
Owner
Contractor
MICHAEL R WOOLSEY
2427 W 16TH ST
PORT ANGELES
(360) 417-3704
WA 983631347
PA SWIMMING HOLE & FIREPLACE S
518 W 8TH ST
PORT ANGELES WA 98362
(360) 565-1163
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
F/S GAS STOVE/FIREPLACE
111344
60.65 Plan Check Fee
9/20/07 Valuation
3/18/08
.00
o
Qty Unit Charge Per
Extension
50.00
10.65
BASE FEE
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60.65 60.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 60.65 60.65 .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 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 governi pe of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give auth violat or can el the provisions of any state or local law regulating construction or the performance of
constr cti
. 20 --()"?
Signature of Owner (if owner is builder)
Date
T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005J
BUILDING PERMIT INSPECTJON RECORD
o
~ALL 417-48]5 FOR BUILDING INSPECTIONS. CALL 4]7-4735 FOR ELECTRICAL INSPECTIONS. -1
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANJ' "VORK BEFORE \
1.NSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
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INSI'EcnON TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNllA nON:
FOOTINGS
SHEAR WALLS/WALLS
FOUNDATION DRAfNAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS UNE FIN AL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILlNG
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILlNG
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CElLING I
MECHANICAL
ROUGH-lN
HEATPUMY/FURNACE/DUCTS 10 -(( _0 lATE
GAS LINE l() - t:;/O I -:\ t,...l.,.. FINAL P5- ACCEPTED BY:
WOOD STOVE / PELLET / CIDMNEY
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEPARATE PERMITI/'s . SEPA:
P ARKING/LI GHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION RW. /PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 4J 7-4653 FIRE DEl'T.
PLANNlNG DEPT. 417-4750 PLANNlNG DEPT.
BUlLDING 417-4815 BUlLDlNG
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T:IPoliciesll J02 15 building pennit inspection record05.wpd [1/4/2005J
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PA S\JVtMMEN HOLE 8: FiREPLACE SHOP ~NC
518 Wast 8th Street
Port Angeies, WA 983S2
Tel (360) 555-1163
Fax (350) 452-1689,,,,,, .1 II J r ~ '
~ .\1WJllntn (t. CDW1
SOLD TO /11 316
Invoice
No. al1no,n 1
1\~7 r:j~ ~
;-:-:..:" ~.~-"":7":"""""-:';'~.~?'.;;.o...~-";";....:.~ ~~...._.-;.
DUPLICATE
TI-IANI( vnll
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BUILDING PERMIT - APPLICATION
FiII out COMPLETELY and in INK. Your application, prescriptive energy
form, plans, specs, and a 8 W' x 11" site plan MUST BE COMPLETE to be
accepted for review. (360) 417-4815 FAX (360) 417-4711
FOR OFFICIAL USE ONLY:
Date Rec.: q - 20,... 01
Permit#: 0"1,,- IOg-S
Date Approved: ~- ZO -c;[7
Date Issued: '\
Residential projects: submit two sets of plans
Commercial projects: submit three sets of plans
Applicant or Agent
OwnerJV\. I C ~I A {~IZ- t1...J ouc S e Y'
-
Phone
Phone (5 6t') 1//7- r 70 y
--
Owner's Address
ContractorlEngineer
SI/v I f'v\ fV\' N
H C' Le State License #
------
Expires
ContractorlEngineer's Address
PROJECT ADDRESS: ZL-/21 tu, / ~ i.!J- $7
.,.--
LEGAL DESCRIPTION: Lot: Block:
CLALLAM COUNTY PARCEL NUMBER:
Phone
ZONING:
Subdivision:
SIZEN ALUATION
SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $
~;~rn
~~~ 'fre.e-S'-6xtcl~ ~
TYPE OF WORK
o Residential 0 New Constr. 0 Re-roof 0 Stove
o Multi-family 0 Addition 0 Move 0 Garage
o Commercial 0 Remodel 0 Demolition 0 Deck
o Repair 0 Sign .>s: Other
BRIEF DESCRIPTION OF THE PROJECT:
P-TIfCine
:2-)2 ~2. 00
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
Existing Structure(s) basement Sq. Ft. & Proposed Structure(s) basement Sq. Ft.
1.1 floor Sq. Ft. & 1.1 floor Sq. Ft.
2nd floor Sq. Ft. & 2nd floor Sq. Ft.
3,d floor Sq. Ft. & 3,d floor Sq. Ft.
Accessory Structures Sq. Ft. & Accessory Structures Sq. Ft.
Existing Structure(s) TOTAL Sq. Ft. & Proposed Structure(s) TOTAL Sq. Ft.
TOTAL of existing & proposed structures Sq. Ft.
Maximum Height of Proposed Structure(s) Ft.
Are you planning to install a lawn sprinkler system?
(Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.)
V ALUA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be
reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815
for assistance.
PLAN CHECK FEE: The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are
due at the time of permit issuance.
EXPJRA TION OF PLAN REVIEW: An application for a permit for any proposed work shall be deemed to have been abandoned 180
days after the date of filing unless such application has been pursued in good faith or a permit has been issued; except that the building
official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial
projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006 105.3.2)
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to
apply for this permit and u nd that it is my responsibility to determine w permits are required, and that I must obtain
such permit prior. 0 r; . // ~ /J 7 _ 20
Date Applicant ~~ -07
T:\FORMS\BUILDING DIVISION\BldgPermltAppl.-2006 CODE - backup.wpd
1-20--D7
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. ;]' 6cfs
7 /i/7t~-
/ .
DATE
Site Address:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
M RESIDENTIAL
JO COMMERCIAL
o BASEBOARD KW _
~ FURNACE KW
FAN/WALL KW n
HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
DetailslDescription:
,1/4$ ~
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
~ ~Rough-in/cover O.K.
~ O.K. to connect service
191'fit-FinaIO.K.
Site Address:
Installer:
Permit/Receipt No.
:J (pg s-
L..
New Meters I
.
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work m st not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Buil~Permit. PHONE 457-0411, EXT. 224. ~
r \ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 10 -
Electrical Inspector Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
\
GREEN - Top: Meter Dept., ~Ollom: City Hall
OLYMPIC PAINTERS INC.
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