HomeMy WebLinkAbout332 E 8th St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
\R... 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000597 Date 6/14/11
Application pin number 181479
Property Address
ASSESSOR PARCEL NUMBER: 06 -30- 00-0-2- 7000 -0000 REPORT SALES TAX
Application type description PLUMBING PERMIT on your state excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning UNKNOWN (Location Code 0502)
Application valuation 1500
Application desc
WATER SERVICE LINE REPAIR
Owner Contractor
RAYMOND A GRUVER GARY'S PLUMBING INC
210 E 7TH ST PO BOX 255
PORT ANGELES WA 983626115 PORT ANGELES WA 98362
(360) 457 -8249
Permit PLUMBING PERMIT
Additional desc WATER SUPPLY LINE REPAIR
Permit pin number 187518
Permit Fee 57.00 Plan Check Fee .00
Issue Date 6/14/11 Valuation 0
Expiration Date 12/11/11
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 7.0000 EA PL -WATER LINE 7.00
Fee summary Charged Paid Credited Due
Permit Fee Total 57.00 57.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.00 57.00 .00 .00
ftAa l 31%6111
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 has 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.
C l 71 7 7
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 1
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney N
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
1.1
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit; s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417-4815 Al IOW .1111110111111111'
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T:Forms /Building Division /Building Permit
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0, BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
For City Use Only:
Attn: Building Permit Technician Date Received
321 E. Fifth St., Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711 Permit S
Date Approved 69.---/
Applicant -1,14!„,, 11 tom t 'c_, il Phone
Property Owner u fit U.- Phone 1-40_O ?to -k
Property Owner's Addre`s's 0.....1; V
Contractor (2'� pit Phone 4S°'
Contractor's Address J
License Expires E -mail Iq -c-o E cPtses. i
PROJECT ADDRESS S 1
Parcel Number Lot Zoning
Project Type Brief Description: Residential Multi- family XCommercial Industrial
Check all that apply c
New Construction c�'e-re.) L yam,_
Addition
Remodel
Repair
Demolition
Re -roof House garage other tear off re -roof lay over one layer
Heat System Heat pump wood- burning stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq. ft.
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION CC
Total footprint of structures sq. ft. 'T Lot size sq. ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage
Max. height of proposed structures ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed? 2 Occupant load of full baths
Will a fire sprinkler system be installed? Construction type of half baths
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand
that it is my responsibility to determine what perrnits are required, and to obtain permits prior to w ing on projects.
Date&/ /z% Print Name ?ea Signature y2l., ...g,
T:Forms /Building Division /Building permit application
Contractors or Tradespeople Printer Friendly Page Page 1 of 2
General /Specialty Contractor
A business registered as a construction contractor with L81 to perform construction work within the scope
of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment
of account and carry general liability insurance.
Business and Licensing Information
Name GARY'S PLUMBING INC UBI No. 602116834
Phone Status Active
Address Po Box 255 License No. GARYSPI994KN
Suite /Apt. License Type Construction Contractor
City Port Angeles Effective Date 5/25/2001
State WA Expiration Date 5/25/2013
Zip 98362 Suspend Date
County Clallam Specialty 1 Plumbing
Business Type Corporation Specialty 2 Unused
Parent Company
Other Associated Licenses
License Name Type Specialty Specialty 2 Effective Expiration Status
1 Date Date
GARYSP*283K3 GARY'S Construction plumbing Gutters /Downspouts 5/23/1972 5/12/2002 Archived
PLUMBING Contractor
Business Owner Information
Name Role Effective Date Expiration Date
COLLINS, BRIAN G President 03/26/2003
COLLINS, DEANNA J Vice President 03/26/2003
COLLINS, GARY I President 05/15/2001 03/26/2003
COLLINS, CONSTANCE E Secretary 05/15/2001 03/26/2003
Bond Information
Bond Bond Account Effective Expiration Cancel Impaired Bond Received
Bond Company Number Date Date Date Date Amount Date
Name
2 WESTERN 69160164 05/03/2002 Until $6,000.00 04/29/2002
SURETY CO Cancelled
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance Company Policy Number Effective Expiration Cancel Impaired Amount Received
Name Date Date Date Date Date
11
MID-CENTURY 604764159 09/11/2010 09/11/2011 $500,000.00 09/16/2010
INS CO
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Contractors or Tradespeople Printer Friendly Page Page 2 of 2
10
MID-CENTURY 604764159 09/11/2009 09/11/2010 $500,000.00 09/14/2009
INS CO
9 UNDERWRITERS PFK040128 09/11/2008 09/11/2009 $500,000.00 09/10/2008
AT LLOYDS
8 CENTURY CCP500937 09/11/2007 09/11/2008 $500,000.00 08/20/2007
SURETY CO
7 CENTURY CCP435898 09/11/2006 09/11/2007 $500,000.00 09/01/2006
SURETY CO
6 CENTURY CCP135898 09/11/2006 09/11/2007 $1,000,000.00 09/01/2006
SURETY CO
5 HARTFORD CAS 52SBAPQ8776 09/11/2005 09/11/2006 $500,000.00 08/12/2005
INS CO
4 HARTFORD 52UECKA217300 09/11/2000 09/11/2005 $1,000,000.0009 /09/2002
FIRE INS CO
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
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