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Home My WebLink About2043 W 4th St - Building [""" ,',: ;":-'-"':'-':,' ~~"'-':"~ ;"- .' -,~:" . , - '..~ ........tI...I:I.....r.~.. ~~~ .11 CITY OF PORT ANGELES DEPARTMENT OFCOMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH SlREET, PORTANGELES, W A 98362 35.30 10/31/03 4/29/04' Plan Check Fee Valuation .' ':~ . ~.~ ;,,', Application NUmber Property. Address ASSESSOR' PARCEL NUMBER: Application description Subdivision Name Property Zoning .. . Application valuation OwDer 03-00001068 Date 10/31/03 2043 W 4TH ST 06-30,:00..9-4-0003-0000- MECHANIcAL' Pinoo:T 7064 Contractor BADMAN,. TTE RALPH E 2043'W 4TH ST PORT ANGELES NA 983631603 PENINSULA HEAT 502W. 8TH ST. PORT ANGELES (360) 457-2775 NA 98362 perinit ... . Additional desc Permit Fee IsSUe Date Expiration Date ELECTRICAL ALTER RESIDENTIAL .00 o Qty Unit Charge Per 1~00 35.3000 EC EL-LOW VOLTAGE Extension 35.30 ~---~----~----------------------~-------~-~--~-.-----------------~----------- 'permit . . . . Additional desc perinit.Fee Issue Date .Expiration Date MECHANICAL PERMIT HEAT PUMP 61.70 Plan Check Fee 10/31/03 ValuatiOn . 4/29/04 .00 o Per Extension 47.00 14.70 BASE FEE 14.7000 ECH ME- INSTALL 100- FAD Fe~ Summary Charged Paid Credited Due ---------- ---------- ---------- ---------- permit Fee Total 97.00 97.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 97.00 97.00 .00 .00 SeparClte ~ermitsare required for electrical work, SEPA, ,Shor~line~ESA;l!tilities.private and public improvements.1"tlis, PlitriPrt~gmes JiullClIl~vQidifwork Or construction authorized is not commenced within 180 days, if construction or work Is susl;len'cJe~()r;'a~ClJ;ldo~~ forapeliod of180 days after thework as commenced, orlf reqllir~inspections have nolbeen r~qllestedwithin180~a~1ronl~~I~t . ' Inspection;>lhereby certify that I have read and'exarninedthlsappUcationand know the same to be trueandcOrrect.,l\jtprOvi~lol1sof .I~ws;an(f prdinan~es governing this type of work will be compUed with whether specified herein or not >. The$lranting of~pen:nitdj)es not p,resumeto ,giveauthprity to violate or cancel the provisions of any state. or local law regulating construction or the peiforrnance'of construction. . '. OR/FILe Si~nature of Contractor or Authorized Agent BUILDING PERMIT INSPECTION RECORD ~: ;~ , <. ~~T~ ..'~. PLEASE PROVIDE A MINIMUM 24 HOUR NUl ItAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT :~' .> KEEP PERMIT CARD AND APPROVED PLANS AT JOB .; ',., '6'RONTYPE -\':;..; " ACCEPTED YES I NO ,": , ,,;; , . . FOUNDATION: FOOTINGS WALLS DATE ~.,,<., ",",,:.:,". ", ';7,,:"::;::;. ""'<FoUNDATION ,DRAINAGE "" :',i~~il~~';(LIGH'rDEPT) SEPARATE PERMIT: # ",ROti'GH"INi':;z ,', " I . ~: ~ . . .PLu.~ING " :l:JNijER. FLOOR !SLAB ,.' --, -. '.- .. . '. .ROUGH-IN , . 'WATERLINE" " ,GASLINE BACKFLOW/WATER AIR SEAL "WALLS ,CEILING ' , I FRAMING , .JO~S I ,GIRDERS SHEARWALL W ALl.S ( ROOF/CEILING DRYWALL '" T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOP STOVE / PELLET / CHIMNEY HOOD I DUers PWUTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: I I W ATERLlNE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s P ARKINGILIGHTING LANDSCAPING SEPA: ESA: SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE DATE YES NO COMMERCIAL . RESIDENTIAL , . ,. , . - . . . . ELECTRICAL" LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION - R. W. : PW / ENGINEERING CONSTRUCTION R. W./ PW/ ENGINEERING 417-4807 417-4653 417-4750 417-4815 !/Z "2s~ f15 .R1c' FIRE DEPT. PLANNING DEPT. BUILDING FIRE PLANNING DEPT. BUILDING T:\PLANNING\FORMS\1102.1S (412002) ..;", . . :,'.,; :;~, :~"~'."'" .:. ';".,~.. "i,";o \ "; . ~ . , ~ '.. ' ""',' . I, " ::0, ,;, '. "~ , '." . , I . , '.' '. ," : ,.::.' . . ~, . " , ,.; : ;..,' ~ " :::) .. . ~ :' , ': . ," . ," . . . ., DATE , ..J., :. . ;c: < .' ':,~ > ':.' ,,' .'",',: "'" I ..,ACCEPTED yEs NO . .. .. BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: It) -3 J ~ 03 Permit #: I D bB Date Approved: Date Issued: Fill out COMPLETELY and in INK. Your application and site.plan MUST BE COMPLETE to be accepted for review. If you bave any questions, call (360) 417-4815 Applicant or Agent: Oft ar&f-!e t2n~ Owner: f?4/;h !J4Umdn .;(DQ3 W C/tJ? City: Phone: hrr4j~~ $ Phone: Phone: t,L-;5 7- ~ 77.r l/5a-7Y323' Zip: o/'?'363 Address: ArchitectJEnineer: Contractor~1l11J7Uk #tfl-,j- Address: 50211/ &7J- ~#V6 PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: . StateLi~7:~~: W~ Phone: ?,6 7 --ca )7S- . Zip: q $ G.:2 ZONING: Block: Subdivision: Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TY..Jm OF WORK: I7"Residential 0 New Constr. 0 Re-roof o Multi-family 0 Additio,n 0 Move o "'Commercial 0 Remodel 0 Demolition.. . 0 Repair" .; 0 ,Sigp . . BRIEF DESCRIPTION OF THE PROJECT: . City: Exp. Date: 'f '~SIZENALUATION: o :Stove', .. ; SF. @ $ /SF. = $ 0, Garage SF. @ $/SF. ;; $ 'O.Deck ..' ."c . .... . SF. @ $ . ' I'SF. = $ '".. ... . . ..0 Other , , ;/ TOTAL VALUATION $ .~()~~ l-J-{)'II1~t.l4./7flYT~ L.avv V"fl-AJ . - YIYl) COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: No. of Stories: _ Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage Construction Type: = TOTAL Sq.Ft. % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESNWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION 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. Contacttl1e Permit Coo~dinator at 417 :48lSfor assistance. PLAN CHECK FEE: IF a plan .check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of pemrit issuance. ,.,. . ' . . . \ ,':.,.' " ,'.. EXPIRATION OF PLAN REVIEW: If no permit is issued;within 180 "days 'o-{ the date of applic;at~on, the application will expire. The Building Official can extend the time for action by the applicant up to 180 (Jays upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once:" ., 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 understand that it is my responsibility to determine what permits are require t the it's, that I mus tain such permits pJor to work. T,IFORMSlAPP",".i1dm""""'.wpd Applicont, Date, /~ pI cJ:P C~TY OF PORT ANGELES DEPARTMENl' OF PUBLIC WORKS . . . . . . . . INSPECTtON REPORT. . . . . . REQUEST: Date Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): 0'13 W. Y:~ Phone No. Permit No. ~ ~ \N ~ ~ Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date Remarks: Time By 11't'#s~ rr::.fc,l~c. b/~ -';y 4.J4~"t:""~. :;::~ ,'s e'/I'~ C- 0 f" ,,",0 c.- . I'k l'"' e I,A. of. ,," ~ \ ' to; c:t c:: "''I l 00 ' L CI'I ~ L-U ,:-1-'''' ~ P/~ c:!-kA~ -\-"""'-c: -to WW 6}0ll - 't<i/O RESTORATION REQUIRED . . . . .. YES NO tII'CLV'" '" \t ~3 ~qJ 5~ ~fA.~{J ~~ -, tgI SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # % COMPLETE AffJI-. o INCOMPLETE ~. (Continue on reverse side if necessary) (;,-"30.00 STREET SUPERINTENDENT (DATE)