HomeMy WebLinkAbout1025 W 11th St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
JESCHKE BARBARA A
1025 W 11TH ST
PORT ANGELES
T \Policies \1 102_15 building permit inspection record05 wpd 1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983637208
05 00000769
054476
1025 W 11TH ST
06 30 00 0 3 1856 0000
SIDING
RS7 RESDNTL SINGLE FAMILY
3000
Owner Contractor
Sig {i ture of Contractor or Authorized Agent I Date
MICHAEL RIVERS CONST
P 0 BOX 4074
PORT ANGELES
(360) 452 9292
Date 8/19/05
WA 98362
Permit BUILDING PERMIT NO PR FEE
Additional desc RESIDE ON ONE SIDE
Permit pin number 58362
Permit Fee 106 75 Plan Check Fee 00
Issue Date 8/19/05 Valuation 3000
Expiration Date 2/15/06
Qty Unit Charge Per Extension
BASE FEE 92 75
1 00 14 0000 THOU BL -2001 25K (14 PER K) 14 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 106 75 106 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 111 25 111 25 00 00
/a/25l0
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 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.
Signature of Owner (if owner is builder)
Date
(F
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
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 LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
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
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING/LIGHTING ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING
FIRE
BUILDING PERMIT INSPECTION RECORD
417 -4735 ELECTRICAL
LIGHT DEPT
417 -4807
417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T \Policies \1102_15 building permit inspection record05.wpd 1/4/20051
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
I I I
I I I
I I I
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
~
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000768 Date
943872
1025 W 11TH ST
06-30-00-0-3-1856-0000-
RE-ROOF
8/19/05
-
Owner
Contractor
G
~
RS7 RESDNTL SINGLE FAMILY
3000
JESCHKE BARBARA A
1025 W 11TH ST
PORT ANGELES
WA 983637208
LAKEVIEW CONTRACTING LLC
PO BOX 68
BEAVER, WA
BEAVER WA 983050248
(461) 4868
]1
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Permit BUILDING PERMIT - NO PR FEE
Additional desc METAL ROOF
Permit pin number 58354
Permit Fee 106.75 Plan Check Fee .00
Issue Date 8/19/05 Valuation 3000
Expiration Date 2/15/06
Qty Unit Charge Per Extension
BASE FEE 92.75
1. 00 14.0000 THOU BL-2001-25K (14 PER K) 14.00
----------------------------------------------------------------------------
Other Fees
STATE SURCHARGE
4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 106.75 106.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 111.25 111.25 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
nu 11 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
const~ction.
! L') ~z ( . l._;, ( ~ 0'-"- \"1 /~'1 ~Oc Z
Signa re of Contractor or Authorized Agent I Date Signature of Owner (if owner is builder) Date
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
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 LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAJNAGE/DOvrNSPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS I GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS I ROOF 1 CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUNW I FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKlRTING
PLANNING DEPT. SEPARATE PERMlT #'s SEPA:
P ARKING/LlGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 q-/~ -oS ",I )... 1--- BUILDING
T:\Policies\1102_15 building permit inspectIOn record05.wpd [1/4/2005]
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tJuU...ulNG PEHMII
CITY OF PORT ANGELES
DEPARTMENT OF coMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA98362
OWNER/APPLICANT
JE~SE WILSON
1025W.11TH STREET
Port Angeles, WA 98363
360/457-3620
T:
CONTRACTOR
, ISSUED: 5/28/2002
. PROPERTY LOCATION
1025 11TH ST W
Lot: 14
Block: 318
Subdivision: TPA
Parcel No: 063000031856
PERMIT NO:
13447 .
~ Long Legal
S:
owner
VARIOUS
Port Angeles, W A 99360
206/000-0000
PROJECT INFO
Project Value: $500.00
Project Type: FOUNDATION ONLY
Occupancy Type: RESIDENTIAL
Occupancy Group:
Construction Type:
Zoning Use: RS7
ARCHITECT
N/A
, 98360-0000
360/000-0000
SFD. Units:
SFpSa FT:
o
o
Commercial:
Industrial:
Garage:
o
'.,
0,",
O:~
0-
N
<Jt
MFD Units:
MFD sa FT:
o
o
PROJECT NOTES
FOUNDATION FOR FUTURE GARAGE 16><24
';- ~
t
-
11
FEES ASSESSMENT
Building Permit: $23.50 Misc Fee 1: $0.00
Plan Check: $0.00 MiscFee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $28.00
Plumbing: $0.00 AMOUNT PAID: $28.00
Mechanical: $0.00 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
nun and volet if work or construction authorized is not commenced within 1 ~O days, if construction or work Is suspended or abandoned
for a period 01180 days after thework as commenced, or if required Inspec:tlons have not been requested within 180 daysf~olTlthe,last
Inspection. I hereby certify that I have read and examined this application and know the same to be true and cOrrect AU prq;..:islons of
laws and ordinances goveming this type of workwill be complied with whether specified herein or not. The granting of a. perrnit'does nQt
presume to give authority to violate or cartcel the provisions of any state or local law regulating construction or thEI"'performance of
construction. . .
Signature of Contractor or Authorized Agent Date
C.WJ6~
T:\PLANNING\FORMS\II02.IS [4120021
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BUILDING PERMIT INSPECTION RECORD 1, '
"',". '. ". . ..,i" ...... '. .'
CALL 417-4815 FOR BUILDING INSPECTIONS. ...PLEASE PROVIDE A MINIMUM 24 flOUR NOTICE. IT IS UNLAWFUL TO CihtiR. ;4..
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION:
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DArtt
ACCEPTED .
"YES I NO
COMMENTs '''::'>~
....
1"
.
FOUNDATION:
FOOTINGS
WALLS
FOUNDA nON DRAINAGE
..' ,..
"
. I'.
" '.d
, '
.,. .".'. .
.
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: 11
-,
ROUGH-IN
PLUMBING
UNDER FLOOR! SLAB
ROUGH-IN
WATERLINE
GAS LINE
BACK FLOW !WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS! GIRDERS
SHEAR WALL
WALLS! ROOf TCEILING
DRYWALL
T-BAR
INSULATJON
I
,
.,.
o'
;',
(
.
, '
. .;,.:
I
I
",
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" ....
,..~ SLAB
WALL'! FLOOR! CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE! PELLET! CffiMNEY
HOOD! DUCTS .',.
PW UTILITIES! SITE WORK (Engineering Division) SEPARATE PERMIT /I's:
WATERLINE! METER
I
. .
".~
.
,
SEWER CONNECTION
SANITARY
-.:
'. .
\
STORM,;"'"
PLANNING DEPT. SEPARATE PERMIT /I's
PARKJNGILIGHTJNG
LANDSCAPING
...... ..
,
,.
,'.'
SEPA:
ESA:
RESIDENTIAL
SHORELINE:
. ,FIl'fN- IJIl~!,~IOJllS.~UlRED PRIORTO OCC~J>AN~It1Sg
DATE YES NO COMMERCIAL
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.ELECTRJCAL" .
LlGHTDEPT
CONSTRdffioN - R. W.
PW ! ENGINEERING
'.:"'.: ,
. .... '" , .
DATIlj" ; .',. j~~EfI'AA', .
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ELECTRICAL - UGHT DEPT.
:j'
CONSTR.UcriON It. W./PW!
ENGINEERING
(-~ ~
FIRE
,
417-4807
417-4653
FIRE DEPT.
PLANNING 'OiiPT.
BUILDING
PLANNING DEPT.
BUILDING
417-4750 ~;^... .d..
417-4815 ",U. I<U
.,
T:\PLANNING\FORMS\1102.15 [412002)
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.:
Pennit #:
Date Approved:
Date Issued:
~wdi'-.p
The Building Permit Application must be filled out completely.
Please type or print in ink. If you have any questions, please call 417-4815
Phone:
w
l(S~ - 8:5'"
l.( S- 'I -39. ~ (
Zip: 9 ~s ~:>
Applicant or Agent: ......\e s s ~ C. W \ \ ~ ~ "'-
Owner: Bo....t \co.-.ro---. A _ .J e .sc ~ ~ ~
Address: IO;L~ W, /("'Af
-1-(
Phone: I.{~rr '3 (,,2..0
City:
F.A_
Archi tect/Engineer:
~ 'F12.I\z.e-Q
Contractor A\'Sb\~ ('Q..I\....C~ License #:
Phone:
Exp:
Phone:
Zip:
ZONING:
Address:
PROJECT ADDRESS: \02. S- l.t0-
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Billing Address:
Credit Card #:
City:
t t 'T-4- S of
Block:
Subdivision:
Credit Card Holder Name:
City:
Exp. Date: VISA
MC
TYPE OF WORK:
o Residential 0 New Constr.
o Multi-family 0 Addition
o Commercial 0 Remodel
o Repair
ORe-roof
o Move
o Demolition
o Sign
o Wood-stove
o Garage
o Deck
o
SIZEN ALUATION:
SF. @$ /SF. =.$
SF. @ $ /SF. = $
SF. @ $ /SF. = $'
TOTAL VALUATION $
BRIEF DESCRIPTION OF THE PROJECT:
.
/ b X 2.. l.{ /IMJ NO Po v..-R. n"5y( ~ TV,e. E ~
COMMERCIAL/RESIDENTIAL: Occupancy Group:
Occupant Load:
Construction Type:
%
/sq. ft. = TOTAL LOT COVERAGE:
APP.ROV ALS: PLAN
BLDG.
DPW
FIRE
ESA/WetIand(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER
BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be acceptedfor
review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your
completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division.
No. of Stories: _ Lot Size:
Existing Lot Coverage:
PLANNING USE ONLY:
Notes:
% Lot Coverage:
/sq. ft. + Proposed Lot Coverage:
/sq. ft.
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 Divisionto comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other
permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: lfno permit is issued within 180 days of the date of application, this application will expire. The
Building Official can extend the time for action by the applicant up to 180 days 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, and I am authorized to apply for
this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's
responsibility to determine what permits are required and to Obia~.n sue .
Applicant: k}1..e (7~ W. \\ I-'" Date: 2 ~ ~ C,----"
T:\FORMS\APPSIBuildingpermit ~
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.\tj . SITE PLAN
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....
~ DEPARTMENT OJ'PUBUCWORlCS, Bun.DING DmSJON
102<' bJ Illl "
APPLICANT: PHONE:
PROJEcrlDEVELOPMENr ADDRESS:
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