HomeMy WebLinkAbout1013 Golf Course Rd - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA98362
Application N~unbe r ..... 03-00001061 Date 10/30/03
Property Address ...... 1013 GOLF COURSE
ASSESSOR PARCEL NUMBER: 06-30-13-2-3-0030-0000-
Application description . . . DEMOLITION
Subdivision Name ......
Property Zoning ....... RESIDENTIAL HIGH DENSITY
Application valuation .... 1500
Owner Contractor
SCHOESSLEN, GARY STIMAC CONST. INC.
536 MARINE DR 331 VALLEY MALL PKWY #411
PORT A~GELES WA 98362 EAST WENATCHEE WA 98802
(509) 864-7869 (509) 884-1873
...... Structure Information DEMO EXISTING SFR .....
Construction Type ..... TYPE V NON-RATED
Occupancy Type ...... SINGLE FAM & CONGREGATES
Permit ...... DEMOLITION
Additional desc . . ;%PPOVED WASTE DISPOSAL APP REQ
Permit Fee .... 47.00 Plan Check Fee . . .00
Issue Date .... 10/30/03 Valuation .... 0
F~cpiration Date . . 4/28/04
Qty Unit Charge Per Extension
BASE FEE 47.00
Other Fees ......... STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 47.00 47.00 .00 .00
Plan Check Total .00 ,00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 51.50 51.50 .00 .00
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 req uired inspections have not been requested within 180 days from the last
inspection. I hereby certif~ that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governj~g~this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to ~gJ~e author/il~f~olate or cancel the provisions of any state or local law regulating construction or the pedormance of
~~On~ractor 0r Authorized Agent Date Signature of Ow. er (if owuer is builder) Date
T:%PLA~ING%FORMS%] 102.15 [4/2002J
~ FOR OFFICIAL USE ONLY: I
BUILDING PERMIT - APPLICATION Date Rec.: /('~
Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date Approve:
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815 Date Issued:
Applicant or Agent: ~B~ ~ ~C ~ oe$K[en Phone: ~9- ~q /~
O~: / .......... Phone:
Address: ~,~ ~n~,'~e On ci~: ~o~T ~3. le5 Zip:
~chitect/Engineer: Phone: ~ . _
LEGAL DESC~ON: Lot: Block: Subdi~sion:
CL~L~CO~TYP~CEL~BER: O~ ~ ]~ ~
Credit Card Holder Name:
Billing Address: City:.
Credit CardType VISA__ MC __ # Exp. Date:
TYPE OF WORK: SIZE/VALUATION:
[] Residential [] New Constr. [] Re-roof [] Stove SF. ~ $ /SF. = $
[3 Mulh-family [] Addition [] Move [] Garage SF. ~ $ /SF. = $.
[] Commercial [] Remodel Jl~ Demolition [] Deck SF. @ $ /SF. = $
[] Repair'"[] Sign [] Other TOTAL VALUATION $ / ~5--C.K~ '~-o--
BRIEF DESCRIPTION OF THE PROJECT: ~-~, ~ C~
COMMERCIAL/RESIDENTIAL: Occupancy Group:. Occupant Load: __ Construction Type:
No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq. Ft.
Existing lot coverage __ % & Proposed lot coverage __% = Total lot coverages%
APPROVALS:
PLANNING USE ONLY: PLAN: __
BLDG:
DPWU:
FIRE:
ESA/Wetland(s): [] Yes D No SEPA Checklist required? [] Yes [] No Other: OTHER:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan subroAttal 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. Contact the Permit Coordinator at 417-4815 for 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 ofpernut issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the 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 (sec Section 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby ceil/fy that I have read and examined this application and know the same t~ be tree and c~ect. I am autho~zed to apply for this permit and
understand that it is my responsibility to determine what permits are require~~ l must obtain such permits prior to work.
T:WORMS~APPS~Buitdingpermit.wpd Applicant: / / ~ ~ Date: /_~ _.~_~ ~
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
05-00000615 Date
773765
1013 GOLF COURSE RD
06-30-13-2-3-0030-0000-
PLUMBING REPAIR
7/15/05
RESIDENTIAL HIGH DENSITY
500
V~1 ~(e~
~;l\IO~
Owner
Contractor
C\
~
SCHOESSLEN, GARY
536 MARINE DR
PORT ANGELES
( 50) 864-7869
WA 98362
OSTERBERG LANDSCAPING
706 S. H ST.
PORT ANGELES WA 98362
(360) 452-9511
\J1 ~
~~~,
~ ~
~ ~
~
Permit PLUMBING PERMIT
Additional desc LAWN BACK FLOW FOR SIGN
Permit pin number 54460
Permit Fee 54.00 Plan Check Fee .00
Issue Date 7/15/05 Valuation 0
Expiration Date 1/11/06
Qty Unit Charge Per Extension
BASE FEE 47.00
1. 00 7.0000 ECH PL- EA LAWN BACKFLOW 7.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 54.00 54.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 54.00 54.00 .00 .00
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
CO~~ 7-fs-6S
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\Policies\ II 02_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
I YES NO
FOUNDATION,
FOOTINGS
WALLS
FOUNDA nON DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER UNE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS I GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS I ROOF 1 CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR I CEILING
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKiRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKING/LlGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
-
T:\Pol icies\l102 _15 building permit lfispectlOn record05. wpd [1/4/200)]
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98:\62
Appllcation Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000528 Date
494096
1013 GOLF COURSE RD
06-30-13-2-3-0030-0000-
ELECTRICAL ONLY
6/28/05
RESIDENTIAL HIGH DENSITY
o
Owner
Contractor
CLACIUCH
OWNER
PORT ANGELES
WA 98362
permi t . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL TEMPORARY
SHAMP/ TEMP SVC.
53082
SHAMP ELECTRICAL
42.20
6/28/05
12/25/05
SERVICE
CONTRACTING
Plan Check Fee
Valuation
.00
o
"-
~
~
Qty
1. 00
Unit Charge Per
42.2000 ECH EL-TEMP SRV - 0-60 SRV FDR
Extension
42.20
~
.. '
~.
\)
S'-.
~;
"-
),
Fee summary Charged Paid Credi1:ed Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 42.20 42.20 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 42.20 42.20 .00 .00
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COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPEc:T.ION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW.lI02.1S 14I96J
>;
BUILDING PERMIT - AfIL~TION
Fill out COMPLETELY and in INK. Your application and site' plan MUST BE
COMPLETE to be accepted for review. Uyou have any questions, call
(360),417-4815 .
FOR OFFICIAL USE ONLY:
Date Rec,Jt..)-SQ-CY:3
Permit # lOb /
Dale Approved:
Date Issued:
" f 1
.;'~.
~ _ t
t:.e..l. . ..~ '
Applicant or Agent: GAil '1 Sc 1 oes sIt'" Phone: 56~ - 2/,'1 / g 6q
Owner: /, n.v .~ Phone:
Address: 5:~b ""A~/N( On... City: foti''t..4il:J~/i S. " Zip: 9'~, :t
Architect/Engineer: Phone: ~c ~
., f'\ -. \~ '!!_ <..I . O.;t\7? ~ \.. ~~ I~
Contractor $+.1 ~(. \..:b1i't6't- ~ State License #:Zrl a-t~~\1 Exp: '1...1 ~-O~ rhone:..~'-' I 684--=>
. '. ~
Address: 'Q I Valley iU.411 f1<bJy ttLtLL- City:~~+ UJe....,l(l"k,~ ZiP:S.~~()7_
PROJECT ADDRESS: .JO\3 G,d I~ c r')L.L\r-<.e_ R~
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMB~R: Ob g 0 /3"Z..' ~CX:.) .s Q~ C)
'.' '1
5
ZONING:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel ~ Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
R.',rvlOv~ c>Je.f. 1-10#l1li t!
COMMERCIAL/RESIDENTIAL: Occupancy Group:
City:
Exp. Date:
MC
#
SIZEN ALUATION:
SF.@$ /SF:=$ .
SF. @ $ fSF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $
o Stove
o Garage
o Deck
o Other
))~, 1"0--1. ~
/ S-co <?C>
Occupant Load:
Construction TyPe:
.'~ .. \.
= TOTAL Sq.Ft.
%
No, of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft.
Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(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. Contact the Permit Coordinator at 4 17 -48 I 5 for 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 permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the 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 t be true and rect. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not t ity's, a t I must obtain such permits prior to work.
T :\FO RM S\AP PS\Bulld ingpennit. wpd
Applicant:
Date: /0 2'1 0.3
.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . . . .
REQUEST:
Date (2- - {:> -Ci(,
Time
'7/11Vl
Received by iJ-<"tJ'I' '5 E. (phone, person)
Location of Work to be inspected /~ 1:5 60 I {courSe. k!...f!
Name of person requesting inspection I2erl rl,'j C,
Address of person requesting inspection Co/V:? 'Ie...,) 17 'f-- If Phone No. if (7-1.tV"i
1
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav.
Permit No.
r-::' >---
Othe( {J"....+L,r \
---- --""
INSPECTION NOTES:
Inspected: DAte ('Z-- -/ g- 0 '"
r 'V-c "1
Remarks:j " 'U i 3;. 'I Lc
a. f Me.. ,:". e.. v<..d OJ (kc. '
/ f
Time 9 11M By tknlll"S E.
erv(ce..... ii~f...-oWl. Corty
, , I
IA./c,,--rer i1-1.<f:--t-er.
5io;/)
,
m ;6-
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~ - .,J
'~ ('
, ~ :l
N\ 0
'-..)
\-l "+
'--
V ~
~ \!)
()Q , "
-'.! 3/<{ c;,1'~ -
~
RESTORATION REQUIRED . . . . .. YES x: NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
, "
,3)('1
%Asphalt 0 pcc 0 Other
Work Order # 3oS5'7-8~('
<<COMPLETE 3 q/63-/ \
o INCOMPLETE fI ~ltA 1 ~;~!(
--10 :/fYed f'Z---IE ~~1-r=:
(Continu~ on reverse side if necessary)
o Repaired by City
o Repaired by Permittee
o No Damage Found
STREET SUPERINTENDENT
(DATE)
06/27/2005 15:00 FAX
~ 002/002
~
f3
ELECTRICAL WORK PERMIT
PLICATION:
Job wired by
o Electrica' Contractor 0 Owner
Installation descriPtio~
o ComDlerclD.l ~esldeDUal
Eleclt'ic~l conlJ'actor name
~ F\n-'\Y"('o,\
Pwc;hu.scr's ma ins address
-.r,O, J,IJ<.)( .~'1l"'"
City
_port AI~p\p<,
Telephom; number
License ('lumber DaTe Expires
'" it I'H-I ~ Fe 0 J. 0, p.:>,
DNew
o AlUcredl Addition
State ZIP
,^, A
.
FAX number
C\ ~ ;:q,C)..
P'-cmiSC5 DWD("S Dame
CJ", CI'lAL. ~
Go l..t
CovJ<;e-
lQ.J
Addf"I!U of inspection
(01<. 5.
eit),
7>0 ,-\- A.^~e.'e.-5
Pbone nllmbf'r to scheduJe- Dspecrlon:
-.
.:
OwrH!'" as defined b.v RCw'/Y.2lJ.261:(1) Owner will occup>, lite .9!1'uclt/re for rwn
yrqrS (Jfter 'M," eft:t'(".;cul pt:rnll'( is finali::ed. (2) Own(~ i~ rC'quirelJ III hire. un elt'ctdcaf
crmrraclor if ahave .raid prnp!ny i~ for .~aJ(!. rellt or [ea.~e.
After rcading the above statement, I hereby ce("'[jfy that Jlml the owner of [he above
named propc">, or :.\ licensed electrical contractor, I 3\11 making the electrical ins1al-
lation or alteration in compliance with the electrical Jaws. N.E,C'1 RCW, Chaptcr
19.28, WAC. Chapter 296-46E, The City of Pan Angeles Municipal Code, and
Utility Specifications.
Sicnalurc of owner, electrical contractor or electrical admini51tratnT
X ~ Date:
ad Addltlona and or subtractions
Q NO LOAO CHANGES
CJ Baseboard KW
CJ Furnace KW
Q Heat Pump _ Ton _ LAR
o Fan-Wall _ KW
o Cash 0 Check #
o Credit Card Visa
Card #
Mastercard
Discover
ExpiraTion Date
of card
rvl e In/ormation
~Overhead Service
I>> Tem" Service
CJ Underground ServicQ
Voltage
Phase lJ 1 lJ
Service Size:
Feeder SIze:
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN TIlERMOSTAT
SERVICE
D~'c
Allllro.~U. By
O:l.le
^pprgv~d By
Ogle
Af'l'roY~d lI.y
,. i
D"
FINAL
/ A-t:-D
AI'II((lved 1:1)1
DITCH
H:EDER
o,,[g
Approved 8)'
DII.!;
Al'l'rgYed it)'
InspeClion
Done
.'u'ea, Building or Equipment Inspected
Aclion Tu.ken
"
F.leCtl'jclll
Inllpcctor
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