HomeMy WebLinkAbout512 E. 8th Street Address:
th Street
THE OPT For City Use
CITY OF XV X NGELES
P A Permit #1,!5--'&P
5
WASH ING . TON , U . S . Date Received:
321 East 51h Street
Port Angeles, WA 98362 Date Approved:
P: 360-417-4817 F: 360-417-4711
hcatuzo@cityofpa.us
Building Permit Application
Project Address: k
Main Contact: Phone #
Property Nam �J' Phone'
Owner
Mailing Address Email
city State Zip
Ec"-�
Contractor Name Phorfe
cp
Mailing Address Efiiail
A
City State Zip
Contractor License # Expiration:
Project Value: Zoning: Tax Parcel *F Lot#
$ t23,
Type of Residential EL. Commercial 0 Industrial El Publib' 11
Permit Reroof(tear off/
Demolition Fire Aj, Repair over) 13
For the following, fill ou' t,6oth pages of permit application-/
NewConstruction 11 '4-4Remodel El Addition El Tenant Improvement
Mechanical 1:1 Plumbing El Other E3
L It
Existing Fire Sprinkler System? Maximum height of structure Pro6osed Bedroo roposed Bathrooms
Yes 1:1 No
Project
Description 4'
y
P"
" I __J
I have read and completed the 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 permits are required,and to obtain
permits prior to working on projects.I understand the plan review fee is not refundable after review has
occurred.I understand that I will forfeit 20%of the review fee if I cancel or withdraw the application before
plan review has occurred.I understand that if the permit is not issued within 180 days of receipt,the
application will be considered abandoned,and the fees forfeit.
Date Print Name Signature
Is
Residential Structures
Area Description (SQ FT) Existing Proposed Minimum$ For Office Use
--value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Area Description(SQ FT) Existing Proposed Minimum$ For Office Use
value
Structure (s)
Addition
Tenant Improvement
Other(describe)
Area Totals
Lot/Site Coverage Calculations
Footprint(SQ FT) of all Structures: Lot Size: %Lot Coverage
SQ FT Site coverage(all impervious+ %Site Coverage
structures)
Mechanical Fixtures
Indicate how many of each pe of fixture to be installed or relocated as part of this project.
Air Handler Size: # Haz/Non-Haz Piping #of Outlets:
Appliance Vent # Heater(Suspended,Floor,Recessed wall) #
# Heating/Cooling appliance #
Boiler/Compressor repair/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fireplace/Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct #
Furnace/Heat Pump/ Size: # Ventilation System #
Forced Air Unit
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps # Fuel gas piping #of Outlets:
Water Heater # Medical gas piping #of Outlets:
Water Line # Vent piping #
Sewer Line # Industrial waste pretreatment #
interceptor
Other(describe):