HomeMy WebLinkAbout400 N Francis St - Building
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
BUILDING PERMIT
OWNER/APPLICANT
City of Port Angeles
321 E. 5th Street
Port Angeles, WA 98362
360/417-4815
T:
S:
ISSUED: 10/04/2001 PERMIT NO: 13024
PROPERTY LOCATION
400 FRANCIS N
Lot: 8-10
Block: 32 D Long Legal
Subdivision: N.R.Smith
Parcel No: 063000513235000
CONTRACTOR
LANDSCAPING BY COCKBURN
4950 SEOUIM DUNGNESS WAY
Port Angeles, WA 98382
360/681-0644
PROJECT INFO
Project Value: $6,000.00
Project Type: BACKFLOW VALVE
Occupancy Type:
Occupancy Group:
Construction Type:
Zoning Use:
ARCHITECT
N/A
, 98360-0000
360/000-0000
SFD Units:
SFD SO FT:
o
o
Commercial:
Industrial:
Garage:
o
o
o
.J::'
\.;
Q
"2
MFD Units:
MFD SO FT:
o
o
PROJECT NOTES
install back flow to irriagation
reciept # 8141
FEES ASSESSMENT
Building Permit:
Plan Check:
State Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
$0.00
$0.00
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Misc Fee 1:
Misc Fee 2:
Misc Fee 3:
$0.00
$0.00
$0.00
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE:
$27.00
$27.00
$0.00
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 ive authority t violate or cancel the provisions of any state or local law regulating construction or the performance of
construct' .
,
Date
/(:;
Si9nature of Owner (if owner is builder)
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BUILDING PERMIT
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
OWNER/APPLICANT
City of Port Angeles
321 E. 5th Street
Port Angeles, WA 98362
360/417-4815
T:
ISSUED: 7/26/2001 PERMIT NO: 12823
PROPERTY LOCATION
400 FRANCIS N
Lot: 8-10
Block: 32 D Long Legal
Subdivision: N.R.Smith
S: Parcel No: 063000513235000
CONTRACTOR
PRIMO CONSTRUCTION
970 CARLSBORG RD.
Port Angeles, WA 99360
360/683-5447
ARCHITECT
N/A
, 98360-0000
360/000-0000
PROJECT INFO
Project Value: $49,587.00
Project Type: PAVILLlON
Occupancy Type: COMMERCIAL
Occupancy Group:
Construction Type:
Zoning Use:
SFD Units:
SFD sa FT:
o
o
Commercial:
Industrial:
Garage:
o
o
o
....t
,::
C'
~
.,
'I
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MFD Units:
MFD sa FT:
o
o
PROJECT NOTES
construct a 385 sJ. viewing pavillion
FEES ASSESSMENT
Building Permit: $644.25 Mise Fee 1: $0.00
Plan Check: $386.55 Mise Fee 2: $0.00
State Surcharge: $4.50 Mise Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $1,035.30
Plumbing: $0.00 AMOUNT PAID: $1,035.30
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
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 Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
BUll..DING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
r t-'{~ 3
INSPECTlOI'Ii TYPE DATE ACCEPTED COMMENTS
I YES I NO
FOUNDATION: i en", ,0L~'Z'<. g .y:-u \ t..-'irt rov>.Jl), $'7f1L _-0K'-~f2.cpf~L.~-M-
FooTTNGS 1-'Z.~0\ l"-v: II (J -CJ(~ "i3f2.2/oi -Ll(-+
WALLS I a.-f, -01 L-l.i-\
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS I I I
CEILING I T T
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF / CEILING
DRYWALL
I-BAR
INSULATION
SLAB I I I
WALL I FLOOR / CEILING T I I
MECHANICAL
HEAT PUMP
WQODSTOVE I PELLET/CHIMNEY I INSERT
HOODIDUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING 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./ PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417.4750 PLANNING DEPT.
BUILDING 417-4815 -'775<:. 02- / .F;Zj: BUILDING
C:\APPL.WPD
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CITV'Y'PORT ANGELES PUBLIC WORKS DEU~MENT
ACCOUNT PERMIT ACCOUNT DOLLAR
NAME NUMBER NUMBER AMOUNT
Surcharge ($4.50) } 2.. V2.'3 001.2291000 -'7<', s-o
D.R.A. Fees Plus Interest 001.2392000
Burning Permit Fee 600.32290014
Fire Inspect/Permit Fee 600.34220015
Fire Sprinkler Plan Review Fee 600.34220016
Construction I -Z li'2- "'; 420.32210017 {~ 411 . ?-.~
Plumbing 420.32210018
Mechanical 420.32210019
Sign 711.32210020
Clear/Grade Permit 711.32210021
House Moving 711.32210033
Sidewalk/Driveway/Curb Permit/Right of Way Permit 711.32240011
Publications 711.34150000
Blueprints-Aerial 711.34320000
Administration Cost (5%) 711.34320010
Plan Check Fee I 2-1S2. '3 420.34583000 ~ ~(o..::.S-
Engineering Service Fees 711.34895000
MO TOTAL 001.1111000 ~'5 ."'0
Street/Alley Restoration 752.32210032
Storm Drain/Tap 752.34490010
S/W Co-Op 752.36990000
~ TFIJHD , TOTAL 102.11110000 ... .... </
EI:ctrical Permits/Inspections I 911.32210028
!
.;:4, 8KlN I TOTAL 401.1111000
PBIA ': 650.2319200
. I . TOTAL 660.1111000 ,
.
~IaJlrtPUND , TOTAL 310.1111000
.
--- , 715.39510010
MDI TOTAL 314.1111000
Hot Tap (watermain) 753.34340023
F.H. Install/Meter 753.34340024
W/M Installation 753.34340025
Water System Development Charge 753.34480010
i),. ;< .... . . TOTAL 402.1111000q
Sanitary Sewer Permit 754.32210029
Sanitary Sewer Tap/Cap or MH Tap 754.34350018
Sewer System Development Charge 754.34350024
UUD 215/Equivalent Service Connection Fee 782.34350025
~ ... .... ...... . 402.1111000 .'
755.34370030
~ < . ,< .' 404.11110000
I
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..
RECEIPT# 7363 \rrlo3.s-.3a
/M-vr, T,e'/1-v'Ct:5'
('--"'--/ /J./ / ~ Fill-IN COMPLETELY - TOTAL EACH FUND AND GRAND TOTAL
{!./TY 01 . ' C-IS ;;J,/07-072<j G\Gm"p\AoctlFocm,\R"Rec\P"b-Wk
Last Revised June 2001
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2/-07.07
BUILDING PERMIT - APPLICATION
()<'-2/A'j r<--!
v~' C'I L> /",;.- '" ....
The Building Permit - Pre-applicatlon 1IIIISt be jUhd (Jill cOmpletely.
Please type or print in ink. If you have any questioDl, please caB 417-4815
FOR omCIAL USE ONLY:
Dale Roc.:
PermiU:
Dab:~
Dale _:
Applicant and/or Agent:-P'l' MD T N C.
Owner: r-' ; r y vP F' /) ~ t A N~ e...t e.S
Address: :5 ::L I c -S- City: Po e T
ArchitectlEngineer: Te e l"\ c.. PI t:.h.r\a ~s.
Contractor '? , \ ~o License #:
Address: '51 0 CA R..lS bnl'l..<:?, City:
I
t....
I
Phone:
Phone:
A l'i 1 LIe."
Phone:
6%1 ~-<('17
L/I) - 7'1S-S'?
Zip: '7<;!3 /, Z-
~//- 8'6~-?
Phone: &:i' -54 4 '7
~ Zip: <::; 'l' '?13''Z-
W'~ONlNG: ? is P
Subdivision: - S (
Credit Card Holder Name:
Oty:
Esp. Date:
Exp:
, "'^--
VISA
MC
TYPE OF WORK:
o Residential )(New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
)f Commen:ia1 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPI'ION OF THE PROJEer:
o Woodstove
o Garage
o Deck
o
lJ,eL<)
SlZElVALUATION: '"
S '6';'- SF. @$ '-I't 5"b? ;SF. = $
,
SF. @ $ (SF. = $
SF.@$ fSF. = $
. TOTAL VALUATION $
PAUl I ~ 0,",-
COMMERClALfRESIDENTIAL: Occupancy Group: ~ Occupant Load: ;?-b Construction Type: V IV
No. of Stories: , Lot Size: 11;"J;l.<;-b %LotCoverage:.k.s... n.....1"7h %
Existing Lot Coverage: 0 (sq. ft. + Proposed Lot Coverage: '3 'i?s- (sq. ft. = TOTAL LOT COVERAGE: 3 8's- (sq.ft
I
PLANNING USE ONLY: APPROVALS: PLAN
Notes: BLDG.
DPW
FIRE
ESAlWet1and(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: ~
BUILDING APPLICATION SUBMrlTAL: Y(J/u applkDtlDn ad sile pllln 1IIIISt be J1lkd (Jut cmrrpletdy I(J be aa:epted f(Jr review. The
Building Division can provide you with more detailed information on the application and plan submittal requirements.
BUILDING PERMIT APPLICATION SUBMlTl'AL: Your completed application, site plan (for additions) and building construction
plans are to be submitted to the Building Division.
VALUATION OF CONSTRUCI'ION: In all cases, a va1uation amount must be entered by the applicant This figure will be reviewed and
may be revised by the Building Div. to comply with cum:nt fee schedules. Contact the Permit Coordinator at 417-481 S for assistance.
PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans &resubmitted. All other
pennit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 day. of the date of application, this application wiD eIpire by
limitations. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant (see
Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once.
/ hereby certify that / have read and examined this application and know the same to be true and correct, and / am authorized to apply for
this permit. I understand it is not the City's legal responsibility to tktermine what permits cue required; it remains the applicant's
responsibility to tktermine what permits are required and to obtain such. ~, / /
PW-IIOU3(revSJOII Applicant: .# ~ ~/ Date: 6'/::< d~v
.
LOCATION: NORTH END OF FRANCIS STREET. THE PROJECT IS LOCATED IN
A PORTION OF THE SOUTHWEST QUARTER OF SECTION 2.
TOWNSHIP 30 NORTH. RANGE 6 WEST, W1LLAMEflE MERIDIAN.
LOT SIZE: 2.6ACRES
ZONE: PUBUC BUILDINGS AND PARKS (PBP)
VIFW PAVILION: OCCUPANCY B
TYPE OF CONSTRUCTION VN
BUILDING AREA 385 SQ. FT.
OCCUPANCY LOAD 26
STRUCruRAl DATA: ROOF DESIGN 25 PSF (SNOW)
FLOOR DESI GN 100 PSF
SESIMIC ZONE 3
WIND SPEED & EXPOSURE 80 MFti. EXP. C
SOIL BEARING CAPAOTY 1,000 PSF
PARKING: STANDARD 9X18 1 0 STAlLS
ACCESSIBLE 9X18 2 STAllS .--
TOTAl 12 STAllS
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT . . .
REQUEST:
Date '7. 2:/ }/ Time
Location of Work to be inspected ~&e --C~, l:t ,/ 1 ;::..~,-~"r . ~-
Name of person requesting inspection
Address of person requesting inspection
Type of I~tion (circle appropriate one):
Sew~/ FO~': Framing Chimney Plumbing Final Sewer Excav. Other
\
'--~~-~'..~'- .
/'
. ./
..-1.-
.'
Received by
1"':7"
(phone. person)
Phone No.
Permit No.
,.;, ?2."'':!.
T
( ..
INSPECTION NOTES:
Inspected: Date 7 - z V ()/
Remarks:
Time
By
I~
/ /
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RESTORATION REQUiRED...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. ....
REQUEST:
Time
Received by [ ~
i 6'G ~CU1l>L;" :j';-,)
J(~,,~. ) ~ 'r- ,. . r" ",
.~ person)
( . / -;i:-.,L.
Date
/-7
(~'. -
,......".
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer (Foundation. Framing Chimney Plumbing Final Sewer Excav. Other
I,d /0 t .
'" .... < (1,.-
~
'Z..?2.3:
~/:J
INSPECTION NOTES:
Inspected: Date f?' - t - (Jf
Remarks:
Time
By
(!J,~
RESTORATION REQUiRED...... YES NO
'I'
i ~.,
! '
r"~
/M
'\
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC
D Other
D Repaired by City
[] Repaired by Permittee
D No Damage Found
Work Order #
D COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date g-- ~g- -01 Time
Location of Work to be inspected ~CJ
Name of person requesting inspection
Address of person requesting inspection
Type of Inspl;!C 'on (circle appropriate one):
/ " '\
sew~~"/~r~ming Chimney Plumbing
INSPEcT;C:~ /.P;E; ,
Inspected: Date J:(" I Time
Remarks:
Received by
(phone, person)
~~(!(S
Phone No.
Permit No.
Final Sewer Excav. Other
t2-1f2:>
+
By
,1- I
" ) I'
"
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. ....
REQUEST:
Date R>-2o- C) ,
Time
7: So 19vt'\ Received by
rrrcCl
,- c::>' '11 k
r{A,)vL c. S. ,OJI
~2 () l a.. I J ~ vvt,O
RL/
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
(p <AS' f-
Phone No.
Permit No.
/2&>25
Chimney Plumbing Final Sewer Excav. Other
f e, tcF
INSPECTION NOTES:
; ...., ,,~-:~:~..;."~ ,....'~.l
Inspected: Date r {,L,/' -," (
Remarks:
,xV
Time
By
S /tiI /'3;;:
.'~7t7 &,(A ( I: (....- . _
RESTORATION REQUIRED . . . . .. YES NO
Atv\
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT. . . . . . . .
REQUE@T: .
Date -7.1--0 (
Received by Z;tf
fjjl/C: \ f!-tr /",
'I' (If 0 (J'11:rh
e9. person)
Time
Location of Work to be inspectedftteJ
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer( Foundation') Framing Chimney
, i, Cvl.<1.
IU"\f.,C
INSPECTION N~ES:
Inspected: Date - 22 --61
Remarks:
Phone No.
Permit No.
Plumbing Final Sewer Excav. Other
/282-<:"
Time
By ~
d~-> ('J f:
~
"'-~/JDIfTI()~
RESTORATION REQUIRED. . . . .. YES NO
1-/V>p ~ '1 (0 A K
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 pcc
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
'sC
""......~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
'21 EAST 5TH STREET. PORT ANOELES. WA 98.,(,2
ELECTRICAL PERMIT
ISSUED: 1 1
PERMIT NO 7387
OWNER/APPLICANT
City of Port Angeles
321 E. 5th Street
Port Angeles, WA 98362
360/417-4815
T:
S:
ARCHITECT
NIA
CONTRACTOR
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES, WA 98362-0000
360/452-9264
PROPERTY LOCATION
400 FRANCIS N
Lot: 8-10
Block: 32 D Long Legal
Subdivision: N.R.Smith
Parcel No: 063000513235000
, 98360-0000
360/000-0000
Project Value: $0.00
Construction Type: SERVICE INSTALL
Zoning Use:
PROJECT INFO
Project Type:
Occupancy Type:
Occupancy Group:
Electrical Heat:
D Baseboard
D Furnace
D Heat Pump
D Fan Wall
CITY PROPERTY
o KW
o KW
o KW
o KW
D Riser [:2J
D Overhead Service
D Temp Service
Underground Service
Voltage: 120,240
Phase: [:><J 1 D 3
Service Size: 60
Feeder Size: 0
-I:
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PROJECT NOTES
60 amp service for park lighting
~.
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FEES ASSESSMENT
Service:
Additionai Feeders:
Circuit Wiring:
Temp Service:
Misc Fee:
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE
CmhY1J:l'TSI ACTION NEEDED
$74.30
$0.00
$0.00
$0.00
$0.00
$74.30
$74.30
$0.00
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANI' WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
7 '7 c;7
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES I NO
KllllliH-lN II..-UV.tlK
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GENERAL COMMENTS:
PW.II02.1S(4I96]
.. .