HomeMy WebLinkAbout105 Lindberg Rd - Building.... CITY OF PORT ANGELES
°~' DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
t~UILDIN~ PERMIT ISSUED: 11/27/2002 PERMIT NO: 13859
OWNER/APPLICANT PROPERTY LOCATION
105 LINDBERG RD
PENINSULA GOLF COURSE
105 LINDBERG RD Lot:
PORT ANGELES, WA 98362 Block: [] Long Legal
360/000-0000 Subdivision:
T: S: Parcel No:
CONTRACTOR ARCHITECT
LISENBURY FIRE PROTECTION N/A
470 MONROE RD
PORT ANGELES, WA 98362-0000 , 98360-0000
360/000-0000 360/000-0000
PROJECT INFO
Project Value: $1,700.00 SFD Units: 0 Commercial: 0
Project Type: FIRE SUPR. SYS. SFD SQ FT: 0 Industrial: 0
Occupancy Type: COMMERCIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
FIRE SUPPRESSION SYSTEM FOR HOOD/DUCT IN CLUB HOUSE KITCHEN
RECEIPT# 9960
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: FIRE PL REVIEW $15.00
Plan Check: $0.00 Misc Fee 2: FIRE INS/TEST $25.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $40.00
Plumbing: $0.00 AMOUNT PAID: $40.00
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of '180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
linspection. I hereby certiffj that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordina/Ices governing this type of-work will be complied with whether specified herein or not. The granting of a permit does not
presume to ~/,~ authority to violate-~"~n~cel the provisions of any state or local law regulating construction or the performance of
constructi~d~-~/ ~ /,.~'
Signature of Contractor or Authorized~" Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNI~4WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND/ICCEPTED. POST PERMIT 1N A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DKAINAGE
ELECTRICAL ~L1GHT DEPT) SEPA~TE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
FRAMING
JOISTS / GIR~)~RS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
MECHANICAL
HEAT PUMP
WOO1) STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engin¢cdng DivisionI SEPARATE PER34TI #'$:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
ENGINEERING 417~4807 PW / ENGINEERING
FIRE 417.4653 ~, L~-' {~ ~ [OfYZ~ FIKEDEPT.
c9 eoRr~----~ FOR OFFIC1
~ BUILDING PERMIT - APPLICATION
Date Approve:
~te ~su~:
~e Building Pe~it ~pplica~on mu~ be flled out com~letely.
~ Ple~e t~ or p~nt in in~ If you have any questions, please call 4174815
Phone:
~c~tecVEn~neer: ~/~ Phone:
Con.actor ~// License ~: Exp: Phone:
Ad.ess: Ci~:. Zip:
LEGAL DESC~P~ON: Lot: Block: Sub.visit:
CL~L~ CO~TY P~CEL N~B~R: Credit Card Holder
Billing Addr~s:
Credit Card g: Exp. Date:
~E OF WO~: SI~UA~ON:
~ Rasid~tial ~ N~ Com~. ~ Re-roof ~ Wood-stove SF. ~ $. /SF. =~. '
~ Mffifi-f~ly ~ Addition O Move O G~age SF. ~ $. /SF. =
~o~ercial ~ Remodel ~ D~olition o Deck SF. ~ $. /SF. =
~ Repak n Si~ o TOT~V~UA~ON $ /
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Comtnaction Type:_
No. of Stories: Lot Size: % Lot Coverage % .
Existing Lot Coverage: /sq. ft. + Proposed Lot Coverage: /sq. ft. = TOTAL LOT COVERAGE: /sq. ft.
PLANNING USE ONLY: .,. APPROVALS: PLAN
Notes~ .BLDG.
DPW
ESA/Wetland(s): [] Yes [] No SEPA Checklist mqnired? [] Yes [] No Other: OTHER
BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be fiiled out completely to be accepted for
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.
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 4174815 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: If no 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 lg0 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 ! 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 deter/~e what permits .odve required; it remains the applicant's
responsibilityto determinewhatpermitsarerequiredandto obtainsuc~j~_.~
Applicant :/.2_ ..~f~".,,, ~-'--'--'--'--'--'--~ ~-ff~ D at e :///~//6~2~
T:~FORMS~APPS~Buildingpermit ~ ~/
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles. WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. s:fZ
DATE ..:;,./. (el(,
.
In tailed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Si Address:
O\flner/Business:
Phone:
Sq. Ft.
I
ELt:CTRIC HEAT
o BASEBOARD KW _
IX FURNACE KW ~
fS? ,HEAT PUMP KW ~
~ FAN/WALL KW ~
o RESIDENTIAL
ill COMMERCIAL
i;;t NEW CONSTRUCTION
t:J REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
J?! RISER
o OVERHEAD SERVICE
o UNDERGRO~ SERVICE
VOLTAGE: IZL:J 2;H/
l:1rp 03'rp
SERVICE SIZE ZL/O
FEEDER SIZE
AMPS
AMPS
.
,
DeJails/DescriPtion:
I
-I
I
=1
/V <:w- f3-o ~
I
W.S. No.
I
CAPACITY:
I 0 O.K. 0 NOT O.K.
~'O" R'OU,"", 0 CH"'G' '''"''ORMee
o INSTALL SERVICE POLE
I
o pitch Inspection O.K.
~ Rough-in/cover O.K.
AP'ip. 6.K. to connect service
Acrl<1,P jFinal O.K.
I
, -
S.:te Address:
I
SERVICE SIZE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
29-
Permit/Receipt No.
sr;bfY
New Meters
Q
Nalily Par! Angel~s City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
bejore inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Repor!
or on the Building PermYHONE 457-0411, EXT. 224.
: ,/'f'ttMlj- NOOCCUPANCYOAUSEESTABUSHEDUNDEATHISPEAMIT $ I 70
1 Electrical Inspector Permit Fee
I
WHffE - File by address
PINK - Top: Eng, Bottom, Customer
.~
GREEN - Top: Meter aapt.. Bottom: Cit~
OLY1'C "'""" 'NC
"
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. S.3' 7.J
/ /I? /P?
I /
DATE
O~ ~'tu/~C
&~ '
'A
o READY FOR
INSPECTION
license Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o I'BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
o :FAN/WALL KW _
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
~TEMPORARY SERVICE
o RISER
'"!%OVERHEAD SERVICE
tJ UNDERGROU~ SERVICE
VOLTAGE: 1l-dJ '2..;D
l1C19\ 039\
SERVICE SIZE c..r9D
FEEDER SIZE
AMPS
AMPS
De ailslDescription:
--
.
~
~d.NO.
I
CAPACITY:
I
, 0 O.K. 0 NOT O.K.
A ION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
SERVICE SIZE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
I
--1
o Ditch Inspection O.K.
I
o Rough-in/coyer O.K.
I
o O.K. to connect service
I
o Final O.K.
I
.'
SI e Address: /'
/()~ Lf
!
Permit/Receipt No.
S.:373
.
Installer:
I
I
Notify Port Ang les Ci y Light by Street Address and Permit Number when ready for inspection. Work mu t not be covered
be/ore inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224. JI
I ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ (i ~S
New Meters~
Electrical Inspector
WHVE - File by address
,
OLYt'c '"'N,,"' 'NC
PINK - Top: Eng, Bottom, Customer
Pe,mit Fee ~
GREEN - Top: Mate, Dapt.. Bottom: City Hall ( J
r"
/
.
.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO.
7<3JV
///3/93
,
DATE
ELECTRICAL PERMIT
Siti Address:
Insialled By:
Sq, Ft,
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
I
o TEMPORARY SERVICE
o PERMANENT SERVICE
~ NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
~ OVERHEAD SERVICE
b UNDERGRQUND/SER~CE
VOLTAGE: Le!.O/..:2f10
~ SINGLE PHAS~
o THREE PHASE.... .
SERVICE SIZE 0""l90 AMPS
o RESIDENTIAL
~ COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW
o HEAT PUMP KW_
I
o SIGN
I
De~ilslDescriPtion:
-I
~
I
I
-1
W.S. No.
I
CAPACITY:
, 0 O.K. NOT O.K.
ACr' ION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
--l
o SPECIAL EQUIPMENT
(LIST BELOW)
A~ '" /
Go/r I cf-f7c.c!
;5000 Wt17tS - ~/A 1-~1t.1 Q
'. / --#: -r-
,30 ~ C..tlr - ~r97/C1/ a#'tc.e~-
Iu/R. L
/0
ENGR.
SERVICE SIZE
DATE
o CHANGE SERVICE WIRE
o OTHER
,
o bitch Inspection O.K.
I
o Rough-in/cover O.K.
o Ib.K. to connect service
o Final O.K.
Site Address: I /
/0.5 L'lUd Ou,
Installer: - J L _ <""" / Date'
'~[TU2 Ur: /C- II 0, 1'3
N~tify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writi~9 0 either the Wiring Report
or'on the BuildinQJ'ermit. PHONE 457-0411, EXT. 224. . &0
I '~"'1 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 70 ,-
Electrical Inspector Permit Fee
~.
W ITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
O'1"C PR'NTEAS 'NC,
Inst lied By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. ~S-lf~
.3~~/?O
/
DATE
Site Address:
o READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Owner/Business:
Phone:
Own r/Business Address:
Sq. Ft.
Residential
Heat KW
Baseboard 0 Furnace/Boiler
d Heatpump 0 Other
I Commercial/lndustrial load
Total Connected load
(attach breakdown)
I Total Motor load
I (attach breakdown)
DetailslDescription:
I
o New Construction
o Remodel
o Service update/alter/repai r
o Overhead
o Underground
Voltage
o 10 030
Service size
o Temporary
Amps
o Add/alter circuits
o Auxiiiary power
(list below)
p( Special equipment
(list below)
.
j
I
~
I
w.Sf No. Service
Capacity: 0 O.K. 0 Not O.K.
~ ~itch inspection O.K.
o Rough-in/cover O.K.
I
o 0.K. to connect service
AP ~ 1inal O.K.
Size
Comments
Date
Hold tor: D Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
-
tJ
.
No ify the epartment of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by ~he Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
_I y ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ..::J 0 .'i!!!2
Inspector Amount paid
WHI~E - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLV:l:.IC PR1NTERS. INC.