HomeMy WebLinkAbout233 W 1st St - Building CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 1/28/2002 PERMIT NO: 13203
OWNER/APPLICANT PROPERTY LOCATION
JERRY WHITE 233 ~I~IIB~T W I
Lot: 13
Port Angeles, WA 98362 Block: 14 [] Long Legal
360/000-0000 Subdivision: TPA
T: SUITE 205 S: Parcel No:
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO _~-~ ~
Project Value: "~" ""
..... - SFD Units: 0 Commercial: 0
Project Type: SIGN/WALL SFD SQ FT: 0 Industrial: 0
Occupancy Type: Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
WALL MOUNTED SIGN 1' 6" X 4'
receipt# 8732
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $30.00 TOTAL FEE: $30.00
Plumbing: $0.00 AMOUNT PAID: $30.00
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits ara 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 raquested within 180 days from the last
inspection. I hereby certi~ that I have read and examined this application and know the same to be true and correct. All previsions 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 ragulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Sign~tur~,~bf'-Owner (if owner is buil~:~- ~ Date -
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BU1LDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 I DATE ]YEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMEING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
CEILING
JOISIS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
WALL ! FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOODSTOVE / PELLET/CHIMNEY / INSERT
HOOD/DUCTS
PW UTILITIES / SITE WORK ( Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANIIARY
STORM
PLANNING DEPT. SEPARATE PERMIT #~s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL RATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 ~ ~/ PLANNING DEPT.
· ~oRr FOR OFFICIAL USE ONLY:
BUILDING PERMIT- APPLICATION Pc~t~: ,
~e Building Pe~jt - Pre-applica~on must be fl~d out compl~ely.
Please ~e or p~t in in~ ffyou have any questions, please c~1417~815
O~er: ~_ Phone: ~
Mchitec~n~eer: Phone:
Contracto~ License ~: Exp: Phone:
Ad.ess: Ci~:. Zip:
LEG~ DECEPTION: Lot:. Block: Subdivision:
CL~L~ CO~ P~CEL ~ER: Cr~it Card Holder Name:
Billing Addr~s: Ci~:.
Credit Card ~: Exp. Date: ~SA MC
T~E OF WO~: S~UA~ON:
u Residential ~ New Com~. ~ Re-roof ~ Woo~tove SF. ~ $ /SF. = $.
u Multi-f~ly ~ Addi6on n Move u G~age SF. ~ $. /SF. = $.
n Co~ercial o Remodel ~ Demoli~on ~ Deck SF. ~ $ /SF. = $
~ R~air ~ Sign ~ TOTAL V~UA~ON $ ~O ~
B~EFDESC~TIONOFT~PRO~CT: / 1~ ~ ~ ~ ~A~-
~OMMERC1AL/RESIDENTIAL: Occupancy Group: Occupant Load: __ Construction Type:
No. of Stories: __ Lot Size: % Lot Coverage: %
Existing Lot Coverage: /sq. fi. + Proposed Lot Coverage: /sq. fi. = TOTAL LOT COVERAGE: ._.,.~/~q.fl
PLANNING USE ONLY: APPROVALS: PLAN~
Notes: BLD GS. / ~
__ DPW
ESA/Wefland(s): [] Yes [2 No SEPA Checklist required? c3 Yes [] No Other: OTHER
BUILDING PERNIIT APPLICATION SUBMITTAL: Your application and site plan muSt be fllled out completely to be accepted for
review. The Building Division can provide you with more detailed information on thc application and plan submittal requirements. Your
completed application, site plan (for additions) and building construction plans are to bc submitted to thc Building Division.
VALUATION OF CONSTRUCTION: In all eases, 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: Your plan check fee is due at the time the building perrmt application and cons~'uction plans are submitted. All other
permit fees arc due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no perrmt 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.
[ 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. 1 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 obtain such.
T:\FORMS~APPS\Buildingpermit Applicant: l~'l)~t~"-/I 01~- ~/I~- Date: ~-~ ~f~ ' '~-~ ~'~'~'~
ROUTING SLIP
Certificate of Occupancy
$47.00 Certificate/Inspection Fee
New Business ............................
A~d~f Pro~d, .B~i,nes~.. ~,~ Transfer of Business Location ................
· · ./",'5~,~- ~lJ~_. ~-(~ Change of Ownership ......................
Applicant ~"~-~('~ ~ ['~,~"~ f" New Building .............................
Address ;~---~_"~--~) ~. [xL~, I ~'tl,-- .~,? ~C-_Z? Remodel .................................
Temporary Business .......................
Phone: business ~.,.v-~,4 home ~.~7~7Z( Change of Use ............................
Brief description of proposed business: /~ ~'- ~---~u
Legal Description: Lot I ..~ Block / L./ . Subdivision
Current Use of Property:
C
Zoning Classification of Property: I_.,)
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED:
Construction changes ........................... ~ PERMITS BUSINESS LICENSE
Electrical changes .............................. .~ 1) Building I} Taxi
Mechanical (heating, cooling, stoves) ............... ~ 2) Plumbing 2) Peddlers
Plumbing changes .............................~ 3) Electrical 3) 2nd Hand Dealer
New or relocated signs .......................... )~ 4) Mechanical 4) Pawn Broker
New septic tanks ............................... ' -' ~ 5) Sewer 5) Dance
New sewer service ............................. ~- 6) Sidewalk installation 6) Hotel - Motel
Admission charged to patrons ....................~ 7) Driveway.installation 7) Fireworks
Is this a home occupation? ...................... 8) Curb installation 8) Ambulance
Excavation of filling of lots ........................ 9) Sidewalk obstruction 9) Tattoo shop
Work done in City right-of-way .................... ~ 10) Water meter installation 10) Other
Is there sufficient off-street parking? ............... /~.,~ 11) Fire
New driveway openings . ........................ ~ 12) Occupancy
A grading plan for site drainage ................... ~,.~ 13) Sign
(parking lots, downspouts, etc.) 14) Shoreline
Are the existing streets paved? ................... y~ __ 15) Hame occupation
Are there existing sidewalks? .....................~_ 16) Conditional use
is there curb and gutter? ........................ ~ 17) Other
Other ..........................................
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my
· ed: ~
knowledge· S~gn
REJECTED Comments / Conditions
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
R B.I.A?~..;,J
CERTIFICATE OF OCCUPANCY
This Certification issued pursuant to the requirements of Section 109 of the
Uniform Building Code certifying that at the time of issuance this structure was
in compliance with the various ordinances of the City regulating Building
For the
Use Classification: OffJcc Bui!~ Permit No.t
Group: B ~Construction:
Owner of Business/Residence: WA 98363
Building Address: 233 W.
2002
Date
Post on the place.
Shall not be except by Building Official.