HomeMy WebLinkAbout1114 W 4th St - Building.... ' CITY OF PORT ANGELES
e~% DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILD1NG DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 5/21/2002 PERMIT NO: 13431
OWNER/APPLICANT PROPERTY LOCATION
1114 4TH STW
JOHN PEARCE
1116 W 4TH ST Lot: 6
Pod Angeles, WA 98363 Block: 178 [] Long Legal
360/457-8396 Subdivision: TOWN SITE PA
T: S: Parcel No: 063000017825000
CONTRACTOR ARCHITECT
STEVE JOHNSON CONSTRUCTION N/A
1512 W. 5TH STREET
Port Angeles, WA 98362 , 98360-0000
360/457-8196 360/000-0000
PROJECT INFO
Project Value: $2,970.00 SFD Units: 0 Commemial: 0
Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0 ._~
Zoning Use:
PROJECT NOTES
TEAR OFF, SHEET, COMP, TORCH DOWN ON ATTACHED ROOF
RECEIPTgg095 -'~
FEES ASSESSMENT ~
Building Permit: $83.25 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $87.75
Plumbing: $0.00 AMOUNT PAID: $87.75
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct· All provisions of
aws and ordnances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume t~/give authorit/~,to violate or cancel the provisions of any state or local law regulating construction or the performance of
I constrLmt~n. ~, /// . .
· -v - ~ Signature of Owner (if owner is builder) Date
S~gnature of Contractor or Authonzei3Agent [' I~ate
T:\PLANNING\FOKMS\1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT1S UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE ~1~ 1~ ~ ~ 1
INSPECTION TYPE I DATE IYEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PEILMIT: #
PLUMDING
UNDER FLOOR ! SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CE1LING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-DAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PEILMIT #'$:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PER.MIT #'s SEPA:
PARKING!LIGHTING 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. / PW/ CONSTRUCTION ~ R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 ///~/~ .~ ~{/g PLANNING DEPT.
BUILDING 417-4815 f- BUILDING
T:\PLAlXTNING~FOP34S\1102.15 [4/2002]
~OR~- FOR OFFICIAL SE ONLY:
BUILDING PERMIT - APPLICATION Ve~it,:
Date Approved:
Date Issued:
The Building Permit Application must be filled out completely.
Please type or print in ink. If you have any questions, please call 417-4815
Applicant or Agent: ~ e ~ g~ ~ o ~ Phone: ~ ~ 7 ~ ~{
Owner: ~, ~o~ ~to Phone: V~?-
Address: /[/~ ~ qr~ City: ~¢ ~. . Zip:
~chitect/Engineer: Phone:
Contractor _ff~ ~o~ ~LicenseV:bW~a Exp:~ Phone:
Address: /;/Z ~ ff~ City: P~ ~e,~ Zip: q~2
LEG~ DESCmPTIO~: Lot: ~ Bio&: l ~ ~ ' SuMivision:
CL~L~ COUNTY P~CEL NUMBER:a~ ~t 9~'~redit Card Holder Name:
Billing Address: City:
Credit Card g: Exp. Date: ~SA MC
T~E OF WO~: SI~UATION:
n Residential n NewConsm ~-roof n Wood-stove /~ ~O SF. ~ $ (,~ /SF.=$ L q
~ Multi-fa~ly ~ Addition ~ Move ~ Garage SF. ~ $ /SF. = $
~ Co~ercial D Remodel ~ Demolition ~ Deck SF. ~ $ /SF. = $
~ Repair ~ Sign ~ TOTAL VALUATION $ Z q 1
COMMERCI~SIDENTI~: Occupancy Group: Occupant Load: Cons~ction T~e:
No. of Stories: ~ Lot S~e: % Lot Coverage:
Existing Lot Coverage: /sq. ff. + Proposed Lot Coverage: /sq. ff. = TOTAL LOT COVE~GE: /sq.
PLANING USE ONLY: ~PROV~S: PL~
Notes: BLDG.
DPW
FI~
ES~etland(s): D Yes D No SEPA Checklist requked? ~ Yes ~ No Other: OTHER
BUILDING PE~IT APPLICATION SUBMITT~: Your application and site plan must be filled out comp&rely to be accepted for
review. The Bulldog Division can provide you wi~ more detailed ~o~ation on the application and plan sub~l requirements. Your
completed application, site plan (for additions) and building construction plans are to be subdued to the Building Division.
V~UATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. ~s fi~re will be reviewed
and maybe revised bythe Building Division to complywi&cuffent fee schedules. Contact thePemt Coordinator at417-4815 for assistance.
PL~ CHECK FEE: Your plan check fee is due at the time ~e building pe~t application and cons~ction plans are subdued. All other
pemt fees are due at ~e time ofpemt issuance.
EXPIATION OF PL~ ~VIEW: If no pe~t is issued within 180 days of the date of application, t~s application will expire. ~e
Building Official can extend ~e time for action by the applicant up to 180 days upon ~i~en request by the applicant (see Section 107.4 of
the Unifo~ Building Code, cu~ent edition). No application can be extended more than once.
] hereby cert~ 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. ] understand it & not the Ci~'x legal responsibili~ to determine what permits are required; it remains the applicant's
responsibili~todeterminewhatpermitsarerequiredandtoobtainsu~ ZZ~
Applicant; ~ ~/ Date: g