HomeMy WebLinkAbout1301 E 4th St - Building~o~ .... CITY OF PORT ANGELES
°~' PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
I~l.lll,.I,.dlPll,3 I"'r"'~MI I ISSUED: 4/09/2002 PERMIT NO: 13346
OWNER/APPLICANT PROPERTY LOCATION
JACQUELINE BOYD 1301 4TH ST E
1301 E4THST Lot: 10
Port Angeles, WA 98362 Block: 3 [] Long Legal
360/417-9500 Subdivision: SUBURBAN LOT 17
T: S: Parcel No: 063000910100000
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360~000-0000
PROJECT INFO
Project Value: $500.00 SFD Units: 0 Commercial: 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: RS7
PROJECT NOTES
REPLACE RAFTERS ADD NEW SHEETING REROOF WITH 3TAB
FEES ASSESSMENT
Building Permit: $23.50 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: $28.00
Plumbing: $0.00 AMOUNT PAID: $28.00
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits am 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 pedod 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 previsions of
aws and ordinances governing this type of work will be complied with whet, ber-s, pecified herein or not. The granting of a per~eit~does not
~resume to give authority to violate or cancel the provisions of any sta{e or ~ocal law regulating construction or the performance of
onstruction. / ) ~ ~ / /
Signature of Contractor orAuthodzed Agent Date ~'~/ature o~wner (,fownerT'i~b~d;~ ~/ / /Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROV1DE A M1NIMUM 24 HOUR NOTICE. ITIS UNI~IWFUL TO COVER,
INSULATE OR CONCE,4L ANY WORK BEFORE INSPECTED.4ND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE ] DATE ]YEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SwLAAIBL / FLOOR / CEILING [ ]
MECHANICAL
HEAT PUMP
WOODSTOVE ! PELLET/CHIMNEY / INSERT
HOOD/DUCTS
PW UTILITIES / SITE WORK (Engineerlng Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT, SEPARATE PERMIT#'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.
BUILDING 417.4815 / / BUILDING
C:'xAPPL.WPD
~
,
~~
~
CITY OF PORT ANGELES
PUBLIC WORKS - BUll..DING DIVISION
321 EAST STHSTREET. PORT ANGELES, WA 98362
BUILDING PERM"
CONTRACTOR
ALL WEATHER HEATING & COOLING
30.2' KEMP STREET
PORT ANGELES, WA 0.0.0.0.9-8362
360./452-9813
PROJECT INFO
Project Value: $5,148.00.
Project Type: ELECTRIC FURN.
Occupancy Type:
Occupancy Group:
Construction Type:
Zoning Use: RS7
PROJECT NOTES
INSTALL ELECTRIC FURNACE, DUCTS AND lOW VOLTAGE THERMOSTAT
OWNER/APPLICANT
,JACQUELINE BOYD
130.1 E 4TH ST
Port Angeles, WA 98362
360./417..9500.
T:
RECEIPT#8885
FEES ASSESSMENT
Building Permit:
Plan Check:
State Suroharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
S:
ISSUED: 3/27/20.0.2 PERMIT NO: 13298
PROPERTY LOCATION
130.1 4TH ST E
Lot 10
Block: 3 [8] long Legal
Subdivision: SUBURBAN LOT 11
Parcel No: 0.6300.0.910100.0.0.0.
ARCHITECT
N/A
, 98360.-0000.
360./000.-000.0.
SFD Units:
. 'SFD sa FT:
Commerctal:
Industrial:
Garage:
0.
0.
o
0.
0.
-
w
0'
MFD Units:
MFD SQ FT:
o
0.
.-
ITI
.L:
+
5'
$0..00.
$0..0.0.
$0.00
$0.00
$0.0.0
$0.0.0
$0..0.0.
$38.30.
$0..00.
Mise Fee 1: THERMOSTAT
Mise Fee 2:
Mlsc Fee 3:
$34.40.
$0..0.0.
$0..0.0
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE:
$72.70
$72.70.
$0..0.0
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 compiled 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 Con..ctor or Aut . Agent
J>4-7~~
Oat'
~ignature of Owner (if owner is builder)
Date
BYmPINP PERMIT INSI,>>~C.'fION ~~9RD
-:-- , ;,.
't.
~,' - i ' c' __ _.. ": ". ': ;: _.. ^.~'-' ,: .. .. ...... .'.. : ',." .." .:.:.. '
CALL 417-4815 FOR BUILDING INSPECflONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. /TIS UNI:AJfFl1L TOCOVER;',
INSUUTEORCONCEAl:n4NY~WDRKBEEOREINSPEcrED ANDAC;CEPTED.POSJ' ~ERMJ.1: IN A CONSPICUOUSLOCA TION:"
-.' '~"" ,.,', .-,..,., -- .. '.. >-,' .... . ".:;.~,:-.::,', .,,;:,::o~.. ":';~-,<::-,:':::":':'" /(.<-. <',~" ":,"'" -,' "~f?':-
~,~{,j"'-},:,"\ :.:
'-'0'.,'- - -'.','
KEEP PERMIT CARD AND APPRdvED PLANS AT JOB SITE
INSPECTION TYPE
;,~. ~<,r:/. --
:f~!E ~
"
.
.....
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE ....... ,<'
..
n,
COMMENTS' . "
e.", '
';;,.f .-.:," ", .. ..:..,~:' ..
. ',F
, .
ACCEPTED
YES NO
. ,
" "
"
"
,
,r
. .
ELECTRICAL ., (LIGHTDEYo SEPARATE PERMIT: #
ROUGH-IN I
, '"
"
I
I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK.FLOW I WAtER
"
, " > ".'
, .,'" :il..,
, I, '
,
':
,
,
,
,', '
,,', ;--",,', ' '
.
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS ( ROOF I CEILING
DRYWALL
T-BAR '.
Fi
'.
I
I
I
I
i I
, , . "
.., 'l.
'." ' '
,-'
,
INSULATION
SLAB ,
WALL I FLOOR (CEILING
MECHANicAL
I .
I
I
..
..,'
; 1.:, "
HEAT PUMP
..
WooDSTOVE (PELLET/CHlMN!N' I INSERT.
HooDfDUCTS
PW UTILITIES (SITE WORK,JEnginec;riYlg,J:)j'Visiol1~""ll.~AJY' TE PERMIT #'s:
n.
'.
.
'"
-" ,:,'
., ..'
:, :11;' ....f" . '" :" }'
.,,'
WATERLINE (METER
SEWER CONNECTION
SANITARY
,
"
"
,
STORM", '
PLANNING DEPT. SEPARAtE PERMI1' #'s
, P ARKINGfLtGHTING
" LANDSCAPING,
,':
"
:", .j,. "
SErA:
ESA:
i L, ,,'~"" '.
,
.
,
SHORELINE:
. ,.:,' '" ,~
,'4 I i1;;\l'l3SI[ I",
,:, 'I'd:: '''.',
;" -",1.1,,"
417-4807 '
.- '..
.
,"
, "" J., ':'~,)IA~~~p.pD, :'1
'i',.,ws,;,..; I
".',., -t'," "',,; ,~.;,; :i~',;i:<f'," ,:::r;?'t~, I'~;.:~l,t Ii<
.ft~~:'. :f";h:'~;; ',' I'\i'.'.': :&;1",,;1;
'. 'c'"..'" " >. "",; . "'~ . ,: ":,\,,
", 'i~ryWcY~~""';:" ,::; :" / J;
FIRE DEPT. '",~, '., "', "",n' ,
" ',. ,,'~':' \:J'~gI>~: , ' . , ,:[.': ~",:.,," ,..,.t: ,
"1" i BUILDING:!:*" :,," ;ei:;;, ""!l"11'i;";~'" ',' . ,,'
: ..," " .'
ELEcTIuCi\L ~ LIGHT DEPT.
. .- ,,'C ,,,,,,.,. "'" i J.
~~~P$8NIlW./PWI 'i' ,
" .~IDENTlAL
, fINAt;.';I"ISPECTIONS REQUIRED PRlo..K:r()JX:~r.Ml'sx'Y!~,
mVATi'h: YES'; ''':NO' ,.i..
'OC';;i Ii,: '11,.,:'" I'" j( ,',' .':.--
I
I'
FIRE
PLANl'!ll.NG DEPT.
BUILDING
417-46S3
417-4750" ,-,
417-4815' :~+"'-1~313 K
,~,. -"--
C:\APPL WPD
~ROM ? RLL WERTHER HERTING & COOLING
FRX NO.
360.4525177
Mar.
22 2002 03:58PM P2
Da~ Rec.:~ ~-C
Pcnnit #: I . 6-
Date Approved: I
Date Issued:
(t
~~ The Building Permjt - Pre-application must be fi~ed out completely.
~~ please type or print in ink. If you bave any questions, please ea1l41'74815
Applicaut or Agent:J1JJJ1Jl;tw' f-Vu4-t171 ~ (';;0 U;'1 Phone: 3ft 0-'-15 2- - r; 113
Owner. ,}~fJUIA 1ft . Phorre: J:i.O-Ijf7-95tJO
Address: f 8" . j), {VI If rf City: P fYl-i4~1f Cte5 Zip: fj' 8?/1 L-
ArchitectlEngineer:
Contractor 14' I (;fJetdAL~ /fIe License#:I1/I~f5t?tJxp: r/rA ?-
Address: 7{J 1- K.pf1ff5t. . Cjty:Jfrf'1'J11~,~
PROJECT ADDRESS: /:2{J / ~#:M 51-.
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name:
Billing Address: City:
Credit Card #: Exp. pate:
BUILDING PERMIT - APPLICATION
Phone:
Phone: l/52- -7'6"'0
ff?;/Rz-
Zip:
ZONING:
VISA
MC
TYPE OF WORK: SlZE/V ALUADON:
o Residential 0 New Constr. 0 Re-roof [:I Woodstove SF. @$ ISF.::; $
o Multi.family 0 Addition 0 Move Cl Garage SF. @'$ ISF. ~ $
o Commercial 1:1 Remodel 0 Demolition 0 Deck SF. @ $ ISF. = $
D Repair 0 Sign 0 TOTAL VALUATION $ ~l-4 B .. "'"U
BRIEF DESCRIPTION OF THE PROJECT: &~ctrC -R.fJt1ClCP In((Zl'W~ ';'lffh}vdfarl--S1~,f
fU / ~
COMMERCIALIRESIDENTIAL: Occupancy Group:
Occupant Load:
Constnlction Type:
No. of Stories: Lot Size:
Existing Lot Coverage:
PLANNING USE ONLY;
Notes:
% Lot Coverage:
Isq. ft. + Proposed Lot Coverage:
%.
Isq. ft. = TOTAL LOT COVERAGE:
Al'rltOv ALS: PLAN
BLDG.
DPW
FIRE
Om~: OTHER
/sq.:ft
ESAlWetland(s): DYes CJ No SE)?A Checklist required? 0 Yes 0 No
BUll.DING PERMIT APPUCA nON SUBMITTAL: Your application and site pllUl must be filled out compliBtely to be "cepted/9r
review. T~e B~lding Division can provide you with more detailed infonnation on the application and plan submittal requirements. Your
completed application, site plan (for additions) and building constxuetion plans ate to be submitted to the Building Division.
v ALUATION OF CONSTRUCTIOl'{: In all eases, 9 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 Pennit Coordinator at 417-4815 fOT assistmc:e.
PLAN CHECK FEE: Your plan check f.ee 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.
. EXPlRATlON OF PLAN REV'JEW: If no perinit is issued within 180 days of the date of application. this ,application, will expire. The
Buildins Official can ex.tend 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). Nn application can be extended more than once.
J hereby certify that I 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 detennine what permits are required; it remains the applicant's
rc,<:pnn.<:ihility to determine what permits are required and to obtain such.
APPli<..q tUtAc.f JI7~t/t3 Date ,?/2-zl~
T:\FORMS\APPS\Buildingpcmnit
CITY OF'PORT ANGELES
DEPARTMENT OF COMMUNrrYDEVELOPMENT - BUll..DINGDIVISION
321' EAST 5TH STREET,' PORT ANGELES,WA98362
OWNER/APPLICANt
, JACQUELINE BOYD
1301 1= 4TH ST
Port Angeles, WA 98362
360/417~9500
,T:
:ISSUED: 10/29/2002
PROPERTY LOCATION
1301 4TH ST E
Lot: 10
,Block:, ,3 IZI' . Long Legal
Subdivision: SUBURBAt;J LOT17
P,t;irpel No: 06300091010000Q
SF,D Units:
, SFD SQ FT:
,
Commercial:
Industrial:'
Garage:
w
o
PROJECT NOTES
ADD NEW HEAT PUMP
-
CONTRACTOR
,.,:,-,....'"
ALL WEATHER HEATING & COOLING
302 KEMP STREET
PORT ANGELES, WA00009..;S362
360/452-9813
PROJECT INFO
ProjecfValue: .,$2,583.00
Project Type: HEAT PUMP ADD
Occupancy Type:. RESIDENTIAL
Occupancy Group:
Construction Type:
Zoning Use: RS7
"MFD Units:
MFDSQ FT:
o
o
$0.00
$0.00
$OJ)O
$0.00
$0.00
, $O~OO
$0.00
$34.15
$0.00
Mi~c Fee 1:-
Mise Fee 2:
Misc Fee 3:
$0.00
$0.00,
$0.00
>J"{i->"''''';''';'-'' ~ ';'~,-
'. FEES ASSESSMENT
Building Permit:
Plan Cheek:
,State,Surcharge:
H~lJse Moving:
ManUfactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
TOTAL FEE:
,'_,'""_'-.._,_r ,,'-,....,_ .
,AMOUNT PAID:
i,V'"",
BALANCE DUE:
s'ep~r~t'f!,rmrts are requIred for electrlc~lWOrk, $ePA;'~~o~nne, ESA,tJlj!i~~~p!:i\la!a and publl~ improyemen~; 11) ,
nuJ,l 8rrd ~dJd~fwork or construction authorized is not commenced within, 'SO \:Iiys~:if .eonstructic:in.or work Is suspen
fo~a p~~qd~on8o fiays after the work as ~mmenced~Rr if requlr~d In~p~~~I,ons tlave not been requested withi~ 1
Inspettl6h. I hereby certify that 1 have r~d and examined this applicatIoh'iatid know the same to be true-and co
la~1S and c;irdinances governing this type of WOrk Wl,Jfb~ Complied with wheth~r specified herein or riot. JhegranUntf, . 0 .'ffQ~eS not
presume Jo give authority to violate or cancel the prQvisions of any state or local law regulating construction orthe:p rformarice of
c6nstruction. ',' , " , , '
r~ ') ,k/~~""
Signature of Contr!1ctor or Authorized AgeQt
.11!()~hv.
, ".
Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO CQVER,
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 DATE r ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS .
WALLS
FOUNDATION DRAINAGE l,
ELECTRICAL (LIGHT DEP'I) SEPARATE PERMIT: #
ROUGH-IN I I
PLUMBING .
UNDER FLOOR I SLAB
ROUGH-IN
WATERLINE
GAS LINE
BACK FLOW I WATER ,
AIR SEAL
WALLS r
CEILING I I ..
FRAMING .'
JOISTS I GIRDERS
SHEAR WALL
W ALLSI ROOF JCEILING
DRYWALL
T-8AR
INSULATION
SLAB I
WALLJ FLOOR/CEILING I I
MECHANICAL
HEAT PUMP
WOOD STOVE I PELLET / ClllMNEY
HOOD / DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE I METER
SEWER CONNECTION
.SANlTARY .
STORM .'
PLANNING DEPT. SEPARATE PERMIT #'s SErA:
P ARKlNGILIGHTlNG ESA:
LANDSCAPING SHORELINE: ,
. . '. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE .
RESIDENTIAL i.' DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL" LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEfT
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 ~,_...1_? J:61::... BUILDING
I('J"" ....
. ...
T:\PLANNING\FORMS\1102.15 (412002]
FROM: RLL W~RTHER HERTING & COOLING FRX NO. : 360 452 5177
~ BUILDING PERMIT. APPUCA~ION
The BlIildillg Perm.it - Pre-applil:arw1l ,."., be j1lk4 0111 completely.
~~ Please type or priDt in IDk. If you bave any questioDS, please caU 417-4815
AppIiGlDI orApol: HII ~{I ~ ( Uf~t11 ~ Phone: 3&O~/.{5J- - 9( G
,.. . 'Owacr. ~) t1 c qIA i~ _ 'O'j r1 =_ . _ ~hone: Dlf/1--?5()()
;;>,~: PfJ / C r 5 f City: {hI fffl7e/ls 'Un ~ Zip: 'I J:3i ?:-
AIobi_ . lbone:
':"!,':='T ttJfc(,fur: LiCOllSC#:Jjj{vJtfK("~: q/;/~ ~: ~J-1t[}
.'. ~.)~ 2- (<12 flit} fl J f City: PIY}- /4-nyd6 Zip; {(X"Jb 2-
~~_iI~altJ; lfft/5t. k ZOMNG,
. , '. . LEGA.:i:; DESctdPTION: Lot: ac : Subdivision:
Cl,&1.1.~ COUNTY PAIlCEL NUMBER: Credit Card Holder Name:
City:
IIDIIDI Adclrea:
CredIt Card .: E%p. Date:
Oct.
28 2002 11:26RM Pi
DaIl:Rs.:
rami. ,:
Date Apprvvcd:
Dato &.aid:
VISA
Me
na.OF:WQU:
o p.~t 0 New CoDBtr. 0 h-roof
c MWQ..fami1y c Addition 0 Move
o ('~ c Remodel c Demolitiop,
c Repair 0 Sigu
~~ON.OP1'lll PJlOJECT:
SIZEIV ALUATION:
o Woodstove SF. @S ISF.... $
o Garage SF. @ $ /SF. = S
o DCl:k SF. @ S JSF. - $
a TOTALVALUAnON S
;H.ffLf pump tft;ll&l(all~
-:J-f9K 1.0D
\
~": \1- . .':,'
-~ "':":.:"" ..'
CO~ENTL\L: Occupancy Group: Occupaut Load;
. '. .\:....:..,'.' ""'''''' .... .'
% Lot Coverage:
Isq. ft. + Proposed Lot Coverage:
Construction Type:
L.,:)..N~.Pt:~: . .:Lo',Siu:.
~:.... 12.-.........,;."'::...:,. r'_.....
'.' ,"n', '~'-W..'~...fliJIA....
;,. .....~G~~y:
t::'~:\;,::N_". ,...
% ..
Isq. ft. .. TOTAL LOT COVERAGE:
APPROV AL8: PLAN
BLDG.
DPW
I'IRE
OTBEIL-
laq.ft
ESAlWdI.and(s): 0 Yes 0 No SBPA Cbccklist required? a Yes 0 No
Other:
. . !BtJILldNGPEI1MJ'I' APPLICA'hON SUBMI1TAL: Yo", IIppUCfltiqIl M" sile pllUl",,", btJjIJlU 0111 e.olllpkuly to be ~./O'
,ePit!tf1. The BuildiQg Division can provide you with more detailed irlfonnation on the application and plan submittal requiremenbi. Your
completccl applU;atiOl1, site plan (for additions) and building coostruction plans are to be submitted to the Building Division.
VALVA-nON OF CONSTRUcnO~:, ID all cues, . valuation amount must be entered by the applicant Thill figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Pmnit CoordiIlator at 417-4815 for ass.is1ance.
PLAN. CHICK I'EI: Your plan cb:ck fee is due at the tinic the building permit applicatioD and coDStruction pJam ale submitted. AU other
permit feci are due at the time of pennit issuance.
'" \i','. II , I
EXPIRADON OJ'PLAN REVIEW: Uno petmit is issued within 180 days of the date of application" this .-pplicatioa., WUI aplre. The
Build.mg Official cau extend the time for action by the applicant up to 180 days upon written Toquest by the applicant (see Section 10'.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
1;1 ,; / hRby:c.ntJ;tMtIIuM NtUJ. imd.lZfIIIIIned this application and MOW the same to b8 true and correct. and I am autlltJrlwl to apply to'
this pe.",.lt ] untUntanJ It is not the City's legal responsibility to determille what permits QrB requiJ'ed: it 1'emairu the applica,.t':
, ,.."...IbiIi(J/ .. dekrmirre wIuu permits are '"4ulreJ aod .. abtain mch, l
'. '~:\POIlMS'^""'""Id"_' APP6<an7j} !jJaJr) S 00.., / JI zt;fz 2.--