HomeMy WebLinkAbout1901 W 6th St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00000598 Date 6/23/03
Property Address ...... 1901 W 6TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-9-0-0270-0000-
Application description . . . RE-ROOF
Subdivision Name ......
Property Zoning .......
Application valuation .... 1000
Owner Contractor
THOMAS, WALLY OWNER
1901 W 6TH
PORT ~/qGELE$ WA 98362
(360} 928-3159
Permit ...... BUILDING PERMIT - NO PR FEE
Additional desc . . TEAR OFF, FELT,COMP
Permit Fee .... 62.25 Plan Check Fee . . .00
Issue Date .... 6/23/03 Valuation .... 1000
Expiration Date . . 12/20/03
Qty Unit Charge Per Extension
B~E FEE 47.00
5.00 3.0500 ~ BL-501-2K (3.05 PSR C) 15.25
......... STATE SURC~L~RGE 4.50
Other
Fees
Fee sua~ary Charged Paid Credited Due
Per, it Fee Total 62.25 62.25 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.80 4.50 .00 .00
Grand Total 66.75 66.75 .00 .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 el
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does nol
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance el
construction.
Signature of Contractor or Authorized Agent Date Signature o/93.O"wner (if owner is builder) Date
T:\PLANNING\FOILM S\ 1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT 1N A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS Ar JOB SITE (~ ~ J,~" q ~/
INSPECTION TYPE [ DATE t YEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DFL&INAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: g
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
RACK FLOW / WATER
AIR SEAL
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLEI / CHIMNEY
HOOD/ DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORaM
PLANNING DEPT. SEPARATE PERMITg~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 4 [ 7-4653 FIRE DEFT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
FOR OFFICIAL USE ONLY:
BUILDING PERMIT - APPLICATION Da,e Rec.: o d/19/0
Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date Approved:
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815 Date Issued:
Applicant or Agent: J,~/:]////,/ ¥ ~//9'.~S Phone: .~.~d>
__
/
Omer: ~ Phone:
Address: ,~/ ~ ~ ~ CiW: .~ Zip:
MchitecffEngineer: Phone:
Con,actor State License g: Exp: Phone:
Address: Ci~: Zip:.
LEG~ DESC~TION: Lot: Block: Subdivision:
CLALL~ CatTY P~CEL ~BER:
Credit Card Holder Name:
Billing Address: City:.
Credit CardType VISA__MC __ It Exp. Date:
TYPE OF WORK:~/- SIZE/VALUATION:
[] Residential [] New Constr. I~lt'~e-roof [] Stove SF. @ $ /SF. = $
[] Multi-family [] Addition [] Move [] Garage SF. ~ $ /SF.- $.
[] Commercial [] Remodel [] Demolition [] Deck SF. ~ $ /SF. = $ ,.
[] Repair [] Sign [] Othe~ TOTAL VALUATION $"~"./O~tl
BRIEF DESCRIPTION OF THE PROJECT: O/q~ ~ J:~'J:~O~ l~//r~l°ta~.--ta~9
COMMERCIAL[RESIDENTIAL: Occupancy Group: Occupant Load: __ Construction Type:
No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq. Ft.
Existing lot coverage % & Proposed lot coverage % - Total lot coverage_ %
APPROVALS:
PLANNING USE ONLY: PLAN:
BLDG:
DPWU:
FIRE:
ESA/Wetland(s): [] Yes [] No SEPA Checklist required? [] Yes [] No Other:
OTHER.:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
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 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other pemUt 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, the 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.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the City's, and..~t I m~ obtain such permits prior to work.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~_~. ~-~ ~, Time Received by (phone,
Location of Work to be inspected ? ?~'~ / /_~_) ~ 7/)
Name of person requesting inspection /~I/~)c~ /~._ ,-~.~ C~r) )~'~ ~
Address of person requesting inspection Phone No. ,~'-~'/~-~
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing~Finai' ~ewerExcav. Other
INSPECTION NOTES: \ ~ ~ ~'~~)
Inspected: Date '-}~'*~[ ~ Time ~-~/~ By
Remarks: I Id- ~ ~ -~' _
RESIORAIION RFQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC [~}Other
[] Repaired by City Work Order #
[-] Repaired by Permittee [] COMPLETE
[--I No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)