HomeMy WebLinkAbout824-A E 8th St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DiVISION
321 EASTSTH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00000171 Date 2/27/03
Property Address ...... 824 A E 8TH ST
A~SESSOR PARCEL NUMBER: 0630016700003020
T~r~t ~-br, na~e ...... DR. WILL~ BEbrKES
Application description . . . C0~4 RRMODEL
Property Zoning .......
Application valuation .... 40000
Owner Contractor
VAN DYKEN MARTIN L BUD FRASER CONSTRUCTION
93 LIGHTHOUSE VIEW DR 116 NORTH TARA LANE
SEQUIM WA 983828872 PORT ANGELES WA 98362
(360) 457-1026
...... Structure Information INTERIOR REMODEL
Construction Type ..... TYPE V NON-RATED
OCCUt~ncy Type ...... BUSINESS:OFF/PRO/MED/REST
Other struct info ..... NUMBER OF UNITS 1.00
Permit ...... BUILDING PERMIT - CO~ERCIAL
Additional desc . .
Permit Fee .... 566.25 Plan Check Fee , . 368.06
Issue Date .... 2/27/03 Valuation .... 40000
Ek'piration Date . . 8/26/03
Qty Unit Charge Per Extension
BASE FEE 414.75
15.00 10.1000 THOU BL-25,001-50K (10.10 PER K) 151.50
Permit ...... MECHANICAL PERMIT
Additional desc . . MED. GAS PIPING
Permit Fee .... 57.65 Plan Check Fee . . .00
Issue Date .... 2/27/03 Valuation .... 0
Expiration Date . . 8/26/03
Qty Unit Charge Per Extension
BASE FEE 47.00
1.00 10.6500 ECH ME-NON-HAZ PIPE 1 TO 4 10.65
Pez~nit ...... PLUMING PERMIT
Additional desc . . ABANDON EXISTING PUMPING
Permit Fee .... 47.00 Plan Check Fee . . .0O
Issue Date .... 2/27/03 Valuation .... 0
Expiration Date . . 8/26/03
Qty Unit Charge Per Extension
BASE FEE 47.00
Fee summary Charged Paid Credited Due
Permit Fee Total 670.90 670.90 .00 .00
Plan Check Total 368.06 368.06 .00 .00
Grand Total 1038.96 1038.96 .00 .00
!nSeparate Permits are required for electrical work, SEPA, Shoreline, E SA, 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 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 Ioca[ law regulating construction or the performance of
structi0n..~
at(~u retof~o nt~ra~t ho rized Ag en~t/~ '~/~Dat~e ~~ ~
T:~PLANNING\FORMS\ 1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOURNOTICE. 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 I YEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB I .7~_~
HOUOH-IN ,~-5:~ .'3
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
FRAMING
JOISTS / GIRDERS
SHEAH WALL
DRYWALL /
T-BAR
INSULATION
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD/ DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATEKLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMITg's SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
BUILDING 417-4g15 ~/--//~ 05 R// BUILDING
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~ ~/-/~ -- o ;-, Time ~': ! s~f Received by (phone
Location of Work to be inspected ~(~ ~ ~-- ,~-- ~ ~-
Name of person requesting inspection f~._, _~ ,~,,-~, ·
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): ~e Permit No.
Sewer Foundation Framing Chimney Plumbin~ war Excav. Other
INSPECTION NOTES:
Inspected: Date ~/,'- I~(~)--~ Time By ~L/
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
I--I Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
Date Rec.:
o4 yurt ~y~ FOR OFFICIAL USE ONLY:
BUILDING PERMIT - APPLICATION I ?~'mit#: I 7 I
Date Approved:
The Building Permit Application must be filled out completely. Date issued:
%t"~---~ Please type or print in inL If you have any questions, please call 4174815 ~60 ~
Applic~torAgcnt: ~ ~~ Q~'~,3~ ~ Phone: ~6
Owner: D & ~'e i / ~4 ~n/5~3 Phone:3~o
Address: ~¢ e q*~ ~ ~;~e~ity:~)L~~ ~ Zip:q~3~
~chitec~ngineer: U * ~ ~ ~a~a,/( Phone:
Contractor~o4 ~SER ~[ ~, Lm~se g:Ce~e3Y~fg~xp: * fi~/~o-- Phone:~O
Address: f/~ ~' ~* ~4~ %~ity: ¢~/ ~a~e ~ I ~ ZIP:.
LEGAL DESC~PTION: Lot: Block: Subdivision:
CL~L~ COUNTY P~CEL N~BER: Credit Card Holder Name:
Billing Address: City:.
Credit Card ~: Exp. Date: ~SA MC
~E OF WO~: SI~UATION:
= Residential ~ New CurtsY. ~ Re-roof ~ Wood-stove SF. ~ $ /SF. =~ '
~ Multi-fa~ly = Addition ~ Move fl Garage SF. ~ $ /SF. = $.
~Comercial ~ Remodel ~ Demolition ~ Deck SF. ~ $ /SF. = $
~ Repair ~ Sign n TOTAL VALUATION $ ~t ~
COMMERCI~SIDENTI~: Occup~cy Group:. Occupant Load: ~ Commotion T~e:.
No. of Stories: [ Lot Size: % Lot Coverage: %
E~sting Lot Coverage: /sq. fl. + Proposed Lot Coverage: /sq. R. = TOTAL LOT COVE~GE: /sq. fi.
PLANING USE ONLY: ~PROV~S: PL~
Notes: BLDG.
DPW
ES~etland(s); ~ Yes ~ No SEPA Chec~ist required? ~ Yes ~ No Other: OTHER
BUDDING PE~IT APPLICATION S~MI~T~: Your application and site plan mast be filled out compl~ely to be accepted for
review. The BuildMg Division can provide you wi~ more detailed i~omtion on ~e application and plan sub~Ral requkements. Your
completed application, site plan (for additions) and building cons~ction pla~ are to be sub,Red to the BuildMg Division.
V~UATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by ~e applic~t. This fig~e ~ll be reviewed
and ~y be revised by the BuildMg Division to co~ly wi~ cuffent fee schedules. Contact ~e Pe~t Coordinator at 417~815 for assistance.
PL~ CHECK FEE: Yo~ pl~ check fee is due at ~e ~e the building pe~t application and cons~cfion pl~s ~e sub,Red. All other
pe~t fees ~e due at the time ofpemt issuance.
EXPIATION OF PL~ ~EW: If no pemt is issued within 180 days of the date of application, ~is application will expire. The
Building Official can extend ~e time for action by ~e applicant up to 180 days upon ~iRen request by ~e applicant (see Section 107.4 of
· e Unifo~ Building Code, cu~ent edition). No application can be extended more ~an once.
I hereby cert~ that I have read and examined this application and know the same to be tme and correct, and I am authorized to apply for
this permit. 1 understand it is not the Ci~'s legal responsibility to dete~ine what permits are required; it remains the applicant's
responsibili~ to determine what permits are required and to obt~uch. ~
pp,,cant: