HomeMy WebLinkAbout204 E Front St - Building F'frS CITY OF PORT ANGELES
PUBLIC WORKS -BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
BUILDING PERMIT ISSUED: 9/17/2001 PERMIT NO: 12963
OWNER/APPLICANT PROPERTY LOCATION
PAUL CREECH 204 FRONT E
851 E WASHINGTON Lot: 7
SEQUIM, WA 98382 Block: 17 ® Long Legal
360/681-8187 Subdivision: NR SMITH
T: S: Parcel No: 063000511710000
CONTRACTOR ARCHITECT
SEAVIEW CONSTRUCTION N/A
PO BOX 235
CARLSBORG, WA 98324 98360-0000
360/457-6697 360/000-0000
PROJECTINFO
Project Value: $30,000.00 SFD Units: 0 Commercial: 0
Project Type: FIRE DAMAGE SFD SQ FT: 0 Industrial: 0
Occupancy Type: Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use: CA
PROJECT NOTES
Repair fire damage as per drawing
FEES ASSESSMENT
Building Permit: $442.25 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: $446.75
Plumbing: $0.00 AMOUNT PAID: $446.75
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
fora 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 govemin this type of work will be complied with whether specified herein or not. The granting of a permit does not
pres a to ve authority t i to or cancel the provisions of any state or local law regulating construction or the performance of
con tructio .
Signatur o12!
tractor or Authorized Agent Date Signature of Owner(if owner is builder) Date
WELDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
VES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:#
ROUGH-IN
PLUMBING
UNDERFLOOR/SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW/WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS/ GIRDERS
SHEAR WALL
WALLS/ROOF/CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL/FLOOR/CEILING
MECHANICAL
HEATPUMP
WOODSTOVE/PELLET/CHIMNEY/INSERT
HOOD/DUCTS
PW UTILITIES/SITE WORK (Engincering 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.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date 10 Time Received by (phone, person)
Location of Work to be inspected __ 2019 E f -o eT
Name of person requesting inspection
Address of person requesting inspection G Phone No. 8cs
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundationraming himney Plumbing Final Sewer Excay. Other
INSPECTION NOTES:
Inspected: Date 30 —6 Time By
Remarks:
RESTORATION REQUIRED . . . . . . YES NO
SURFACE RESTORATION:
SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other
❑ Repaired by City Work Order #
❑Repaired by Permittee ❑ COMPLETE
❑No Damage Found ❑ INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
PUBLIC WORKS -BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
BUILDING PERMIT ISSUED: 8/02/2001 PERMIT NO: 12834
OWNER/APPLICANT PROPERTY LOCATION
PAUL CREECH 204 FRONT E
851 E WASHINGTON Lot: 7
SEQUIM, WA 98382 Block: 17 ® Long Legal
360/681-8187 Subdivision: NR SMITH
T: S: Parcel No: 063000511710000
CONTRACTOR ARCHITECT
SEAVIEW CONSTRUCTION N/A
PO BOX 235
CARLSBORG, WA 98324 98360-0000
360/457-6697 360/000-0000
PROJECTINFO
Project Value: $500.00 SFD Units: 0 Commercial: 0
Project Type: DEMOLITION SFD SQ FT: 0 Industrial: 0 N
Occupancy Type: COMMERCIAL Garage: 0 (�
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0 `y
Zoning Use: CA
PROJECT NOTES
DEMOLITION OF FIRE DAMAGE
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 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
fora 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 h ve read and examined this application and know the same to be true and correct. All provisions of
laws and inances govemin hi pe of work will be complied with whether specified herein or not. The granting of a permit does not
pres e t give authority to iol a or cancel the provisions of any state or local law regulating construction or the performance of
7struct' n. /!
Signature of tractor or Au horized Agent �y ate Signature of Owner(if owner is builder) Date
r311 a
• PR NGELES
���' W A S HN G &01N; UZ,, SA.
2LL `��32�
qiv 1 g � DATE
NAME OF APPLICANT (— "
MAILING ADDRESS �`7 -hfb/�n±
PHONE NUMBER 2;6d (7(o a T TSI �J
STREET ADDRESS OF PROPOSED STREET USE R c
DESCRIPTION OF REQUEST(include drawings required for clarity):(If street closure is requested,pie a tate the na
of the street and limits of closure, together with the duration of closure.] c ;_I e
4 r I
—
5' u�aLKi»�j Pa erg C Un
IS THE USE TEMPORARY OR PERMANENT?
HOW LONG WILL THE OBSTRUCTION BE IN PLACE
HWHAT ARE OW IT WILL E LIGURS HTED?
OF OPERATION?
GHT 9
EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET, SIDEWALK OR PLA TING STRIP. ARE THERE
ALTERNATE AREAS THAT COULD BE USED? �1< f tam S.`� i ` y
e
HOLD HARMLESS and INDEMNIFICATION AGREEMENT
In compliance with the Port Angeles Municipal Code,and in consideration of the issuance by the City of Port Angeles of a Street Use
Permit to the undersigned allowing the placement of the above described street use or obstruction,the undersigned for himself and
for his successors in interest, hereby agrees to indemnify, hold harmless,and defend the City of Port Angeles against any claims or
lawsuits for personal injury or property damage arising out of,or in any way connected with,the placement of Ne use or obstruction
on the City stre0%IdUw 1nor planting strip. DATV!' _1_day 2001
` PtNE R/4v Y/z
�aQtk p7Aq ��rp's licant
PP
-R U =:
Ex 0 .01-04
� 3 .z _ SUBSCRIBED and sworn to before me this�_day of 1CoyMO ,2001
F ", ,•• • `��`�`\` in anr t tate o
iding at
-•/......1Hf/ I1tlt1�� Washington``\ (This permit,if approved,may be terminated by he City f Port Angeles without cause et any time
(OFFICE USE ONLY/ ..��
Copies sent to: Date application received 9 Fee paid $�Receipt#
Police — Certificate of Insurance per PAMC 11.12.140(B) Agreement to Remove Encroachment signed and
Fire — N/A recorded on N/A
Planning— on
Finance
Date: Application reviewed and recommendation by City Engineers , Date 4 f is to
d y or9- MZ
ing conditions:
Applicat' n approvedC Works
Date
................................
...................................
.....................................................................................................-RUP #�%.�..2-�.....
Copies to: App)imnt O Fire O Poike O Street O Other O Address file O RU
P file O
waw,p.r..odpre3e S.ZV,1 I
Cry-L- 4t-7-4e,0`7 Vc-1 v��ctsures
CITY OF PORT ANGELES PUBLIC WORKS DEPARTMENT
ACCOUNT PERMIT ACCOUNT DOLLAR
NAME NUMBER NUMBER AMOUNT
Surcharge($4 ) _ 01. 2291000
D.R.A. Fees Plus Interest 001. 2392000
Burning Permit Fee _ 600.32290014 - -
Fire Inspect/Permit Fee __ 600.34220015
Fire Sprinkler Plan Review Fee 600.34220016
Construction 711.32210017
Plumbing 711.32210018
Mechanical _ 711.32210019
Sin 711.32210020
Clear/Grade Permft 711.32210021
House Moving 711.32210033
Sidewalk/Driveway/Curb Permitt ight of Way Permit I-Z Z 711.32240011 --
Publications 711.34150000
Blueprints-Aerial 711.34320000
Administration Cost(5%) 711.34320010
Plan Check Fee _ 711.34583000
Engineering Service Fees 711.34895000
Street/Alley Restoration 752.32210032
Storm Drain/Tap 752.34490010
SAN Co-op752.36990000
Electrical Permits/Inspections 911.32210028
P.B.I.A. 1 650. 2319200
x..
Prope Sales 715.39510010
N e ,
Hot Tap(watermain) _ 753.34340023
F.H. Install/Meter 753.34340024
W/M Installation 753.34340025
Water System Developement Charge 753.34480010
Sanitary Sewer Permit 754.32210029
- -
SanitarySewer Ta Cap or MH Ta-p -------_--- 754.34350018_
Sewer System Development Charge 754.34350024
ULID 215/Equivalent Service Connection Fee 782.34350025
=11 11 511 ill 11, IfIlRijill 'JiIiii
MEN= M
Milwaukee Ur Assessment 755.34370030
RECEIPT#
FILL-IN COMPLETELY-TOTAL EACH FUND AND GRAND TOTAL
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