HomeMy WebLinkAbout1515 So Butler St - Building
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CITY OFPORTAN"GELES
DEP ARTMENTOF COM;MlJNlTYDEVELOPMENT - BUILDING DMSION
321 EAST 5TH STREET,PORTANOELES, WA98362
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Permit_,. i . . . ELECTRICAL ALTER RESIDENTIAL
Additional deilc 200A PNL/ A. T. S. FOR GENERATOR
SUb, Contractor APS ELECTRIC .
Permit Fee 64.90 Plan Check Fee .00
Issue Date 2/23/04 Valuation .. 0
ExPiration Date 8/21/04
~ppiication Number
P:lnriumber . . ..
Property Address .
ASSESSORPARCBL NUMBER:
Application description
Subdivision Name
Property Use . . . .
Property Zoning . . .
Application valuation
RS9 RESDNTL SINGLE FAMILY
13500 .
03-00001006
1515 S BUTLERS'i'
06-30~99~n~0~8110-0000-
RES ADDITION
"
owner
C<;mtractor
~--~------------~-------
MICHELEM & DONALD R ZOZOSKY
15~5,A,BUTLER ST
. " ,',. PORT ANGBLES
-~---~ Structure Information
COJ:1Struc,tion Type
Occupancy Type, ...
Other '. struct info . . . .
APS ELECTRIC
546BBNSON RD.
PORT ANGELES
PORT ANGELES,
,(360) 452-".6753
800 SF ATTACHBDGARAGE
TYPB V NON:-RATED
SINGLE FAM &CONGRBGATES
TOTAL t LOTCOvERAGE
CONSTRUCTION TYPE
HARD. SURFACBARBA
NUMBER OF STORIES
EXISTING. LOT COVERAGE
LOT SIZE
PROPOSED LOT .... COVERAGE
TOTAL LOT COVERAGB'
NUMBER OF UNITS
WA 983631337
Qty Unit Charge Per
1.00 64.9000 BCH EL-R OR RM 0-200 ALT SRV FDR
Date
2'/23/04
WA98363.
15.10
V-N
1.00
3162.00
26250.00
. 800.00
,3962.00,
1.00
- - - - ---- - - - - - - -.-..-- - -:- - -",- - - ~ - - - - - - - - -. - - - - - - -' - - - - -'- - - -"-,'" - - - - - - - - - - - - - -,- - - - - - - --
Other Fe.es . .... STATB SURCHARGE '4. SO
Extension
64.90
FeesUllllriary
Charged
Paid
Credited
i:J;'~~J:t; . Fee Total
':Plan Check Total
Other. Fee Total
__ _ _ _ ~Gr~<:L.Total
64.90
.00
4.50
69.40
64.90
.00
4.50
69.40
Due
.00
AOO
.00
.00
.00
.00
.00
.00 "
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Separ~tePermitsare required for electrical,work, SEPA;ShO(~line.'ESA. utUiti~~,.privateanQPubnc,impro...ements. Thisp~~lf~e~omes
nuUan~vohtifwork or construction authorized is not cornrrienc:edwithin 180days', 'Ifconstruction or wOl-klssuspendedor ab~n'doned
for a p~riod of 180 days after the work ,as commenced; orifrequire~Jnspections have not been requested within 189 daysfnjlll,th(3l.a~~
inspection,l hereby certify that I have ,read. and exami~(3d,thi~;appricationand know the same.tq be true and correct. AU provisi9n~,0.f
laws andordinan~esgoveming this type of workwili' be compllea'wittrw~ethenipecifiedhereinor not;"',Tijegranting ofaperniitdoes'nQ~
presume to give authority to violate or cancel the provisions of'anY's~te or . local-law . regulating conslfuctionor. the performance of
constn.Jction. . ' . '
Signature of Con~ctor orAuthorized Agent
Date
T:\PLAN'NING\FORMS\1102~15 [11/1412003]
07,'
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Signature of Owner (if oWner is builder)
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BUILDING PERMIT INSPECflON RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. .IT IS UNLAWFUL TO COVER, INSULATE 011 CONCE.AL ANYWORKJ1EcFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. . .~<"',~,;
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
". ",.---..-
INSPECTION TYPE DATE ACCEPTED COMMENTS .....;i.i:~.,.}
. YES NO .... ......,
.. ..,oQ~DATJON: ......' ?": '.,
FOOTINGS i/
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS . .
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: /I
ROUGH-IN I . I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
9(\,SLINE
BACK FLOW I WATER
AIi'SEAL .
WALLS I
CEILING I I I
FRAMING
JOISTS I GIRDERS
~HEAR W ALLlHOLD DOWNS
, WALLS I ROOF I CEILING .
'PRYWALL (INTERIOR BRACED PANEL ONLY)
.
T-BAR
, INSULATION
SLAB .
WALL I FLOOR I CEILING I I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE I PELLET I ClDMNEY
HOOD I. DUCTS
PW UTlLmES I SITE WORK (Engineering Division) SEPARATE PERMIT /I's: .
W ATERLlNE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT, SEPARATE PERMIT /I's SEPA:
PARKlNGlLIGJrrlNG ESA:
LANDSCAPIN.G . SHORELINE:
. .' . . FIJIIA,L.INS~ECTI0NSREQUlRED PRIOR TO OCCUPANCYIUSE .'
. ....RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
. ,. 2.-/"/D'I
ELECTRICAL - LIGHT DEPT. 417-4735 Aeo ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W.I PWI , . CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW I ENGINEERING .
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING'
T:\PL~G\FORMS\II02.15 [1111412003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT ~ BUILDING D1VISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00001006 Date 10/R0/03
Property Address ...... 1515 S BUTLER ST
Subdivision Na~e ......
Application valuation .... 13500
Owner Contractor
...... Structure Information 800 SF ATTACHED GARAGE .....
Kxpiration Date . . 4/18/04
Qty Unit Charge PerBASE FEE Extension92.75 % ~
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 i$ 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/~ocal law regulating construction or the performance of
Signature Of Contractor or Authorized Agent Date Sidn~ture of 0wnei (if'o,,~/i~-uill~er'') Date
T:\PLANNING\FORMS\1102.15 [4/2002]
FOR OFFICIAL USE ONLY:
BUILDING PERMIT - APPLICATION Date .cc:
Permit #:pr~
Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date Ap
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815 Date Issued:
Applic~t or Agent: Phone:
Owner: ~ ~~ ~. Phone:
~chitec~Engineer: ,~,~ ~ Phone:
Con,actor State License g: Exp: Phone:
Address: CiW:. Zip:
LEGAL DESC~TION: Lot: Block: Subdivision:
CL~L~ CO~Y P~CEL ~ER:
Credit Card Holder Name:
Billing Address: City:
Credit CardType VISA__MC __ # Exp. Date:
TYPE OF WORK: SIZE/VALUATION:
~Residential [] New Constr. [] Re-roof [] Stove
[] Multi-family ~i~ Addition [] Move [] Garage SF.
[] Commercial [] Remodel [] Demolition [] Deck SF. ~ $. /SF.--$
[] Repair [] Sign ~ TO~ALVALUATION $
BRIEF DESCRIPTION OF THE PROJECT: ~'
COMMERC1ALfRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:.
~GZ~-<--~ ~162,~&ProposedSq. Ft. ~ = TOTAL Sq.Ft. ~ <~ ~?_
No. of Stories: Lot Size:AS-d>/~ I~- Existing Sq. Ft.
Existing lot coverage __ % & Proposed lot coverage __% = Total lot coverage [ ~, I %
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 thc 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 permit 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~ame 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 j~Jt the City's, and ~at I m~st obtain such permits pr~or to work.
T:\FORM S~.PPS\Buildingpermit.wpd Applicant:' ~ / ~///~ _d~ Date: .5~,~ "~