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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000572 ,Date
350132
1015 B ST
06-30-00-9-3-2055-0000-
RES REMODEL
6/08/06
PUBLIC BUILDINGS & PARKS
3000
Owner
Contractor
HOOPER GARY L
188 HOME LN
PORT ANGELES
OWNER
WA 983629179
Permit . . . . .
Additional desc .
Permit pin number
permi t Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
BEAM REPLACE AND STAIRS REPAIR
53959
106.75 Plan Check Fee
7/07/05 Valuation
1/03/06
.00,
3000
Qty Unit Charge Per
Extension
92.75
14.00
~
BASE FEE
1.00 14.0000 THOU BL-2001-25K (14 PER K)
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
REPLACE BASEMENT PIPES
53967
47.00 Plan Check Fee
7/07/05 Valuation
1/03/06
.00
o
Qty Unit Charge Per
BASE FEE
Extension
47.00
Special Notes and Comments
PERMIT EXTENDED, LETTER ON FILE.
06/08/2006 09:38 AM DYASUMUR ___l___
Other Fees
STATE SURCHARGE
4'.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 153.75 153.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 158.25 158.25 .00 .00
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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 orwork 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 local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date
T:\Policies\1102_15 building permit inspection record05.wpd [1/4120051
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIO~S.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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 DATE ACCEPTED COMMENTS
YES NO .
FOUNDATION:
FOOTINGS
WALLS
FOUNDA nON DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
'6/!J.q/nb Jil 0
ROUGH-IN
WATERLThffi(METERTOBLDG)
GASLThffi FINAL \\-1-01 DATE -:5LL.. ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL I
WALLS 1tP>/ A ./-, _I LL
CEILINd . ,
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING 8ur7" [/0 I uJ.,l-
DRYWALL (INTERIOR BRACED pANEL ONLY) f' -,
T-BAR
INSULATION
SLAB I
WALL 1 FLOOR 1 CEILING r1/ r...,j ()( 0 --:--tv...-
T
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GASLThffi
WOOD STOVE 1 PELLET 1 cmMNEY FINAL . DATE ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKlNGILIGHTING ESA:
LANDSCAPING SHORELThffi:
FINAL. INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL, DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. 1 PW 1 CONSTRUCTION - R. W.
ENGThffiERlNG 417-4807 PW 1 ENGThffiERlNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 \I~l-c>, :\L.L- BUILDING
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L-
188 Home Lane
Port Angeles, W A 98362
360 452-4035
June 8, 2006
City of Port Angeles
Department of Community Development
Building Division
321 East 5th St.
Port Angeles, W A 98362
S"72...
Re: Pennit application number 05-00000S2..,. pin number 350132
Greetings:
This pennit was issued on 7/7/05 and has extended beyond 180 without inspections. The
work is done exclusively by me, the owner. Other circumstances prevented me from spending
time on this project for several months. I am now ready for an inspection and would like to re-
activate the pennit.
Thank you,
f?7
Oary Hooper
.Jv~~. _
/T<FU?'--_._......_
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
~ppligqt.ion pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
property Use
Property Zoning . . .
Application valuation
05-00000572 Date
350132
1015 S B ST
06-30-00-0-3-2055-0000-
RES REMODEL
7/07/05
PUBLIC BUILDINGS & PARKS
3000
O\"{I1~r.
Contractor
HOOPER GARY L
188 l!..OME;. LN..
PORT ANGELES
OWNER
WA 983629179
----------------------------------------------------------------------------
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expirat:\;on Date
BUILDING PERMIT - NO PR FEE
BEAM REPLACE AND STAIRS REPAIR
53959
106.75 Plan Check Fee
7/07/05 Valuation
1/03/06
.00
3000
Qty Unit Charge Per
Extension
92.75
14.00
BASE FEE
1.00 14.0000 THOU BL-2001-25K (14 PER K)
... ,.. .'
---------"-------------------------------------------------------------------
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
REPLACE BASEMENT
53967
47.00
7/07/05
1/03/06
PIPES
Plan Check Fee
Valuation
.00
o
.........
~
0\
Qty Unit Charge
Per
BASE FEE
Extension
47.00
----------------------------------------------------------------------------
Other Fees
STATE SURCHARGE
4.50
Fee s~ary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 153.75 153.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 158.25 158.25 .00 .00
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~
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
nu II 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 local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
-J..
,..--
7-7-C:>..s
Date
T:\Policies\ 11 02_15 building permit inspection record05. wpd [1/4/2005]
I
BillLDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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 DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA nON DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS / ROOF / CEILING
DRYW ALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
W ALL! FLOOR / CEILING
MECHANICAL
HEAT PUMP / FURNACE / DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERJNG 417-4807 PW / ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102_15 building permit inspeCl10n record05.wpd [1/4/2005J
BUILDING PERMIT - APPLICATION
R OFFICIAltSE ONL~
ate Rec.: 7. -::;) 0 ::>
I I
Pennit #: (!) s-- 57 fT
Date APproved:7J '7 16
Date Issued: / I
Fill out COMPLETELY and in INK. Your applicatior: and site plan MUST B
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: r:; III<.. V 1100 pt=: i?' Phone:
owner:(d/f-f2( I-foOPFi;? Phone:
Address: IY:FJ 1~11r-= Lp/-IVF City: f6.i< r 11/{J(, r-:.r;FS
.
<2:69 - 7977'
'i5 09 ~7cr 79
Zip: 9\/36 2...
Architect/Engineer:
Contractor () t)J /1) el(
Address:
Phone:
PROJECT ADDRESS: /0 (~
...n...., ..... ....,...,.".... .u
LEGAL DESCRlPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
State License #: Exp: Phone:
City: Zip:
S , B 57' . ZONING:
Block: Subdivision:
..
Credit Card Bolder Name: ~
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK: SIZEN ALUATION:
rs Residential 0 New Constr. 0 Re-roof 0 Stove SF. @ $ /SF. = $
o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ /SF. = $
o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $
;a:"Repair 0 Sign 0 Other TOTAL VALUATION $
BRIEF DESCRIPTION OF THE PROJECT: R E 19- H> T (/ ~M f>:;.-. ;!:> E P /kI. R
~ E ('0 /lI D F L CJ () R " KE R:: Ike .E ~::7;S7:zl/lb ~ 71fLR.-J / /lJE W
City:
Exp. Date:
~OO~
, ~c.A.. 'p pO ~T
P?-U/l-(ff .:rn/-b
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load:
No. of Stories: 2 Lot'Size: C;lJCJO Existing Sq. Ft. /{J <(;'1 & Proposed Sq. Ft.
Totallot coverage /L) J ~~ % / S , S () :>- D
Construction Type:
= TOTAL Sq. Ft. /~ g9
,
PLANNlNG USE ONLY:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
ESAIW etland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other:
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 mustbesubrnitted at the time tlle 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 Rl 05.3.2
of the International BuildingIResidential Code, 2003). 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 determin hat permits al' required ,not the City's) and that I must obtain such permits prior to work.
T:\PoIicies\BL-Il02_13.wpd Applicant:
Date: 7-7 - O.s--
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CITY OF PORT ANGELES - Construction Plans
The Issuance of this permit based upon these plans, specifi.
cations and other data shall not prevent the building official
from thereafter requiring the correction of errors in said
plans, specifications and other data, or from preventing .
building operations being carried on thereunder when in
violation of all codes and ordinances of this jurisdiction.
,.(SECTlgrI393[c) URifsrw IlHil~iRg Case.) :;2{X) ~ ::(;ZL
Approval Date 7 J 7 J ro By -:;-f:L- ~
I l
'{i
"I4i.. ..,..
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
.l21 1-:AST 5TH STREET. PORT ANGELES. WA 98:\62
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000841 Date
.265192
1015 S B ST
06-30-00-0-3-2055-0000-
RES ADDITION
3/15/05
PUBLIC BUILDINGS & PARKS
5500
Owner
Contractor
HOOPER GARY L
188 HOME LN
PORT ANGELES
OWNER
WA 983629179
Structure Information
Construction Type
Occupancy Type
Other struct info
NEW FOUND & BAY WINDOW
TYPE V NON-RATED
SINGLE PAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
15.50
~
...........
~
V-N
2.00
1070.00
9800.00
19.00
1089.00
1. 00
~
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
OWNER/ 19 SQ.FT
73.00 Plan Check Fee
3/15/05 Valuation
9/11/05
.00
o
Qty
1. 00
Unit Charge Per
73.0000 ECH EL-R-SQFT FIRST 1300
Extension
73.00
~
Special Notes and Comments
The proposal will result in a new foundaton and bay window
to an existing residential structure. Lot coverage is 15.5%.
No land use issues are noted. .
~
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 73.00 73.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 77.50 77.50 .00 .00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPEQ'JON RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COFER.
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPEC110N TYPE
DATE
COMMENTS
NO
Ol rt:/,{ 1#U5l-- TZJ b~L
GENERAL COMMENTS:
PW.lI02.1S (4196)
f:1 ",ORT ~G
^~~~<,.,
O~~
~--
~~
CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
04-00000841 Date
.265192
1015 S B ST
06-30-00-0-3-2055-0000-
RES ADDITION
10/14/04
PUBLIC BUILDINGS & PARKS
5500
~mtO 1/1/0[ Jlu
Owner
Contractor
HOOPER GARY L
188 HOME LN
PORT ANGELES
OWNER
WA 983629179
Structure Information
Construction Type
Occupancy Type
Other struct info
NEW FOUND & BAY WINDOW
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
15.50
V-N
-.
2.00
1070.00
9800.00
19.00
1089.00
1. 00
o
-
\J\
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
FOUND & BAY WINDOW
148.75 Plan Check Fee
10/14/04 Valuation
4/13/05
~
59.50
5500
(JVI
V\
-f
Qty Unit Charge Per
Extension
92.75
56.00
BASE FEE
4.00 14.0000 THOU BL-2001-25K (14 PER K)
special Notes and Comments
The proposal will result in a new foundaton and bay window
to an existing residential structure. Lot coverage is 15.5%.
No land use issues are noted.
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 148.75 148.75 .00 .00
Plan Check Total 59.50 59.50 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 212.75 212.75 .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 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 local law regulating construction or the performance of
construction.
~
Signature of Contractor or Authorized Agent
Date
Date
T:\PLANNING\FORMSIlI02.15 [11/14/2003]
~
r-
---,
BUILDING PERMIT INSPECTION 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 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 ACCEPTED COMMENTS
YES NO
FOUNDATION:
/. -' J i-t.-
FOOTINGS ._ "../. J ~_"..,- .:,
"' ""---'
WALLS I)..-I}.-oS- I J4 ".
FOUNDATION DRAINAGEIDOWN SPOUTS 'l. h n I ...- j LI
ELECTRICAL (LIGHT DEP1) SEP ARA TE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
Wi" TER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR 'SEAL
WALLS
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 4 I 7-4735 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 1/,10$ ~ BUILDING
T:\PLANNING\FORMS\1 102.15 [11/14/2003]
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FOUNDATION DETAILS
See Section 1806 USC, 1997
,
3" CLEA8~~!.
. 1I
.. % ANCHOR BOLTS @72" O. C. 1-STORY,12" FROM ECH SILL END
- @4S" O. C. 2-STORY W/2" SQUARE WASHERS
PRESSER TREATED SILL PLATES
# 4 REBAR (SEE REBAR SCHEDULE)
FINISH GRADE REINFORCEMENT SCHEDULE
18" 2-
STORY
HEIGHT VERTICAL HORIZONTAL
IN FEET REINFORCEMENT REINFORCEMENT
2' #4 @ 48" O. C. (1) #4 TOP BAR
2'TO 4' #4 @ 24" O. C. #4 @ 24" O. C.
4' TO 6' #4 @ 18" O. C. #4@18"O.C.
6'TO 8' #4@16" O. C. #4@ 10" O. C.
>8' ENGINEERS ANALYSIS WITH
STAMPED & SIGNED PLAN REQUIRED
7" MIN. EMBEDMENT
CRAWL SPACE
12" 1-
STORY
;.
12" 1-STORY
15" 2-STORY
FOOTING THICKNESS 1-STORY 6" 2-STORY 7"
3-STORY 8"
CONCRETE FOUNDATION WALL & FOO G DETAIL
o SCALE %" ANCHOR BOL TS(SAME AS ABOVE)
PRESSURE TREATED SILL PLATES
#4 REBAR 1-PIECE CONTINUOUS
MONOLITHIC CONCRETE FOUNDATION DETAIL
NO SCALE
BL-1102_08a'wPD
FOR OFFICIAL USE ONLY:
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: 0 ;JRV /10 () ?E i<...
Owner: b IlRv ;k5o rt=:. TL
Address: 1~<6 MitE L;fue
City: ?bK7
.
Phone: 2r:;O CrS-2~o/t? 3S-
Phone: 5{;O cfS-2 - S/C:? s (-
J1/1/~$CES Zip: ~6 Z
Architect/Engineer:
Contractor
Phone:
State License #:
Exp:
Phone:
Address:
PROJECT ADDRESS: /0/ S-
City:
;;c:, W 1/-1 B
Zip:
ZONING:
LEGAL DESCRIPTION: Lot: ---.,B}ock:
.-
CLALLAM COUNTY PARCEL NUMBER:
Subdivision:
Credit Card Holder Name: b If t< r' ,L+cx7 P E 12..
Billing Address: / 5? ~ 11014 j;; ,-,4/1/ t= City: -f'Ote7 #&6 E C- E 5-
Credit Card Type VISA MC # Exp. Date:
TYPE OF WORK: SIZENALUATlON:
~Residential 0 New Constr. 0 Re-roof 0 Stove SF. @ $ /SF. = $
o Multi-family ~ Addition 0 Move 0 Garage SF. @ $ /SF. = $
o Commercial 0 Remodel. 0 Demolition 0 Deck SF. @ $ /SF. = $ '-..
o Repair 0 Sign 0 Other TOTAL VALUATION $ ~- - I ~ SJ5"f) 0
BRIEF DESCRIPTION OF THE PROJECT: ~ _ . .~ F()UIVClR7Z0N rAJEclj) .
AD/) 8t4Y W.Z'~[)Oy),,..~~ ~~ Iiil~ .5/( ~
COMMERClALIRESIDENTlAL: Occupancy Group: Occupant Load: _ ~o~truction Type: rl<..lfM (3...
No. of Stories: '2.... Lot Size: 70,x ('dO Existing Sq. Ft. /070 & Proposed Sq. Ft.-1.3..L- = TOTAL Sq. Ft. I () 89
Tota1lot coverage / S I ~ %
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
V ALUATION 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 permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Uno permit is issued within 180 days ofthe 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 RI 05.3.2
of the International Building/Residential Code, 2003). 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 must 0 tain such permits prior to work.
Date: 1-/:>1"'0Y-
T:\RVESS\BLDG_fOrmS-brochures\2003-Buildingpennit. wpd