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Home My WebLink About218 Whidby Ave - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner JEFF NANCY GRULKOWSKI 218 WHIDBY AVE PORT ANGELES WA (360) 457 6861 Structure Information 000 000 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 3 00 14 0000 THOU Other Fees Fee summary Permit Fee Total 137 75 Plan Check Total 00 Other Fee Total 4 50 Grand Total 142 25 T.Forms /Building Division/Building Permit (I0 /01 /07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00001291 599402 218 WHIDBY AVE 06 30 10 5 0 0925 0000 JEFF GRULKOWSKI RE ROOF RS7 RESDNTL SINGLE FAMILY 4480 WESSEL CONSTRUCTION PO BOX 1514 983626542 PORT ANGELES (360) 457 8544 TEAR OFF AND RE ROOF BUILDING PERMIT' NO PR FEE TEAR OFF AND RE ROOF 114793 137 75 Plan Check Fee 11/06/07 Valuation 5/04/08 BASE FEE' BL -2001 25K (14 PER K) STATE SURCHARGE Charged Paid Credited Due 137 75 00 4 50 142 25 Contractor 00 00 00 00 Date 11/06/07 WA 98362 Extension 95 75 42 00 4 50 00 00 00 00 0 0 4480 1: 1:27 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 has 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. 6 --c l \i■ Le c-c_e A Date Print Name Signature of Contractor or Authorized Agen Signature of Owner (if owner is builder) BUILDING 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 I NO FOUNDATION. FOOTINGS SHEAR WALLS WALLS FOUNDATION 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 FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING ELECTRICAL LIGHT DEPT 417 4735 FINAL CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I FIRE DEPT PLANNING DEPT 417 -4750 I .r-, y u I J I I PLANNING DEPT n BUILDING 417 -4815 I L 1 I y lr� I It `Z3 10 0 I BUILDING T Forms /Building Division /Building Permit (10 /01 /07).wpd s DATE ACCEPTED BY. I FINAL DATE ACCEPTED BY. 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 I NO ELECTRICAL LIGHT DEPT 1 I 1 I a 1 id 1 1 1 1---(-7 L Applicant or Agent \e\le5s Owner rt, G v K�w Owner's Address a'e� Contractor /Engineer Contractor /Engineer's Address c a License s ss s.c_z o 5 N.0' 2 K'8 l,./1,.; b crir A ve., PROJECT ADDRESS Parcel Number BUILDING PERMIT APPLICATION CITY OF PORT !ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 ifax (360) 417 -4711 -A-1"J Project Type Brief Description. pdResidential Industrial LC n 12 24 s v. 1T Check all that apply New Construction Addition Remodel Repair KRe -roof Demolition Sign Heat System Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement 1 Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? wall- mounted projecting freestanding awning Total sign area sq ft. Maximum allowed sign Heat pump wood burning stove gas fireplace pellet stove other sq ft. T Lot size I ft. Occupancy group Occupant load Construction type Phone Phone Phone Expires q c: ,9 Lot Commercial Multi- family For City Use Only Date Received Permit qi Date Approved AS 7 Gc Zoning area sq ft. per sq ft. of bedrooms of full baths of half baths Print in ink other TOTAL VALUATION O do 4.� s sq ft. Lot coverage I have read and completed this application and know it 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, and to obtain permits prior to working on projects. Date Mcil 17, 07 Print Name -D. v I \k12s. ):2_t Signature T Forms /Building Division /Bldg Permit Appl. -2006 Code doc „4. SS *r :30 7 cifF 2 i2 V-\•■-1 .\D 2 ,-5c-n. c cc) 1 0 o 2-OG 4 1- f 4 eo :1 Owner GRULKOWSKY JEFF 218 WHIDBY AVE PORT ANGELES 457 6861 Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360 -417 -4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation WA 983626542 ELECTRICAL ALTER SIMPSON/ HOT TUB 113027 SIMPSON ELECTRIC 46 00 10/24/07 4/21/08 07 00001175 944050 218 WHIDBY AVE 06 30 10 5 0 0925 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 RESIDENTIAL Plan Check Fee Valuation Qty Unit Charge Per 1 00 46 0000 ECH EL -R OR RM 1 4 ALT CIRCUITS Charged Paid Credited 46 00 46 00 00 00 00 00 46 00 46 00 00 Date 10/24/07 WA 98363 00 0 Extension 46 00 Due 00 00 00 C INSPECTION ELECTRICAL TYPE DATE RESULTS INSPECTOR DITCH SERVICE ROUGH IN FINAL COMMENTS: 6 05 10/08/2007 21 36 Job wired by ,Electrical Contractor Electrical contractor name urchase/'s mailing address ,V.-V 0 3 City t Telephone number Y3 -7-,22 City Inspection Date 4579270 Approved ey 0 9 FINAL QiD Pate Acum.cd ay OCT RECEIVED o 912007 uGtrrdEar O Owner License number Data Expires 076177 P3:g .9 Q f CA-) Stale ZIP a/A PAX DNa oats SIMPSON ELECTRIC utnatallation description Commerehll •RdtAdeadai D New yllAlterd/Addition Premise! owner's nn ne :r "F Address of ttsp atCNon r o P f tj Phone number to a� a ute t ,ion: by RCW 19.28.261•(1) Owner will occupy the structure for twoRC.Wp j Owner as defined b 19.1p8.161 (IJ Owner will occupy the structure for two years after this electrical permit is finalised. (2) Owner is sequined to hire an electrical contractor if above said property is Jar sale. rent or lease. After reading the above statement, 1 hereby certify that 1 am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- AlCreditCard laden or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28. WAC. Chapter 296 -4613, The City of Port Angeles Municipal Code, and Card Utility SppEileatiens. /j "Slgnatre /if owner, ele trl atractor or electrical administrator Expiration Date n )Date: /j)-9 7 if card O NO LOAD CHANGES (3 easeooatd KW O Furnace KW 0 Overhead Service O Heat Pump Ton LAR 0 Temp Service O Fan -Watt KW U underground Service SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360 417 -4735 ROUGH -IN THERMOSTAT APROved By J Arca. Building or Equipment Inspected ELECTRICA►.LWORIK PERMIT APPLICATION W -451,-/e- Ate-* D Cash Check Amti.wed By J DLLs Date MasterCard Voltage Phase O 1 O 3 Service Size: Feeder Size: SERVICE FEEDER Action Taken Discover Inspection fee $19-4 semsttintarmson Appr^°tlt ny Mamma ey PAGE 01 Eleotrienl Inspector Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner Fee summary T•\PLANNING\FORMS \1102.15 [11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 04 00000655 342925 218 WHIDBY AVE 06 30 10 5 0 0925 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor HARMON SR JACK L RW BECKER ELECTRIC 218 WHIDBY AVE 1532 TAYLOR CUTOFF RD PORT ANGELES WA 983626542 SEQUIM WA 98382 (360) 683 5839 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc GFCI MAIN PNL /RW BECKER Sub Contractor RW BECKER ELECTRIC Permit Fee 48 10 Plan Check Fee Issue Date 7/30/04 Valuation Expiration Date 1/27/05 Qty Unit Charge Per 1 00 48 1000 ECH EL R OR RM 1 4 ALT CIRCUITS Charged Paid Credited Date 7/30/04 Due Permit Fee Total 48 10 48 10 00 00 Plan Check Total 00 00 00 00 Grand Total 48 10 48 10 00 00 00 0 Extension 48 10 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 Signature of Owner (if owner is builder) Date FOUNDATION: FOOTINGS WALLS ELECTRICAL LIGHT DEPT INSPECTION TYPE DATE CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T• PLANNING FORMS \1102.15 [11/14/2003] 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. ACCEPTED YES NO FOUNDATION DRAINAGE /DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD 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 I SANITARY STORM I i. e D PLANNING DEPT SEPARATE PERMIT Ws SEPA. 1► �j PARKING /LIGHTING ESA. 7, 7 LANDSCAPING SHORELINE. 1155// FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING COMMENTS Jul 21 04 07 23a poRr Baseboard Furnace Heat Piimp ]Fan-Wall /ELECTRI CALPERMITAPPLICATION R W and F L Hecker ELE7RICAL PERMIT APPLICATION The Electrical Permit Application must be filled out comoletely. D� Please type or reprint in ink. if you have any questions, please call (360) 4174735 547 S Fax number (360) 417 -4711 Owner or Elec. Contractor Agent: L) Property Owner 4e rt D /l Address: D gy I I T Electrical Contractor: 12L�) Address:. 3 L 1-½s i r` f lk f gty' INSTALLATION WIRED BY OWNER D ELECTRICAL CONTRACTOR Credit Card Holder Name: _J Z.er z Billing Address. tf,/Y city- Credit Card Number OA) Exp. Date. PROJECT ADDRESS: 1 d edwa, S TYPE OF WORK. Check all that apply 0 New residential 0 Multi- family KW KW TON IRA KW Credit Card Holder's Owner or Elec. Cont_ Signature: Signature: City Phone 7 7/ 39 i Fax: 6 V S6/13r/ Po.&r- 0630 License Exp: /1-‘4 (E 3 �1i1� iteration/Addition O Overhead Service Temp Service D Underground Service 360 683 6104 P 1 Phone: 09 FOR OFFICUU. USE ONLY CMOs Pami It Date Appove3 Date laved: 9t! H Z. Phone' 7 cd Zip:_,i7 2 Zip. "1 0 Low Voltage 0 Telecom. SigrU\ 0 Commercial 0 Mobile Home Sq. Ft Remote Meter Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump Dumber of Circuits added or altered: 1 )ESCRIPTION OF THE ELECTRICAL PROJECT. /Ns j am( icGaz--- j /l/ X 1 s Catece_4t AT 4- Af /)Jt c 7 Z --0 Electrical Heat Load Additions and or Subtractions VISA. MC: Service Information Voltage: Phase: 01 3 Service Size: Feeder Size: hereby certify that I have read and examined this application and know that same to be true and correct, and I am •uthorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits re required; it remains the applicants responsibility to deter e what permits are required and to obtain such. Date :'f Z Date:7-- 2f,_ vc/ PERMIT FEE 4/8./r) "'''' 0 , '" 0 , 10 rilril ~f-< .,;.,; 0.0 "'.... 0'" ..,.'" ..,.'" , , r-r- 1010 ..,...,. QJ >. ..... 00 01-< ..... '" '" o 01 I-< QJ ,.. 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W ZO III ~ E-<-~ ...:l ~ ~:i!E-<&lf:l...:l Q&1l'B~~ ~E-<UOPo"; E-< H :E <>: W Po CIJ E-< Z W Z~ 00 HU E-<-.... Po 00 HE-< eJS OOCIJ WW E-<Q<>: ~ Po E-< Po...:l 1500"' ZOO HW ~Q: ~WW :EE-<E-< OOW ~~p; O:E WO ~<>:U ...:l Po Po ..; E-< ~ Po Q) .... 01-< 00> I .. ~ M '" oPo .... W ~~ E-< 00 LI'I W\O ~~ ...:loo 0000 ";OM elO\O NOO ...:l \0 ..; -, Z (Jor---MQ HMlJ)ZO g...."~~ ..-1 ~ M I-<f<.OOE-< W POW"; f<. :E";IJel"; ~ r 00 o -.... o M -.... " o 00 -.... Po :.. E-< M o \0 W :E CIJ W E-< o Z Q :i! CIJ E-< Z W :E :E o U CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32 I EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000462 Date 765724 218 WHIDBY AVE 06-30-10-5-0-0925-0000- JEFF GRULKOWSKI MECHANICAL APPL. PERMIT 4/21/08 RS7 RESDNTL SINGLE FAMILY 3000 Application desc INSTALL GAS STOVE Owner Contractor JEFF / NANCY GRULKOWSKI 218 WHIDBY AVE PORT ANGELES WA 983626542 (360) 457-6861 PELLET HEAT CO. 230 EAST 1ST SUITE C PORT ANGELES WA 98362 (360) 457-4406 Permit MECHANICAL PERMIT Additional desc INSTALL GAS STOVE Permit pin number 124933 Permit Fee 121. 30 Plan Check Fee .00 Issue Date 4/21/08 Valuation 3000 Expiration Date 10/18/08 Qty Unit Charge Per Extension BASE FEE 50.00 1. 00 10.6500 ECH ME-OTHER APPL. N/R 10.65 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65 1. 00 50.0000 HR ME-INSPECTION OTHER 50.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 121. 30 121.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 121.30 121.30 .00 .00 ~ () -S~ '7q~ 06 "0 (p 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 has 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 mplied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the pro i 'ons of any sta 10 I law regulating construction or the performance of construction. T: Forms/Building DivisionlBuiJding Permit (1 % 1/07). wpd Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD o oQ , ...t:. 6' ~ 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 UNLA WFUL TO COVER, INSULA TE 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 SHEAR WALLS / WALLS FOVNDA TION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULA TION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP / FURNACE / DUCTS GAS LINE LL '2,0 - () r;{ 0"lJ0 FINAL 05'-Ob...D~ATE -Su-:.- WOOD STOVE / PELLET / CHIMNEY ACCEPTED BY: 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 ACCUTED 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 }J - oQ S -:> -" 9- (J ~ f T: Forms/Building Division/Building Permit (1010 I /07). wpd CD ~ V' \n ct ~C Applicant or Agent p~~~r.D _____u ._ Owner Jz:e...f': C:JIZL1..tI.D VJS~J ___....... .__.....__ Owner's Address 2\~ .W~ID~_ .~_.-.-_....._.-___.- Contractor/Engineert'"E1-""""""- _~ CD .'. Contractor/Engineer's Address 7-':)0..( a 1 ST License # ~(1 ~~C~~- ______. 04/19/2008 12:50 13504520503 JJ SPA SHOP PELLET HEAT v...~. . PAGE 01 BUILDING PERMIT APPLICA TION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 For City Use on~: Date Received3-1 -08 Permit # 03- Y ~2- , Date Approved ; . i __.1 Phone ~ 4S,::. 4400 Phone Bf-tP) 4'5 7 -~.1___. Phone Expires ..~~\l'-C}1 PROJECT ADD~ESS 21~ WH.~,Q.~.m_.___.__ Parcel Number Olo~' 2ffiOOO Project Type & Brief Description: Chec;~ all that apply o New Construction :: Addition rJ Remodel o Repair eRe-roof ::: Demolition ::-~ Sign !'-Heat System :; Other Lot o Residential [J Commercial rJ Industrial C1 Multi-family o wall-mounted 0 projecting [J freestanding lJ awning .Total sign area sq._!L-~..._Maximum allowed si n area s . ft. o Heat.pu.~~~ood-burni~~~~.e as ~e 0 pellet stove 0 other i"I other Floor Areas Basement 1.1 Floor 2M Floor 3'd Floor Garage Carport Covered Porch Deck Shed Other Existinq (SQ. ft.) Proposed (sq. ft.) @$ per sq. ft. ;; $ -- -~'--.'. ..--- ~O(" ~U'- TOTAL VALVA TION $ rOlal footprint of structures sq. ft. Lot size sq ft. = Lot coverage % \!lax. height of proposed structures ft. Occupancy group # of bedrooms -"'-.-'-'. ---- Nill a lawn sprinkler system be installed? Occupant load # of full baths Nill a fire sprinkler system be installed? Construction type # of half baths OwO.._... --_. . /lcwe read and completed this application CJnd know it to be true and correct. I am authorized to apply for this permit and mdersland that it is my responsibility 10 determine what permits are requir d, and to obta'n permits prior /0 working on )rOjects Jate.ll,Qit>>i PrintName.Ml!:~~ .~ 'TQrl11sl13ui1cJil1g Divisiotl/G1clg rermil Appl.-2006 Code.doc