HomeMy WebLinkAbout210 N Eunice St Ste 1 - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
6/01/07
07-00000627 Date
858478
210 N EUNICE ST # 1
06-30-00-5-1-4080-0000-
WILLIAM ELTON
RES REMODEL
UNKNOWN
1500
Owner
Contractor
ELTON WILLIAM E
154 STRAIT VIEW DR
PORT ANGELES WA 983629156
OWNER
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
EXTERIOR WALL REPAIR
103416
80.50 Plan Check Fee
6/01/07 Valuation
11/28/07
32.20
1500
Qty Unit Charge Per
Extension
50.00
30.50
BASE FEE
10.00 3.0500 HND BL-501-2K (3.05 PER C)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 80.50 80.50 .00 .00
plan Check Total 32.20 32.20 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 117.20 117.20 .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 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.
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Signature of Owner (if owner is builder)
fa ~ j-l> 7
Date
[
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Signature of Contractor or Authorized Agent
Date
T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005]
"
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTJONS.
CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOT]CE. IT IS UNLA WFUL TO COVER,INSULATE OR CONCEAL ANJ' WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TJON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTlOl'\ TYPE UATE ACCEPTEU COMMEl'\TS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDA TJON DRAINAGE/ DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
Vi A TER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALlJHOLD DOWNS Lr/t/Oi :71--'-
WALLS / ROOF / CEILING I
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULA TION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
ROUGH-IN
HEATP~/FURNACE/DUCTS I
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOVE / PELLET / CHJMNEY
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEPARATE PERMlT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
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 f.,/I</O' \.7Vl BUILDING
liciesll102 15 buildin ' ennit ins eClion record05.w d [1/412065]
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BUILDING PERMIT - APPLICATION
FOR OFF1ClAL USE ONLY:
Date Rec.: 05'- 3 \-07
rennit#:;:S
ate Approved: ry
ate Issued: -'
Fill out COMJ)LETEL Y 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: LA) I'] J ) ~ )'V\ Cf; E 1-- TD X Phone: 4 S 1- R '7 b t~ aJJ?4 1,0 i~t.li
owner:_lv~......S~^,,", ~J;~ Phone: 5~
Address: Is-if S~ ~ l)\" City: f:..d-~k wA Zip: Cf'f)3b L-
Architect/Engineer: Phone:
Contractor
State License #:
Exp:
Phone:
Address: City:
PRO.meT ADDRESS: 2/ D A< 2:......-....:.., rJY- I PIi, =iF {
Zip:
ZONING:
LEGAL DESCR.rr>TION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
TYPE OF WORK:
D Residential D New Constr. D Re-roof D Stove
D Multi-family D Addition D MoveD Garage
D Commercial D Remodel D Demolition D Deck
D Repair 0 Sign D Other
BRIEADESCRIPTTON OF THE PROJECT:
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SIZEN ALUATION:
SF. @$ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $ ISL?{J 6~
~4
~ ~ S).3t>)t>7 .
I (
COMMERClAL/RESIDENTIAL: Occupancy Group:
Occupant Load:
& Proposed Sq. Ft.
Constmction Type:
No. of Stories: Lot Size:
Total lot coverage
Existing Sq. Ft.
= TOTAL Sq. Ft.
%
APPROVALS:
PLAN:
BLDG:
DPWU:
FillE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes D No SEPA Checklist required? DYes 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 must be submitted at the time the building permit application and constmction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: 1fno 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
RI05.3.2 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 that I
must obtain such permits prior to work. .
T:\FORMS\BldgPermitform.wpd Applicant: J~L-Qp ~ z.... ZP~
Date: ..!::J-j oj ) D '7
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