HomeMy WebLinkAbout1014 S Chase St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
3 ton heat pump 10 kw furnace
Owner
TREAKLE JOHN W /BETTY N
PO BOX 82
MONTEZUMA
IA 50171
Permit ELECTRICAL
Additional desc
Permit pin number 155.655
Permit Fee 61 50
Issue Date 10/28/09
Expiration Date 4/26/10
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
I DH
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
61 50
00
61 50
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
09 00001109
076299
1014 S CHASE ST
06 30 00 0 3 2985 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
DATE
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
ALTER RESIDENTIAL
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
2 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT
Paid Credited
61 50 00
00 00
61 50 00
1'/3 /oy
-3 o
Date 10/28/09
WA 98363
Due
RESULTS
Extension
57 50
4 00
00
00
00
00
0
Signature of owner or Electrical Contractor X Date
INSPECTOR.
AcO
r
10/13/2009 12 17 4579270
City of Port Angeles Pe Tilt A.pplii: 'Ilion
Building Division /Electrical nepaction
321 East Fifth Street V r3_ h x 1150
Port Angeles Washington, E. 1:162
Ph: (360)417 -4735 Fax, 06€ 1417.4711
Owner information r
Name: a'7 c n e
Mailing A dress: ._,LL, !0 c5
City. 4 irate th1:JL. Zip: ..�..l 3k 4
Phone:_ _Fax:
License 1 Exp.
Unit Charge Ql
93,75
$113.75
$160.00
$2.05.00
$291.25
2.00
57.50 J__
2.00 2-
72,50
86.25
$116,25
$131.25
75,00
69,00
75.00
50.00
50.00
93,75
80.00
86.25
27,50
57.50
86.25
43,75
Siena of owner, &w it al co rl radar or 114egtrical administrator
G'
SIMPSON ELECTRIC
RECE VED
OCT 2 7 2009
ELECTRICAL
INSPECTIONS
Date' Q Sa
_L.. 2 Single Family C A elling
Multi Family or C omn Erciar
Commercial Addition Alteration 1 Remodel Repair"
Plan Review May Be Re !tired, Pk' 5Se Complete Electrical Plan Review lnformz lion Sheet
Job Address: i .S
Building Square Footage y/7
Description of above sL i o i� r? Li- alt
9,,‹
L<
Contra(tor Informat o
Name' 1 l tit' y 1
Mailing Address: i�'P.. r v'
City' P. W State: (,.,L II Zit l?
Phone: 45 7 ,7 Fax:
License #1 Exp. .4.- 31 P..$ L
Total fib Multiplied by Unit Charge)
Service /Feed( r 200 Amp,
ServicelFeede r 201 400 Amp.
Service /Feeder 401.600 Amp.
Service /Feede 501 1000 /Imp.
ServicelFeede over 1000 Amp.
Branch Circuit WI Service Feeder
5_5Z2. 5 Branch Circuit W/O Service Feeder
$4 60 Each Additions I Branch Circuit
emp. Service Feeder 200 Amp.
Temp, Service, Feeder 201 -400 Amp.
Temp. Service Feeder 101.600 Amp.
Temp. Servicei Feeder -1000 Amp.
Portal u Portal Hourly
Sign/Outline Lii ihting
Signal Circuit/ t imited Energy Commercial
Signal Circuit/ 1 imited Energy 1 2 Family Dwelling
Signal Circuit/ 1 imited Energy Multi Family Dwelling
Manufactured f ome Connection
Renewable Elegy trical Energy 5KVA System or Less
First 1300 Sew re Ft,
Each Additional 500 Square Ft. or Portion of
Each Outbuildin or Detached Garage
Each Swimminc Pool or Hot rub
Thermostat
$"0 Total
Owner as defined by RCW .13 A'61: (1) O t near will occupy the strucwr for two years alter this electrical writ k finalized. lx) Owner is mulled to hire an
electrical contractor ifabort sa d property is ,hsrsale, rent or lease.
After reading the above oaten@ d, I herb)' certify that I am the owner 01the al,ove named pr aperty or a licensed electrical contractor. I am making the electrical
Installation or alteration In ron11 li ince wits thIr electrical Taws, N.E.C. RCW. Chapter 19.28, VI 'AC. Chapter 298-4 The City of Port Angeles Munic>pei Code, and
Utility Specifications.
Cash
0 Check
ij Credit taro
L�'Yd
k rrc/ r f_LY —L
ti4,2.e.
PAGE 01
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
T stat 3 ton heat pump
Owner
TREAKLE JOHN W /BETTY N
PO BOX 82
MONTEZUMA
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
IA 50171
Qty Unit Charge Per
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
n lam (007 171-4
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
155333
43 75
10/19/09
4/17/10
43 75
00
43 75
ELECTRICAL PERMIT
CITs OF PORT ANGELES
360 417 -4735
09 00001082
658230
1014 S CHASE ST
06 30 00 0 3 2985 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
ELECTRICAL ALTER RESIDENTIAL
1 00 43 7500 ECH EL LVT THERMOSTAT
Plan Check Fee
Valuation
Paid Credited
43 75 00
00 00
43 75 00
Date 10/19/09
ALL WEATHER HTG COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452 9813
Due
Extension
43 75
00
00
00
DATE RESULTS
00
0
Signature of owner or Electrical Contractor X Date
INSPECTOR.
10/19/2009 09 27 13604525177
City of Port Angeles Permit Application
Building Division /Electrical inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 96382
Ph: (360)417 -4735 Fax: (360) 417.4711
Date: ID j /l`p I O
1 2 Single Family Dwelling
Multi- Family or Commercial*
Commercial Addition Alteration Remodel Repair*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 1%0 I en a.S ,P+
Building Square Footage:
Description of above �v� �f t' r 4P1-
Owner Information
Name: S`tll31 0r1
Mailing Address:
City' V C1'L"L. State La_ Zip:
Phone:510. L d
Fax:
License Exp.
Unit Charge
93.75
$113,75
$160,00
$205.00
$291.25
2,00
57.50
2.00
72,50
86.25
$118.25
3131.25
75.00
69.00
75.00
5000
50.00
93,75
80,00
86,25
27,50
57.50
86.25
43,75
city
Signature of owner, oloctrical contractor or eloctr cal administrator
RECEIV HEATING
OCT 19 2009 v. lxr,
ELECTRICAL
INSPECTIONS
Contractor Information
Name:
License Exp. i•11
TotaLLQty Multiplied bv_Unit Charnel
'e ai
11
Mailing Address:2,�Q7 1�� r
City tQ .1 tat e WA dip: �b7
Phone7 cp q81 ax: x
EW
1 14
Service /Feeder 200 Amp,
Service/Feeder 201 -400 Amp,
Service /Feeder 401 -800 Amp,
Service /Feeder 601 1000 Amp,
Service/Feeder over 1000 Amp.
Branch Circuit Wf Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp,
Temp, Service /Feeder 201 -400 Amp.
Temp. Service/Feeder 401 -600 Amp.
Temp. Service /Feeder 601 -1000 Amp,
Portal to Portal Hourly
Sign /Outline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit! Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
Total
Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire en
electr►cal contractor If above said property is for sale, rent or lease.
After reading the above statement, I hereby certify that I am tho owner of the above named property Or a licensed electrical contractor I am making the electrical
installation or alteration in compliance with the electrical laws, N.E.C. IRCW. Chapter 19.28, WAC. Chapter 296.468, The City of Port Angeles Municipal Cade, and
Utility Specifications,
Cash
Chock
Credit Card 8
PAGE 04,04
AVIttb
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 09 00001079 Date 10/19/09
Application pin number 235164
Property Address 1014 S CHASE ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 2985 0000
Tenant nbr name PAGE M DENNIS KITCHENS
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 14179
Application desc
HEAT PUMP INSTALLATION
Owner Contractor
PAGE M DENNIS KITCHENS
1014 S CHASE ST
PORT ANGELES WA 98362
(360) 417 3108
ALL WEATHER HTG COOLING INC
302 KEMP ST'
PORT ANGELES WA 98362
(360) 452 9813
Permit MECHANICAL PERMIT
Additional desc INSTALL HEAT PUMP
Permit pin number 155275
Permit Fee 64 80 Plan Check Fee 00
Issue Date 10/19/09 Valuation 0
Expiration Date 4/17/10
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 14 8000 EA ME FURN /HP /FAU OR 5 TON 14 80
Fee summary Charged Paid Credited Due
Permit Fee Total 64 80 64 80 00 00
Plan Check Total 00 00 00 00
Grand Total 64 80 64 80 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 fora 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 hether specified herein or not. The granting ofa permit does not presume to give authority to violate or cancel the provisions of any
state or to al la regulating construction or the p rformance of con truction.
N (I as 7 rivA f /1
�D Print Name Signatur ora or or Authorized Agent Signature of Owner (if owner is builder)
T:Forms/Building Division/Building Permit
PLANNING DEPT Separate Permit #s
Parking Lighting
Landscaping
T.Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
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 Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Fumace FAU Ducts ,,a2 /c1 /6 7 I RA/<.
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
FINAL Date Accepted by
Bob Wkifaz
FINAL Date 14.4709 Accepted by k
SEPA.
ESA.
SHORELINE.
Accepted By
3
10/19/2009 09 27
a Heat System
a Other
13604525177
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
ALL WEATHER HEATING
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn. Building Permit Technician
321 E. Pifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant or Agent i li /i4t
Owner a&CO,
Owner's Address kip ‘M 0,00 .r`�
Contractor/Engineer Alt I/vea l "41r e ilt1 )(211ac'
Contractor /Engineer's Address 5G)2 pS rii r
License 1-11;,1 yt
PROJECT ADDRESS OlLk. n e e�-
Parcel Number Ctral'� Lot
Pro ect Type Brief Description. `Residential a Commercial
Check all that apply
New Constructim
o Addition
4-Remodel
a Repair
a Re -roof
Demolition
o Sign
1-11P 7- trY 5 5VIAAJ r
Floor Areas Existlnq (sq. fL), Proposed rsg, ft
Basement
1 Floor
2nd Floor
3f° Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures sq ft. Lot size
ft. Occupancy group
Occupant Toad
Construction type
I have read and completed this application and know it to b true and correct.
understand that it is my responsibility to determine what erm(ts are required,
)rojects
Date Print Name Ab ",e2 Slgnatu
r.Forms/ ildIng Division /Bldg Parmit Appl, -2006 Code..
For City Use Only
Date Received 10-1
Permit* 09- E.6
Date Approved
Phone j /t) 452 98/3
Phone b LID 11:;,P1
Phone 2g0-454-
Expires it D
Zoning
Maltl- -famity Industrial
a wall- mounted o projecting a freestanding o awning o other.
Total sign area sq. ft. Maximum allowed sign area so. ft.
Heat pump o wood burning stove gas fireplace o pellet stove a other
per sq ft.
of bedrooms
t of full baths
of half baths
PAGE 03/04
TOTAL VALUATION y fl I
sq. ft. Lot coverage
am authorized to apply for this permit and
and to obtain permits *'or to wprrking on
lOCO
0
......
r--
.-<
......
\0
r>lr>l
OE-<
..:..:
0..0
..
'"
0
..
.
N
10
..
4>
M
0 \.<
\0 01
>< M I:
..:I III
I>: 0.
r>l M
H ;>
..:I H r>lr>l
E-< 0 ZZ ltl~~ 00
r>lCll gJ 00 r>l
:.:'" :x::x: .-< 0 ...
8~ 00 0..0.. .....,. r-l 0
M'-<' Z
E-<':> 0" 0
0\0 ~
Z .. ..qt<q'
01>: r>l ..
HO 00 ~.-<I>: I>:
E-<E-< E-< H'-<O r>l 00
UU I>: ~ ffi E-< E-< E-<
r>lr>l H CO.-< ..: Z
0..0.. ..: HZ~ 0'-< ..:I r>l
0000 0.. 0'-< ~
~~ r>l ~OO ~Nr-lHO::
I>: HU ..: ''':0 0
I>: E-<...... Z _r-- Z U
H Z 00..00 H\DU)H:t'
..: 0 HHE-< t1.r-l...,.li4~
o..r>l H CIlI>:S
~ ~ I ~ ~~CIl 04>":010
1>::<0": 01:E-<0.-<
..:o~ r>lr>l H ::s H H ..
r>lr>lo '01>: IIlt'JO:::lI:IM
~I>:o
OE-< '0 E-<
:x: lOr<. H
ZCO ;o..~ l~ ~
E-< ..:I "'00
CO 00 .....:1)-lNW
.-< r>lr>lE-< '1>: P<CIl
MH~E-tM ZOO
0 cn~ oo.m O'H r>l
0 a~ IIlOCO :z: I>: '()
M III t \D H
'" 0:: .........00 :3
00 E-<CIl 00 ~
'" 00 M ~ 10 SOO
-..:I ><..:1 00 r>lr>l CO
cor>l "E-<~SlMO l%lE-<E-< 0
00 rl E-t I I 00'" ......
;:-~ oM O\DCO :5[:Jp; r--
r-lIIlUt-'Joo .-<
.-< O~ ......
......E-< "'0 \0
\01>: I>: I>: llO:l>:U
0 'l%ll>: .", P<
0.. ZO III l%l
0 E-<
r>lr<. 00 -u ~ .-<
~O CIlE-<~ ..:I E-< 0 0
~~E-<tatl..:l H 00
0..>< ; ...... '"
r>lE-< Offi~~~g: 0.. '"
I>:H >< ..:I
o..U ~E-<UOo....: P< E-< III
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DTVISION
321 EAST 5TH STREET, PORT ANGELES, WA 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
08-00000689 Date
703489
1014 S CHASE ST
06-30-00-0-3-2985-0000-
BETTY TREAKLE
RES FOUNDATION REPAIR
6/09/08
RS7 RESDNTL SINGLE FAMILY
9920
Application desc
RESIDENTIAL FOUNDATION REPAIR
Owner
Contractor
JOHN W / BETTY N TREAKLE
PO BOX 268
PORT ANGELES WA 98362
CHARLES BURNELL HOME REPAIR
PO BOX 3023
PORT ANGELES WA 98362
(360) 452-4094
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
RES. FOUNDATION REPAIR
127969
207.75 plan Check Fee
6/09/08 Valuation
12/06/08
83.10
9920
Qty Unit Charge Per
Extension
95.75
112.00
BASE FEE
8.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 207.75 207.75 .00 .00
Plan Check Total 83.10 83.10 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 295.35 295.35 .00 .00
A::;
cr. ~
~~~L
~~
c?
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 exami . appl" . n and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will b c plied et er specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel t r s sta r local law regulating construction or the performance of
construction.
I~~
Signature of Owner (if owner is builder)
T:FormsfBuilding DivisionfBuilding Permit (10/01/07). wpd
BUILDING PERMIT INSPECTION RECORD
CALL 4 17-4815 FOR BUILDING INSPECTIONS. CALL 4 I 7-4735 FOR ELECTRICAL INSPECTIONS.
CALL 4 I 7-4807 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.
o
09
\
(,)'
oQ
-C>
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDA nON 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 WALL/HOLD DOWNS
WALLS / ROOF / CEILING .
DR YW All. (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE /PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLO DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
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. /PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. . 417-475.0 ,PLANNING DEPT.. 17'
.-,............ .~ .~, ...~ , .
BUILDING 417-4815 (,,-Ii-/)& ~/A- BUILDING
o
-C
V\
(\
::s-
~
V\
~
~
"it)
(l>
\[\
d1
c
~
T:Forms/Building Division/Building Permit (1010 1/07).wpd
7t>
\)
:)'
,
,
C' For City Use 9nly:
1:1 Date Received 06 - 0 --0
i' ermit # o2S'
V I Date Approve . -
Applicant or Agent (lIMIt<) :litd7Jel! Phone ~d- '()
Property Owner f R;t} ~A.kJe Phone
Property Owner's Address /" ~ ~~ Ph ~lk1 AA, 'i!!"3'';{
Contractor/Engineer dpv-kJ gtlll1~11 hbmf ,*~/r=~ / Phone ~7CJ -SEtOl /-i5J-~1J9.
Contractor/Engineer's Address ii2b/ .s;-Tv7ii.~ ,/, d;'fe~ tJq, 9<f.~~ V ~
License # (!jf1Ji(L$IICJ330L ' Expires q '/3 d(
BUILDING PERMIT APPLICA TION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
~
Parcel Number
PROJECT ADDRESS
'/JIL) ~
Lot
Zoning
Proiect Tvpe & Brief Description:
Check all that apply
o New Construction
o Addition
o Remodel
/1<.Repair
oRe-roof
o Demolition
o Heat System
o Other
o Commercial
o Multi-family
o Industrial
Floor Areas Existinq (sq. ft.) Proposed (sq. ft.)
Basement @$ per sq. ft. = $
1 sl Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALVA TlON $ 9~:;~ I tJ()
Total footprint of structures
sq. ft.
Lot size
sq. ft. = Lot coverage
%
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
ft.
Occupancy group
Occupant load
Construction type
# of bedrooms
# of full baths
# of half baths
I have read and completed this application and know it to be true and correct.
understand that it is my responsibility to determine what permits are required, and
projects.
Datei/~.?' Print Name~fa l1'uttel/
T:Forms/Building Division/Bldg Permit Appl.- 006 Code.doc
it and
o ing on
I ·
~
r>
J,
~t~
~
)( c:i
~,
~
t
6'-
~
r-
~
10
~
U)
~
~
~ o=r
t) 1
'-.
& ~
lt~
, ~t
~" ~ 16
~ ~~
_r
~
-+
rtr
i
~
~
~
fr
u. . ~
~ ~
~ ~
!f.
~
':
f ~~r~~~,~ ~
_ __. _. <^ 0 -l
~ _g~-"'=r5l~-<
*'s.~~~~~ 0
, ~~ :;~~g ~
_nro....... OJ
n o. ~ -, ~ s. 0
( ?2.~g@..,~:D
I}; ?' v> ~ ~ in' -l
~ -2. Q,) ...... ())"O )>
_ =' ::J ::l 5' V) co 2
a..O'-::t Cl..O"Q ~ ~ G')
~~il~~fi~;;:~
5 5 ~. ~ (") S ~ m
CD (1Q~o.a.Q~~(I)
-< oag~~~.:5 I
~~og:~g.~g ~
:~.....:::J=r::r?
=:~a~('I,)a ~
:~3~g(l) 2
c' CD .....::..: '1.:2.. C')
::. ..... "C ~ e-: ~ ~.
9, ~ ~ ~,~ l" g
C'1 (t) \'1) :::J 0 (,I)
g' ~. g. !3 g; 1i: ~
. ::J (.t'q a: iii' ~ ::I
_, A
~
~
"-
~
..........
~
Q)
./1114 .6. C/'jI/IJL tJr4
'"
<<-
. ""~
5~
&-'i;.... ~
lfp (~) ~{
",.'. >:i.
~_ I!'
~
f<>..~
~,.:
~ ~;-
"IiIb"., Y ~,
~
~;
......
.-
,."
f{~
.,...
~
"'.~
::r.
< .
l\v--
/~
) ~
- ."..
t;}h
~'$:
~~
-
...""
~..'
~;:
~~~
'.- ...;-
.....
~
tF-
\l
_ I R
-.~
~