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Home My WebLink About143 Eclipse Ind Pkwy - Building MOO o '- o '" '- o M 0101 l?E-< oa:oa: "'Q >< >-'l ~ 01 H >-'l E-< O1Ul ~"' U:E Hoa: E-<~ Z O~ HO E-<E-< UU 0101 0.0. UlUl ~~ M o '" o Ul 01 ->-'l 0001 ol? 2~ '" '-E-< o~ MO 0. Q 01"- ~O oa: 0.>< OlE-< ~H C4U , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , .. ,> , H 'Q '<!l '0 'Ul , , , , , , , , , , , , , , 0101 ZZ 00 "'''' 0.0. >< ~ '" Ul Q01 ZH HE-< ~ 0101 UlC4 0.0 H~ >-'lC4 U O1Q "'''' "" M<!l ~ . <!l ~ ZO E-< Ul -U UlE-<oa: >-'lZ gj:il~gJ~>-'l QZZZ~'" Q0103=oa:'" oa:E-<UOC4oa: E-< Ul Z '0 oU o 03= 001 'Z o "":E 0:E mo , U '" '0 "'''' U , a:> Zooo HOO '0 QOO '" 0 '" , , "'L11 <!l00 Ul E-< Z 01 ~Z~ HOO UHU ~E-<'- ~~~ ii:~>-'l 8&5~ 0101 'Q~ !-< H ~ E-< r.lC4>-'l P<UlO ZUl I:!>H01 Z ~ H ~ 8fHl I~E--<E-i UlO1 001>-'l 00'" O:E 010 U~u P< P1 ~ '01 <!l .~ E-< ~ P< (j) ri .ci 4-< <:: o I-< (j) .w .w (j) (j)ri ri I-< rJl 011-< <:: (j) '" (j) >-'l 0, <:: o ::>i .....-l-r-! '" >-'l 01 E-< ~ <:: ~ f:J ~ (j) ~ ~ <!l >-'l I-< P.l t"J....:!I.OQ) '>fiot- t!J HMO! NON Z < .. "' H:;S ::;S3:r"l..!>:: <:;li,....-ir-l (f) f-1,::( P.l '<j<O o:;l"Qr'l ~ O:E 0 o ~ CO Ul CX) ,. m ::r: ~ M l.f) ~....-I [il [il '<;flr-(\lU)OO oo:Eco p::; Z..N.............O~ OHD ~ :s OOCOMC;JOO oE--1o :s: H H,....,<::;flOE--<N-r-l N N..-l ::r: E-i I ~.wC) r>")1 ,:t.; CO ~oZ......'<1' ...:l C!I..DOI.DQOillHO....:lO'\M....:l H S:;a)g5r'l~~M~N~~~6 0('0;} NOHc;P::;}....JHHI..DHO r.r........... ..........~ OJ....-I i:L. Q) i:L. Q) '<i" i:L. Z [il .--l~N.o .0.0 P:::UJ c.'JNHNCJOUl(90(90;>1c.'J[il~ Cl ........... H .......... 0 .w ...-1 Cl .LJ Cl .w P::; Cl E-i [il HN[il0JHU..c:HUHU,::(H~H 1Xlr-l~MIIlOE-lIXlOa:lOCJIXl.:t;o... (j) ri I-< 01 <:: '" 0, ri (j) ri I-< 01 <:: '" 0, ri >-'l >-'l'" ~oa: ~~,% oo~~ o a 0 '- '- o M , '" M ~ ~ ,0 '. '" '" a a '-'- "'''' "'''' '- '- "'''' MM o Ul '- 0. >< E-< M o M o M M o a 3= '" >-'l <!l m '" m >-'l >-'l <!l <!l M >-'l <!l 01 ~ 01 '" E-< E-< 01 l? o o >< 01 ~ o '" 01 <!l Ul 01 E-< o Z H f o '" Ul 01 E-< o Z Q ~ Ul E-< Z 01 :E :E o U October 29,2008 RECEIVED I OCT 2920081 CITY OF PORT ANGELES BUILDING DIVISION \0 ;. '50 ctJn 301 East 6th Street, Suite] Port Angeles,Washington 98362 (360) 417-0501 Fax (360) 417-05]4 E-mail: zenovic@olympus.net INCORPORATED Mr. Jim Lierly Building Inspector City of Port Angeles Department of Community Development 321 East Fifth Street Port Angeles, W A 98362 # Dear Mr. Lierly: Q 0f I DO 0'> o SUBJECT: Metal Building Foundation at 143 Eclipse Industrial Parkway This office performed an inspection of the foundation at the project site noted above. Based on this inspection, it appears that the foundation was constructed in general conformance with the plans by this office and is therefore acceptable. The reinforcing location appears to match the plans based on locations found using a metal detector. It was also verified that the slab has mesh reinforcing using the metal detector. The foundation also appears to have been poured monolithically so the optional reinforcing between the footing and slab was not required to be installed. Based on my inspection and previous conversations with the concrete contractor prior to the placement of the concrete, it is the opinion of this office that the foundation, as constructed, meets the intent of the plans and is acceptable to this office. ...L. \;J Please call me if you have any further questions on this matter. s::t~f Tracy Gudgel, P.E. FILE \\) L ~~ ~ ;1 I)..- Fe: IN 05063 -0 ?C E -< Lf7? CfL/ qcr J!lfp ~1$1 ~ ~. .' - . 08-6777- "........ ,tj~~ \,!_r~(; "o::i;;....,"./'.. ELECTRICAL WORK PERiWT APPLIC:'-TIO~ Job wired by a Owner ,on Q Residential PUfChast3n'.2.:1g udJress ~ V, C;tY~r-r- ~ ,~S""Cw",- Telephone number :) FAX numl.K:r CJll Go- ~o() ~ ~ ~D ., 4-- ~ () CP \ o ...J ..J rJ c<-.. r .. License number ~"'<<"'" ~ Dale: expires IJ New IJ Altered/Addition Electrical contractor name wo.. ... Premises owner's nAme /L/--; ~t":.....\"?$~ Pholle lIumber 10 sdu.!dule Inspection: City ? 4 'ND 'P.<.LJ if JIJL 1 2888 OWller a.~ dejim!rI by RCW.J9.28.26/:(f) OWller will occupy the ,f/rue/ure for IWO years after this dectrical permit is finalized. (2) Owner is required to hire 011 electrIcal, contractur if above saic/ property i.~ JUl' sale. ren' or leasC'. After reading the above statement, I hereby certify that I am the owner of the: above named property or a licensed electrical contractor. I am making (he electrical instal- lation or ullerntion in compliance with the electrical laws. N.E.C., RCW. Chapter 19.28, WAC. Chapter 296.469, Tbe City of Port Angeles Municipal Code, and Utility SpecificDtions. Signature Oller, eleclrlcal conlnclor or eleclrlcal administrator LIGHT DEPT, a Cash a Check # ~ar~:ditCard :_ ~~~_~iSCO:~_ x Date: " Expiration Date of card Electrical LDad AddltlDns and Dr subtractions (J NO LOAD CHANGES Q Baseboard KW (J Furnace KW Cl HaatPump _ Ton _ LAR IJ Fan-Wall KW Cl Overhead Service o Tamp Service 0.. ""da'l:fIV\oIIIU SSl'Vice Service Information Vallago ~&-'YO Pho.. e-1'O 3 Service S;ze: ::lOb ~ Feeder Size: ~ I""\.e,...., SAME DAY INSPECTION CALL BEFORE 7'00 AM 360-417-4735 , ROUGH'IN /' /' THERMOSTAT SERVI~ 7J/~/D8 ~ -r'3J --tf5 Dile Approvcii Dy \. Dale Approved 9y ./ DQle Approved By FINAL DITCH FElIDER 7 JI6' /z;f5 ~ ,-;2.-D6 ~ . Dgle APIlTOvcllBy.../ Dl,lIC AlllllUvwBy/ nile Approved By../ Inspcction Area, Building or Eqllipment Inspected Electrical Date Action Taken Inspector 7~! - 0 g c-.".,:,.,~... (-c-e- -,W(O" YA fD / 7/Z/0P, [33'1/ , .. . , 1,) 'd '0 : 112.1>2.11> 01 1>21>92SI> 3JI~d3S JldlJ3l3:WOd~ ~11:L0 1>002-02-~n~ ELECTRICAL INSPECTION WIRING REPORT 417-4735 ADDRESS "7 "'L- e-cI I ~ o ERlCONTRACTOR I APPROVED NOT APPROVED o ..................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . .~ D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D.. . . .. . . . ... . . . .. . . . . FINAL. .. . . .. . . . ... . . .. . . . 0 CORRECTIONS NEEDED: C.OU?Llt-lfr.,-+ C-ONt0~ CTDiZ.S, -,...AtJP7 () V 1t""t-IT N~ 'Si-l"" ( \S~ 33~ 4 4"2 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 , i "" Application Number Application 'pin number Property 'Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000772 Date 136492 143 ECLIPSE IND PKWY 06-30-08-3-3-9040-0000- ELECTRICAL ONLY 7/01/08 INDUSTRIAL HEAVY o Application desc 200 amp service 500 sqft warehouse Owner Contractor B & D INC 933 KEY RD PORT ANGELES WA 983628925 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 Permit ELECTRICAL NEW COMMERICAL Additional desc Permit pin number 129098 Permit Fee 91.00 Plan Check Fee .00 Issue Date 7/01/08 Valuation 0 Expiration Date 12/28/08 Qty 1. 00 Unit Charge Per 91.0000 ECH EL-COM 101-200 NEW SRV FEEDER -L vJ Extension 91.00 Other Fees RES OVERHEAD SERVICE FEE 410.00 ~ ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 91.00 91.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 410.00 410.00 .00 .00 Grand Total 501.00 501.00 .00 .00 --- --Q (/,) ~ ~ \J (':. ~ SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH "VtP SERVICE OUGH - IN FINAL OMMENTS: .4'" o '- N N '- N .4 "'''' t9E-< ~~ P<Q :>< >-'> ~ >-'> '" 0 H :r: >-'> E-< :> ,,~ >-'> H"'''' Z~ E-< QZZ H<11 Ul "'Ul <1100 E-<P< '" ~'" :o:r::r: 0 E-< ~~ UlP<P< 0 0 f>.~ Z E-<>:J Z Q Z .. 0 :i] O~ HN HO Ul E-<",,"'" E-<E-< E-< ~ .. N Ul UU Z QO<Xl E-< "'''' '" s~'T Z P<P< ~Z~ '" UlCO 0 <Xl :>; ZZ HOO "''''0 :>; H H UHU o <Xl 0 IE-<'- t90 U E-< P<Ul ZN Ul HE-< H '- , Z ~>-'> Qrl:>< , , 0 gU:O >-'>N>-'> , oU UlUl H'-H , 0 "'''' :ON'" , :>< 03: 'Q~ <11.4~ , 3: 0'" , ~ 'Z E-< , P< 0 H , "":>; ~~~ ~. 0 0:>; Lf1 Z 0\0 .4 H 'U P<Ul:O ""' ZUl 0 '" , 0 t!lH'" "" Ul ""'''' Z ~ >-:> ' P< U , <Xl H , <Xl H Z<XlO 9 , Ul >-'> HOO , '" U , 0 500 H , ->-'> '" 000 "'''' , "'''' ,,",0 iIlE-<E-< , 0t9 ""' '" , , Ul'" , ~:i] "" "'Lf1 0"'>-'> , .4 <1100 o:OP< , N a:>; , '-E-< .. .. .. .. .. "'0 , N~ ~ U"'U , .40 .~ .", P< , P< 0 <11 iIl , 0 E-< .~ , "'''' UlU rl , ~o Ul~ >-'>z E-< a 0 ~ "''''~''' H Ul P<:>< ~f-lJ:ilU~ ~ '- "'E-< OZZ"'P< P< rl "'H ~03:~P< >< >-'> P<U UOP<~ P< E-< <11 ,';bt "aRT:'4rQ t' ~~~~ ,hill L~ ~ ''l.OlIC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000860 D~te 073240 143 ECLIPSE IND PKWY 06-30-08-3-3-9040-0000- COMM NEW CONST 5/19/06 INDUSTRIAL HEAVY 247000 Owner Contractor B & D INC 933 KEY RD PORT ANGELES OWNER WA 983628925 Other struct info . NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE NUMBER OF UNITS 1. 00 198567.00 5000.00 1. 00 Permit . . . . . Additional desc . . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - COMMERCIAL 61143 1840.45 Plan Check Fee Valuation 1196 .29 247000 11/15/06 Qty Unit Charge Per 147.00 BASE FEE 5.6000 THOU BL-100,001-500K (5.60 PER K) Extension 1017.25 823.20 Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain location. No pressurized or pumping to curbs are allowed. An inspection by Building Department is required prior to backfill. 09/13/2005 01: 43 PM KDUBUC - - h - ~_h h h h__ _ _ __ __ - h___ The Fire Department will require detailed plans for review. 09/21/2005 10:17 AM SROBERDS -- The proposal will result in the construction of an industrial warehouse in the Industrial Heavy zone. Setbacks are good at 35'. No land use issues are anticipated. $0 Connect Fee. 09/13/2005 01:08 PM JHEBNER ---------------------------- Electrical load calculations and electrical permits are required. 09/13/2005 01:08 PM JHEBNER ---------------------------- Any modifications to the electrical facilities will be at the customer's expense. 09/13/2005 01:09 PM JHEBNER ---------------------------- Sanitary sewer connection to existing septic system will require permits by Clallam County Enviromental Health Services if required. Ie-- r!-J/ t - , . R VlctteJ Jo-30-()g Other Fees STATE SURCHARGE 4.50 . 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. .Jjc..--- ~ Signature of Contractor or Authorized Agent ~'"'-/"l-o L. Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building permit inspection.record05.wpd [1/4/2005] 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 NO FOUNDATION: FOOTINGS SHEAR WALLS 1 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY, BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERlOR BRACED PAN.EL m-iCY) T-BAR , INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY, COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEP ARA TE PERMIT #'s SEPA, P ARKING/LlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL, DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW 1 ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNTNG DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] f 90RT ~ J'O~,,~ ,. ,J1L ~ ~ l't&ic~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000860 Application pin number 073240 Page 2 Date 5/19/06 . . Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1840.45 1840.45 .00 .00 Plan Check Total 1196.29 1196.29 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 3041.24 3041.24 .00 .00 1':' I ~ , . J. " r 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 T:IPoliciesll102_15 building permit inspection record05.wpd [1/4/2005] 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 I ACCEPTED COMMENTS YES NO f7 S{vm,Vj a. ,\ IJJ ,~: FOUNDATION: 10'SO g, pe, FOOTINGS I, f\../IUI In h ....1 L.v" ~ SHEAR WALLS 1 WALLS I f FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS,) PLUMBING UNDER FLOOR 1 SLAB " . ROUGH-IN WATER LINE (METER TO BLDG) " " " , GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW) WATER . AIR SEAL WALLS , CEILING FRAMING ',0/30/0& PB' .. ., ~ : ( JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF.I.CEILING DRYWALL (INTERlOR BRACED PANEL ONLY) , ,; T-BAR INSULATION, SLAB ' . WALL 1 FLOOR 1 CEILING MECHANICAL , HEAT PUMP 1 FURNACE 1 DUCTS \ I GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY . FINAL DATE . ACCEPTED BY: COMMERCIAL HOOD) DUCTS ~,. ., . . MANUFACTURED HOMES FOOTING 1 SLAB . BLOCKING & HOLD DOWNS . . SKIRTING .' PLANNING DEPT, SEPARATE PERMIT #'s SEPA: P ARKING/LIGHTING ESA: LANDSCAPIN~ SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED , , YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL .' LIGHT DEPT CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W. ENGINEERJNG '4 I 7-4807 PW 1 ENGINEERJNG FIRE 4 I 7-4653 FIRE DEPT. PLANNING DEPT. 4'17-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING 10 1?1J ,,, '& P5 ~ \J) ~ ~ '" 't ~ &~ to. .~ .., f; t~ ~ ~ ~ ~ T:\Pohcles\1102_15 bUlldmg penmt mspectlOn record05.wpd [1/4/2005] ~ r\ ~ BUIL~ING PERMIT ~ APPliCATION - .~ .,1-' . Fill out COMPLETELY and in INK. Y om~~pplicatior: and site plan MUST BE COlVlPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FA.x(360)417-4711 Applicant or Agent: ~ ~ 0W11er: 13 t f) 'Q;'~ - c;}M;j' ~ Address: 93~l 1<17 R~ City: p~ ~ Architect/Engineer: Phone: Contractor 91.eur ~ .:rnc- ~ State License #: Exp: Address: /33 ~ W~ VJo; City: 12- A '- .~~OJECTADDrf:'ts?-~~ srJl/strla./ j)J<~ LEGAl DESCRIPTION: Lot: Block: Subdivision: CLAlLAM COUNTY PARCEL NUMBER: OfR J;tJ O~ 33 Cjo4o Phone: y ))- C;~(/9 Y~t:J-IC/.s/ Zip: 1'9'sC:> 2 Phone: Phone: YS:2 - 9~9~ Z. '-//) - 9l/C/? IP: 9 ;:,% J.... ZONLNG: HI) f Credit Card Holder Name: Billing Address: City: Credit Card Type VISA Me # Exp. Date: TYPE OF WORK: SIZENALUATION: 4 o Residential 0 New Constr. 0 Re-roof 0 Stove >. ~ SF. @ $4Q. () /SF. = $ ;l tf 7. ~ - o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ /SF. = $ ACommercial 0 Remodel 0 Demolition 0 Deck SF. @$ /SF. = $ o Repair 0 Sign . 0 Other TOTAL V~UATION $ ~.fJ'7T'D - BRillF DESCRIPTION OF THE PROJECT: .NelN W A~HoL) SG L L o&, *-;2.... ~ ~ L-z..D tD ) COMM:ERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: 1- Lot Size: Iq~.S-(".1 Existing Sq. Ft. Total lot coverage % Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. CfCJG SF" ESAIW etland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DPWU: FIRE : OTHER:_ PLANNING USE ONLY: 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 witl1 current fee schedules. ContactthePerniit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plai:l 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 tUlle of permit issuance. EXPIRATION OF PLAN REVIEW: lfno 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 RID5.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby cerlify that I have read and examined this application and know the same to be true and correct.. I am authorized to apply for this permjf 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. npoli,i~\BL-1102_13.wpd Applicmt ~ R . Da'" 8' - J{)-LX> ---- ---- -- -- -- -------~-~--- ......., (jie a /~ . , 0\ ; ~'I :,' " I' (Ii Ii :.f:V j'1 , il ii \ Ii j I / , , \ 0- /,/ l__ _____________-/\ u \If) ~C(l pseJfi&, PKwj