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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIV1SION
32] 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 . . . .
08-00001103 Date
823462
309 E 1ST ST A
06-30-00-5-1-1840-0000-
HOWELL C. BARWICK
COMM REPAIR
9/16/08
COMMERCIAL ARTERIAL
600
Application desc
REPAIR: GUSSETT SUPPORTS FOR BEAM
-------------------------.-br-\~~-~----------~-L~i~~-----------------------
y-t.cX oO'~ . C ~(lrWl
Owner CO'f \-\oWe..l~, . Contractor
--------------- -------~Son CA~\~ ------------------------
ISES 1\:.'5 J\l ?q.r\l.. f-I..- OWNER
O'("::~~3620;40 3U13
Structure Information 000 000 REPAIR: GUSSET SUPPORTS FOR BEAM
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - COMMERCIAL
GUSSET SUPPORT FOR BEAM
133686
53.05 plan Check Fee
9/16/08 Valuation
3/15/09
.00
600
Qty Unit Charge Per
Extension
50.00
3.05
BASE FEE
1.00 3.0500 HND BL-501-2K (3.05 PER C)
Other Fees
DOUBLE PERMIT FEE
STATE SURCHARGE
53.05
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 53.05 53.05 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 57.55 57.55 .00 .00
Grand Total 110.60 110.60 .00 .00
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Separate Perm its are required for electrical work, SEP A, Shoreline, ESA, utilities, private and public improvements. This perm it 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.
:::..;~l{j, - 'O?J ;(OWL{{' c. 8111< w,'c./r
Print Name
ate ,
I'
,t
Signature of Contractor or Authorized Agent
T:Forms/B~,\ld'i~g Divisioni8uilding Pcrmit (05113!08).wpd
BUILDING PERMIT INSPECTION RECORD
CALL 4 17-48 I 5 FOR BUILDING INSPECTIONS. CALL 4 17-4735 FOR ELECTRICAL INSPECTIONS.
CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES. CALL 4 17-4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE.
o
\)0
,
INSPECTION TYPE DATE. ACCEPTED COMMENTS
YES 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 FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
!-lEA T PUMP / FURNACE / DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT /I's SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION RW / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 4 I 7-4653 FIRE DEPT
PLANNING DEPT 4]7-4750 PLANNING DEPT
BU]LDING 417-48]5 BUILDING i -IY-lFl ;rl-L
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BUILDING PERMIT APPLICA TION Print in ink
CITY OF PORT ANGEL.ES .*" O:r ' t ~~
Attn: Building Permit Technician oe)C('l'\x. (-eJl!.
321 E. Fifth St, Port Angeles, WA 98362 '\)l>o'O\e-
(360) 417-4815 fax (360) 417-4711 <F' ~'f'V-
~~_ ~o'l\~. .A-
~ u3\~'
Applicant or Agent O1?4/1/ GE PA~k ~r<f'4F- ~~r-fhO e ![o cr - ~'?- t:70 o.
Property Owner /I" fl(/f{C C. SA/? tu /<6; k"" Phone ~ 0 ~... G13 s-;~ ~ Cf 4
Property Owner's Address S ~G;fL7S(;JN C- fAJc.L€/ O!fA,vf9-,L ~~rc ,./;/9 0'"
Contractor/Engineer .tjt::2...hC-EC C C. L?JfJ;IP t,;r/ !,'c /'t" Phone., ., ~ fJ. .
Contractor/Engineer's Address ~ -/;:' &;SDLJ,y ~ If' c ~ ~ . O/~""; .Go L /~I?.f~/c c/f}~~
license # No /Y E pires ..3 tl 07"';
,
09/04/2008 11:41
5305228173
DIAMOND SPRINGS PRIN
PAGE 02
For City Use Only:
Date Received &\- Lf -t) S
Permit # ~ %-H l'r'~
Date Approved
:30~
II?.! r
Parcel Number
PROJECT ADDRESS
Lot
Zonin
Proiect Tvoe & 8ftef DescriDtion: 0 Residential ommercisl 1:1 Multi-family 0 Industrisl
Cneck all that apply
o New Construction
c Addition .+
c R~~del
~~ ~~
oRe-roof
o Demolition
o Heat System 0 Heat pump 0 wood-burning stove 0 gas fireplace l:I pellet stove 1:1 other
D Other
Floor Areas
Basement
151 Floor
2"cI Floor
3nl Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
Exist/nil (SQ. ft.~ proqosed Isq. ft.)
@ $ per sq. ft. = $
.A- :c::GJ[:pe,on:J @ ~ oil- - 2.6 'i - ':)600 +~ h~Ve \ie-\- rr1a.\'
~ fJek-p~Qhe4Il wi~ otJ)he(' 9{L!J
~ {i) et:-\€.rlct \ <;
*)1.. L1boV'
ck.
TOTAL VALUATION $ *^
00,00
sq. ft. + Lot size
%
sq. ft. = Lot coverage
Max. height of proposed structures
VViIl 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. I am authorized to apply for this permit and
un~erstand that it ;s my responsibiffty to determine what permits are required, and to obtain permits prior to wor1<lng on
p~s ~J L? ..
Date9- cr-o€ Print Name lIoW'~t C C. ~.-fk/~,fsignature . ~ '(~ ~~",.j1'4
T:~OlTl'lslBvildtnQ Dlvlsion/8ldg Permit Appl.-2006 Code.doc ./.,
ORANGE PAR~ PROPERlY REN1AlS
5) JlUldlsoll'\l CUl1'c~e
Oll"alrage PalU'~, IFl 32073
H. C. 11 Pellmy l8alD'WutC~
PH: 904-269-5000 011" CEll: 904-635-4329; 904-635-3823
September 4, 2008
Ms. Linda Pangrle
Building Permit Technician
The City of Port Angeles
321 East Fifth Street
Port Angeles WA 98362
RE: Building Permit Number 08-1103
Ms Pangrle:
Enclosed you will find a check in the amount of $110.60 for the above building
permit. If I can be of any further assistance please let me know.
~'a~d--
Penny Barwick
09/04/2008 11:41 5305228173
DIAMOND SPRINGS PRIN
FAX
To: City of Port Angeles
Building Pennit Technician
A TTN: Linda
(360) 417-4711
From:
Howell C. Barwick
Phone (904) 635-4329
Linda, if there are any problems or something is not filled out
correctly, please call me so I can fiX it right away. Also, please
call me with the cost and my wife will send you a check via UPS
overnight.
Thank you,
-,' ~C~~f
~ '-.-..J...."", { IB~~
Howell C. Barwick
PAGE 01