HomeMy WebLinkAbout227 E 10th St - BuildingpORT,N,
w Val II
NMER
Signature of Contractor or Authorized Agent
Owner
SHANNON LEANNE
227 E 10TH ST
PORT ANGELES
T \1102_15 building permit inspection record05.wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 05 00001136
Application pin number 780048
Property Address 227 E 10TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 2 9078 0000
Tenant nbr name LEANNE SHANNON
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 1900
WA 983627833
Contractor
OWNER
Date 11/18/05
Permit BUILDING PERMIT RESIDENTIAL
Additional desc
Permit pin number 65540
Permit Fee 89 70 Plan Check Fee 35 88
Issue Date 11/18/05 Valuation 1900
Expiration Date 5/17/06
Qty Unit Charge Per Extension
BASE FEE 47 00
14 00 3 0500 HND BL -501 2K (3 05 PER C) 42 70
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 89 70 89 70 00 00
Plan Check Total 35 88 35 88 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 130 08 130 08 00 00
el<
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 sta or local la ating construction or the performance of
construction. /1
Date ature of Ow r is builder) t'
Date
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
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
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I
T \Policies \1102_15 building permit inspection record05.wpd 1/4/2005]
BUILDING PERMIT INSPECTION RECORD
FINAL DATE ACCEPTED BY.
FINAL
SEPA.
ESA.
SHORELINE.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
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
I I
I I I
I I I
TYPE OF WORK.
Residential New Constr Re -roof
Multi- family Addition Move
Commercial Remodel Demolition
Repair Sign
BRIEF DESCRIPTION OF THE PROJECT
PLANNING USE ONLY
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST 1 E
COMPLETE to be accepted fui I evtevt if you have anj questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
Applicant.or Agent:
Owner �'J 1�) ,_S(`C/4 ON I l
Address 2-2- 7 f D Clty I J• A
Architect/Engineer
Contractor 6 W e__
Address.
PROJECT ADDRESS T
LEGAL DESCRIPTION Lot: Block.
CLALLAM COUNTY PARCEL NUMBER.
State License
C ity'
E
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
FOR OFFICIAL USE ONLY
Date Rec. /S —O
L Permit n °1 31
Date Approved.
Date Issued. tyi
Phone
Phone `1/7 '.�C�, G
Zip L C� 3 2
Phone
Exp
Subdivision.
Phone.
Zip n
ZONING es 7
ST7N/VALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION
Stove
Garage
CI Deck
0 Other
r c des A...d C}K_
COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type.
No of Stories. Lot Size: Existing Sq Ft. Proposed Sq Ft. TOTAL Sq Ft.
Total lot coverage
APPROVALS
PLAN
BLDG
DPWU
FIRE
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 as 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 time of permit issuance.
EXPIRATION OF PLAN REVIEW If no pemut 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 R105.3.2
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 deter what permit uired ,not the City's, and that I must obtain such permits prior to work.
l l bS
TAPolicies\BL 1102_I3.wpd Applican L��G.�LLa �.(,i.L_ Date:
tk
Z_Z__ 7 E Io
I
0011-
457-