HomeMy WebLinkAbout708 S Race St A - BuildingJACOBSON LEE /CHRISTINE
3822 CANYON EDGE DR
PORT ANGELES WA 98362
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 06 00001037
Application pin number 131810
Property Address 708 S RACE ST A
ASSESSOR PARCEL NUMBER 06 30 01 7 2 0000 3100
Tenant nbr name LINDA WILLIAMSON
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 7221
Owner Contractor
EMERALD ROOFING INC
P 0 BOX 879
PORT ANGELES
(360) 452 4681
Date 9/21/06
WA 98362
Permit BUILDING PERMIT NO PR FEE
Additional desc
Permit pin number 87403
Permit Fee 179 75 Plan Check Fee 00
Issue Date 9/21/06 Valuation 7221
Expiration Date 3/20/07
Qty Unit Charge Per Extension
BASE FEE 95 75
6 00 14 0000 THOU BL -2001 25K (14 PER K) 84 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 179 75 179 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 184 25 184 25 00 00
4
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes V 1
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.
s.----
SigraTre of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
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
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
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 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
rnv n7 1 5 hi Mina nennit insoection record05.wpd 1
BUILDING PERMIT INSPECTION RECORD
YES I NO
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FINAL
FINAL
SEPA.
ESA.
SHORELINE:
DATE ACCEPTED BY.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
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t.XN1 r ►rL=1; -I
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
PLANNING DEPT
BUILDING
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Applicant or Agent: ,/f -P VI S
Owner LI (1)Of 1 14>I f,lL IAA/ Spry
?off S R 4C e
Address
Architect/Engineer
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. 1' our application and site plan MUST BE
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
&NT
City
Phone:
Contractor 6 7 ./lit-7. /lit7. 4Li) 12 f(' State License 4:FAWI2iq 7 d1 Exp AP 17 O? Phone' 052- ¥6P/
Zip q 836 2
ZONING
Address: P 0 3DX Cit
PROJECT ADDRESS S✓ i nf 7OS S i&
LEGAL DESCRIPTION Lot: Block.
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK.
Residential New Constr
Multi family Addition
Commercial Remodel
Repair Sign
BRIEF DESCRIPTION OF TAF
1A/S729-tL 0111 MNL/I 147
4 Re roof Stove
Move Garage
Demolition Deck
Other
PROJECT TkIZ
COMMERCIAL/RESIDENTIAL. Occupancy Group
No. of Stones: Lot Size: Existing Sq Ft.
Total lot coverage
PLANNING USE ONLY
7 Dow/)
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other.
T•\FORMS\BIdgPermitformwpd Applicant:
Phone
Phone.
Subdivision.
Occupant Load.
R. Proposed Sq Ft.
Zip
STZE/VALUATION
SF S /SF
SF /SF
SF /SF
TOTAL VALUATION "22 2.
t2EF 440 Tj2 i4/5 ti
Construction Type
TOTAL Sq Ft.
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417 -4815 for assistance.
PLAN CAFCK FEE. IF a plan 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 time of permit issuance.
EXTIRATION OF PLAN REVIEW If no 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 wntten request by the applicant (see Section
RI05.3.2 of the International Buildmg/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.
Date:
FOR OFFIC US ONLI
Date Rec. 0 14 /00
Penni, n Ot (0 37
Oat Approved lh1 r
Date lssuedg /ter (D
7a362
APPROVALS
PLAN
BLDG
DPWU-
FIRE.
OTHER.
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CERTIFICATE QF OCCUPANCY
City of Port Angeles
Building Division
This Certification issued pursuant to the requirements of Section J 09 of the
Uniform Building Code certifYing that at the time of issuance this structure was
in compliance with the various ordinances of the City regulating Building
construction or use. For thefollowjpg:
Use Classification: Office B_l!ilding Permit No.: Business Name: Angeles Chiropractic Clinic
Group: B
Type bf Construction:
VN
Use Zone: CO
Owner of Business/Residence: Lee Jacobson. DC
Address: 934 E: Front. Port Angeles. W A 98363
P-ort Angeles. W A 98362
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ROUTING SLIP
Certificate of Occupancy
$~ Certificate/Inspection Fee
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DATE
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Address of Proposed Business
1ot-A S()~ ~fJ..C.(l ft
Applicant l(.I. :f",(.oJI.Jr--,tIJ<::
Address q '1 'I ~ (ro n-1 f'r
Phone: business Y f 1- - -; cf"] 0 home r r). - t 6-1 J
New Business 0 0 0 . 0 0 0 0 0 0 0 0 . 0 0 0 0 0 0 . 0 0 0 0 0 0 .. ( )
Transfer of Business location 0 0 0 0 0 0 0 . 0 0 0 0 0 0 o. (ol:( )
Change of Ownership 0 0 0 0 . 0 0 0 0 0 0 0 0 . 0 0 0 0 0 0 .. ( )
New Building 0 0 0 0 0 0 . 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 . . 0 0 0 0 0 ( )
Remodel 0 0 0 0 0 0 0 0 0 0 0 0 . 0 . . . 0 0 . . 0 0 0 0 0 0 0 0 0 0 0 0 ( )
Temporary Business 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 . 0 0 0 0 ( )
Change of Use 0 . 0 0 0 0 0 0 0 0 0 0 0 0 0 0 . 0 0 0 0 0 0 0 . . 0 0 ( )
Brief descrjption of propose~ business: Cl ,- )..-<1/ J,'A l t; (,
fA., a J/.I) (" J Jd,11r1'l < t; <.. rl:" t cJ
'v 1 J
legal Description: lot cr- Block ;;";l t.{
Current Use of Property: A tI" I-,J~,..f 0 {(~ (/2..
Zoning Classification of Property: (;. AI
Subdivision r-r P A
WIll THERE BE ANY OF THE FOllOWING? YES NO THE FOllOWING Will BE REQUIRED: ~
Construction changes 0 0 0 . . . . 0 0 0 . . . . . 0 0 0 . . . . . . 0 0 . - - PERMITS BUSINESS LICENSE \)
Electrical changes . . . . 0 . . . . . . . 0 . . . . . . 0 . . . . . . . . . 0 -- 1) Building 1) Taxi ~
Mechanical (heating, cooling, stoves) . . . . . 0 . . . . . . 0 0 -- 2) Plumbing 2) Peddlers
Plumbing changes ............................ . ~ - 3) Electrical 3) 2nd Hand Dealer
New or relocated signs. . . 0 . . . . . . . 0 0 . . . . . . . . . . . . . ---L _ 4) Mechanical 4) Pawn Broker --+>
New septic tanks . . . . . . . 0 . . . . . . 0 . . . . . . 0 0 . . . . . . . . -- 5) Sewer 5) Dance
New sewer service ............................ . - - 6) Sidewalk installation 6) Hotel - Motel
Admission charged to patrons 0 . . . . . . . 0 0 . . . . . . , . . . - - 7) Driveway installation 7) Fireworks tJ\
Is this a home occupation? ..................... . -- 8) Curb installation 8) Ambulance ()
Excavation of filling of lots 0..... 0 , . . . . . . . 0 . . . . . . . - - 9) Sidewalk obstruction 9) Tattoo shop
Work done in City right-of-way. . 0 0 0 . . . . . . 0 0 . . . . . . . - - 10) Water meter installation 10) Other
Is there sufficient off-street parking? . . . . 0 , 0 . . . . . . 0 0 1-_ 11 ) Fire ;:::(:)
New driveway openings 0 , . . . . . 0 0 , . . . . . . 0 . . . . . . . , - - 12) Occupancy
A grading plan for site drainage. 0 0 . . . . . . 0 0 0 . . . . . 0 0 - - 13) Sign ~
(parking lots, downspouts, etc.) ................. . -- 14) Shoreline
Are the existing streets paved? .................. . 1- - 15) Home occupation
Are there existing sidewalks? . . . . . . 0 0 . . . . . . . 0 0 0 . . . - - 16) Conditional use
Is there curb and gutter? ....... 0 0 . . . . . . . , . , . . . . . -- 17) Other
Other 0 oX 0 J..If~Y. P.1 A ~~o.-o') ~ . -to fL:?<. ~/f 'If:. L-_
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the
information I have supplied is correct to the best of my
knowledge.
AI /1./
~pp. REJECTED
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Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.Bol.Ao
5 h rrlo-z..SR
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S/'Loj)L ~'^-
Date:
f- ~ 3-0 2.
Signed: fL--.- y vc.A-1- ,0 c
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Comments / Conditions Uk i:s ~ 1('M~t.u-
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