HomeMy WebLinkAbout938 W 15th St #17 - Building c s CITY OF PORT ANGELES
1 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
IMPF
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000632 Date 5/22/12
Application pin number 096848
Property Address 938 W 15TH ST 17
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -4- 2935 -0000- REPORT SALES TAX
Application type description COMM REPAIR on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning COMMERCIAL NEIGHBORHOOD (Location Code 0502)
Application valuation 1200
Application desc
REPAIR BALCONY
Owner Contractor
WILLARD C /CAROLYN B MULLER TTE MOORE CONSTRUCTION 1 2
3264 MT ANGELES RD 1385 E. ELLIOTT CREEK RD.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 460 -4561
Structure Information 000 000
0 Occupancy Type RESIDENTIAL
Permit BUILDING PERMIT COMMERCIAL
Additional desc REPAIR BALCONY
Permit Fee 71.35 Plan Check Fee 46.38
Issue Date 5/22/12 Valuation 1200
Expiration Date 11/18/12
Qty Unit Charge Per Extension
BASE FEE 50.00
7.00 3.0500 HND •BL-501-2K (3.05 PER C) 21.35
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 71.35 71.35 .00 .00
Plan Check Total 46.38 46.38 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 122.23 122.23 .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
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 thi a application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of wor' 1 I b;' co •Iii. with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the p•.vi..io's •f any state or local law regulating construction or the performance of
construction. 1
S Z Z( Z PC CU N6itr
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
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 FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling ^7J )2_ J
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts 1 L___
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750 -�e-t V_
Building 417 -4815 e- 24' 1 7_ Z w
T•Gnrmc /Ruilriinn rlivicinn /Ri iilriinn Parmif
vA`
01 N
H
N I
I
W I
GI 41
a Q I
H J
0
0
N
O
0 yl
I M b
O I
W I
H
.a H W W
H qzz y
w u) I woo w
x w 0 s s 0 H
U I u) a N 0
H a z
H h 1 0
q
wa m
HoI
H H I F I u O O H KC 0 O `!N I
a H\ z N O U
a i a m GGG H J
W H H W W+ Tr
41
o H 0 GI (G] 0 0 bl q H
O a P. I GI 0. MI
w o W
rz la H E.
I H o z to H
H 'N M
7s H 0 E H ..?f,1/4
i
O maaw o a00 e
C') H W
0 '/_41
o i xm H O 0 \o0 X a
o 0 0 0 U 0 0 0
0 I H00o0 ,-7
W a l o H o w
13 W a o o I J W W 0 0
NW aa00 P7 H
0 I m 0 0 W
Z I M 0 H 0 N 0 W ra o d'
C 1 0 X 3 0 H O 0 a N N
0 H i 0 0 Z o 0
00 a I a U a 0
O 0 0 w a
w I 0 P7 P1
O H
,...4 o, crl 1Z HH a 0 0
w H i a z z a a {y a M 0
a U i 4 u 0 0. a a H 0 a
T H E
ciTy OF
ORTANGELE S
For City Use
2 2012
Permit 12-7 2-t
WAS H 1 N GT O N, U.S.
CITY OF P
rf ECEIVE
Date Received: .11y. 21=
321 East 5th Street MAY 2
Port Angeles, WA 98362 Date Approved: '2
P: 360-417-4817 F: 360-417-4711 BUILDIN RTANGE DIV
hcatuzo@cityofpa.us
Building Permit Application
Site Address:
3
Main Contact: d Phone
vkA ft-At, Lt(,0 qs
Property Name Phone
"Yikv 1 ki IN INA
Owner Mailing Address 1 Email
;LCZA s° ikty( _ctae.._9, A 3dt._
City State
n A
Contractor/
b k
Applicant Mailing Address Email
LL e;TIT qft_ t
City State
(743-1- i t\ 7
L.
Contractor License Expiration:
2:1
onDor'.
Project Value: Zoning: j Tax Parcel Lot
Type of Residential Commercial Industrial 0 Public 0
Permit Demolition 0 Fire 0 Repair Reroof 0
For the following, fill out both pages of permit application:
New Construction 0 Remodel 0 Addition 0 Tenant Improvement 0
Mechanical 0 Plumbing 0 Other 0
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes 0 No 0 1 tN
Project
e-C (5( (2-0 2 in t (9/, 0- rveAAN
Description
e ,,tess +/LAO- S'CL4 d (Ne re. LA
foosp*A
I have read and completed the application and know it 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, and to obtain
permits prior to working on projects. I understand the plan review fee is not refundable after review has
occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before
plan review has occurred. I understand that if the permit is not issued within 180 days of receipt, the
application will be considered abandoned, and the fees forfeit.
Date Pr At Name Signatur
5- 2t 0J/A VAlok_
2 go O
-15 b,bc_L
C
J��J