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HomeMy WebLinkAbout1907 W 7th St - Building I r I ,crrYO:FP9R.lt\Wq~ES. ". PUBDlCWORKS - BlpillDINGDIVISION . 321 EAST. 5TH STREET,PORT,jJIlGELES, W A 98362. ". ',' "." - - -,?,' t, <;.c;"- :': ~'" q.--',,-,'(~~,} ~:~ ; : ,. OWNER/APPLICANT '. .CASEY.& JANI,CEGUDGEL , 1906 W. 7TH STREET Port Angele~, WA 98363 360/452-9787 T: S: CONTRACTOR OWNER" VARIOUS Port Angeles, WA 99360 20~/00o.:.oOOO PROJEC1HNFO 'PJ;ojectValue: $1, 1pO.OO Project Type: INT. WALLS Occupancy Type: RES OcCupancy Group: Construction Type: Zoning Use: PROJECT NOTES ADO lNTERIORWALLS AND BATHROOM RECEIPT#8934 FEES A~SESSMENT Buildin,g Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: , Radon: $41.80 $0.00 $4.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ISSUED: " 4!gP/~002 PERMIT NO: 13339 PROPER,TV LOCATION 1906' 7TH STW Lot: 1 &2 ' '" . Block: 2' 0 'bmg Legal . . Subdivision: EVA~SSUBDl:OT"36 Parcel No:' 063000850200000 AR6Hrf~CT< N/A i~ I'te. I 98360~000 .,' . 360/000-0000'? " S~Q Units: $FO S.Q FT: Commercial: ' IndustrIal: Garage: - o o MFD Units: MFOSQ FT: o o j), o 15'" ......5 " , -1 + ~ Mise Fee 1 : . Mise Fee 2: Mlse,Fee 3: $0;00 $0;00 ,$0.00 .'.' 'TOTAL FEE: AMOUNT P~ID: $46.30 $46.30 ';":~}; - --:" . BALANCE.OUE: Separate Permits are required for electrlcatwork, SEPA, Shorelin~, .ESMutilltie~1 private~ndpubliC'improveineijtsiTI)I(ij,~^, null amholdifWoiKorcon~trv~onautho~ed is n9~ cornmen~~'Mthlrl'~O days, If constrUction or work Is s~speridtdC)r;, .'. .' for a periodof;180 c:iays after the work as comme/lced, prlfrequlri!c:I1risPl'9!oJlihaVe nor~enre~e~ted~thif''1~O'cJ~8,"~la.8t in'speetlon. rh~reby~er1ify tIlst 1 have readan~examlnedthlsapplicatlonandknow the.sametotletrue.an(rco.~c:tt'An:/, ...... nS,of laWs and ordinances govemingth"~ type ofworkwlll be complfed With Whether speCified herein or not. The;grantingof apeM!tC;ioes'l1ot presume t()_gjveauthority to violate or cancel the provisions of any sfateor local law regulatingcom~tructionorthejpe'f9trn~nceof construction. J,,," " . Signature of Contractor orAuthorized Agent Date .'\,<, :\':L~.\~_~;':<JL~~~~,_~~_ _...~_; BUILDING PERMIT INSPECTION RECORD r,-~r\rr~1: /n ,-" /{' ::_'~ - ,~;-,~ -,J~ . CALL 417-4815 FOR BUILDINGJr-lSPEC:rltsNS~ PLEASE PROVIDE A 'MINlMuM24 HOUR NOTICE, IT IS UNLAWFUL TO CO~Bi' INSULATE,OR CONCE.M. ANY W.ORKBEFORE INSPECI'ED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION, ' " "" ,-," "-, - ._, ,,_ . ,,-.~':,';;";i';.;",",-;",,"":"" _"*,-~,..-:.';', -:,,' ",'--_",""" -;' "'.'~~-."_;",_,". " '.;;;:'--' ~-'kEEP PERMrrCARDAND APPROVED PLANS AT JOB SITE ' ;;, r- " ;."','. . ;f~_~'t~'~;rk~-~;. :;>.7 ..-,:!",,-^~ ~':C')_*;;" "::,'<-. ~"- _' . ~;i' ,-l~""';';i-," '" ;:,:__,~~"q;~>,:,_> . <~~, :~)'f:'~~~~ .' , ., __ ,'~,-: "':~} '-;n\', .,.-- -- "'"",' . .'.. --, -^ ,', ",. D,A'Q: \ _. ~_ _ ACCEPTED , " c;- "'YES I NO .:' ':: ,_ . COMMENTS :F::~', ,,:, ",' '", , SfIEAR WALL WALLS I ROOF l CEILING DRYWALL " T-aAR " INSULATION ", SLAB .,", '? / I WALL I FLOOR/CEILING - 'I MECItANICAli'; " " HEAT PUMP ,.,"-;" WOODSTOVE I PELLlIT/CHIMNEY/lNSERT ,.." "."'. HOODlDUCTS, "' ,,' ,', """ > " PW UTlL1TIES/~IIEWORK (Engin~ng DivisiOn)" SiPA~TE PERMIT #',: WATERLINE/ME;fER .,'... ',' "','. ?' SEWER CpNNECTION .. ....:.' .. -, SANITARY .X. ..... ti.Y ..' ~ -c:: STORM . /;;'7;;.'~' . ........ PLANNINCDEPT. SEPARATE PERMlT#', . ... SEPA: PARKlNGILIGHTING ..... .... ....... ESA: . ....... LANJ)SCAP.NG .. .. .... '. SHORELINE: ...... ........' ,,;.:c;",.,,', .' ... . "'.- FJNALI,~~!:E010NSREQUlRED PRIOR rO O<:~P.ANCYIUSE .......... -.',.. .i' RESU)ENTIAL ,+ tf .,)\TE YES NO ,.,,;~OM~Cw:.3{.;DA~"~AC(1f;~J) ...... .... ...' 'X; .... . z: : ....:-J,..I,;~~~~.>\.)::~t.<..:d.:'..:.;...."..., . <yES} .,..NO ELECQUC;"',_~HT.DEPT."".fii~.hjs<.;'i< ' ............'i.H{;.~C.Ai:../.~\.t "li"\, ;:ii" ...;t, .... ; .', ,.. " ,.,' '. . ".'.1 ;:; """ .' ;";<'ii'uGlll'\t>EI~'I>:r, i.';;,. :;:. "f .".] ,,~,.,i", iCONSTRUcnONRi. 'W;IPWI .'. " . ";x --hl~ > .."; cO$nucnoN'.iw: J ',:A';! 1';\;' .' ENGINEERING' "4t7-4S(rjk-:;, '.' '.' ;>fW-t!ENG~ERING,.>.!'.,LJ'i;: ....... <,,"'i', I. FIRE, .f" 4t746S3 "':" FtREDEl'T' ..'-. ..... i>LANNINO DEPT_.,. ". ..' " ~J7::17S9x~;"'" ~~~_\.i'Pl.ANNING DEP"f'..' .' .' "'BUlLDING"'." '\U1""Rf5!\li:~., ~;;... Id\J ./.) BUILDING.",:)::;, ....'ct:,-c- .,. .", , ..' .: .... .., . .. , ~- '; INSPECTION TYPE .' FOUNDATION: , <>0 .,~. "", , Foo1lNGS '. i," 'C'. ".' ,. --,' ,. --,.' ., WALLS .' . .... J, ~i;-.'f ,,' \i . ;m# v;;c: FOUNDATION:ORAINAOE . 'j .t.,,;'-}'>;;';", ELECTRICAL" ...'(UOHT--DEPT)'SEPARATIrPERMIT:ff"'~' -.:.' "m.;-'~z. ROUGH-IN . T.J6-'25!- ()2' t~~I.t'''''I''~' PLUMBING .....> ..,).' .... ........ ....i UNDER FLOOR I SLAB .... .,....,', . .I;"':k>:;.tit:.: a.e-H , , , --.. ,'. . . -- . ROUGH.IN. .. WATERJ.lNlt ..... .~ GAS LINE . . BACK-FLOW/WATER . , " ' , ". ' . '~,;,'. ' ," :);(j i- '.. ii , ,', ':,,"',, .. :.( L / If:/la L.....'-01L I~.--:;;",'?I '.~ ~c,,'1 .. .'. ,"", r,~ AIR SEAL "j I, WALLS .... .>": CEILING , FRAMING. ...... JOISTs I GIRDERS . . - , - '~-l:......oG. 7 F# . . .} . ~,-.- # I 'lC::::: I r .fl:('14L I . " ,. - . .j , ."' .. " .. - r:~.: ",'." . . ,;' -':l ,"''--'. '. ':, .- -, ,...: .. ,ii';'.:' """ :', ': j"~ . N : 1 , 1 -- ....,.. . ,"",,,,.'..,',, i , , , , "'''''', j . ' i. ; . " . ' "'~ , , , -. , ,. , .' -- , -- , i'- ...... .... .,:',__, f.,' '. '.', ':.: 'f,," -- ! . , ':" 'to . C:\APPL.WPD ; ~.'r.i_".". 'I . " +, , I . :'f::. ,-' '. ,~, .. BUILDING PERMIT - APPLICATION ~IC~ The Building Permit Application must be filled out completely. Please type or print in ink. If you have any questions, please call 417-4815 Address: ArchitectlEngineer: Contractor duJ-eMr Phone: '-152- 91 g~ Phone: L( ~ ~ - q ') 'lI? City:fbr-t /~ fl3eJe~ Zip: 9 ~~ ~ Phone: License #: Exp: Phone: Address: City: Zip: PROJECT ADDRESS:lq () (p \.).Jt.6 t "7 ti1 WNING: . LEGAL DESCRIPTION: Lot: ,-z.. Block:"Z.... ~ Subdivision: El/1I1V5 ~UR./Z) .(.Qr~t. CLALLAM COUNTY PARCEL NUMBER: O{,. '3000 lf$:)'2.00 edit Card Holder Name: Billing Address: City: Credit Card #: Exp. Date: VISA MC TYPE OF WORK: SIZENALUATION: --U:; __ o Residential 0 New Constr. 0 Re-roof 0 Wood-stove SF. @ $ /SF. ='ff ~, CJ6 o Multi-family 0 Addition 0 Move 0 Garage SF. @$ /SF. = $ o Connnercial ~Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $' o Repair 0 Sign 0 TOTAL VALUATION $ -zJ::'~L ~O "" ,.::;.;:;-- BRIEF DESCRIPTION OF THE PROJECT: ~ ~. COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: % /sq. ft. = TOTAL LOT COVERAGE: APPROVALS: PLAN BLDG. DPW FIRE ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OrnER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must befilled out completely to be accepted/or review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. No. of Stories: _ Lot Size: Existing Lot Coverage: PLANNING USE ONLY: Notes: % Lot Coverage: /sq. ft. + Proposed Lot Coverage: /sq. ft. 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: Your plan check fee is due 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: Ifno permit is issued within 180 days of the date of application, this 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 107.4 of the Uniform Building Code, current edition). 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, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to Obta~'n uch. ~ Applicant, . _ ~ .Ju ~ Date, t/ -?- ~ () 2 T:\FORMS\APPS\Buildingpennit :-"-~t:=-. ~:~:"=.'~~=~~~'~='~:i~':=:..~=="'::::';'," " .".. ",,- ~ --- '. _ --- _ _ ~ --.",.. "---.--.' . _ _ ___.. 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CITY Of PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date 5- b - (j~ {tv' Time Received by Rv (phone, person) Phone No. 416c - 4/71 Permit No. /8'539 Sewer Excav. Other >i Time By @~ RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee DNo Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT -------- (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . REQUEST: Date ~-2e ....t>G Time Received by R:\/ (phone. person) Location of Work to be inspected Name. of ~erson requesting. inspection Address~fpe~son requesting inspection Type. of Inspection (circle. appropriate one ): Sewer Foundation Framing Chimney Plumbing /900 W ~a..s~'I 7'/..~ :;~rt,;~~~~,~~W Final Sewer Excav. Other.AJ,. ~l INSPECTION NOTES : Inspected: Date.~ ...W,.(J) 1- Remarks: Time By ~ (!)~k: , RESTORATIONREQUIRED~..... YES NO SURFACEiRESTORATION: SURFACE TYPE: 0 Unimproved o Gravel OAsptlalt:>OPCC o Other o Repaired by City D Repaired by Permittee DNa Damage FOlJnd Work Order # o COMPLETE o .INCOMPLETE (Continue on reverse side if necessary) ;,"->:",:..':........'.>-.::..:.. .. ;...... :-,<:iL.>:::....,:.,....,.\ii Co '. ;"','Y;'ii):t]yi';:,,3ii;- __,;;o-.-,i);j.; . (I?~ TEl ''''.\-~':::_;:'_:i._~'-~&~'' STREET.SUP.ERINTENDENT. ~.,,' ,~ -"~~'. , . ' CTIYOF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision'Name Property ZOning . . . Application valuation '. 03-00000933 Date 9/23/03 1906 W7THST 06-30-00-8-5-0200-0000- MECHANICAL APPL. PERMIT 2468 OWner Contractor GUDGEL CASEY L/JANICER 1906 W 7TH ST PORT ANGELES WA 98363 SEKIO CHIMNEY SWEEPS P. O. BOX 573 CLALLAMBAY WA 98326 (360) 963-2864 Permit.... Additional desc Permit Fee Issue Date Expiration Date . MECHANICAL PERMIT WOOD FIREPLACE INSERT 50.00 Plan Check Fee 9/23/03 Valuation . . 3/22/04 .00 o Qty Unit Charge Per Extension 1;00 50.0000 ECH ME-WOOD STOVE 50.00 - Permit Fee Total Plan Check Total Grand Total 50.00 , ..00.- 50.00 50.00 .00 50.00 .00 .00 .00 .00 .00 .00 ~ <D ~ Fee sununary Charged Paid Credited ,Due ~t ~ --:::r ]. ~ ~ ~ Separate Permits are required forelectricalwork, SEPA; Shoreline.,ESA,utUities, private and public improvements. 'This Ilermitbeco.mes null and void if work or construction authorized is not commenced within 180 days, If construction or work Is suspended or abandoned for aperiodofJ 80 days after the work as commenced, or if required Inspections have not been requested within 180 days from the last i",spection.1 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 provlsions.of any 'state or local law regulating construction or the performance of construction. ' . Cf-~2J~3 Date SIgnature of Owner (if owner is 'builder) Date T:\PLANNING\FORMS\II02.1S [4120021 .. INSPECTION TYPE DATE - . . . AC~EPTED . YES,'l' NO'-,', . ')- ; S.tt . "..c;:q~"i'" . c" . . "'i . ". . . , " '. ..' :_' ..' . . ':i;;""^~ "f:,~,,:,'ti~::':J:: ,',~ ',_';' ;'; ..,'.:,:" BUll..DINGPERMrrINSPECTION RECORD l"':"- 'f~~-!r1_ L>)>'rr-":-{~"i; CALL 417-4815 FOR BUILDING INSPECnONS.-PLEASE PROVIDE A MINIMUM 241IOlJRNOTIGE: IT IS UNLAfJ'FUL T,o'cbYsll, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERM:q INA<::ONSJ,>>ICU:OUS LOCA'tION. . ' ':' -'- '-', . _:,' >:. ':',' " ,:. J:, ,> '..';::--: ',' .'.,+ " '-;',:- ,:::,~, - - ", Y?\::-:--':-;::-.' f: :'- '--":^"~," ;~',^":, -.-'" -"-' - -;::;, -, -, ,- -;';~it,~; -""-'-":':;':~_::"/~':'_~';"~:<"-'-"'1-'~~' \".''0: ':;'. ;i:~~ .:h~-:' ^', ",:~~~\~:; ~,'>, ::,:;.~-; '~:"/~_~:~';:>;;''"''~<'~'''''_' KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE ~~:r:\ - "-,- ,~;-,_- .-:_/_,,-' ;;':: .: (f . FOUNDATIOI'!: . '. FOOTINGS WALLS FOUNDA nON DRAINAGE .... . ELECT!tICAL (LIGHT DEPT) SEPARATE PERMIT: II I AIR SEAL WALLS CEILING FRAMING . JOISTS I GIRDERS SHEAR WALL WALLS I ROOF I CEILING DRYWALL T-BAR INSULATION SLAB WALL I FLOOR I CEILING MECHANICAL HEAT PUMP WOOD STOVE I PELLET I CHIMNEY " . :. ;,r .... .. '. ""<'" " .~ " - ~ .. ..~ . " '. I- .... .. ~. L ,"'.~<; - '. - ~ ! . I , - I" . ,I. . .' "', . .-' ;~~ . " 1-", .: '.: , . '0 -. .. . ~ ROUGH-IN PLUMBING I , . I '. . . UNDER FLOOR I SLAB ROUGH-IN WATER LINE ;,; t' GAS LINE . BACK FLOW I WATER .. .,,, ..... . . ~ . . " I . . . HOOD I DUCTS . PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE I METER SEWER CONNEcTION SANITARY STORM - - . . '.; .... '. . RESIDENTIAL ." . SEPA: ESA: SHORELINE: " :,FINA~:Jr:l~!,~lq~S ~EQU~REDrRIOR'W~c::J1P1NCYmSE\f (.' .:'D'ATE ':' YES'-" NOH> C()MMERClAL .' PLANNING DEPT. SEPARATE PERMIT #'5 .... PARKINGILIGHTING LANDSCAPING ~~ :.0 . . " . ..') .,' . ELECTRICAL. . ., UGtrrDEPT~ . . .,.; ~.: ,:' .;." .... '.' . ,DATE . AcCEPTED' : ';'-:.' ; :l'ES; '-', .,. .... ;,; ;'NO' ". , . ELECTRICAL - LIGHT DEPL '" " . CONSTRUCTION R. W.I PWI ENGINEERING FIRE CONSTRUCTION oR. W. r ." P':N.JENGINEBRlNG ".~.; "FlRE DEPT. BUILDING.. . BUILDING . : . I<{,:'~-';'.:.- .' .. ..' ,," ;. ;,: ~ 0' :.' . '. .;. .' .:. PLANNING DEPT. ,: :' .... PLANNING~~~.j, ~ T:\PLANNING\FORMS\II02.1S [412oo2J PREPARED 10/13/03, 12:15:20 CITY~OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 7 10/13/03 ----~------------------------------------------------------------------------------------------- ADD~ESS 1906 W 7TH ST SUBDIV: CONTRACTOR : SEKIU CHIMNEY SWEEPS PHONE (360) 963-2864 OWNER : GUDGEL, CASEY \ PHONE : (360) 460-4771 PARCEL .. 06-30-00-8-5-0200-0000- 'APpL NUMBER: 03-00000933 MECHANICAL APPL. PERMIT -----~----------------------------~----------------------~-------------------------------------- PERMI'rdME 00 MECHANICAL PERMIT'" ~ "REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------~---- -------~----------------~------------------------------------------- ME99 01 10/13/03 L MECHANICAL FINAL : 5:30 pm inspection jim ------------------------- ------------ COMMENTS AND NOTES -------------------------------------- 5 JU rr ~ ~, ':''':7 FOR OFfICIAl, ll~':"'" " , ., Dale R.'IC,~ -2~,,~031 I rcrmill/: q 33 ,. . Dall;: Appravcrl:_... J l'iItc Isaued:_ . .., , BUILDING PERMIT . APPLICATION Fill out COMPLETELY and in INK. Your application and site plan ~fUS'1' BE CQMPl,.ETE to be ac:c~l)ted for rc-..(ew. If you have DIIY questions, call (360) 4174815 .. ""'l ? '=:Cfiii2;te I ? "? ArchitectiEngineer: Phone: ContractocS'~'G' ('"'41""11 rtR~J~qpState License ~!.O~"P; ~ -,~ Address: City: Zip: PROJECT ADDRESS: J966 Wc.::>,.J. 71-'''''' ~"{&.st~,, i_ZONING: LEGAL DESCRIPTION: Lot; J ~ ~ Block: ~ Subdivision: f51.OY1t,SubtJ CLALLAM COUNTY PARCE~ NUMBER; (!)6 3Q~c> (j'-SCJ ~{)O 000 City: '10 rJ.- Jj..Vl q.p (~ V Phone: ~ Pho:Iito) If.c;;)- 9?~/) ~Zip: 98"36.3 oY-~6 ... r ~/ Phon~ ~~"'~i~:~ &;-) a ~ - .." Credit Card Holder Name: BillI.. Addres.: Credit CardType VISA MC # TYPE 0)" WORK: SlZE,'V ALVA TION: 1:1 Residential [:I NcwConstr. Cl Re-l'Oof U Sluve SF. @$ /SF. =:$ o Multi-family 0 Addition Cl Move Cl Gilragl: SF. @ L ISF. _ $ o Commercial 0 Remodel Cl DUJT1(llition 0 neck _ SF. @ $ iSF. = $ lJ Repair 0 Sign ~ ()therQn-"O~]A'Sr:x:J.J'OTAL VALUATION. $ BRIEF DESCRIPTION OF 'fHE PRoJECT, ..l",dQ II I ,s~.... ~'. I..", S{o. ( 4-~~: 1: Ha..cy,t] oJ r c4} rn r:y >Of I a ) I\. 3--.{-Q {{ "n(Qw Ii., ::LC?~ _ r.i b~\l n \ ~ ; '1\.__ ~__ COMMER(:IALlRESJDENTIAL: Occupancy Group: Occupant r .oad: Cunstruction Type;~ No. (lfStorie5: ~ Lot Si7,C:: Existing S~l' Fl. & Pl'opn~ed S~I. Ft.~ .. TO'IAL St!.Ft._ _, Ex.isting lot cuverage _ % & Proposed Jot coverage ~% = 1'011\1 Jot covc:rllac % CltYl _ Exp. Date: ~~~ ESAiWetland(s): Cl Yes 0 No SEPA Checklist required" 0 Yc:s 0 No Other: APPROV,\I.-., PLAN: _ ,_" BLOO: _._. DPwtT:_ __ nn:_..... O'fH'ER:_.. ," PLANNING USE ONLY: BUILDING PERMIT APPLICATION StrBM'TI'AL: The Building Division can provide you with infornllltion on the llppliclll.Pii " plan submittal requirements if you ha"~'iuestionl\, VALUATION OF CONSTRUCTId~~n all (!"~I!ll,.\I valuation .mount must be entered hy the 3pplie~nt. This figure will be I'\'v:. ','. ilItd lTIlI.ybe revi.'~ed by the Building Division to eOlllplywith ew'rellt fee schedules. Conlllctthe Permit Coordinator at 417-4815 for 38SI'.! ,il " . PLAN CHECK FEE: IF a plan check'fee is due it must b~ submitted at the time the building pennit application and conRltuction pl.l:'" :,' !lUbmitted. All other pllrmit fees aTe due at the time of pe1ttllt il'\mlance, EXPlRA TION OF PLAN aEVJJ;W: If no permit is i!1~lIcd within 180 days of the date of appiicatlon, the .pplic.tjol'l will cxpk~, ! Building Official can extend the time for actiun by the applicant lip to 180 dAYS upon written requellt by the applicant (see Section J (j' ; thE Unifonn Building Code, current edition). No application ean be clCtcndcd more than once. , I hereby Cfrtffy tIIst I hive reed ,nd eXflmlnea this sppliolfftion 8f/d know the same to be true and oorrect. J am ,lIthorlZed to sppIy for this pem'J.' '. undstttand that It is my responslbHity /0 determine what pttmit$ are required ,not the rlty's, an that I mUQt obft/in such permit, prior to work, l';\FORMS\AI'PS\fJuildln~pennlt.W\)d AppliclIlIt: Date: ~......, :J..-3vf33 .... 111l-d IoJd ~~:~11l ~0I1lZ-0~-d3S i