HomeMy WebLinkAbout1616 E 2nd St - Building
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000940 Date
.121580
1616 E 2ND ST
06-30-00-6-9-0109-0000-
RES REMODEL
10/12/04
RS7 RESDNTL SINGLE FAMILY
8500
Owner
Contractor
REIBER TIM L
1616 E 2ND ST
PORT ANGELES
WA 983624625
DAVIS MASONRY LLC
P. O. BOX 357
QUILICENE
(360) 765-3577
WA 98376
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Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
MASONRY FIREPLACE
190.75 Plan Check Fee
10/12/04 Valuation
4/11/05
.00
8500
BASE FEE
7.00 14.0000 THOU BL-2001-25K (14 PER K)
Qty unit Charge Per
Extension
92.75
98.00
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Other Fees
STATE SURCHARGE
4.50
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 190.75 190.75 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 195.25 195.25 .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 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. .
~j(>'v^, (fj{/,-~ If) ~);J 'c-W
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\1102.15 [11/14/2003]
BillLDING PERMIT INSPECTION RECORD
CALL 4] 7-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS / () -I-"i - 0'-1 J
WALLS
FOUNDA TlON DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
W". TER LINE (METER TO BLDG)
dAS LINE
BACK FLOW / WATER
AIR 'SEAL
WALLS
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
....W ALLS / ROOF / CEILING
. ORYW ALL (INTERlOR BRACED PANEL ONLY)
... T-BAR
IN~ULATlON
SLAB
WALL / FLOOR / CEILING I
,MECHANICAL
HEAT PUMP
GAS LINE
J WOOD STOVE / PELLET / CHIMNEY l/o.'IQ_')>4
. "HOOD / DUCTS .
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
. SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL. LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. / PW/ CONSTRUCTION - R.W.
ENGINEERlNG 417-4807 PW / ENGINEERlNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 In-ll..l 0'+ 1L. BUILDING
T:\PLANNING\FORMS\1102.15 [11/14n003]
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Fill out COMPLETELY and in INK. Your 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
Date Rcc.:
Permit #:
Date Approved:
Date Issued:
PROJECT ADDRESS:
Applicant or Agent: J. ()Il f' A (i}/j U J j Phone: 3t. 0 "7 t../) 3577
Owner: ~. '?'!? (( I e: h{~;( Phone:
Address: It. i & J. ~ -'..c\ City: POl1.1 "/).A.fJ/( S
Architect/Engineer: )v / f] ~ Phone:
Contractor (f)A Uf') f!e~'0~ StateLicenseifJ,'1-('~40.) Exp: . Or
Address: Po Dn:x '3 0 7 City: e (..( i I c (' ,( ) ~
/ G)/ {~ f- d C~ 5/ 6)01(1 AYJlcS
Subdivision:
Zip:
9Y3t,;2
JO/' 6~96
Phone: ".. Ce If
Zip: cj<j':l/~
ZONING:
LEGAL DESCRIPTION: Lot:
Block:
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
)( Residential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT: (..\
II C i-,- ( ) & i l' CA /I J 01 CA I
City:
Exp. Date:
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: i Lot Size: Existing Sq. Ft.
Total lot coverage
Occupant Load:
& Proposed Sq. Ft.
%
Construction Type:
= TOTAL Sq. Ft.
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
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 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.
EXPIRATION OF PLAN REVIEW: Ifno 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 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 cerlify 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 in such permits prior to work.
T:\RVESS\BLDG- forms-brochures\2003-B uildingpermit. wpd
Applica :
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crN Of PORT ANGELl;.S<.... Construction rlan~
Th Issuance 01 this~I't based upon these plans. sP:clll'
e j t\'Bl' (H> shall not prevent \r,8 be .<lIng 01"C131
caltons ani 0.... '.. .' 'c' .\ M'er< '0 ;aid
f om there:rttcr reCiil!nn\", the cor,ee.",') V ...'.J, . ".'.
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VIOlatiOn c' ..,\ C " " .. I
(SEC1\ON 333(c)' utofmt:l~CC,&Pp it _
Approval Date H!f 1'1.., V~. J I
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . .
.....
. . . .
REQUEST:
Date It) - 1'2 -04
Time
Received by
RlJ
(phone, person)
Location of Work to be inspected , f.c. J b E 2 k d
Name of person requesting inspection Gr e. t,
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sew r FQ!lndat!on raming Chimney Plumbing Final Sewer Excav. Other
Phone No. ~?D 1- s-.0b
Permit No. 6(j - 9lJ ()
INSPECTION ES: (
Inspected: Date ~L. ~
Remarks:
Time
A-1Vt
By
~
RESTORATION REQUIRED. . . . .. YES NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel o Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
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