HomeMy WebLinkAbout827 E 6th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
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
04-00000484 Date
.950252
827 E 6TH ST
06-30-00-0-1-9485-0000-
RE-ROOF
6/02/04
RS7 RESDNTL SINGLE FAMILY
2985
Owner
Contractor
HIENER RUDY
1230 E 2ND ST
PORT ANGELES
WA 983624306
o T M SERVICES
309 S ENNIS
PORT ANGELES
(360) 417-0124
WA 98362
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT
TEAR OFF, FELT,
106.75
6/02/04
11/29/04
- NO PR FEE
COMP
Plan Check
Valuation
Fee
.00
2985
Qty Unit Charge Per
Extension
92.75
14.00
BASE FEE
1.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 106.75 106.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 111.25 111.25 .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
~~~~~n"; aU/2~~ta/oe 7';e' Ihe pmv;s;ons of any slale 0' local law 'egulallng eonsl,uellon oe Ihe pertoemanee 01
~~~d~ fth~ 2, Or
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMSII 102.15 [11/14/20031
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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.
I INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTrNGS
WALLS
FOUND A TlON DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-rN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-rN
WATER LrNE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS ,
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILrNG
DRYW ALL (rNTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I I
MECHANICAL
HEAT PUMP
GAS LrNE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKING/LlGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGrNEERlNG 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDrNG 417-4815 I/. - a f-) -o;..} _J L BUILDING
T:\PLANNrNG\FORMS\1 102.15 [11/14/2003]
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BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.: t -~-:~
Permit #: ('\. - r
Date Approved:
Date Issued:
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
Applicant or Agent:
Owner: ~6Y
Address: 8'2-<7
M.lLkL--.~ l 'E
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r ~ <fT h t"'--
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"S::iM \ L l
City:~o~l
Phone:
Phone:
flhJCLle~ wit- Zip:" Cj 5 ~ h"L..
Phone:
Architect/Engineer:
WI+-
Phone:!j \ I CD t:L '(
Zip:~ )f3-~b2...
Contractor bT M <)..c~v l Le. 5 State License #~ Sf St~3 D(t:xp:
Address: '$ D~ S6C4~l,~, €hn'cC, City: '0:712.1 /thjr! /rZ..[;
PROJECT ADDRESS: 62 ( f:. G ~
ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA
TYPE OF WORK:
;gr- Residential D New Constr. P- Re-roof
D Multi-family D Addition D Move
D Commercial D Remodel D Demolition
D Repair D Sign
BRIEF DESCRIPTION OF THE PROJECT:
~~/S"1in5 - pRfrpp~1
COMMERCIALIRESIDENTIAL: Occupancy Group:
City:
Exp. Date:
MC
#
D Stove
D Garage
D Deck
D Other
SIZEN ALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $"Z.~ ~).,. b..C)
3Dyr?~A tV'rJ17r ';;rr-/e ?:;:'1/c2/2... ~D/b 1e fr
Occupant Load: Construction Type:
'T~~~cf6
No. of Stories:
Lot Size:
Existing Sq. Ft.
Total lot coverage
& Proposed Sq. Ft.
= TOTAL Sq. Ft.
%
ESAlWetland(s): DYes D No SEPA Checklist required? DYes D No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with infonnation 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. Tllis figure will be reviewed
and may be revised by the Building Division to comply with cunent 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 tin1e the building permit application and construction plans are
submitted. All other pemlit fees are due at the time of pemlit issuance.
EXPIRATION OF PLAN REVIEW: Ifno pernlit is issued within 180 days ofthe 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 107.4 of
the Uniform Building Code, cunent edition). No application can be extended more than once.
T:\FO RM S\APPS\B ui ldingpermi t. wpd
orrect am authorized to apply for this permit and
obt 'n such permits prior to work.
Dat&z -1 R... 2 -Z Ooll
I hereby cerlify that I have read and examined this application and know t
understand that it is my responsibility to determine what permits are re re
('Q 1 t {i.. .115 6gbC-)
ocr9vl SP/l{1JICPS
'rr/ie CJ<pofing SpeciaCist"
309 South P.nnis CJ!ort Jlngefes, Wa. 98362
Office (360) 417-0124
Contractor ~9istration: CYJ!MSPS*963q)(J3
Licensed- I nsured-(8orufecf
71iis proposa[ speci.fica{[y for:
Rudy Heiner Ref #1 133 Invoice# I 051104-133-007
1230 East 2nd Street Site address: 827 East 6th PA. Wa.
Port Angeles Phone: 1457-1389 Date 1 5-11-0-2004
Scove of (]!roiect:
1.) ~mO'CJe existing roof(s) and liauf de6ris from j06 site.
2.) Pumisli and lnsta{[ tfie folIo-wing roofing materia{ according to manufacture specifications:
rc 30rrear <J(aised CJ!rofiCe LamiTUlte Coror: ( '5/A iJ(i(<--V oc,d )
Ovtions: <J1ie following are inc{ud"ed in '[ota{ (jjUf (]!rice: -Z Dt5:)~ bS
a.) 30 (6. PeCt UnderCayment.
6.) Cfeanup of qtra roofing and refated products of entire jo6 site.
c.) :Magnetic TUli{ rakf tlie entire yard for TUliCs.
q'erms of <Pa-vment: '[ota[ 6Uf price wi{[ 6e due at tfie compfetion of specified wo~
ljt{[ of tfze a60ve work. to 6e compfetea in a professiona{ and" timefy manner for a sum of:
'Tota[ lJ3id Price: <Two 'ITlOusand :Nine J{uindred.fifty Pi'oe CJ)o[fars and Six:ty Pi-oe Cents
p[us (W5S'T
'You are fzere6y autfiorizea to provide a1[ materio1S and" fa60r requirea to compfete tfie work. mentionea in tfze a60'1le
proposa{ as specifiea and" we agree to tfie teT7T/S of payment.
\' X
.r X
Customer Sifjnature Cf)ate
Preparerf 6]:
:Micfiae{ CE. Sclimitt
oPM Project :Manager
Vale
"pfease rwte tfiat due to tfie jfuctlULtions in tfie marN.ft tfiis proposa{ is onEy vafu[ for tfiirty d'ays after aate of estimate. ..
at 2L55, ~5