HomeMy WebLinkAbout1215 W Hwy 101 #101 - 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:
Tenant nbr, name
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
04-00000943
.751348
1215 #101 W HWY 101
06-30-08-5-1-0200-0000-
WELCOME INN TRAILER
RES MANUFACTURED HOME
Date
10/26/04
PARK
fE~(21vt rr 1=:X q (Z~O
,
~!ILS:/O [;
RESIDENTIAL TRAILER PARK
1994
Owner
Contractor
WA 98363
PREFERRED HOMES
61 HOUSE RD.
SEQUIM
(360) 808-1830
616SF MANUFACTURED HOME
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
SERVICES
WELCOME INN TRAILER PARK
1215 W HWY 101
PORT ANGELES
( 36) 457-1553
Structure Information
Construction Type
occupancy Type
Other struct info
WA 98382
)1
1. 00
1. 00
1. 00
1. 00
1. 00
1. 00
N
V't
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BL MANUFACTURED HOME
616SF TITAN 1994 14X44
230.00 Plan Check Fee
10/26/04 Valuation
4/25/05
<
.00
1994
+-
't
-<.
BASE FEE
Extension
230.00
Qty
Unit Charge Per
o
Special Notes and Comments
Placement must maintain 14' clearance to other structures.
The proposal will replace a trailer ith a 14x44 single wide
manufactured home in an RTP. A separation of 20' from units
is required for the placement. Site is 40' wide and 3500
sq.ft. in area. No land use issues are noted.
Electrical load calculations and elctrical permits are
required.
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Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 230.00 230.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 234.50 234.50 .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 her Y'c,ertify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and or' ,s governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presumE;l/to giauthority to violate or cancel the provisions of any state or local law regulating construction or the performance of
constrJJCtion:
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Sig
Date
Signature of Owner (if owner is builder)
Date
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.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION: LL 'ilJ7€dU"t.S /0 J-l- (. 'I J L..
FOOTINGS .
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTlNG 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.I PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15 (1111412003]
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST ~ '
COMPLETE to be accepted for review. If you have any questions, call ~/,
PERMITS (360) 417-4815 FAX(360)417-4711
FOR OFFICIAL USE ONLY:
Date Rec.: /6 - /1- u y
p,""",,"'l- ~'f 3~
Date Approved: 10 J pI i'J
Date Issued:
Applicant or Agent:
~G" 1m)
Phone:
K c> "L.
ra1-/sYS
Owner: . ..J
Address: /dJS' tRY, /-h,ot/. /19) 1&/
I
City:
Zip: Cf j> 3b3
Architect/Engineer:
Contractor i+ef, r; e& ~C>Vhe ~erv ~t~e License #:
Exp:
Phone:
Address:
City:
-J~ A:5 ~~
Zip:
ZONING:
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
o 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:
T Ii fen let 7 '-I I if >( Lf y
City:
Exp. Date:
SIZEN ALUATION:
o Stove SF. @ $ ISF. = $
o Garage SF.@$ ISF.=$ 7 '14 ~o
o Deck li>>iiiT SF. @ $ ISF. = $ 120D 00
..lr'6the~/(.E" OTAL VALUATION $ 19 9 c.../ ~
:&..~ -t-~r/€l..- -n:e= .beaJJJ
Vi '.-1 #- L.j bL{ .5"'"Bs P J 2.s 2- G I b ~
COMMERCIALIRESIDENTIAL: Occupancy Group:
Occupant Load:
Ie lip & Proposed Sq. Ft.
%
Construction Type:
= TOTAL Sq. Ft. h/0
No. of Stories:
Lot Size:
Existing Sq. Ft.
Total lot coverage
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
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 BuildinglResidential 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 c
understand that it is my responsibility to determine what permits are required ,not the City's, and at I
Applicant:
m authorized to apply for this permit and
tain such permits prior to work.
T:\RVESS\BLDG-fonns-brochures\2003 -Buildingpennit. wpd
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11/23/2004 11: 23 FAX
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ELECTRICAL PERMIT APPLICATION
POR. OFFtclAL USE ONLY
D~:
Parrit':
DalCl.4pprowed:
DatcllBucd:
The Electrical Permit Ajlpllcation must be filled out comDletelY.
Pl.... typo or reprint In Ink. If you haye any qu..dons. plea.. call (360) 417-4735
Fox number. (360) 417-4T11 .
OwnororElec.CDIllrac1tlrAgent:,9f!flmP F.lEl!TR/CffLCDNTfJtcnNl7 We.. Phon.: 452'!h8Q
Prop.rty Owner. J/I/.( / {ISm r: ( n n K v' P fA v k....
Addre..: 1'2.1 c:: W. !-fiJh WaU If)f
I
EI.ctIlcal Contraclor.SHf\mP g.R'TI'lrl\'LI\(\I.lTl',kl1l\l~
Addr."", 1'0 eo'll .'?13 3
City: 1> of!:T A rJ 1:s-B1.:.e\ 3 (riA
liJ~. Llce:?~:n'lPeCO~;,8' Exp: i -13'0Y
CIty: -P011T AN i.<':\ M-. W-l'l .
Fax: ~
Phon.: L.f$7 -! S53
Zip: q 13 31:> 3
Phone: 461. -ll.gI1
Zip, '13,01/..
INSTALlATION WIRED BY: 0 OWNER )l(ELECTRICAL CONTRACTOR
Credit Card Holder Nama: NMK W. :)j.jftrT)p
8/1/1ngAddress: '110 W. W1tl w,.d City:_~r5f.T ,4~~ WA.
Credit Card Number: ' Exp. Date: /
PROJECT /u)DRESS:~ (( ['.1 r;; u). f-h3 h W"'1 (DI )
TYPE OF WORK: LCheCk all thai apply: 0 New ..dAlterationlAdd~ion
Zip: 'W% 3
VISA:X Me:
o Remote Meter 0 Detached garage
Cl Hot Tub 0 Swim Pool 0 Septic Pump
Cl Low Voltage 0 Telecom.
\
...!
\
--.!
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o SignL
o ReSidential 0 Multi-family
o Commercial if Mobile Home Sq, Ft
Number of Circuits added or altered:
DESCRIPTION OFTHE ELECTRICAL PROJECT: Zoo Am~&bj /-(. tkl1k f-k,u.Jc.-1.i.f
Electrical Heat Load'Addltions and or Subtractions
Service Infonnation
o Baseboard
o Fumace
o Haat Pump
o Fan-Wall .
_IW/
IW/
TON LRA
_IW/ -
o Overhead Service
o Temp Service
o Undergnound Service
Volta~e:
Phase: 0 1 0 3
Service Size:
Feeder Size:
I hereby certify that I have read and examined this application and know that 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
. ,;re required; it remains the applicants responsibility to determine what permits are required and to obtain such.
!1' ,/ , C....,C""..."..,"_, ~~ D..., /l/e1!'I
'l) (-- ~) ,{ \D ~ Ownw" ~". c,.,. ..,....rn' , .c.4- _ ',. ,," . D..., 1J/9 '>/ oj
~ PERMIT FEE: $ 78,70
C:JELECTRICAlPERMITAPPLICATION