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HomeMy WebLinkAbout940 E Lauridsen Blvd - BuildingPREPARED 6/18/08 10 37 42 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/18/08 ADDRESS 940 E LAURIDSEN BLVD SUBDIV TENANT NBR HARRY STONE ETAL CONTRACTOR WIKER WIKER CONSTRUCTION INC PHONE (360) 681 4800 OWNER HARRY STONE ETAL PHONE- (360) 461 6353 PARCEL 06 30 10 5 1 0100 0000 APPL NUMBER 08 00000688 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 6/x.8/08 JLL 6,7/83 BLDG FINAL June 17 2008 4 57 22 PM 1pangrle SVEN 460 5534 BLDG FINAL RE.ROOF COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00000688 Date 6/09/08 Application pin number 618288 Property Address 940 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 10 5 1 0100 0000 Tenant nbr name HARRY STONE ETAL Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 5475 Application desc TEAR OFF RE ROOF Owner Contractor HARRY STONE ETAL WIKER WIKER CONSTRUCTION INC 940 E LAURIDSEN BLVD 43 SENZ RD PORT ANGELES WA 983628033 SEQUIM WA 98382 (360) 461 6353 (360) 681 4800 Structure Information 000 000 TEAR OFF RE ROOF Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF RE ROOF Permit pin number 127951 Permit Fee 151 75 Plan Check Fee 00 Issue Date 6/09/08 Valuation 5475 Expiration Date 12/06/08 Qty Unit Charge Per Extension BASE FEE 95 75 4 00 14 0000 THOU BL -2001 25K (14 PER K) 56 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 151 75 151 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 156 25 156 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 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 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. 1,-01—or 5vcii 1J, c) D9te Print Name Signature ofContractor or Authorized Agent Signature of Owner (if owner is builder) T Forms/Building Division/Building Permit (10 /01 /07).wpd CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES 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 FOUNDATION• FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW,/ WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING ELECTRICAL LIGHT DEPT 417 -4735 BUILDING PERMIT INSPECTION RECORD YES I NO FINAL PLANNING DEPT SEPARATE PERMIT N's SEPA. PARKING /LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED BY. CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING I FIRE 417 -4653 I I I I FIRE DEPT [PLANNING DEPT. 417 -4750 I I I I PLANNING DEPT I BUILDING 417 -4815 I 6 115 "LD 2 p/� I l I I BUILDING T Forms /Building Division/Building Permit (10/0 l/07).wpd FINAL DATE ACCEPTED BY. ELECTRICAL LIGHT DEPT 0 DATE ACCEPTED I YES I NO I I I I 1 CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant or Agent A)i \QV d- tdr ;Q✓ Property Owner 1'U v14 Property Owner's Address qy() tmivitti Contractor /Engineer (,J►iDr d- (,),ktr Contractor /Engineer's Address qs 5e42. License t LkCROCc7i /Le1 PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair pt Re -roof Demolition Heat System Other BUILDING PERMIT APPLICATION Print in ink le;r 1.€ i r' Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement 1 Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures sq ft. T Lot size G veii W' Phone 1 t /Phone en Blvd (p Phone Rd fiatiln tji 436 2 Expires t, Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type Lot TOTAL VALUATION For City Use Only Date Received CC, —0 Permit Date Approved v) 61 -fl 353 on 4&DO Zoning /Residential Commercial Multi- family 0 1 t74 4(v LIYL /5 g ;it 01,10 TO #15 Heat pump wood- burning stove gas fireplace pellet stove other per sq ft. sq ft. Lot coverage of bedrooms of full baths of half baths IJA Industrial 51i 15 oo OA I have read and completed this 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 Date 6- `Jt/v Print Name 3vem t key- Signature T Forms /Building Division /Bldg Permit Appl. 2006 Code.doc ROOFING SPECIALIST Sven Wiker, Owner Wiker Wiker Construction, Inc. 43 Senz Road Sequim, WA 98382 Phone (360) 681 -4800 Bid Proposal Date April 9, 2008 Location. 1 940 E Laundsen Blvd Owner Contact Person. Mark Lokdy e -mail marklokey @comcast.net Tear off existing roof (two layers) Apply 15th underlayment Use Ice Watershield around pipes, hoods, chimney valleys Replace old pipes and hood vent with new ones, new valley metal New roof to wall flashing and perimeter metal Apply 40 Year Pabco Laminated shingles Six nails to each shingle (helps prevent wind damage) Apply hood vents Dispose of tear off Clean Up Note City of Port Angeles Permit required Cost of permit Add $900 00 to sub -total if structure has third layer of tear off I Upgrade: (Subject to WA State sales tax) Add $110 00 to sub -total to apply shingle over vent-a-ndge instead of hood vents Add $100 00 to sub -total to upgrade to algae block WIKER WIKER CONSTRUCTION 5 YEAR WATERTIGHT WARRANTY 30 YEAR MANUFACTURER S WARRANTY Accepted By Date Contractor WIKERWC981LM Description I Amount Sub -Total 1 $5475 00 (Subject to WA State Sales Tax) :f ~ORT ~ <-...O.~",_ U,.~ "- a:;;;;..a' ~ 'l.iitJC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000951 Date 11/03/05 460758 940 E LAURIDSEN BLVD 06-30-10-5-1-0100-0000- STORAGE SHED RES ACCESSORY BUILDING RS7 RESDNTL SINGLE FAMILY 7300 Owner Contractor STONE, HARRY 940 E LAURIDSEN BLVD PORT ANGELES WA 983628033 OWNER Other struct info . TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 17.70 1.00 1444.00 8135.00 384.00 1828.00 1.00 Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit pin number 63420 Permit Fee 176.75 Plan Check Fee 70.70 Issue Date 11/03/05 Valuation 7300 Expiration Date 5/02/06 Qty Unit Charge Per Extension BASE FEE 92.75 6.00 14.0000 THOU BL-2001-25K (14 PER K) 84.00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 10/25/2005 12:40 PM SROBERDS -- The proposal will result in a 384 sf storage/garden shed in the RS-7. No land use issues are noted. Existing shed will be demoed. MAINTAIN CLEARANCES FROM SERVICE WIRES. Modify or Relocate Shed, Move meter to Shed or convert to underground service. 10/19/2005 07:01 AM JHEBNER ---------------------------- Electrical permits are required. $0 Connect Fee. 10/19/2005 07:02 AM JHEBNER ---------------------------- Any modifications to the City'S electrical facilities will be at the customer's expense. Public Works Utility Engineering has no requirements for this plan review. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 176.75 176.75 .00 .00 Plan Check Total 70.70 70.70 .00 .00 Other Fee Total 4.50 4.50 .00 .00 ~ t t ~ ~ ~ ~ .~, ,,,- -, ~ ~ ~ ~ ~\ """- ~ ~ ') ~ 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 authori!Y-to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. .~ orized Agent Signature of Owner (if owner is builder) T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] \~ "- ~ Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES 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 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINALJNSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R. W. 1 PWI CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW 1 ENGINEERJNG FIRE 4 I 7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] f ~ORr ~ -l.O~~~ ~V.".~ " 'E!iII "- a:;;;;..a' ~ 'I.iit-;-~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . Application pin number Grand Total 251.95 05-00000951 460758 251. 95 Page Date 2 11/03/05 .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 orwork 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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PoIicies\1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD (9 S - 9 S I CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES 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 I NO FOUNDATION: <( FOOTINGS /A ~/~ /,... 11I-/~-a5 .ILL WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING --~ FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING !~//q I C) :'h,,--, DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/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. 1 PWI CONSTRUCTION - RW. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 , , PLANNING DEPT. 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CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000895 Date 754305 940 E LAURIDSEN BLVD 06-30-10-5-1-0100-0000- DEMOLITION 9/20/05 RS7 RESDNTL SINGLE FAMILY 50 Owner Contractor STONE, HARRY 940 E LAURIDSEN BLVD PORT ANGELES WA 983628033 OWNER Structure Information 000 000 PARTIAL SHED Construction Type . . TYPE V NON-RATED Occupancy Type GARAGES, CARPORTS, SHEDS Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date DEMOLITION PARTIAL SHED 60582 47.00 9/20/05 3/19/06 Plan Check Fee Valuation .00 o BASE FEE Extension 47.00 "-~ ~ \::) Qty Unit Charge Per Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 47.00 47.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 47.00 47.00 .00 .00 \ro r----- ? (: ! Q..- ~ ..,. " (~ '-->,J ------ C- D -- 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 ordi~ances go~erning. this type of work will be c.o~plied with whether specified he. rein o~_~ gr~nting of a permit does not presume to give authonty to violate or cancel the provIsions 0 . any state or local law regtJic'ftlng co!JSfructlon or the performance of construction. //.'...'.-- ~,.. ~/ ,../ Signature of Contractor or Authorized Agent Date T:\Policies\ 11 02_15 building permit inspection record05.wpd [l/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE 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 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR / CEILING I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS I GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W./ PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 4 I 7-4750 PLANNING DEPT. 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If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: /J1 A !It k L 0 k f '( Owner: S -r ('? 1'1 ! /) H r r '1' Address: ?~O /.. L.AC/I'"'I d s ~""'- City: p~/'f Phone::Shn 461 ~ '5 63 Phone: '3 t:. (J) -l/ ~ 2 - .; ~ LI:3 A/16~LE 5 Zip: ? 8'360 Architect/Engineer: Contractor C/(.{/ YJ f 4.. Phone: State License #: Exp: Phone: Address: City: Zip: PROJECT ADDRESS: 9"70 /: LjJC.4...., d 5' ~..-"\ ZONING: R S 7 LEGAL DESCRIPTION: Lot: Block: Subdivision: 1:?~"':5 OA /" 1<:.: <- I' CLALLAM COUNTY PARCEL NUMBER: /? I, - ~ a -/~ -!5 -1- 0100 - 0(>00 - 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: o Stove o Garage o Deck ~Other 5 Ii€' d .'- /L. At .) I d)/A v ~ ... SIZEN ALUATION: "'" _ '3 8 C{ SF. @ $ I ~ ~ /SF. = $ 7 ~ 00 SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ 7\ -"3 010- 6-A<"d~...... 5'/./~rI COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: L Lot Size: B 135 Existing Sq. Ft. Total lot coverage ~'2. '-I 7 % Occupant Load: .../!3r' Construction Type: V / '-I <,./ '-I & Proposed Sq. Ft. '}8 frl = TOTAL Sq. Ft. I c9J2B PLANNING USE ONLY: APPROY ALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: 'y ALUATION 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 certify that I have read and examined this application and know the same t9.bej[ue and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what p.errr)it~ are re~~~~si.,.fJottfiii'CitY's,}nd that I must obtain such permits prior to work. T:\Policies\BL-l102_13.wpd APPlicant:Y~~-~~~'_rl~~;- 5l.,.j ?//04 ( . .. /:-,./""e" 't"-.,>",,.~"'- f. ;'" '" r".!.....-. ::;,J i,. .~;: '- , ?f r /J?< -; " 7 25 Vertical Datum NA VD 88 Horizontal Datum = NAD 83/91 C'CU::lot La,uridsen BlVd. - +0.1 if) c: o +0.1 Q) c: -- ..c: en CO S 06 - t:)t!h:::)(~O e<r <<5 II 75/..1305 ti 6aS82 s . f- f: ? C/t-......., N s ~ 2- " be used as a legal description. (;::::fi This map IS not mtendedto (Port Angeles (or its OWllllse and purposes. '.-.. This map/drawing is produced by the .Cltv: /I Mr.' ,,~ fl.", r~<'nt'lM..jJ,,"lih' "f/l,,, rif;. ~.,,' ,.,,1,0.. "<:'0 nf,It;.. ...",,,IA""'''''..n <" ,.. Area Map City of Port Angeles Applicant Project Review Sheet Applicant: /Y) II- R k 1 €I k'i <f Property Address: C}40 L Owner: /119 A A '1 _<=; -r (P.Y! E- Proposed Use: S AL~ d LAt.r, J. 5E"-Jt. Zoning: ~ 7 Are there any environmentally sensitive areas on or within 200' of the property, including: . wetlands or areas of standing water (year round or seasonal); . streams (year round or seasonal); . areas with a slope of 40% or greater; or . areas that have evidence of past ground movement or erosion? Have all the required submittals been provided byJhe applicant? G(Site Plan [!( Construction Drawings !?'Parking!Drainage Plan 0 Civil Drawings o Energy Calc 0 r1 j'J- 0 Supporting Engr. Calc o Landscape/Lighting Plan 0 Other If Planning Department review is required, the processing time may be extended. If it is determined a separate Planning Department permit(s) is needed, the Planning Department permit(s) must be approved prior to the issuance of any other permit. Is the proposed use listed as a "permitted use" or an "accessory use" in this zone? Is this the only use (business, residence, etc.) on this site? Has there ever been a subdivision, shortplat, or PRD approved for this site, or has one been submitted and is pending approval? Does the proposed use require a new buisiness license? Does the project extend into any required setbacks or cross any lot lines (interior or exterior)? Does the project exceed the permitted height allowance or cause the property to exceed the allowed lot coverage in this zone? Does the project require any additional parking or special design/landscape improvements in this zone? Does the project eliminate any existing parking spaces? Is the project located within 200' of the shoreline? ~: ok ~S:Ok o yes: requires PD reVIew o yes: requires CC reVIew o yes: requires PD reVIew o yes: requires PD review o yes: requires PD reVlew o yes: requires PD revIew o yes: requires PD revIew o yes: requires PD revIew o yes: ok o no: requires PD review o no: requires PD revIew ~:ok ~^Ok ~~:Ok ~;Ok ~o:ok ~:ok ~:ok ~ok o no: mark required item(s) The information provided above is true to the best of my knowledge, I understand that in the event that any of this information is determined . by the City to be incorr. , is project will be stopped until such time the City determines the correct information is provided and any su equently r ~~.1Jj.ciV and ap' ~€!..f.O}llpleted and gra~~.... / f.' ,f . 7/07 F ' Dat~ Permit Category # Route to: 0 BD Staff Initials (see reverse side) o CC 0 FD 0 LD Building Permit # o PD 0 PW 0 File Date Master Tracking # o Other Completion of this form is required for all category 1 b, 2 & 3 permits. Completion is not required for category 1 a permits unless they result in a potential change of use or occupancy. i L_______ _ / -------------. \' .......... .;; C'f) \ l' N --- . '-Sl .' ~-~~ c ~ " I , i ~ ! -L~.. ~. ,\" .\ ~ \ .:.~ """""'-> .:.... '...l ;'2 :\ <- ?, "'~ \,,- \~ \s--.. ,,'~ " :..... \;". _.. \' ,) :r 'Tr ..... ~ ,p 'S" ~ ~ _J-" \ '\>> v.; \J) '~"1j t\.~:" ~.:t ~ ~. ~ '0) .....0 ", ,j'l \,. ,,~ ~ .), \1'" " \" '~" '" ~ \, ~ l'~' S, '(I '=to \,'~' \. ~ . ... \..,~. \ ,~ it ~" '- ~ '\!5 Q ~ \./1 \C ( ~\ ~ ~ II ~ " "- V\ 1:1 i ~ ~ t .... \ ~ . ~ " . ~ ~ ~~, . '~ N I , \ '\ " ''-. \i'\ "'. If: , ~ -{t 1J ~ ... I ~ ~ ~ ~ .'). -...} ~~,~~ l\ \oJ ~ ',- ~ ~ ~ ~ \~ ~ ~ \: ::t- (} ~ V) t~" .~ VI .,~ r..-- , ! \ ~ " ~ i:-:- .... ~. 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"- . , ~ ::t \, ~ \\: ~ .W _..""_.- -----~-~.., -- ---.-.--:=-..::.- -....._:=_\ --- . ,~-:-~-,."-_._,_.. l' " 'I I i '.j ~ '..:: ~ .,~ ~ 1;"j\"V '.t.\ ~ ~ .......w (; " "l " ~ \'- \If ~ ~ ~ \', \f', ~ ~ ~ l " :;; ............... ~r ( 'J>., , 11 \11 V I "'tl ~ I ' ~ ...L ... .~ '- ":1:, s"''' ~ \ \.'1 ~ ,,(' "\ "'J ~ [..~ 'J ~ ?J ~ ~ \) )~ CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15892 :7-/ 'r Port Angeles, WasWngton_______________m___________________________mm___m_____' 19::"'__:_: In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec- trical equipment In, on, or about any building or other structure In the City of Port Angeles, per- mission is hereby granted to d6 electrical work as listed below. Address _____.1_Y..(;mmf.m__~'c:l(_~__m____________m___mm____m__m Occupancy_,~'E_~________m_________mmm____ ~:7=:~-~:~~~~~~-::(:!_j;;.~:~;~;:~:::c:~~~;'J~;~:~~~;:::::::::::::-_-_-:_-_-:::::::::::~::::::::::::::::::::::::::::::::::::::: (j /~o/ :fO Light Outlets_n_hn_n_h................._.._.._.. Service, volts ....................................... 'I ;1:'e w~:::s:::::.~:::~:~;:Z2::::::~:: .- ''''~ - A J ~'J F-f-> Main fuse .....................:h.;............. S Enclosure __..m_mnh..mm__>m Receptacle Outlets.m..........._......_._mn. Dryer, KW 00000000....................__......___... Range, KW m__nn____mmm__ Water Heater: KW.____________________________________________ j-r/r::g Heat' KW----------,,?!.--J---.-!.!:-c.;--""<-"""'''''' / Motors: size, volts and phase: Type of wiring: Entrance Cable __mm_mmn___nh__... Rigid Conduit ___..nn__.m__..______ MetalUc Tubing m............. Current transformers: No. & Size....................._..n............. Ser. NO.___........__._............h_..n............ Ser. NO........................................h..... Ser. NO.._....___.n_................................ Type of Wiring: Armored Cable ..._........m.m.m.__.__ Non-Metallic ______.mn__.................._ Knob & Tuben.............................__ RJgid Cl>ndult ____________________nn____m Metallic TUbing ..._._._.___m_........... Raceway .........._......._...................._ Circuits, Light................____m.....m_....... Utility __nm______m_____________________________ I-Ieat .._.........._._____._.._._............_...... Range .....h........................_nn_._______ Water Heater ....._............._.m.._____ Motor ........._......_.____________________._..... Dryer__.__._...................________________......_ Furnace .........................'_........._......... Remark:~ta:__~~~>__:_,-__~_,:-::~:~;;::__&@~~__,S;_:~::~~:~=g~_~Fm__________m~:~_~:__~:_:-:::-_::_-_::~::__:::-:::~::~:: ___.__n_n.._....._n....__u.__nn.......nnn_nnn..___........uu..u.___._n_._un__...uu.n......UUU.__h____.._r.____.tnn__nun__.__n___.......n...n_. Pel'Illit Fee Treas_ Receipt . ;J/. L.(!'/' I!~ 'I).. / ,/1: 11/ ,If?~ t.(~~t:-~ $_noo_______________mmm__m____ NO.____________m_____________ By n'__'_m__m/__L_:mm__m____m_m_m__'_'~'__,__-,._='_ NOTICE-Current must not be turned on untn Certificate of Inspection has been issued. It work is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT -' N? 15892 Address__._._._____._....._.............................._.............................................._..._.....____.____...................Date________________._.__...___.__._._......_._.________..... O,vner .........n_.n.__nn________.__.._n_h___h___n_.__n..._.__.......n_n_..__0000__0000..___.___........._....__00__.. TenanL__n_......._......n...._.nnh_._.nn_nn__..nn__nn_n__.. WiringContractor....._..___................_......._............_..__..._.____.______.._.___.._____________..._._.................._.....By._______._..._..___._...___...._.__........_..............__.. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olvmplc Printers. Inc.