HomeMy WebLinkAbout316 W. 1st Street Address:
316 W ls' Street
THE For City Use
P
CITY OF *11 - - A Permit#
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WASHI NGTON, U . S. ate Received:
321 E Slh Street E
�Date Approved
Port Angeles,WA9836
P:360-417-4817 F:360-417-4711
Email:permits0cily F-- --- IT PP
BUILDING PE IT PPLICATION
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Mailing Addres Email
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q)odn e Phone
Address t Email
City State Zip
Contractors Licenseft Exp.Date:
Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor)
0
Residential 0 Commerciallo' Industrial El Public
Permit Demolition Vire 11 Repair Reroof(tear off/lay over) 0
Classification For the followinLy�'. fAl out both nages of permit application:
�' 1.
(check New Construction,' IJ., Exterior Remodel 11 Addition Tenant Improvement
appropriate) Mechanical 11 In I .n k I Othe
I PiV4 g ,0 *W'�
Fire Sprinkler System? Irrigation Sysi�m? Proposed Bathrooms Proposed Bedrooms
Yes 0 No 13 Yes 13 No 0"
tt)n ctAA- &A6nn aAl� '3 rN
Is project in a Flood Zone: Yes 13 Noff Flood Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $
I have read and completed the 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 work. I understand that plan review fees are not refundable after review has
occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is
issued. I understand that if the permit is not picked up/issued within i8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
2, 20 J 'k M&v"-re4-,- LAD 0,J
golk Name
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Residential Structures
Existing Proposed Construction For Office Use
Area Descriptions(SQ FT) Floor area Floor area $Value new
Area
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30" or 2'd floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Construction For Office Use
Area Descriptions(SQ FT) Existing Proposed $Value new
Floor area Floor area Area
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe)
Site Area Totals
Lot/Site Coverage Calculations
Lot Size (sq ft) Lot Coverage(sq ft) %Lot Coverage(Total lot cov-. lot size) Max Bldg Height
Site Coverage (Sq Ft of all impervious) %of Site Coverage(total site cov-- lot size)
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler I Size: # Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) #
Boiler/Compressor Size: # Heating/Cooling appliance #
I repair/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fireplace/Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct #
Forced Air Unit # Ventilation System #
Furnace/Heat Pump/
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps # Fuel gas piping #of Outlets:
Water Heater # Medical gas piping #of Outlets:
Water Line # Plumbing Vent piping #
Sewer Line # industrial waste pretreatment
interceptor(Grease Trap) —7Size
Other(describe):
T:\BUILDING\APPLICATION FORMS\Current 13P Application\Building Permit 4-17-13.docx