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Home My WebLink About637 Marine Drive Address: 637 Marine Drive PREPARED 9/07/16, 11:00:09 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/07/16 --—------------—------------------—----------------------------------------—--------—----- ADDRESS 637 MARINE DR SUBDIV: CONTRACTOR : PHONE : OWNER WESTPORT LLC PHONE : (360), 452-5095 PARCEL 06-30-99-0-0-3720-0000- APPL NUMBER: 16-00000927 IND REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCTAT• REQUESTED INSP DESCRIPTION - TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------— ------------ ------------------------ -—-----—------------------------—------ BL99 01 9/07/16 BLDG FINAL September 7, 2016 10:59:57 AM jlierly. Chad 460-7276 --------------------- --------- COMMENTS AND NOTES -------------------------------------- ��► CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- UILDING DIVISI N 321 EAST 5TH STREET, PORT ANGELES, WA 983 5 Application Number . . . . . 16-00000927 Date 7/11/16 Application pin number . . . 074062 Property Address . . . . . . 637 MARINE DR REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-99-0-0-3720-0000- Application type description IND REMODEL on your state excise tax form Subdivision Name . . . . . . to the City of Porf.Angeles...._. Property Use . . . . . . . . •f"7 •Property Zoning . . . . . . . INDUSTRIAL HEAVY (Location-Code-0502) , "== 'Application valuation . . . . 40000 .rL -.-Z------------------------------------------------------------------------- _ .. .t. i„ Application desc ^f_ removal of 1850ft2 mezzanine on 2nd + 3rd floors --------------------------------------------------------------------------- 4F Owner Contractor ------------------------ ------------------------ WESTPORT LLC OWNER 16201 E MAIN ST CUT OFF LA 70345 (360) 452-5095 ---------------------- Structure Information 000 000 ---------------------- �� Construction Type . . . . ZZTYPE II ONE HOUR ' - Occupancy Type . . . . . FACTORY & INDUSTRIAL -------------------------------- - ---------------------------------------------------------------------- - Permit . . . . . . BUILDING PERMIT - COMMERCIAL Additional desc . Permit Fee 569.25 Plan Check Fee 370.01 "`Issue Date 7/11/16 Valuation . . . . 40000 r Expiration Date 1/07/17 Qty Unit Charge Per Extension - - BASE FEE 417.75 15.00 10.1000 THOU BL-25,001-50K (10.10 PER K) 151.50 ---------------------------------------------------------------------------- Other Fees . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- 'µ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- M Permit Fee Total 569.25 569.25 .00 .00 - Plan Check Total 370.01 370.01 .00 .00 w Other Fee Total 4.50 4.50 . .00 .00 r Grand Total' 943.76 943.76 .00 .00 r� r • Separate Permits are required forelectrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized isnot 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 p ovisions of any state or local law regulating construction or the performance of const ru tion. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit 1 eBUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In Water Line Meter to Bldg) Gas Line Back Flow/Water AIR SEAL: f Walls Ceiling J FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling ; MECHANICAL: Heat Pump/Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type _ Date Accepted By Electrical 417-4735 Construction -R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 THE AOR 1 �Tl:��ESQ For City Use CITY OF Permit# ANW A S H I N G T 0 N, U . S. Date Received: - oZ" G 321 E 5th Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F: 360-417-4711 Email:permits(@cityofpa.us BUILDING PERMIT APPLICATION Project Address:637 MARINE DRIVE, PORT ANGELES, WA 98363 Phone:360-452-5095 Primary Contact:CHAD GALLAUHER Email:CHAD.GALLAUHERQa WESTPORTYACHTS.COM Name WESTPORT LLC Phone 360-452-5095 Property Mailing Address 16201 E MAIN STREET Email Owner City CUT OFF State LA Zip 70345 Name NONE Phone Contractor Address Email Information city State Zip Contractor License# Exp.Date: :-egal Description: Zoning: Tax Parcel # Project Value: (materials and labor) LOT 2 MARINE TRML.SP SHP 02-05 IH 06-30-99-00372040,000 X530 P39 $ Residential ❑ Commercial ❑ Industrial ❑■ Public ❑ Permit Demolition ❑■ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ Classification For the following, fill out both pages of permit application: `+ (check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ appropriate) Mechanical ❑ Plumbing ❑ Other ❑ Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms or Existing? Yes ❑ No 0 1 Existing? Yes ❑ No 0 0 0 In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwaterna cityofpa.us Project Description REMOVAL OF APPROXIMATELY 1,850 SQUARE FEET OF MEZZANINE ON BOTH THE 2ND AND 3RD FLOORS TOTAL DEMOLITION = 3,700 SF Is project in a Flood Zone: Yes ❑ No0 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 18o days of submittal,the application will be considered abandoned and the fees will be forfeited. Dae PrintName � GCt e I ; r i' i' r 1 '4 r _ 7 ��'•t y+�,� I �° ^d� �, ..;� ►� .,,,, �_�_.�il.:-ter r U r - �' ,,� V�1 �.�\ ' Imo.S 1� f;j.'�r�'..'�► '"H arr J . 3 7 i O 4. 40, ,f J '�. 1, ' y w ah/� ,"�"'��•� a !,z Address: 637 Marine Drive PREPARED 8/25/15, 9:49:47 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/25/15 ------------------------------------------------------------------------------------------------ ADDRESS . : 637 MARINE DR SUBDIV: CONTRACTOR : PHONE : OWNER WESTPORT LLC PHONE : (360) 452-5095 PARCEL 06-30-99-0-0-3720-0000- APPL NUMBER: 15-00000076 SIGNS ------------------------------------------------------------------------------------------------ PERMIT: SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------- --------—- — ----------------- -------------------------------------————---------- BL99 01 8/25/15 LL BLDG FINAL August 25, 2015 9:52:46 AM jlierly. 452-5095 ----------------------- -------------- COMMENTS AND NOTES -------------------------------------- -'� CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 15-00000076 Date 2/12/15 Application pin number . . . 493000 Property Address . . . . . . 637 MARINE DR ASSES Applicaationtypedescription SIGNS PARCEL NUMBER: -0-0-3720-0000- REPORT SALES TAX Subdivision Name . . . on your state excise tax form Property Use . . . . . . . . Property 'Zoning . . . . . . . INDUSTRIAL HEAVY to the City of Port Angeles Application valuation . . 1000 (Location Code 0502) Application desc 2 WALL MOUNTED CHANNEL LETTER SIGNS ---------------------------------------------------------------------------- Owner Contractor WESTPORT LLC OWNER 16201 E MAIN ST CUT OFF LA 70345 (360) 452-5095 ----------------------------------------------------------------------------- Permit . . . . . . SIGN Additional desc . Permit Fee . . . . 170.00 Plan Check Fee .00 Issue Date . . . . 2/12/15 valuation . . . . 1000 Expiration Date .8/11/15 Qty Unit Charge Per Extension 2.00 85.0000 PER S-WALL SIGN OR MARQUEE > 25 SF 170.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 170.00 170.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 170.00 170.00 .00 .00 ' a\ 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. Z'V3 Date Print Name Signature of ContrEfctor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL,ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-in Water Line Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drvwall Interior Braced Panel Onl T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW / Engineering 417-4831 Fire 417-4653 Planriin 417-4750 Building 417-4815 T.Forms/Building Division/Building Permit 0`r°Rr SIGN PERMIT APPLICATIOV Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician For City Use OIY: g Date Received /`°�`f-/� `•� 321 E. Fifth St., Port Angeles, WA 98362 Permit#/S` '7L-e (360) 417-4815 fax (360) 417-4711 Date Approved Applicant or AgentH l L 13E t RHES ho e 3�o Property Owner WE-STPOAT- c-C C- Phone 3(,o S/SZ so -1s- PropertyOwner's Address X37 MgRINE bgiue : hfk7- 6iar W14 6183(� Contractor Phone Contractor's Address License # Expires Project Address 637 1n4RI,y6 ;DRruEF P®RT ` I�310 4 Business Name to GS`T'po27- e-LG . Parcel Number 0L;0fg®o37 200000 Lot Zoning Submit an 8 % "x 11 "site plan & three sets of plans that include: • Type of sign (wall-mounted, projecting, freestanding, illuminated, other...) ■ Placement and sq. ft. area • How the sign will be securely attached (Engineering specs may be required for freestanding signs) • Separation distance between the bottom of projecting and freestanding signs and the surface below See "Chapter 14.36 Sign Code"of the City of Port Angeles Municipal Code for sign requirements. Siqn Type & Brief Description: (Type, location, sq. ft.) Sign #1 wAL-L- w 1-7'H 5CR6 w s l Zo 5q pr mpo,( Sign #2 tu,4o -ez) w/7W rC-/Z s i zo S4 r--T APRT Sign #3 Sign #4 Totals (Unit charges Sign(s) f Qty. Unit Chang Quantit multiplied by quantities) Type of Siqn Valuation $' $47.00 x = $ All signs less than or equal to 25 sq. ft. $85.00 x Z = $ qp = Wall sign or marquees, over 25 sq. ft. $115.00 x = $ Freestanding sign or projecting sign, over 25 sq. ft. GRAND TOTAL Make Checks Payable to: City of Port Angeles $ /go "p Credit Cards (Except American Express) are accepted Existing sign(s) area sq. ft. + Proposed sign(s) areaq. ft. = Total sign(s) area . /, 2 sq. ft. Building fagade area (height ft. X width-V Q l ft.) = Jj5550, sq. ft. (If a building has more than one business in it, only measure the area of the building fagade that is used by the business applying for this permit.) 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 Print Name h 11W4;C4i4iM Signature T:Forms/Building Division/Sign Permit Application.doc X37 r-✓1✓-1•�iN� �JR�cJc 3rno /Vs-z- so 9 s The Issuance of this PCm't 58N623a2 1p I and othea'dM 94%." o S to V-0 VIP building octad m-- correction of errors m said ply, - other'data.w from pre®entirag k,Ming being carried on thummd�whe9a codes and ordinances of this jadrid ALL WO 3RD FLOOR ....... .. .. .............,................, . ............ .. .. .............._... .................................. .. ...... . AWNING BY METAL BUILDING MFR WESYP®Rf L.0. 2ND FLOOR .... .............................. . ......... .. . ....... ..................................... ......................_ _......... ....._. - CONCRETE UNDER'METAL`S South Elevation a R 1 Ue S,.TYP. D.S. D.S. —' D:S. LL D.S. D.S. D.S. D.S. '37'-3 1/2' 37'-3 1/2" 40'-9 1/2' 33'-9 1/2" 34'-2 1/2" 40'-4 1/2" 37'-3 1/2 ............... w..y:,.,ac.. ....: 3RD...FL00......................................................... .. .Y,:� ... 2ND FLOOR West Elevation Address: 637 Marine Drive PREPARED 3/10/15, 11:31:12 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/10/15 ------------------------------------------------------------------------------------------------ ADDRESS . : 637 MARINE DR SUBDIV: CONTRACTOR CLALLAM BUILDERS INC PHONE (360) 808-4225 OWNER WESTPORT LLC PHONE (360) 452-5095 PARCEL 06-30-99-0-0-3720-0000- APPL NUMBER: 15-00000042 COMM REMODEL --------------------------- PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---—--------------——-------—-------------------------------------------------------------- BL3 01 1/27/15 JLL BLDG FRAMING 1/27/15 AP January 27, 2015 9:31:49 AM jlierly. chad 460-7276 January 27, 2015 4:45:15 PM jlierly. BL99 01 3/09/15 JLL BLDG FINAL 3/09/15 DA March 9, 2015 12:21:35 PM pbarthol. Chad 452-5095 ext 2042 March 9, 2015 5:15:38 PM jlierly. no acess everyone locked up and gone home at 3pm. . recall when ready/jll BL99 02 3/10/15 JL'Y BLDG FINAL an ) March 10, 2015 10:08:35 AM pbarthol. C�J�L7o Chad 460-7276 --------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES e� DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION ® 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 15-00000042 Date 1/27/15 Application pin number . . . 373878 (A Property Address . . . . . . 637 MARINE DR ASSESSOR PARCEL NUMBER: 06-30-99-0-0-3720-0000- REPORT SALES TAX Application type description COMM REMODEL Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . Property Zoning . . . . . . . INDUSTRIAL HEAVY to the City of Port Angeles Application valuation 2500 (Location Code 0502) Application desc ADD TWO PARTION WALLS FOR STORAGE/OFFICE SPACE Owner Contractor ------------------- ------------------------ WESTPORT LLC CLALLAM BUILDERS INC 16201 E MAIN ST 2353 E 6TH ST CUT OFF LA 70345 PORT ANGELES WA 98362 (360) 452-5095 (360) 808-4225 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - COMMERCIAL Additional desc PARTITION WALLS Permit Fee . . . . 109.75 Plan Check Fee 71.34 Issue Date . . . . 1/21/15 Valuation . . . . 2500 Expiration Date 7/20/15 Qty Unit Charge Per Extension BASE FEE 95.75 1.00 14.0000 THOU BL-2001-25K (14 PER K) 14.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid . Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 109.75 109.75 .00 .00 Plan Check Total 71.34 71.34 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 185.59 185.59 .00 .00 V Ell 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. Date Print Name Signature of Contractor or Authorized A nt Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwail Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rou h-In Water Line Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: Joists/-Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Onl T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW / Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit THE CITY �J' � ��i�� For City Use CITY OF , Permit# /l." - WAS Hl N G vT O N, U . S. /Date Received: ( - 14 - IS 321E 5lh Street (r % Date Approved I // N Port Angeles,WA 9836 I�/ L �— P:360-417-4817 F: 360-417-4711 Email:permits(@cityofpa.us BUILDING PERMIT A-' PLICATION Project Address: C3 �- Coo Phone: Primaa Contact: Email: c b`1r( � 0 CC: lit Name Phone 1 a-� . 6 Property Mailing Addr s Email Owner Al 1`o i l3C i[y6 fi is State ) Zip tA �k? Name I I V cS Phone / 0-Z'_ V. Contractor Address Email— 3 C + e2 ih C o`n Information city (LA-CV �p�! State ( ip ' 74 � Contractors License# � A Exp.Date: / Legal Description: Zoning: Tax Parcel # Project Vale: (materials and labor) Residential ❑ Commercial ❑ Industrial ❑- Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ Classification For the following, fill out both pages of permit application: (check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ appropriate) Mechanical ElPlumbing ❑ Other ElFire Sprinkler System? Irrigation System? Proposed Bathrooms Proposed Bedrooms Yes ❑ No ® Yes ® No [ 1 Project Descri tionJ 2 �� b v'Yl T 42 ka 9 V Is project in a Flood Zone: Yes ❑ No❑ 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.Date Print Name Signtune Residential Structures For Office Use Area Description(SQ FT) Existing_ Proposed ss value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or a" floor) Garage Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions(SQ FT) Existing Proposed $$Value 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 coverage_lot size) Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site coverage_lot size) Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: # Haz/Non-Haz Piping Outlets: Appliance Exhaust Fan # Heater(Suspended,Floor, Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # 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 # Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit 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) Size Other(describe): T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx �- tile LAja boom 0 ................ i pnwx bmd � Q ficalWo caw dm dm6= em *WWW Inum m ► cr+� ALL � I o Ql) � Z I I W L QJ LLJ CD N a rr I a U C6 AD o I \N ^ I N fa ^ m Go G I I = I V o Z 0 O 0 s O N n W ' U .......................................... .................................. I` N O Z ��0. d LA, � not `n o l'90 L - ' � o - Q o 0 00 I = cr I----I 9-vx0-J, Q Q ' 9-bX0-ti t'SOl ^ Pa-'r10 Xd- fa 1A.>G fav \ , o vi Ad af r�,p n ,CC ............... I a �- A"s ce �................ .... .. . . . Cl a� ... .. .... .... I ICE 1 Z01 I I � a 1.2 I W Z ar I t.t c w o I •� .9 4�£ cnli I uco m r- O. O I I „0 S �_ Ln �N O n `t L01 .— � ! tOl l 1'901 _ io cn o a �u- ' r e} W ^ C O n 2 - ao .- 9-bX0-t t'SOt �Irr ■rrr wrs..��i� I _`. Him r � MnM � r - r • i f i i