HomeMy WebLinkAbout1936 E 1st St - Engineering
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY
DateRec g'-9-d%
PermIt # oi./ - /9
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
(360) 417-4815
Date ApplOved
Date Issued
Address:
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ZIp: 9' /";7 .5' Z
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Phone:
ZIp: PF f /,2--
ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
SubdIVIsion:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof
o Multi-fallllly 0 AddItion 0 Move
o CommercIal 0 Remodel 0 Demolition
o RepaIr 0 SIgn
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
o Stove
o Garage
o Deck
o Other
lA/A' .f':-
SIZEN ALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF = $
SF.@$ /SF.=$
TOTAL VALUATION $"7 7Dt? .~
c,;{~......} ~'"... / ~>~ r/~//___///'(;I.h .J:.rk~
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load:
No. of Stones: Lot Size: EXIstIng Sq. Ft. & Proposed Sq. Ft.
EXIsting lot coverage _ % & Proposed lot coverage _% = Total lot coverage
ConstructIOn Type'
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checkhst reqUIred? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Buildmg DiVISIon can proVIde you WIth infonnatIOn on the apphcatIOn and
plan subllllttal reqUIrements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the apphcant. Tills figure will be reVIewed
and may be reVIsed by the Bmldmg DlVlSIOn to comply WIth current fee schedules Contact the Pefllllt Coordmator at 417 -4815 for aSSIstance.
PLAN CHECK FEE: IF a plan check fee IS due It must be sublllltted at the trme the bmldmg permit apphcatIOn and constructIOn plans are
sublllltted. All other pefllllt fees are due at the tIme of pefllllt Issuance.
EXPIRATION OF PLAN REVIEW: Ifno pefllllt IS Issued withm 180 days of the date of applicatIOn, the application will expire. The
Buildmg Official can extend the trme for actIOn by the apphcant up to 180 days upon wrItten request by the applicant (see Section 107 4 of
the Umform BuIlding Code, current editIon). No apphcatIOn can be extended more than once.
I hereby cerlify that I have read and examined this application and know the same to be true and correct Uyn authonzed to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the 'S_._.~d~ I m s .06tain such permits pnor work;
T \FORMS\APPS\BUlIdmgpermlt wpd Applicant: ~ Y; Date: f /0
PORT ANGELES FIRE DEPARTMENT
HOOD & DUCT FIRE SUPPRESSION SYSTEM
PLAN REVIEW
Project Name Secret Garden Address' 1936 E 1st
HID Installer. Telephone.
System Installer. Lisenbury Telephone. 452-1143
Penmt #04-03
We have checked this plan and find that it conforms to the requirements of our ordinance with the
following exceptIOns:
1. All appliances under hood and all electrical outlets under hood must shut off upon system
activation.
Additionally:
1. A hood and duct plan or diagram in conformance with NFP A #96 shall be submitted to the
Fire Department.
2. If plans have not previously been submitted to an insurance rating organization, i.e.,
Washmgton Surveying and Rating Bureau, Factory Mutual, this Department strongly
recommends such submittal to seek the most favorable insurance rate from the carrier.
3. A fire suppression system diagram in conformance with D.L., Inc.
4. Before final acceptance of the system, an inspection will be conducted by the Port Angeles
Fire Department to ensure system comply with NFP A #96, UMC Chapter 20, UFC ArtIcle
10.
D Contractor
~Building Department
Reviewed by
\&) .Q)
2>.q .(lJ'"f
D Fire Department
Date
FP - 12
Page 1 of 1
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
"
I
. .~
Date Time Received by (phone, person)
Location of Work to be inspected (i.uJt /67 ,F P iZD')-euJ~Od ~
Name of person requesting inspection I '1 ? .6 /.:::. / ~5
Address of person requesting inspection Phone No,
Type of Inspection (circle appropriate one): \))1,0 \0'2..:5 Permit No.
<::S-~ Foundation Framing Chimney Plumbing Final Sewer Excav, Other
(ZJL(Ji.v. vJl5ILlL a() t3lC -:ibb$Io-z..
INSPECTION NOTES: /;?)
Inspected: Date .S:- t/ ~ 7 9 Time- '1: (f!) flv-- By (/tu-e.y.. g-
Remarks:
RESTORATION REQUIRED . . . . .. YES NO
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SURFAC ESTORATION:
SURF TYPE: D Unimproved DGravel DAsphalt OPCC
, ~ D Repaired by City Work Order #
I~ 5. of Q""b ~U' 0 0 COMPLETE
Repaired by Permittee
D No Damage Found D INCOMPLETE
o Other