HomeMy WebLinkAbout635 Whidby Ave - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT A~GELES, WA 98362
BUILDING PERMIT
OWNER/APPLICANT
ED LAQUINS
635 E WHIDBEY
Port Angeles, W A 98362
360/452-9130
T:
ISSUED: 12/19/2002 PERMIT NO: 13912
PROPERTY LOCATION
635 WHIDBY
Lot: 12E49.05'of S148'exc ease
Block: lXI Long Legal
Subdivision: BROADWAY ADD.
Parcel No: 063010521700000
S:
CONTRACTOR
EXTREME BUILDERS
632 LOPEZ
PA, W A 98362-0000
360/417-0679
PROJECT INFO
Project Value: $32,500.00
Project Type: ADDITION
Occupancy Type: RESIDENTIAL
Occupancy Group:
Construction Type:
Zoning Use:
ARCHITECT
N/A
, 98360-0000
360/000-0000 ,
SFD Units: 0
SfD SQ FT: 0
MFD Units: 0
MFD SQ FT: 0
Lasered
CEO
Commercial:
Industrial:
Garage:
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PROJECT NOTES
96 SQ. FT. KITCHEN ADDITION
RECEIPT#10017
FEES ASSESSMENT
Building Permit:
Plan Check:
State Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
$472.55
$189.02
$450
$0.00
$0.00
$0.00
$34.00
$30.75
$0.00
Misc Fee 1:
Mise Fee 2:
Mise Fee 3:
$0.00
$0.00
$0.00
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE:
$730.82
$730.82
$0.00
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 s from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. A provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a pe It does not
presume to give authority to violate or cancel the provisions of any state or local law regulatmg construction or the pe rmance of
construction.
Signature of Contractor or Authorized Agent
T \PLANNING\FORMS\1102 15 [4/2002]
~ ~ ~""'-d
j(.
Signature of Owner (' owner is builder)
r
Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. 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 ACC'EPTED COMMENTS ,
YES NO
FOUNDATION:
FOOTINGS ~1-1-O:? LFIJ
WALLS ' ,
I,
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT' #
ROUGH-IN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN ill.'~-o~ RLJ
WATER LINE
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
WALLS 1 ROOF 1 CEILING !l. -1-Y"-o? etJ
DRYWALL
T-BAR
INSULATION
. SLAB
WALL 1 FLOOR 1 CEILING ~.c -0 ~ Te.
MECHANICA~
HEAT PUMP
WOOD STO E 1 PELLET 1 CHIMNEY
HOOD 1 DU( TS
PW UTILITIES 1 SITE WORK (Engmeenng DIvision) SEPARATE PERMIT #'s
W A TERLINll 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING VEPT SEPARATE PERMIT #'s SEPA
P ARKING/LIGHTING ESA-
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W 1 PWI CONSTRUCTION - R W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING D PT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T \PLANNING\F RMS\I 102.15 [4/2002]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date O-;!o s- /0 ~
I '
v
Time
j : 1-/0 f}11- Received by S7:~ersonl
~"35 wh,J.L'j
hO v/j- ~. H(~ .
Phone No.
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
Final
Permit No. /39/ ~
Sewer Excav. Other h, 5lJ I Y--
/lJ r S~O-/
BY~
INSPECTION NOTES:
Inspected: Date 3./~- 03
Remarks: ;h..tSlfl.- ~ ~ ~~
Time
~
1UID
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
~TRI=I=T ~IIPI=RINTI=NnI=NT
InATEI
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST.
Date Q 'J--!n /0 '7
/
Time
9! 5-0 j).nJ-Received b~';~
e person)
Location of Work to be inspected ({; ;3~S- Wh t Jb(t
Name of person requesting inspection 6 ~ "0 ). I ff/-€-
Address of person requesting inspection .
Type of Inspection (circle appropriate one):
Sewer Foundation e ChimnerYinal Sewer Excav. Other
Phone No!lbD tjlJY
Permit No. 139 J {}-
INSPECTION NOTES:
Inspected: Date 2 - 2. 9 --03
Remarks:
Time
By
Rl/
{)/<-,
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
~TRI=I=T ~IIPI=RINTI=NnI=NT
InATF\
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY'
Date Rec.: i2, /0 "0""2-
Pennit # '3..q I'?
Date Approved:
Date Issued'
~~
The Building Permit Application must be filled out completely.
Please type or print in ink. If you have any questions, please call 417-4815
~l...-E.~DA JAQUlt-JS Phone:-A5;Z - C(13o
\JJl-tIDB~Y t;-r City:j~l AN6'~f"~ Zip: Cfb"36Z-
Architect/Engineer: POf-J ~ltUBA Phone: Lf.r;2- - 0 '2-0 1-
Contractor E X+,..f<. ue.. Bu." \tdelS License #:I=17REfvJl?)(XS)/rJ;: b - t 1- O~ Phone: (,.9/ - S '189
4f:t)- '1'/8
Address: SD ?e vC y LfI City: :5e.Cj ~~ ~ Zip: qR_~ A c..
f
PROJECT ADDRESS: b'3 5 w H I [) ~e:y ZONING:
LEGAL DESCRIPTION: Lot: 1 z... Block: Subdivision: &oa..cl wa."j )\<<)01\ T.
CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name:
Billing Address: City:
Credit Card #: Exp. Date:
Applicant or Agent:
B"D ~
Address: b ~ r;
Phone:
Owner:
VISA
MC
TYPE OF WORK:
. Residential 0 New Constr.
o Multi-family )z{ Addition
o Commercial 0 Remodel
o Repair
ORe-roof
o Move
o Demolition
o Sign
o Wood-stove
o Garage
o Deck
o
SIZEN ALUATION:
't,b SF. @ $ /SF. =.$ 32 500 0<::,)
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $
BRIEF DESCRIPTION OF THE PROJECT:
ADDlilt'tJ -to ',8)(I<;Tf1-J& ~/iCH-6fJ
COMMERCIAL/RESIDENTIAL: Occupancy Group: ,f-. "3 Occupant Load: '. eonstruction'Type: V - N
N~: of Stories: 'Z-.. Lot Size: 7000 % Lot Coverage:. .' ,22 i:;; % ._ ' j. " _ '. '
Existing Lot Coverage:, JSZ8- <'sq. ft. + Proposed Lot Coverage: _ 4/B _ /sq. ft. = TOTAL LOT COVERAGE:~7GJsq. ft.
PLANNING USF; ONLY: \ \ APPROVALS: PLAN
Notes: BLDG.
/ DPW
FIRE
ESAlWetland(s): 6Yes 0 No SEPAChecklistrequired? 0 Yes 0 No Other: ,,'; OTHER
BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must beftlled out completely to be acceptedfor
review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your
completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division.
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: Your plan check fee is due 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 ofapplication, this 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 107.4 of
the Umform Building Code, current edition). 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 correct, and I am authorized to apply for
this permit. I understand It is not the City's legal responsibility to determine what permits are required; it remains the applicant's
responsibility to determine whnt permits are required a~~i., ~ch. _
Applicant: .u~ Date: It./'bh '"2.--
T.\FORMS\APPS\Bulldmgpennit / /
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CITY OF PORT NGELES - Construction Plans
The Issuance of this permit based upon these plans. specifi-
cations and other d a shall not prevent the building official
from thereafter req iring the correction of errors in said
plans, specification and other data, or from preventing
bUilding operations being carried on thereunder when in
... and ordinances of this jurisdIction.
(SECTION 303(c) . Umform Building CodeJ
ApprovalDale /2-1'i-O"'BY Lc H
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ED Ii GLENDA JAQUINS
655 WHIDeeY.. PORT ,A,Nee:l..e:s 9836:2 Tel.. : 45:2 - 9l3O
DI<AWN: OCT. :2002
DON SCHUBA. 452..0207
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DRAWN: OCT. 200:2
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DRAWN: OCT. ::200::2
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT . . .
/
REQUEST:
I "7J(1 '" t-/
D t ~ ~/ " ; "()j <.:::
a e L~./, '" ~
. ~
Time
Received by
t /)
~
V' (phone, person)
'\
Location of Work to be inspected {{::::-:;';"" (---
Name of person requesting inspection
Address of person requesting inspection
Type of Inspect" l(1 (circle appropriate one):
, \;\
Sewer oundatiori) Framing Chimney Plumbing
-~rrr~J
INSPECTION NOTES:
Inspected: Date I,:;. II - L) 3
Remarks:
/h')' /"{' " ,'). /, " A
/ /' " /, J; J /' ),I,,~ ":;/
( ,,- / I / / ,__ // I __<I fl..
C
Phone No.
/! ":'-)~\ fl '--.)
Permit No. r ,"':; !/ fI {/=-
Final Sewer Excav. Other
~
Time
By
(J~
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC
D Other
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
~TRI=I=T ~IIPI=RINTI=NnI=NT
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