HomeMy WebLinkAbout815 Golf Course Rd - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32t EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT
S:
ISSUED: 7/19/2002
PROPERTY LOCATION
812 GOLF COURSE RD
Lot: 2
Block:
Subdivision:
Parcel No:
PERMIT NO:
12758
OWNER/APPLICANT
FRANCIS H FOTH
812 GOLF COURSE RD
Port Angeles, WA 98362
360/452-8337
T:
D Long Legal
UPLANDS
063014370010000
CONTRACTOR
OWNER
VARIOUS
Port Angeles, WA 99360
206/000-0000
PROJECT INFO
Project Value: $960.00
Project Type: DECK REPAIR
Occupancy Type:
Occupancy Group:
Construction Type:
Zoning Use:
ARCHITECT
N/A
, 98360-0000
360/000-0000
SFD Units: 0
SFD SO FT: 0
MFD Units: 0
MFD SO FT: 0
Commercial:
Industrial:
Garage:
o
o
o
~
y
PROJECT NOTES
REPLACE 8' X 10' DECK
"J\
RECEIPT#9455 C~
---
FEES ASSESSMENT ~
Building Permit: $38.75 Mise Fee 1: $0.00
Plan Check: $0.00 Mise Fee 2: $0.00 \\,
State Surcharge: $4.50 Mise Fee 3: $0.00
House Moving: $0.00 C:,
Manufactured Home: $0.00 ~
Sign: $0.00 TOTAL FEE: $43.25 \A
Plumbing: $0.00 AMOUNT PAID: $43.25 ~
Mechanical: $0.00 BALANCE DUE: $0.00
Radon: $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
fora 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 wili 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.
7-
L9/2=Z-
Date
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if
T:\PLANNING\FORMS\1102.15 [4/2002]
->360 4528507; #605j PAGE 2
RECEIVED: 7/15/02 1 :10PMj
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07/15/2002 13:31 5307496505 ARDEN ) PAGE 01/02
.fJ~~., ~~ c ,';' CITYOFPORTANOELES, 3le>O L/fb~
IJC'2--~ PUBLIC WORKS -BUll.DINODMSION q/Q_'f:Ijc
""'_ ~~-(./-^-...Jj 32IBASTSTHS1'Rh!iT, PORTANOELES,WA98362 ,,; 0.
12758
BUILDING PERMIT
OWNER/APPLICANT
WILLIAM FOTH
812 GOLF COURSE RDI
Port Angeles. WA 98362
3801000-0000
T: .
CONTRACTOR
OWNER
VARIOUS
Port Angeles, WA 99360
206/000-0000
=..-, ~f:P."(jJ!e:i'jN~0'"~P=''''''''''''o...",,,..7''''''''-_''''''
Project Value: $960.00
Project Type: DECK REPAIR
Occupancy Type:
Occupancy Group:
Construction Type:
Zoning Use:
s:
IS
o Long Legal
UPLANDS
083014370010000
l:JF
F~iMJJVt
(Jof'4P~
()IL
ARCHITECT
N/A
, 08360-0000
380/000-0000
. ~.":'"".~".~~.. ......-,--........,. ..r-:-:.._.._~,'.~r~.~-:'...:.".'~~,..' ..
..>-:'"":':...-,....
SFO Units: 0 Commercial: 0
SFO sa FT: 0 Industrlal: 0
Garage: 0
MFO Units: 0
UFO sa FT: 0
PROJECT NOTES
REPLACE B~ X ,10' DECK
FEES ASSESSMENT
Building Permit:
Plan Check:
State Surcharge:
House Moving:
ManoJfactured Home:
...."."...".~....:.M_...._.~,...
, Plumbing:
Mechanical:
Radon:
$38.75
$0.00
$4.50
$0.00
$0.00
Moo
$0.00
$0.00
$0.00
MlscFee 1:
Mise Fee 2:
Uisc Fee 3:
$0.00
$0.00
$0.00
_"._..,_ . JOTA!. FE!:: ,
AMOUNT PAID:
BALANCE DUE:
. :. ,...~..-,..-.......,.._....,..
Separate Permlw are required forelectllcal work, SEPA, Shonlftne, ESA, utlllUes, privata and public improvements. This pannlt becamas
null and vald Ifwork or con8l1UctJon aulhorlzed Is not commenced within 180 cia,., If construction orwork ia sWlpanded or abandonad
for e period of 180 da,. after tha work as COmmet'lced, or If """,I.-dln.pactlona haw not been requested wlthin 1110 deys from the ....
Inspactlan. J hereby certIIY that J have read and examlnad this application and know tha BII/lI9 to be true end correct. All pmvl8ions of
laws end ordinances govemlng this type of work will be COmpled with whelher 8peclfied herein or not The granting of a pennll does not
presuma to give euthority to violate or cancel the provlslons of eny state or local law regulating con8tructlon or the performance of
construction. .
Date
'^ \ ~'- ,:............~ -~w .,-.
Signature of OWnar (if owner Is builder>
"2--1 ~'-'~'\ u \
Date
Signature or Contractor or Authorized Agent
'S
~;;;;p
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
BUILDING PERMIT
ISSUED: 11/05/2001
PERMIT NO: 13071
OWNER/APPLICANT
WILLIAM FOTH
812 GOLF COURSE RD/
Port Angeles, WA 98362
360/000-0000
T:
PROPERTY LOCATION
812 GOLF COURSE RD
Lot: 2
Block:
S:
Subdivision:
Parcel No:
D Long Legal
UPLANDS
063014370010000
CONTRACTOR
OWNER
VARIOUS
Port Angeles, WA 99360
206/000-0000
PROJECT INFO
Project Value: $1,000.00
Project Type: RE-ROOF
Occupancy Type:
Occupancy Group:
Construction Type:
Zoning Use:
ARCHITECT
N/A
, 98360-0000
360/000-0000
SFD Units: 0 Commercial: 0
SFD SO FT: 0 Industrial: 0
Garage: 0
MFD Units: 0
MFD SO FT: 0
<>(J
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S\
o
PROJECT NOTES
TEAR OFF/ FELT/ COMP
-
1)
~
~
'"
~
FEES ASSESSMENT
Building Permit: $38.75 Mise Fee 1: $0.00
Plan Check: $0.00 Mise Fee 2: $0.00
State Surcharge: $4.50 Mise Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $43.25
Plumbing: $0.00 AMOUNT PAID: $43.25
Mechanical: $0.00 BALANCE DUE: $0.00
Radon: $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 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
iaws and ordinances goveming 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)
1/ /Z)) /2001
Date
oS
~;;;;p
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
32t EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT
12758
OWNER/APPLICANT
WILLIAM FOTH
812 GOLF COURSE RDI
Port Angeies, WA 98362
360/000-0000
T:
S:
ISSUED: (p?-17 0 (
PROPERTY LOCATION
812 GOLF COURSE RD
Lot: 2
Block:
Subdivision:
Parcel No:
PERMIT NO:
D Long Legal
UPLANDS
063014370010000
CONTRACTOR
OWNER
VARIOUS
Port Angeles, WA 99360
206/000-0000
PROJECT INFO
Project Value: $960.00
Project Type: DECK REPAIR
Occupancy Type:
Occupancy Group:
Construction Type:
Zoning Use:
ARCHITECT
N/A
, 98360-0000
360/000-0000
SFD Units: 0
SFD SO FT: 0
MFD Units: 0
MFD SO FT: 0
Commercial:
Industrial:
Garage:
o
o
o
0(1
(..J
1
\)'-
"
PROJECT NOTES
REPLACE 8' X 10' DECK
FEES ASSESSMENT
Building Permit: $38.75 Mise Fee 1: $0.00
Plan Check: $0.00 Mise Fee 2: $0.00
State Surcharge: $4.50 Mise Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00 $43.25
Sign: $0.00 TOTAL FEE:
Plumbing: $0.00 AMOUNT PAID: $0.00
Mechanical: $0.00 BALANCE DUE: $43.25
Radon: $0.00
\l ',,-
)
,
',-
Separate Permits are required forelectrlcal 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 goveming this type of work will be complied with whether specified herein or not. The granting of a pennit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the perfonnance of
construction.
Signature of Contractor or Authorized Agent
Date
,
-;,\,,>.,<,-,, '. ", -\ c'''"'' J :.) j v' 1 C )
Signature of Owner (if owner is builder) Date
s
~~
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
I"'t..-oo....D_. /, _, --;? .'J .~.
1JiW:;~..<.L.. , '_(.._'(
Pennit': I) '";> '~ ;.:~.
Dab: Approved:
0.... billed:
The Building Permit - Pre-application IffIISI be jiBed Ollt completely.
Please type or print in ink. If you bave any questions, please caD 417-4815
Applicant and/or Agent:
Owner: {v/{..L/lJn; (' ;::" 0 ,~/I
Phone: '--/cj Z -y~:; "7
Phone:
Address:
u ) 'J r _.,) / c:::
~::> ~ L L._ (-
1_ ) (.2:. "'~~ c
;:;)/, .
'.,.' City:
1-1 ~
t-- ;:-,,/-: r
/__1 .-(/ ,{_~ ,~'.-;- i,: ~
Zip: q::: 27 "::. 'z..
ArchitectlEngineer:
Contractor
Phone:
License #:
Exp:
Phone:
Zip:
Address:
City:
PROJEcr ADDRESS: >5 (.!. c', 0", ,c-: Cc', / ---:!. -:: "
LEGAL DESCRIPTION: Lot Block:
CLALLAM COUNTY PARCEL NUMBER:
BiDlog Address:
Credit Card 1#:
4'<:;),1 j/~j ZONING:
Subdivision:
Credit Card Holder Name:
City:
EIp. Date: VISA
MC
TYPE OF WORK:
VResidential [] New Constr. 0 Re-roof
o Multi-family [] Addition 0 Move
o Commercial [] Remodel 0 Demolition
[] Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJEer:
SIZElVALUATION:
SF.@$ ISF. = $
SF.@$ /SF. ~ $
SF.@$ eGl /SF. =$
I ro;rAL VALUATION $
F\ X (7 M.~ck
o Woodstove
o ....Garage
.. Deck
o
;2" r,.k-n- ""'
.
qi~() ~ ~.
COMMERCIALfRESIDENTIAL: Occupancy Group: Occupant Load:
No. of Stories: Lot Size: % Lot Coverage:
Existing Lot Coverage: Isq. ft + Proposed Lot Coverage:
ConstIUctlon 1Ype:
%
Isq. ft = TOTAL LOT COVERAGE:
Isq.1l
PLANNING USE ONLY:
Notes:
APPROVALS:
PLAN
BLDG.
DPW
FIRE
ESAlWetIand(s): [] Yes [] No SEPA Checldist required? 0 Yes 0 No Other: ~
BUILDING APPLICATION SUBMITrAL: YOllr tzppllcatiD1I tIIId site plll1llf111S1 befi&d out compldeJy 10 be lIIXepte4for review. Th.
Building Division can provide you with more detailed infonnation on the application and plan submittal requirements.
BUILDING PERMIT APPUCATION SUBMI'ITAL: Your compieted application, site pian (for additions) and building cons!luction
plans are to be submitted to the Building Division.
VALUATION OF CONSTRUcnON: In all cases, a valuation anlount must be entered by the applicant. This figure will be reviewed and
may be revised by the Building Div. to comply with current fee schedules. Contact the Permit Coordinator at 417-481 S for assistance.
PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted, All othe!
pennit 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 e:rpire by
limitations. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant (see
Section 107.4 of the Uniform 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 what permits are required and to obtoin such.
~~__'1. .11__ ,~~ -l..' \ \, --\. (.s.-Lj.--~ -2 ~J .J v \_. "--.\ [) 1
PW-1l02_I3[rev5JDI1 Applicant: Date:
C)
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