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HomeMy WebLinkAbout105 Lindberg Rd - Building.... CITY OF PORT ANGELES °~' DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 t~UILDIN~ PERMIT ISSUED: 11/27/2002 PERMIT NO: 13859 OWNER/APPLICANT PROPERTY LOCATION 105 LINDBERG RD PENINSULA GOLF COURSE 105 LINDBERG RD Lot: PORT ANGELES, WA 98362 Block: [] Long Legal 360/000-0000 Subdivision: T: S: Parcel No: CONTRACTOR ARCHITECT LISENBURY FIRE PROTECTION N/A 470 MONROE RD PORT ANGELES, WA 98362-0000 , 98360-0000 360/000-0000 360/000-0000 PROJECT INFO Project Value: $1,700.00 SFD Units: 0 Commercial: 0 Project Type: FIRE SUPR. SYS. SFD SQ FT: 0 Industrial: 0 Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES FIRE SUPPRESSION SYSTEM FOR HOOD/DUCT IN CLUB HOUSE KITCHEN RECEIPT# 9960 FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: FIRE PL REVIEW $15.00 Plan Check: $0.00 Misc Fee 2: FIRE INS/TEST $25.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $40.00 Plumbing: $0.00 AMOUNT PAID: $40.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of '180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last linspection. I hereby certiffj that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordina/Ices governing this type of-work will be complied with whether specified herein or not. The granting of a permit does not presume to ~/,~ authority to violate-~"~n~cel the provisions of any state or local law regulating construction or the performance of constructi~d~-~/ ~ /,.~' Signature of Contractor or Authorized~" Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNI~4WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND/ICCEPTED. POST PERMIT 1N A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE FOUNDATION: FOOTINGS WALLS FOUNDATION DKAINAGE ELECTRICAL ~L1GHT DEPT) SEPA~TE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL FRAMING JOISTS / GIR~)~RS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION MECHANICAL HEAT PUMP WOO1) STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engin¢cdng DivisionI SEPARATE PER34TI #'$: WATERLINE / METER SEWER CONNECTION SANITARY STORM ENGINEERING 417~4807 PW / ENGINEERING FIRE 417.4653 ~, L~-' {~ ~ [OfYZ~ FIKEDEPT. c9 eoRr~----~ FOR OFFIC1 ~ BUILDING PERMIT - APPLICATION Date Approve: ~te ~su~: ~e Building Pe~it ~pplica~on mu~ be flled out com~letely. ~ Ple~e t~ or p~nt in in~ If you have any questions, please call 4174815 Phone: ~c~tecVEn~neer: ~/~ Phone: Con.actor ~// License ~: Exp: Phone: Ad.ess: Ci~:. Zip: LEGAL DESC~P~ON: Lot: Block: Sub.visit: CL~L~ CO~TY P~CEL N~B~R: Credit Card Holder Billing Addr~s: Credit Card g: Exp. Date: ~E OF WO~: SI~UA~ON: ~ Rasid~tial ~ N~ Com~. ~ Re-roof ~ Wood-stove SF. ~ $. /SF. =~. ' ~ Mffifi-f~ly ~ Addition O Move O G~age SF. ~ $. /SF. = ~o~ercial ~ Remodel ~ D~olition o Deck SF. ~ $. /SF. = ~ Repak n Si~ o TOT~V~UA~ON $ / COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Comtnaction Type:_ No. of Stories: Lot Size: % Lot Coverage % . Existing Lot Coverage: /sq. ft. + Proposed Lot Coverage: /sq. ft. = TOTAL LOT COVERAGE: /sq. ft. PLANNING USE ONLY: .,. APPROVALS: PLAN Notes~ .BLDG. DPW ESA/Wetland(s): [] Yes [] No SEPA Checklist mqnired? [] Yes [] No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be fiiled out completely to be accepted for 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 4174815 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: If no permit is issued within 180 days of the date of application, this application will expire. The Building Official can extend the time for action by the applicant up to lg0 days upon 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 ! 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 deter/~e what permits .odve required; it remains the applicant's responsibilityto determinewhatpermitsarerequiredandto obtainsuc~j~_.~ Applicant :/.2_ ..~f~".,,, ~-'--'--'--'--'--'--~ ~-ff~ D at e :///~//6~2~ T:~FORMS~APPS~Buildingpermit ~ ~/ . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles. WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. s:fZ DATE ..:;,./. (el(, . In tailed By: o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Si Address: O\flner/Business: Phone: Sq. Ft. I ELt:CTRIC HEAT o BASEBOARD KW _ IX FURNACE KW ~ fS? ,HEAT PUMP KW ~ ~ FAN/WALL KW ~ o RESIDENTIAL ill COMMERCIAL i;;t NEW CONSTRUCTION t:J REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE J?! RISER o OVERHEAD SERVICE o UNDERGRO~ SERVICE VOLTAGE: IZL:J 2;H/ l:1rp 03'rp SERVICE SIZE ZL/O FEEDER SIZE AMPS AMPS . , DeJails/DescriPtion: I -I I =1 /V <:w- f3-o ~ I W.S. No. I CAPACITY: I 0 O.K. 0 NOT O.K. ~'O" R'OU,"", 0 CH"'G' '''"''ORMee o INSTALL SERVICE POLE I o pitch Inspection O.K. ~ Rough-in/cover O.K. AP'ip. 6.K. to connect service Acrl<1,P jFinal O.K. I , - S.:te Address: I SERVICE SIZE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER 29- Permit/Receipt No. sr;bfY New Meters Q Nalily Par! Angel~s City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered bejore inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Repor! or on the Building PermYHONE 457-0411, EXT. 224. : ,/'f'ttMlj- NOOCCUPANCYOAUSEESTABUSHEDUNDEATHISPEAMIT $ I 70 1 Electrical Inspector Permit Fee I WHffE - File by address PINK - Top: Eng, Bottom, Customer .~ GREEN - Top: Meter aapt.. Bottom: Cit~ OLY1'C "'""" 'NC " . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. S.3' 7.J / /I? /P? I / DATE O~ ~'tu/~C &~ ' 'A o READY FOR INSPECTION license Number: o WILL CALL FOR INSPECTION Phone: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT o I'BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW_ o :FAN/WALL KW _ o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR ~TEMPORARY SERVICE o RISER '"!%OVERHEAD SERVICE tJ UNDERGROU~ SERVICE VOLTAGE: 1l-dJ '2..;D l1C19\ 039\ SERVICE SIZE c..r9D FEEDER SIZE AMPS AMPS De ailslDescription: -- . ~ ~d.NO. I CAPACITY: I , 0 O.K. 0 NOT O.K. A ION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE SERVICE SIZE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER I --1 o Ditch Inspection O.K. I o Rough-in/coyer O.K. I o O.K. to connect service I o Final O.K. I .' SI e Address: /' /()~ Lf ! Permit/Receipt No. S.:373 . Installer: I I Notify Port Ang les Ci y Light by Street Address and Permit Number when ready for inspection. Work mu t not be covered be/ore inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. JI I ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ (i ~S New Meters~ Electrical Inspector WHVE - File by address , OLYt'c '"'N,,"' 'NC PINK - Top: Eng, Bottom, Customer Pe,mit Fee ~ GREEN - Top: Mate, Dapt.. Bottom: City Hall ( J r" / . . . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. 7<3JV ///3/93 , DATE ELECTRICAL PERMIT Siti Address: Insialled By: Sq, Ft, o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Owner/Business: Phone: Owner/Business Address: I o TEMPORARY SERVICE o PERMANENT SERVICE ~ NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR ~ OVERHEAD SERVICE b UNDERGRQUND/SER~CE VOLTAGE: Le!.O/..:2f10 ~ SINGLE PHAS~ o THREE PHASE.... . SERVICE SIZE 0""l90 AMPS o RESIDENTIAL ~ COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW o HEAT PUMP KW_ I o SIGN I De~ilslDescriPtion: -I ~ I I -1 W.S. No. I CAPACITY: , 0 O.K. NOT O.K. ACr' ION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE --l o SPECIAL EQUIPMENT (LIST BELOW) A~ '" / Go/r I cf-f7c.c! ;5000 Wt17tS - ~/A 1-~1t.1 Q '. / --#: -r- ,30 ~ C..tlr - ~r97/C1/ a#'tc.e~- Iu/R. L /0 ENGR. SERVICE SIZE DATE o CHANGE SERVICE WIRE o OTHER , o bitch Inspection O.K. I o Rough-in/cover O.K. o Ib.K. to connect service o Final O.K. Site Address: I / /0.5 L'lUd Ou, Installer: - J L _ <""" / Date' '~[TU2 Ur: /C- II 0, 1'3 N~tify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writi~9 0 either the Wiring Report or'on the BuildinQJ'ermit. PHONE 457-0411, EXT. 224. . &0 I '~"'1 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 70 ,- Electrical Inspector Permit Fee ~. W ITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall O'1"C PR'NTEAS 'NC, Inst lied By: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. ~S-lf~ .3~~/?O / DATE Site Address: o READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Owner/Business: Phone: Own r/Business Address: Sq. Ft. Residential Heat KW Baseboard 0 Furnace/Boiler d Heatpump 0 Other I Commercial/lndustrial load Total Connected load (attach breakdown) I Total Motor load I (attach breakdown) DetailslDescription: I o New Construction o Remodel o Service update/alter/repai r o Overhead o Underground Voltage o 10 030 Service size o Temporary Amps o Add/alter circuits o Auxiiiary power (list below) p( Special equipment (list below) . j I ~ I w.Sf No. Service Capacity: 0 O.K. 0 Not O.K. ~ ~itch inspection O.K. o Rough-in/cover O.K. I o 0.K. to connect service AP ~ 1inal O.K. Size Comments Date Hold tor: D Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending - tJ . No ify the epartment of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by ~he Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. _I y ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ..::J 0 .'i!!!2 Inspector Amount paid WHI~E - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLV:l:.IC PR1NTERS. INC.