HomeMy WebLinkAbout501-1/2 E 4th St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
~..~.~¥~ I'~1-~1¥11 1 ISSUED: 6/11/2002 PERMIT NO: 13479
OWNER/APPLICANT PROPERTY LOCATION
SANDRA MOORE 501 1/2 4TH ST E
11219 FREEMONTAVE Lot: 19
N. SEATTLE,, WA 98133 Block: 65 [] Long Legal
206/367-3671 Subdivision: PSCC
T: S: Parcel No:
CONTRACTOR ARCHITECT
SUNSHINE BUILDERS N/A
Pod Angeles, WA 99360 , 98360-0000
360/457-7539 360/000-0000
PROJECT INFO
Project Value: $2,283.00 SFD Units: 0 Commercial: 0 ~'J"l
Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0 Ix`ix
Zoning Use:
PROJECT NOTES ~'~
TEAR OFF, FELT, COMP
RECEIPTg9201
FEES ASSESSMENT
Building Permit: $83.25 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $87.75
Plumbing: $0.00 AMOUNT PAID: $87.75
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
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.
Signature of'ContrAS'or or~Authorize~ Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\1102.15 [4/2002]
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.
INSPECTION TYPE DATE [ ACCEPTED COMMENTS
YES ] NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS [
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB 1
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD/ DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT#'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTPdCAL - LIGHT DEPT. 4174735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEEPANG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 ~.~'/~' ~ ~' (-'~'~f~ BUILDING
FOR OFFICIAL USE ONLY:
Date Rec.: /~,--/t {_ 0~-..-~
*~ BUILDING PERMIT APPLICATION
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 4174815
Applicant or Agent: ~i! ~/9~/,/2-~"" ,~vtd_T/_~..)~ 3' Phone: ~dff' 7'
Owner:? Phone: - -
Address: ~)[ fi- /7/ 2~- City: ~°0:4- t~n~v]eS (~. Zip: ~--~
Architect/Engineer: Phone: ~- -
Contractor ~&~ F/~,;r~r~'- ~4~'gLicense #: Exp: Phone:
Address: ~)~ 2~C5W,. ~:~c4~ City: ~g4 Zip:
PROJECT ADDRESS: ~-~ / ~ ~/~2-', ZONING:
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name:
Billing Address: City:
Credit Card #: Exp. Date: VISA MC
TYPE OF WORK: SIZE/VALUATION:
[] Residential [] New Constr. ~--Re-roof [] Wood-stove SF. ~ $ /SF. =-$ '
[] Multi-family [] Addition [] Move [] Garage SF. ~ $ /SF. = $.
[] Commercial [] Remodel rn Demolition [] Deck SF. ~ $ /SF. = $
[] Repair [] Sign [] TOTAL VALUATION $ D,~
BRIEF DESCRIPTION OF THE PROJECT: T~-~/~-t~ - 6 ~[")'~ ~-'- ~) ~
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: __ Construction Type:
No. of Stories: Lot Size: % Lot Coverage: %
Existing Lot Coverage: /sq. fl. + Proposed Lot Coverage: /sq. ~. = TOTAL LOT COVERAGE:
PLANNING USE ONLY: APPROVALS: PLAN
Notes: BLDG.
DPW
FIRE
ESA/Wetland(s): [] Yes [] No SEPA Checklist required? [] Yes [] No Other: OTHER
BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled 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 41%4815 for assistance.
PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and constraction 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 180 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.
1 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. 1 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 obtain such.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST: !c ~/~
Date Time Received by {phone, person)
Location of Work to be inspected ~"--~) i ~/~ ~-- ~ ~
Name of person requesting inspection ~ ~(/~,~/~/_~j ~ ~) ~/__.~_ ~r~
Address of person requesting inspection ~ ~ ~[ ~ Phone No. z~/j---
Type of Inspection (circle appropriate one): Permit No. /
Sewer Foundation Framing Chimney Plumbin~ Sewer Excav. Other
INSPECTION NOTES: _--~ ~-
Inspected: Date Time By ~
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel ~Asphalt I~PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)