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HomeMy WebLinkAbout1025 W 16th St - Buildingo~,° ~¢ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 10/07/2002 PERMIT NO: 13761 OWNER/APPLICANT PROPERTY LOCATION 1025 16TH STW RICHARD HEDRICK Lot: 13,14 915 GLENBROOK CIR Port Angeles, WA 98362 Block: 430 [] Long Legal 360/457-1232 Subdivision: TPA T: S: Parcel No: 063000043065000 CONTRACTOR ARCHITECT PENINSULA ROOFING N/A 1216 S. H ST Pod Angeles, WA 98363 , 98360-0000 3601417-1039 360/000-0000 PROJECT INFO Project Value: $1,125.00 SFD Units: 0 Commercial: 0 Project Type: RE-ROOF SFD SQFT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 ~ Occupancy Group: MFD Units: 0 03 Construction Type: MFD SQFT: 0 U~ zoning use: RS7 PROJECT NOTES ~ TEAR OFF, SHEET, FELT, COMP RECEIPT#9757 ~ FEES ASSESSMENT Building Permit: $44.85 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: $49.35 Plumbing: $0.00 AMOUNT PAID: $49.35 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 n ul! 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 previsions 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 Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\I 102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 6/12/2002 PERMIT NO: 13486 OWNER/APPLICANT PROPERTY LOCATION RICHARD HEDRICK 1025 16TH ST W 915 GLENBROOK CIR Lot: 13,14 Port Angeles, WA 98362 Block: 430 [] Long Legal 360/457-1232 Subdivision: TPA T: S: Parcel No: 063000043065000 CONTRACTOR ARCHITECT owner N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $800.00 SFD Units: 0 Commercial: 0 Project Type: STAiRS/INT SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES INTERIOR STAIR RECEIPT~t9211 FEES ASSESSMENT Building Permit: $32.65 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: $37.15 Plumbing: $0.00 AMOUNT PAID: $37.15 Mechanical: $0.00 Radon: $0.00 BALANCE DUE: $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 w~e~.h.er specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any ~tate ~ Iocal.ia)ff'regulaJ33g constrqa:tion or the performance of construction. [ .-) /"/' /~ / /' Signature of Contractor or Authorized Agent Date ~ig~ature of Owner (if owner is bulmer) Date T:\PLANNING\FORMS\] 102.15 [4/2002] I ~c-~rf~ [ FOR OFFICIAL USE ONLY: ~,°~ Date Rec.: ~, ' / ~> -r.3"/- BUILDING PERMIT - APPLICATION Permit//: I Date Approved: Date Issued: The BuiMing Permit Application must be filled out completely. Please type or print in in~ If you have any questions, please call 417~815 Applic~t or Agent:~' ~g~ ~/~,C ~ Phone: ~< ~- C~3 ~ Owner: ~SkE Phone: Ad~ess:~t~ ~[~~ ~ O~City:. ~ Zip: ~~ ~chitecffEngineer: Phone: Contractor ~ g ~ ~ License ~: Exp: Phone: Ad.ess: City: ~ Zip: PRO'CT ~D~SS: r 0 ¢ ~ ~ ? ~ -- tuNING: ~ ~ LEGALDESC~PTION:Lot:~ ~]~ Block: q~ Subthvision:~ ~ ~ CL~L~ COUNTY P~CEL N~BER~redit Card Holder Name: Billing Address: City: ~,/ CreditCara~: ~N~'f ~ (~0~ ~O~-Exp. Date: ~ ~ ~SA MC ~ T~E OF WO~: SI~N~UA~ON: ~ Residential ~ New Consff. ~ Re-roof ~ Wood-stove SF. ~ $ /SF.-~ ~ Multi-fa~ly ~ Addition ~ Move ~ Garage SF. ~ $ /SF. ~ $. ~ Co~ercial ~ Remodel ~ Demolition ~ Deck SF. ~ $. /SF. = $ ~ Repair ~ Sign ~ TOTAL VALUATION $ ~ ~ ~ m scmexio o x. o cx: COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: Lot Size: % Lot Coverage: % Existing Lot Coverage: /sq. fl. + Proposed Lot Coverage:. /sq. fl. = TOTAL LOT COVERAGE: /sq. fi. 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 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: 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. 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 responsibilit3~termin~' what permits are required; it remains the applicant's responsibility to determine what permits are required and to obta~ sj ,~ ~ Applicant: ' ~,~ (~.,~r ~ ~_, Date: T:\FORM SXAPPS~Buildingpennit CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? L5749 y ~ ^Jr;.~r Port Angeles. Washlngton_________..___n..n.:.._....___.........______.___.______.... 19___n.~~ In accordance with the City Ordinance to regulate the Installation. extension. or repair of elec- trical equipment in. on. or about any building or other structure in the City of Port Angeles. per- mission Is hereby granted to dO electrical. work as listed below. Address ___.l(2..?...?......___~:/.<t.fif:.......nm.nnm.nn.mm Occupancy.t:!,J~:.~..______...n...n.......___.___. Owner .....~.~i,:f.~?fL,.n_________n___n___.___n..m..... Tenant.nn...m.___.mn___........_.......___._________..__.....nn___... Wiring Contractor ..(l?-!!:.~.q,-!?.___f:Jfi:c.5l::L---........ By.........___.nn___nnn___..n________.m....n.nmmm.....n LIght ouuets...............................l::._..... ServIce, volts ../J.::!>/..;';YtL..... Type of Wiring: . I . No. wires ......"$......................C1.... V/%l,J/ Size wIres.................._.................... / 6t~ ..4 ::~::::: ::::=1:~:<..::::::...::: Receptacle Outlets__mm.h__.................. Armored Cable .............m..m...___... Dryer, KW......_...._.....__..______n______n_____ Non.Metalllc ......._..._................._0.. Knob & Tube................................. Range, KW ____.....___....____ Water Heater: RIgid ConduIt ............................... Metallic TUbing .mm__..__.............. KW............................................... Heat: KW.......I/L...>.:.../!t.,I/!../i... .' Type of wiring: Entrance Cable __........0....__...... Raceway _.____.__......................_....._ Motors: sIze, volts and phase: Rigid Conduit ......0.............. Metallic Tubing __.___..._u... Current transtormers: No. & Size...................h__................ CIrcuIts. Light....................................... Utility............................................. Heat __u__....._................................... Ser. NO...____.h_......___..__....____.___...h.hh. Range ........__........_______..0.___............. Water Heater ............._.__.............. Motor ..._..._......__________..............__... Ser. No.......__._____._._........___........._...... Dryer _____________......................_....u..__.._ Furnace .................__...._.'_.__.....__..__..__. Ser. NO....h__....._................hh......h..... Total Load____........__________..___.. Ser. No. u...._______..............___.._...._._.._. Total _...0......_........0............_.__._ Remarks: ..00___...0000 ~"'.,<.,L.t2e.::mn.......o':"!..fl"':<:".~"--,""-:0.m.___.....m....nn.___...__......n...........___nn___ -C;5: Ir -- - . -.;. .___mm...........___._______________.___.___il...m.___..n...m..n..mnmn....mm___.______n...____________._____________________n______nn____________n___n Permit Fee Treas. Receipt NO.___.______._____n__n_____. By nnn.___.______n______..______n___.___nnnn.............___..__ $..n___.........___.______m___n___. NOTIC~Current must not be turned on until Certificate of Inspection has been Issued. It work is to be con. cealed due notice must be given the Inspector so that work may be inspected betore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT' N? 15749 Address....._.__.........._......................_....._................................................__.._......_________....._...._.......Date..._.....__...______._.........._......_......_......._. Owner ..._...............................__........__......_......_.._................._....._...__nn____nn.n..h....n..n. Tenant._._................................................................ Wiring Contractor..............._........hn..................._nnn...n_.n_.........__...n_h....h___.._...__._n.n..nnn..nn By __..............................._............................ NOTICE--Current must not be turned on until CertitIcate of Inspection has been issued. It work is to be con- cealed due notice must be given the Inspector so that work may be inspected betore concealment. 1M Olympic Printers, Inc.