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HomeMy WebLinkAbout1003 W 18th St - BuildingPREPARED 6/01/09 9 46 52 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/01/09 ADDRESS 1003 W 18TH ST TENANT NBR NELSON CAROL TOPPER CONTRACTOR SUNBURST BUILDERS OWNER TOPPER JR NELSON J PARCEL 06 30 00 0 4 5090 0000 APPL NUMBER 07 00000909 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV COMMENTS AND NOTES PHONE (360) 808 4972 PHONE (360) 683 1030 BL99 01 3/31/09 PB BLDG FINAL TIME 01 00 3/31/09 DA March 23 2009 2 54 26 PM 1pangrle NELSON 670 9418 BLDG FINAL AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE March 31 2009 3 30 31 PM pbarthol NO INSPECITON OF WING WALLS PRIOR TO COVER BL99 02 6/01/09 JLL BLDG FINAL May 28 2009 1 34 57 PM 1pangrle NELSON 670 9418 BLDG FINAL PLEASE CALL HIM WHEN YOU ARE ON YOUR WAY (,l PREPARED 3/31/09 9 58 20 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/31/09 ADDRESS 1003 W 18TH ST TENANT NBR NELSON CAROL TOPPER CONTRACTOR SUNBURST BUILDERS OWNER TOPPER JR NELSON J PARCEL 06 30 00 0 4 5090 0000 APPL NUMBER 07 00000909 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 3/31/09 JLL SUBDIV PHONE (360) 808 4972 PHONE (360) 683 1030 BLDG FINAL TIME 01 00 March 23 2009 2 54 26 PM 1pangrle NELSON 670 9418 BLDG FINAL AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES k X,4/`S/ d k4 611 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOT! NOS SHEAR WALLS WALLS FOUNDATION DRAINAGE/ DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY. BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DPYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -1N HEAT PUMP /FURNACE /DUCTS GAS LINE FINAL DATE ACCEPTED BY. WOOD STOVE /PELLET /CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING &HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LI GHTJNG ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED i YES NO ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W PW ENGINEERING FIRE 417 -4653 FIRE DEPT PLANNING DEPT 417 -4750 PLANNING DEPT BUILDING 417 -4815 BUILDING h AI Li- J 0, CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, IA'SULATE OR CONCEAL ANY H'OP.KF,EFORE C> INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION .9 KEEP PERMIT CARD AND APPROVED PLANS AT .IOB SITE. T \Policies \1102 15 building permit inspection recordD5 wpd [1/4/2005) BUILDING PERMIT INSPECTION RECORD 4 OF PO��("in hal DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner TOPPER JR NELSON J 621 PINNEL1, RD SEQUIM (360) 683 1030 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 10 00 14 0000 THOU Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T \1102_15 building permit inspection record05 wpd [1/4/2005) 07 00000909 475915 1003 W 18TH ST 06 30 00 0 4 5090 0000 NELSON CAROL TOPPER RES REMODEL RESIDENTIAL HIGH DENSITY 11999 Contractor SUNBURST BUILDERS PO BOX 1513 WA 983827585 SEQUIM (360) 808 4972 BUILDING PERMIT RESIDENTIAL REPAIR FOURPLEX DECKS 108357 235 75 8/15/07 Valuation 2/11/08 CITY OF PORT ANGELES Plan Check Fee BASE FEE BL -2001 25K (14 PER K) STATE SURCHARGE Charged Paid Credited 235 75 235 75 00 94 30 94 30 00 4 50 4 50 00 334 55 334 55 00 Date 8/15/07 WA 98382 94 30 11999 Extension 95 75 140 00 4 50 Due 00 00 00 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 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordi nces governing is type of work will be complied with whether specified herein or not. The granting of a permit does not presume to gi authority to vio te or cancel the provisions of any state or local law regulating construction or the performance of construction Signa ctor or Aut Agent Da ©7 Signature of Owner (if owner is builder) Date PLANNING USE ONLY APPROVALS. PLAN BLDG DPWU FIRE. ESA/Wetland(s). Yes No SEPA Checklist required? Yes No Other O'1'13ER. PR N 1 MO /D3 Apphcant or Agent: Phone: Qton Cart (16pf) Phone: NJ' 6 D p� lb Address: G� I I o ne', I Crt .9C f rrn LOA Zip: C�2 J (.:�2 v Phone: Archltect/E rneeer• 10" Wekk one. Contractor fin OM Ci s5 State License #97t JIYINLB 0 Exp: f6 Phone: 19 Address: TO FV 15i& City: cZ y t tf vi/ c- zip P635,9 PROJECT ADDRESS /603 I.i l f 5 P LtJ f A ZONING 7 k t-+ 2) LEGAL DESCRIPTION Lot: IQ gO Block: 450 Subdivision. CLALLAM COUNTY PARCEL NUMBER. ()L> 3 c(xf o45U r/bcc TYPE OF WORK. Residential New Constr Re -roof Stove n Multi- family Addition Move Garage Commercial Remodel Demolition V'Decl6 Repair Sign Other F DESCRIPTION OF T PROJECT 'l l tr t 4 CO I RCIAL/RE II E No. of Stories: eg Lot Size: Total lot coverage T•\FORMS\BIdgPermitform.wpd App BUILDING PERMIT APPLICATION Fill_ out COMPLETELY and in WK. Your application and site plan MUST COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Occup :icy Group: Existing Sq. Ft. Occupant Load. S17.ENALUATION SF $..30, /SF 9 99 /q) SF /SF P i r SF /SF TOTAL VALUATION Construction Type: Proposed Sq Ft. TOTAL Sq Ft. Date: ef- L.9 7 FOR OFFICIAL USE ONLY Date Rec. g- 2_--( Permit Date Approved Date Issued: 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. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of pernut issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the 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 R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that 1 have read and examined this application and know the same to be true and correct. l am authorized to apply for this permit and understand th t it is my respon ibility to determine what permits are required not the City's, and that I must obtain such permits prior o work. i 1 Aug 08 07 08 02a GARY D CASWELL Sunburst Builders Gary Caswell PO BOX 1513 SOOwm WA 98382 FaX To: ATTN: L /A1D4 P R- �2T 0 /1/62 S gutz-.D IRs ,G Fax: /Jl' 4/7_ 5/ Phone: eecO 977 `-13iZ Comments: Sunburst Builders From Gary D Caswell Pages: 2_ Date: CC: Gary D Caswell 360 582 -9647 41.1 27 Urgent For Review 0 Please Comment *Please Reply Please Recycle P 2 P24SE PAt z LL G 7AI Rx 4 71,714Z-7 r p2.61-6 AI ,c e 7 E/� DDcKRE 9 L/4Cem 4Jr /Ofelao_167c-r: /2 -f2 14 e r Ag Qi-tesrso.QI S CA cA& 11 Gary D 1---41/7 Caswell 360 -6566 home/office 360 808 -4972 cJ t 7 Q TvP 1. o7 rc744 /Vra L77L.. Z't 1,91L ryp6f 4u4i4g1l/ '..`!r/fr1 ?4,L 4 77AC 42 A/r e r (Zrroo1 R'41& r WELES Construction Plans 4� a41-11 Got, 545 `ro I- L d The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being carried on thereunder when in violation of ail codes and ordinances of this jurisdiction. 2 PotP C 1 Approval Date S /l/% b'�) By .J1 1 5-1/(A/ ef/Z5r !3c//U t, 'f/P6k, ng o'e. RA JL S G T cKer5 57 PP/z CSC MR iAi- i 2411 r a7- qOq N F Q V 11 GQ 0 0 0 0 DI CRY OF PORT ANGELES LIGHT DEPARTMENT Port Angeles, Washington cs� 19 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 y G' 3 /.1- Occupancy i? Owner {r'a p I Tenant Wiring Contractor T Pa, Si (04 r By 5e/ Light Outlets ✓v Y,‘• Receptacle Outlets U /X Dryer, KW 7 '<x Range, KW Water Heater: 5.7( KW yX L7 Heat: KW Motors: size, volts and phase: Remarks: Permit Fee 7,n6 Total Load ELECTRICAL PERMIT N? 15788 Service, volts _.7 O .l Type of Wiring: No. wires Armored Cable Size wires ,5 /7� Non-Metallic Main fuse C M o Knob Tube C Rigid Conduit Enclosure Metallic Tubing Type of wiring: Raceway Entrance Cable 3 Circuits, Light Rigid Conduit Utility Heat Range Water Heater 0 Motor Metallic Tubing Current transformers: No. Size Ser. No Ser. No. Ser. No Ser. No Dryer Furnace Total Treas. Receipt c No By- r /ten y NOTICE Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notice must be given the inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15788 Address Date..._ Owner Tenant Wiring Contractor By NOTICE Current must not be turned on until Certificate of Inspection has been Issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. I 1M Olympic Printers, Inc. MAY -14 -2008 07:43A FROM:KIRSCH ELECTRIC 3606830869 C Q /installation description Job wired by ,i $,Electrical Contractor Pp X Il wa g 'q I n Electrical con qactor a e License num r 1 ata Ep e k4irs(` h name sic \nom kT SC- i Pp[ k t ilingX 3 .41 p Ci State ZIP Tele•hone nd ber F n um sa 04. eta 4. Preml es owner's name Address Ins casino esi i aA e c Pboap r i x er rd ems, Loh tladao (Signature of oweeictrlcs! contractor or electrical administrator X Electrical Load Additions and o Date: btractlona 0 Commercial )(Residential O New O Altered/Additloa /003 /d. _s7` Owner as defined by RCW.19.18.161:(I) Owner will occupy Me structure for two Sears sifter this electrlm/ permit U finalised. (7) Owner is re9tdred to hire an electrical contractor tf above said property it for sale, rent or lease. After reading the above statement, I hereby certify that 1 am the owner of the above named property or s licensed electrical contractor. I am making t electrical instal- lation or alteration in compliance with the electrical laws, N.E.C. RCW. Chapter 19.22, WAC. Chapter 296 -460, The City of Port Angeles Municipal Coda, and Utility Specifications. O Cash 0 Check 11 Credit Card Vast Mastercard Card Expiration Data of card Discover Inspection fcc Service Information O NO LOAD CHANGES O Baseboard O Furnace O Hoot Pump O Fan -Wag KIN KW Ton LAR KW SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360 417 4735 ova FINAL ROUGH -IN AAypar q rt naa ApAave4 e O Overhead SeMoe O Temp Service O Underground Service TO:4174711 P.1 00 C I A r' ELECTRICAL WORK PERMIT APPLICATION "Ni -c Voltage Phase 0 1 0 3 Service Size. Feeder SIZE: THERMOSTAT SERVICE Uar. A 4 By DITCH FEEDER Inspection Date Area, Building or Equipment g E9 Pm Inspected Action •liken Electrical Inspector cf 1VT l».G�7 1--o(75 �r/ MAY 3 E 4c ICS IC_ (nn tG�2, Qr�'C -1k 0 A 20 ,ftr-Q rit MAY -14 -2008 07:43A FROM:KIRSCH ELECTRIC 3606830869 C Q /installation description Job wired by ,i $,Electrical Contractor Pp X Il wa g 'q I n Electrical con qactor a e License num r 1 ata Ep e k4irs(` h name sic \nom kT SC- i Pp[ k t ilingX 3 .41 p Ci State ZIP Tele•hone nd ber F n um sa 04. eta 4. Preml es owner's name Address Ins casino esi i aA e c Pboap r i x er rd ems, Loh tladao (Signature of oweeictrlcs! contractor or electrical administrator X Electrical Load Additions and o Date: btractlona 0 Commercial )(Residential O New O Altered/Additloa /003 /d. _s7` Owner as defined by RCW.19.18.161:(I) Owner will occupy Me structure for two Sears sifter this electrlm/ permit U finalised. (7) Owner is re9tdred to hire an electrical contractor tf above said property it for sale, rent or lease. After reading the above statement, I hereby certify that 1 am the owner of the above named property or s licensed electrical contractor. I am making t electrical instal- lation or alteration in compliance with the electrical laws, N.E.C. RCW. Chapter 19.22, WAC. Chapter 296 -460, The City of Port Angeles Municipal Coda, and Utility Specifications. O Cash 0 Check 11 Credit Card Vast Mastercard Card Expiration Data of card Discover Inspection fcc Service Information O NO LOAD CHANGES O Baseboard O Furnace O Hoot Pump O Fan -Wag KIN KW Ton LAR KW SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360 417 4735 ova FINAL ROUGH -IN AAypar q rt naa ApAave4 e O Overhead SeMoe O Temp Service O Underground Service TO:4174711 P.1 00 C I A r' ELECTRICAL WORK PERMIT APPLICATION "Ni -c Voltage Phase 0 1 0 3 Service Size. Feeder SIZE: THERMOSTAT SERVICE Uar. A 4 By DITCH FEEDER Application Number 08 00000574 Application pin number 376238 Property Address 1003 W 18TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 4 5090 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 0 Owner Contractor TOPPER JR NELSON J 621 PINNELL RD SEQUIM WA 983827585 KIRSCH ELECTRIC INC P 0 BOX 3396 SEQUIM (360) 683 6819 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc KIRSCH/ MTR REPAIR Permit pin number 126599 Sub Contractor KIRSCH ELECTRIC INC Permit Fee 34 00 Plan Check Fee Issue Date 5/15/08 Valuation Expiration Date 11/11/08 Date 5/15/08 WA 98382 00 0 Qty Unit Charge Per Extension 1 00 34 0000 ECH EL R OR RM REPAIR METER /MAST 34 00 Fee summary Charged Paid Credited Due Permit Fee Total 34 00 34 00 00 00 Plan Check Total 00 00 00 00 Grand Total 34 00 34 00 00 00 DATE RESULTS EL IH;CTRICAL INSPECTOR SPECTIOI` TYPE OMMENTS: PREPARED 4/11/06 12 47 19 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/11/06 ADDRESS 1003 W 18TH ST SUBDIV TENANT NBR NELSON TOPPER CONTRACTOR AFFORDABLE SERVICES PHONE (360) 683 9619 OWNER TOPPER JR NELSON J PHONE PARCEL 06 30 00 0 4 5090 0000 APPL NUMBER 06 00000311 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 11/ 6 l L 0UI11ING 6INAL 04/11/2006 08 12 AM PBARTHOL JANE 683 9619 COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner TOPPER JR NELSON J 621 PINNELL RD SEQUIM Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date WA 983827585 10/01/06 Signatur of Contractor or Authorized Agent 73791 123 75 T-\Policies \1102 15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000311 134574 1003 W 18TH ST 06 30 00 0 4 5090 0000 NELSON TOPPER RE ROOF RESIDENTIAL HIGH DENSITY 3545 Contractor AFFORDABLE SERVICES 258663 HI WAY 101 SEQUIM (360) 683 9619 BUILDING PERMIT NO PR FEE Plan Check Fee 00 Valuation Date 4/04/06 Fee summary Charged Paid Credited Due WA 98382 Permit Fee Total 123 75 123 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 128 25 128 25 00 00 Date 3545 Qty Unit Charge Per Extension BASE FEE 95 75 2 00 14 0000 THOU BL 2001 25K (14 PER K) 28 00 Other Fees STATE SURCHARGE 4 50 rtwid,c 4/(Ve F 463/ W>4 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 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 violat- or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) Date INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING FINAL DATE ACCEPTED BY. UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL FINAL DATE ACCEPTED BY. HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING SEPA. ESA. SHORELINE: PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W PW ENGINEERING FIRE 417 -4653 FIRE DEPT PLANNING DEPT 417 -4750 PLANNING DEPT BUILDING 417 -4815 1` i I/t!/ VIP BUILDING BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES 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. T \Policies \I 102_15 building permit inspection record05 wpd [1/4 PLANNING USE ONLY APPROVALS. PLAN BLDG DPWU FIRE. ESAJWetland(s) Yes No SEPA Checklist required? Yes No Other OTHER. BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 FOR OFFICIAL SE oN Date Rec. 4 Ob Permit 1 Date Approved Date Issued: 3 14V/62(4, Applicant or Agent: H'f!r—Or (/I b _e.x U f (JZ S Phone: 30lQ 6!q Owner M L Tdp/ ter Phone. M<) GD'r33 t'03O Address. Cpl.) Pi n n -e.l 1 12.4 City St/4,4.A rn WA" Zip g),32-- Architect/Engineer Phone- Contractora OA-, A-, h11.41/1. State License #:A- fr-Dt25IC Q)/ Phone. Address. 7' 2 2 3 t-f( .t.th I (A) City SeQ-c ta..nyl C.074 Zip 92 PROJECT ADDRESS «).,i W 1 (.51yeee ZONING LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. SUN/VALUATION Residential New Constr B'Re -roof Stove SF /SF Multi- family Addition Move Garage SF /SF Commercial Remodel Demolition Deck SF /SF 0 Repair Sign Other TOTAL VALUATION 3 5 (x-) BRIEF DESCRIPTION OF THE PROJECT 'J",e(.JiV ('Sl 1 s il 7 Gorr p COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load: Construction Type: No of Stories: Lot Size: Existing Sq. Ft. Proposed Sq. Ft. TOTAL Sq Ft. Total lot coverage 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. IF a plan check fee. is due it must be submitted at the time the building permit apphcation 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, the application will expire. The Building Official can extend the tune for action by the applicant up to 180 days upon written request by the apphcant (see Section R105.3.2 of the International Building/Residential Code, 2003). 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. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work T•\Policies\BL- 1102_13.wpd Applicant: Date: 1 4 1-1-064' pi C3 0i3 0 Top,)ei s Photcyaraphy In; ',Pi:1 1-4i:: %-Bt...E SEPU CE .5 r H. NC iF5E3::. qt 2 9 1. 27 7, 01 7- F, el t:1541 P1 Affordable Services 258 6e3 'riWv u] West Segoirn WA Since 971 9 36O385724 350) 452 C840 BID PROPOSAL 4 p P J Q..\.a.)rr T I ficer L 0,:eye_.3 5.a te ?er ter tc proicc1 r T. old r,ofilg hv2iul to frastall Plywood nsta 1 I goof Felt Install Dry') r'.dge Meta 1 tall r trEsta 1 IvIcuil ,k a eyF li t Val, It..tli Roi...f to WEill Fiashinz 1 L ial o<ii. Vert :5 install Roof ti, Nal, Step E. ,aM) ng ilst. A.Ittc Vents Cut In Chnrney Co rte Flashing I ,stz Sun Tube Irvitai! Ch,rn ey tq.) Flashinp, 1 -1st& SV Install Sky gi lashing i -isial Instill ristai trutal ttcur!-. cate Dr a n Fmid ,...ocatior P I LI.,c. es Building P,..trrn 1 C-Tre-i- iu Sezure Building Permit sir-Jells n 3 rc Rj IfA ..cs are sub to tats blf; d c any 11,.=.7.1a.kr, alteraticris. udditiurs, incrmiseis ir material and cr. 12b..)r to ::crEnpiv.e H Orr Qr. +mei will be notified of any nocessary char:ges, Nifttich may eff cost, txfc.g.e 4.411*.• Y e r tar Instal ation `w'arrart ThrtiabIe Services Representative ...C. 0 CU-3(01r; 1.01r1413 5toiner N Si of Aci..tptarice Phone #1 ___C22.....3:16-20 $'-u5 Z p C. -1de (300 C83- 030 p 1 /1 t_ 4-florrie;.-It St•-Acts Iz rats Date 441,57_ Date