Loading...
HomeMy WebLinkAbout1502 E Lauridsen Blvd - Scoring Tower - Building (pOFlT~ -<O~", Jr~~ L~ ~ 'l.to.o::~ CITY OF PORT }\NGELES DEPiillTMENT OF COMMUNITY DEVELOPMENT - BUILDING D1VISION 32! EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name property Use property zoning Application valuation 06-00001170 Date 11/22/06 973800 1502 PCC EAST E LAURIDSEN BLVD 06-30-14-1-2-0000-0000- COMM NEW CaNST Owner Contractor ~ , PUBLIC BUILDINGS & PARKS 12250 STATE OF WASHINGTON OWNER GEN ADMIN OLYMPIA WA 985041000 .'- Other struct info illU~D SURFACE AREA --.1 " Permit BUILDING PERMIT - COMMERCIAL Additional desc Permit pin number 89599 Permit Fee 249.75 Plan Check Fee .00 Issue Date 11/22/06 Valuation 12250 Expiration Date 5/21/07 Qty Unit Charge Per Extension BASE FEE 95.75 11.00 14.0000 THOU BL-2001-25K (14 PER K) 154.00 Special Notes and Comments ORIGINAL PERMIT #05-727 HAD EXPIRED, THIS PERMIT IS RE-ISSUED UNDER THIS PERMIT #. 10/25/2006 10:55 AM DYASUMUR ------- -?; ? 0;:: ~ ~~ ~ ~ ~~ ~N ~\; c ~6 ~~ ~ \ ~ Other Fees STATE SURCHARGE 4.50 Fee surrunary Charged Paid Credited Due ----------------- ---------- ---------- ---------- Permit Fee Total 249.75 249.75 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 254.25 254.25 .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 ;,nspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of :13\VS and ordinances governing this type of work will be complied with whelher specified herein or not. The granting of a permit does not ~/esume to give authority to violate or cancel the provisions oLany state or local Jaw regulating construction or the performance .of l~.onstructio Signature of Owner (if owner is builder) Date Signatur T:\Policies\1102_J 5 building permil inspection record05.wpa [1/412005] BUlloDING 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 PERMJT CARD AND APPROVED PLANS AT JOB SJTE IZ:I ~ I -.. INSI'ECTION TYPE DATE I ACCEPTED COMMENTS I YES I NO fOUNDATION: 1fY/""-O b/Q/e Jf~ff'l J~ FOOTINGS SHEAR WALLS/WALLS FQUNDA T/ON DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE RLDGS.l PLUMBING UNDER FLOOR I SLAB RQUGl-I-IN WATER LINE (METER TO J3LDG) SHOWER rAN FINAL DATE ACCEPTED BY: MEDICAL GAS LlNE AIR SEAL WALLS I CEILING I ]7RAMING JOISTS I GIRDERS SHEAR WALL/HOLD DOWNS I. n"70'7 J LL WALLS I ROOF /CEIUNG DR YW ALL (fNTER10R BRACED PANEL ONL V) T-BAR fN'sULA TION SLAB I I WALL! FLOOR I CEILING I I MECHANICAL HEAT PUMP J FURNACE! DUCTS GAS LINE WOOD STOVE I PELLET I CHIMNEY FINAL DATE ACCEPTED BY' 'COMMERCIAL HOOD! DUCTS MANUFACTURED HOMI!:S FQOnNG! SLAB BLOCKING &.. HOLD DOWNS SKIRTING PLANNING DEPT. SEPARA. TE PERMIT #'5 sEPA: ~, PARKING/LICHTlNG ESA, ~. LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL- LIGHT DEPT. 417-4735 ELECTRICAL t LIGHT DEPT : CONSTRUCTlON R.W.! PW! CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING RRE 4]7-4653 FIRE DEPT. " PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING lou- .1U- ~ ---- ~ "" ~ lV\ r ~ ~ r ~ s:- ~ x, ~ ~ ~, T , " T:\Poiicies\II02_15 Duilolng permit mspeCllon record05.wpd [1/4/2005] ~oo o ~ rl N ~ . "" ~e "" ~O >< ~ ~ ~ ~ e "~ "" ,,~ e~ z O~ HO ee UU ww "~ ~~ SS m o . ~ m ~ W .~ OOW O~ :-;~ N ~e .~ o ~ o W" ~O " ~>< we ~H "U > HWW OZZ 0000 ~~~ ~~~ o > ~ 00 z W ~ o ~ " ~ W e ~ " W U U ~ N o ~ rl e ~ z , 0 au o o. ZoW o z eo 1ig~ HOO "'U ~N "'0 'rl~ rl ~.rl OrlO , 0 Woo e~o " , , 80000 ~oo ~ . po: . ~ o 00 en t) . ~ Ul<t: ...:1:<'; Ulo::n::111 r:>:E-<UlU...:1 (:lZZP::o.. ~8~ii:~ ~ 8 Z W ~z~ HOO u! ~~ H8 ~~ 8&j~ ww 'O~ e H ffio..~ ~~~ z~ ~HW . ~ il S~!J .88 ~w ow~ oo~ 0' wo o~u ~ . ~ i ~ ~ ~, , ~~ " ~ ~ ~ ~ W ~ >< ~ ~ W ~ ~ ~ 8 ~ ~ W " ~ ~ W H ~ ~ o rl " m " . 0. rl o Z'<l' '<l' 0\ '<l' 0,.., <I' rl rl ::E: ..0\ 1"1 1'1 M...:l 0 r-f"1 [ilOr-O.:!rlNO ::E: ,.., I'l; 0'1 o rl . :r:r- Il-P:r-Nr-..J '" oooo<COlf)Oo<( -,.,-; eJOI.OOWo,=,oZrlt-Z r:..N'<l'N:r:N NHN..-lH :<:....... ........Ul' .......~ 'Q'fl. ..... N N ,.., ...... 0o~odrl::<:rl(')'.-l:'::(,) O.......O.......Q.......U.......j:l...UCl ..JNHN...:lNHN...:l P,H...:! !IloO::OlIloc.::OlIlo<(r:>:f1l o ~ ~ ~ >< 8 ~ ~" ~" ~~ 00 ~~ NN 00 ~~ NN rl o , ~ 00 ~ , ~ ~ ~" ~" ~~ 00 ~~ N~ rlrl ~~ NN rl o m ~ 00 r' ~ , ~ : , , , , , , , 00 o ~ rl N ~ . rl o m m ~ 00 , '1 " ~ ~ Q ()l -L 00 j 0 , N " , N 00 0e << ~o ~ ., " ~ ., ., e om ~o U~ "< e~ z 0" "0 ee uu 00 ~~ ww ~~ o ~ " N o "m " ,., 00 00 ;:;~ " ,e N" o ~ o O~ "0 < ~>< oe "" ~u > "00 OZZ "00 ::>~~ m~" o > ., " Z o m o ~ < ., o e w < o u u ~ e m Z '0 au o a. ZoO O'Z eo 00' zo. "00 " u mN <'0 '"0 '" ~<" 0"0 '0 000 e~o <, eww moo N o ~ " " . ~ 'W o " U}0 . 5 (fJ.:( ....:IZ W~O:;fi1 0:; E-dilU....:l OZZOO:Cl. Q03:<tp,. .:(UOD.<t ~ j m ~ m J "e ., e cI) <" " .,. 0 . m" " " m 'J 0 ., 0 o~ ~ ~ 0 z e ~ , 0 . . 0 .. z ~ " < j Z ., 0 0 ~ H< <",m ~ m e~ -<" e < uS: ,,01 m Z Q",,..,,,,U:;Ot'- e ~ 0 50r-0.:(.-IN Z ., . ~ 0 ~ 0 <z. 0 " . ~ "00 ~o l"-Ulr-f'l I~~ 000 o~ 0 !:.9O'"'ot9o-q< u ~m ZN<J'NZN "e "' '"' ""' Orl NON OUQ ....:Io~o..-1.-1~ umm H........U.......H........U 00 ::>NHN::>NH '0" III 0 0:; 0 III 0 0:; e ~ H ffio,~ "mQ zm "' 0HO "'~ Z " ~< H ~ , HOO ~f , 000 00 .ee 00 mo " 00"' NN oQ~ 00 a. " 00 NN U"U " " , e " " a 0 0 H m , ~ , ~ . ~ " >< ., ., " e " " O~ o , N o , N 00 ~b << Oa , " " 0 m H Ob " > "H "~ " HOO m" b aZZ 0 m om 000 00 0 :><:r,l 0"" Z b ~~ moo 0 0 :n: Z b~ 0 Z 0 Z 0 ~ 0" HO HO m b~ bb b " m uu Z o~~ b 00 0 5O~ Z 00 ~z~ 0 mm 0 0 H ~ SS > HOO ~~, ~ " UHU 00 0 W ~b' oow U Z b om ZNO m ~Hb H' 0 Z "" aH m 0 SUO "0" a ou mm H'U 0 00 ONH " 0' '0" wo" ~ Zoo " 0 , Z b " bO H 0 ~g~ ~ b ~t m HOO 00" H b " 'U .m~ m mN zm N " " '0 ~HO 0 0 'H~ " " 'H . " U ~'H ~ Hm U OHO 0 0 '0 Hoa ~-t . " 000 ~OO ~O N b~o Obb o~ 0 " , , mo ~~ " bWw 00" H moo O~. 0 a~ 'b 00 N" . U.U 0 -" -0 . 0 0 0 0 0 b 5 W~ mu H .0 m< ~z b a 0 " f4a<:p;w . m 0' pH-dilUo-1 ~ , Ob DZZU:a.. . " "H ClO:S:~o. , " ou .,-;uoo..<t . b 0 Applicant orAgent: /V/ Jfrrt+E k.J . fR7~\ ;j<,)/ 4. (tit I Cf~'i' Address: /t)r:J2 {E-AL.il ""1~y....Zf"tity: p~ (:\.1t--114 ..,~ ArchitectlEngineer:-L)L- '-("'If'I, 17r:~6".l) \6!t'r?\/ S } I pJt:- Contractor 'ic~L State License #: Exp: I L . (; f2.AU.c-<, 3~o- UI7'~ :rs-O Phone: / , Phone: 3(;'() - iff 1'~5'-rtJ BUILDING PERMIT - APPLICATION www.cityofpa.us Print out form and fill out COMPLETEL Y in INK. Your application and s~ plan MUST BE COMPLETE to be accepted for review. L Questions? Call: PERMITS (360) 417-4815 Fax (360) 417-4711 Owner: Phone: Zip: otto.: '?,!. ') .!t \I - '":L 17'7 Phone: PROJECT ADDRESS: 1"'-"") Co (M e \ 0 &., .,j LEGAL DESCRIPTION: Lot: Block: f,LV#0 Zip: ZONING: -f) f. F' Address: City: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit Card Type VISA~MC_# TYPE OF WORK: o Residential ~ew Canstr. 0 Re.roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: SIZE/V ALUA TlON: o Slove SF. @ $ o Garage SF. @ $ o Deck SF. @ $ TOTAL VALUATION C:;COp' dr... -''''vJ'~R /SF. ~ $ /SF. ~ $ /SF. ~ $ $ ?t::f/.J#/J COMMERCIALIRESIDENTIAL: Occupancy Group: l) Occupant Load: & Proposed Sq. Ft. Construction Type: if ~ ~ TOTAL Sq. Fl. .7 107 No. of Stories:.2.- Lot Size: Existing Sq. Ft. Total 101 coverage % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. V ALVA TION 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. Contacttbe Permit Coordinator at417-4815 fOT 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 permit issuance. EXPIRA TJON OF PLAN REVIEW: Uno 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 RI05.3.2 of the International Building/Residential Code, 2003). No application can .be extended more than once. www.cityofpa.us Applicant:...:.......... _ I hereby certify that I have read and examined this application and know the sa understand that it is my responsibility to determine what permits are required, n ? ofI"ORT,v. "",~~ a~'is. .. ~- "<i.""" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 tJ' _{I 70 Application Number Application pin number property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . Application valuation 05-00000724 Date 10/14/05 B22648 1502 E LAURIDSEN BLVD 06-30-14-1-2-0000-0000- COMM NEW CONST PUBLIC BUILDINGS & PARKS 25000 Owner Contractor STATE OF WASHINGTON GEN ADMIN OLYMPIA WA 985041000 OWNER Other struct info TOTAL % LOT COVERAGE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE NUMBER OF UNITS 1. 00 1 1. 00 1. 00 1. 00 1. 00 Permit BUILDING PERMIT - COMMERCIAL Additional desc Permit pin number 58149 Permit Fee 414.75 Plan Check Fee 269.59 Issue Date 10/14/05 Valuation 25000 Expiration Date 4/12/06 Qty Unit Charge Per Extension BASE FEE 92.75 23.00 14.0000 THOU BL-2001-25K (1. PER K) 322.00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 08/12/2005 09:42 AM SROBERDS -- The proposal is a 10' x 12' 2 level viewing/storage structure in the PBP. No land use issues are noted. Electrical load calculations and electrical permits are required. Connection Fee Does Not Apply. 08/11/2005 08:07 AM JHEBNER --------____________________ Any modifications to the City's electrical facilities will be at the customer's expense. Public Works Utility Engineering has no requirements for this plan review. rc, Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 414.75 414.75 .00 .00 Plan Check Total 269.59 269.59 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 688.84 688.84 .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. 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 locai la gulati construction or the performance of construction. ~ h ( i IO/'ij(J Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:\Policies\1102_IS building permit inspection record05.w-pd [I/4/2005J \J1 \) N ~ t\l f' ~ L. c ~ ~ 0-\ ~ ~ ~ ~ vI \" C <::') Date BIDLDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4 735 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 lOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES r NO FOUNDATION: FOOTINGS WALLS FOUNDA nON DRAINAGE J DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW I WATER AIR SEAL WALLS I I CEILING. I I I FRAMING JOISTS! GIRDERS SHEAR W ALUHOLD DOWNS WALLS / ROOF I CEILING DRyW ALL (INTERIOR BRACED PANEL ONLY) I-BAR INSULATION SLAB ~~ I I I WALL/FLOOR/CEILING~~"'" " I I T MECHANICAL .... _. ~ HEAT PUNWI FURNACE I DUCTS f GAS LINE WOOD STOVE I PELLET / CHHvlNEY COI\1MERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOVINS SKJRTING . PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKINGfLIGHTlNG ESA: LANDSCAPING SHOREUNE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE RESIDENTIAL DATE YES NO COMMERC1AL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTIONR.W.I PW! CONSTRUCTION - R.W. ENGINEETUNG 417-4807 pw 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 4174815 BUILDING T'\PClhcles\II02 15 building permIt inspectIOn record05.wpd [1/4/2005} .~ '. 1 ~ ~ IIlIM) i ! 11..- . . II . - .. ... MM.. .e.. .._ .-.- .. eee... .e.e i6 ~ oE c:: --::::::, ~ ~ I . '" ~ e.'.8te&. - I I 1.:_ It "'- = i f =1= Z ~ /I .6 ~~ .. .. ~ . . .~" . II.. " . I ( ~ 6 ( 0"7 SCott... {~O q.. (j" F=~ LIf1)rl..'OSn! -J..-e,~ ~H~ESC- . Ile-v t DELETE REDUNDANT 55TBI6 .s.s ~ ~ o l ~-z--'l -o? ..... ~ ~~'- , REviSED FOUNDATION PLAN 5CAlE: 1/2" = 1'-0" REFERENCE 5f-1EET A-02 DELETE REDUNDANT f-4D2A YO ~~ 11 r . , ... II ~------------ I I I I I I I I I ~---L----Jl--- ~ ~ ----11 d REviSED 1ST FLOOR FRAMING PLAN 5CALE: 1/2" = 1'-0" REFERENCE 5f-4EET A-02 " UA . O~!NEY I . TATE O. WASHINGTON I -.. Ol ~'z...-4 -0, CONSTRUCTION DETAILING! AND SI-lEAR WALL NOTES: CONSTRUCTION DETAILING Sf-tALL BE IN COMPLIANCE WITH THE STANDARDS SET FORTH IN IBC CHAPTER 23, ST ANDARDS FOR CONvENTIONAL CONSTRUCTION. - PROVIDE 1/2 "xI2" SILL ANCHOR BOL TS 6l 48" O.c. wi 3"x3"xl~"ft:WASHERS UNDER NUTS, MAXIMUM 12" INCHES FROM END OF WALLS. - SILL PLATES IN CONTACT WITH CONCRETE TO BE PRESSURE TREATED. ANCHOR BOL TS TO EXTEND THROUGH BOTH PT SILL AND BOTTOM PLATE. - ALL DOUBLE TOP PLATES TO LAP MINIMUM OF 48" wi MINIMUM (8) Ibel EACH SIDE. - PROViDE DOUBLE STUDS 6l ALL SHEAR WALL ENDS, UNLESS NOTED OTHERWISE. - PROViDE 2x4 BLOCKING 6l ALL HORIZONTAL PANEL <8> EDGES. I - NAILING 6l TYPE 'I' WALL IS 8e1 COMMON GALV 6l b" o.c. 0- NAILING 6l TYPE '2' WALL IS 8e1 COMMON GALV V 6l 3" o.c. 0- AT TYPE '2' WALL,PROVIDE V2" PLYWOOD V T I I L, OR EXTERIOR FACE BENEATH SIDING, NAILING PER ABOVE. - PROViDE "/8" T-1I1 PLYWOOD SIDING FOR ALL EXTERIOR WALLS. - PROVIDE HOLDOWNS, CLIPS AND STRAPPING WHERE AND AS SHOWN ON DRAWINGS. - CONSTRUCT GABLE WALLS FULL HEIGHT TO BOTTOM OF ROOF SHEATHING. - HATCHING 6l ROOF AREAS INDICATE 2x4 FLAT BLOCKING 6l ALL PANEL EDGES AND FULL HEIGHT BLOCKING 6l RAFTERS PERPENDICULAR TO WALLS. - V2 "4> LAG BOLTS TO HAVE 1f6" LEAD HOLE. - 3/8"4> LAG BOLTS TO HAVE I~" LEAD HOLE. - DRILL THROUGH-HOLES FOR V2" BOLTS 6lX6" OVER. REviSED SHEAR WALL NOTES REFERENCE SHEET A-02 BUILDING PERMIT - APPLICATION www.cityofpa.us Print out form and fill out COMPLETELY in INK. Your application and si plan MUST BE COMPLETE to be accepted for review. Questions? Call: PERMITS (360) 417-4815 Fax (360) 417-4711 Applicant or Agent: /V/47Tr+E 10 L (;fl.AUL-<, Owner:_faF~\tJ<')1 A. Ct11 I r:E~(~ Address: /l)112 CE-f'rL..-r, I M~~....lI'''tity: PI'+"- [A~lc.-~ "';> Architect/Engineer:~L- '<",\f'IC 17~",~.\..l \t/Ir?1( S ,'oil.- Phone: Contractor 'i'dr State License #: Exp: I ~ Phone: ~(;o- <fj/7-ra S-S-O Phone: 3(,p{J -Iii ~-(;5'ra Address: City: ~ I fWeloe..,1,) Block: Subdivision: 8LV;:) PROJECT ADDRESS: I"~) LEGAL DESCRlPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit Card Type VISA_MC _ # TYPE OF WORK: o Residential \Y'New Constr. 0 Rc~roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: Zip: .q-~ ~f.. ') .!t \"l~ "::1/77 Phone: Zip: ZONING: -I:::> F- I City: Exp. Date: SIZENALVATlON: o Stove SF. @ $ o Garage SF. @ $ o Deck SF. @ $ TOTAL VALUATION C,C-OP'lIt" -r#v.(l2::R /SF. ~ $ /SF. ~ $ /SF. ~ $ $ ?~I/JdT(J COMMERCIAL/RESIDENTIAL: Occupancy Gronp: \J Occupant Load: & Proposed Sq. Ft. No. of Stories: .L Lot Size: Existing Sq. Ft. Tatallot coverage % PLANNING USE ONLY: Construction Type: V ~ ~ TOTAL Sq. Ft. 2107 APPROV ALS: PLAN: BLDG: DPWV: FIRE: OTHER:_ ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application ~nd plan submittal requirements if you have questions. V ALUA TION 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 permit issuance. EXPIRA TION 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 RI05.3.2 of the International Building/Residential Code, 2003). No application can .be extended more than once. www.cityofpa.us I 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, no he CitY.' ,an ha must obtain such permits prior to work. Datc: {ltp, ItF3/aS- I / Applicant: