HomeMy WebLinkAbout211 Dogwood Pl - Building
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'. "~i ... .... CITY OF PO:R:T~ANGELES
DEP ARTMENT9EQbMMUNITY D~~~()BMENT - BUILDING DMSION
'321 EAST 5TH STREET,PpR'rANGELES, W A 98362
,::;,-.: ,,;"r.:~,:
. Application Number
Pin nUmber . . . .
propeX:1:y~ddress
AS,SEsSORPARCELNUMBER:
Application description
Subdivision Name
Property Use . . .'.
Property.Zoning . . .
Application valuation
04-00000698 . Date
.137594
213 DOGWOOD PL.
06-3Q~15-6-0-0030-0000~
RES REMODEL
8/09/04
Owner
.. Contractor
~~teev
.' t.JvhZ7;0&
RS9 RESDNTL SINGLE FAMILY'
5651
--.- - - ----:.-- - - ~ ~.-:-----------~-
KLINE.l,)AVID H
213 DOGWOOD PL
PORT ANGELES
WA' 983623715
TODDS. '~.Ylo1AN ..
222. S VINE
PORT ANGELES,,-
(360) 461-0779
WA -98362
-----------------------------------------------------------,-----------------
. .
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration. Date
MECHANICAL PERMIT
54.25
8/09/04
2/06/05
plan CheckP'ee
Valuation.
.00
o
54.00
8/09/04
2/06/05
Plan cpegkFee.
Valuation
,00
o
~
-
~i.;'
Qty Unit Charge Per
Extension
47.00
7.25
BASE FEE
1.00 7.2500 ECH ME-VENTFAN
- - - - - --_.- - - - - ,- ,":,'- ~ - - - - - - -.- - - - - - - - - - - - - -- -~--:,,-,-.- -- - --.~..-":-.-,:-:- ~'--"-~'~-- - - - ~-~-- - ~ -.--
Permit . . . .
A4ditionaldesc
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
Qty Unit Charge Per
Extension
47.00
7.00
'.~
BASE FEE
1. 00 7.0000 ECH PL- EA. FIXTURE. QU.ONE TRAP
148.75
8/09/04.
2/06/05
'plan Check Fee
valuation
59.50
5651
p.
1
" ..
~-"-':
, . . . ' .
---~--------------------------------------~-----------------_..:~---------_._-
Permit . . . .
Additionaldesc
Permit Fee
Issue. Date
Expiration'Date
BUILDING PERMIT -RESIDENTIAL
.."
Qty Unit Charge Per
Extension
92.75
56.00
BASE FEE
4.00 14.0000 THOU BL-2001-25K' (14PER.K)
, ..... ....', "''',' .. :.". .":':'
-----------------------------------------------------------.-----------------
.other Fees
STATE SURCHARGE
4.50
~;
,........
". _.:.~"
Fee sununary Charged Paid Credi ted Due
--~-------~------ ---------- ---------- ---------- ----..-----
Permit Fee Total 257.00 257.00 ..00 .00
, Plan Check Total 59.50 59.50 .00 .00
Other Fee Total 4.50 4.50 .00 .00
GI;"and Total 321.00 321.00 .00 .00
Separat~ Permits are required for eiectricalwork. SEPI\;'si1orEln?e;ESA;u~Hties, private and public improvernents.THi~'p~~p~,a:gO;t9s
nulland,void ifwork.or construction authorizedisno~b.o~inElnS~d.~~in..1~O.d~ys.if constructi.on ,.or Wor~Jfi ~U~Il,~n~~~~g~~~~~~n~g
for a penod of 180 dayS after the work as commenced; ,or if requlredmsp(Jc~IQns have not been requested W1thm.180i.i:la~ft;l;nml~~,IClst
insl?ecti~n:IMr ..... .... ..,.'., th~t I havere.ad andElxaminedthi~..appliFati9!1pndkrlow the sameto betrueanclC()rr~Ft'<~IJPr()y\~!9'n~9f
laws andordirian s'govemithis type of work will be cbmpHedwittfwhethe(specified herein or not. Th8'grantingpt-a'~ermltg6e~not
~~~~;:b:o~~::e~k~l;~m a~:n:re~~I~~:~a=e~~~=I:~or~e,~~~#n~m
BUILDING PERMIT INSPECfION RECORD
l-
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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.
KEEP PERMITCARD AND APPROVED PLANS AT JOB SITE.
.._"K'
INSPECTION TYPE DATE ACCEPTED COMMENTS ','
I YES NO ",
FOUNDATION: ,
FOOTINGS . ; , ....
"
WALLS
"
FOUNDATION ,DRAINAGEIDOWN sPoUrs
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDERFLOOR/SLAB
ROUGH-IN '") ......-01-1 t J..l,..
""rfTl'
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW /WATER
AIR SEAL .
WALLS'
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS/ ROOF / CEILING r:J -8'7-01-/ JI-\...-
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL/ FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE ,
WOOD STOVE / PELLET / CHIMNEY
HOOD I DUers
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE/ METER
SEWER CONNECfION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKlNGlLIGHTING ESA:
LANDSCAPING SH()RELINE:
, FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIQSE
RESID'ENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
.' YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCfION R. W./ PWI .' COl\T~R.:W." , "
ENGINEERING 417-4807 \ \ ~W/Elj G/ ~ { .-'
.d , ,
... " ", .,.0 .' _,..J " ! , ,
FIRE 417-4653 ~DEPT. .' ,
PLANNING DEPT. 417-4750 .. PLANNING DEPT.
.
BUILDING 417-4815 BUILDiNG
T:\PLANNlNG\FORMS\II02.15 [11/1412003]
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.:a4-o t{
Permit#:oLf...(.q A
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
Date Approved:
Date Issued:
Applicant or Agent: (";acl.s ~~t.J4'11/<l'4fJ
Owner:~;"~ KU~
Address: d2. \3 1Jb~ ~~b~ f\Pt~
Architect/Engineer:
.:I "J - \ ~ ~ Tcdd '.iillsfg9 NIJ ~ A
Contractor t> ~ Iff" ~~ State License #: Exp: c~ 01:>
~e.'X"~I,ce- 4\- tb A I
Address: ~~ ~ V\..N-. -S-\'- City: rl!>VIt'f .. ~ '\~ \~ .
PROJECT ADDRESS: 2.13 1)~L060c:l jjt~.~
LEGAL DESCRIPTION: Lot: Block:
Phone:
t.J..~~ ... D]1?
City:
Phone:
pl)>~r. ~~e.\~ \))k
Phone:
Zip: <iB g ~ 1-,
Phone: t1iD.1"'617 7
Zip: ?J 3l.s> ~
ZONING:
Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name:
Billing Address: ~ "J,. ~
Credit Card Type VISA X
TYPE OF WORK:
)!Residential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel. 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
M l c.hA-e~ ~ -r~ M
Si lJl~<< gt- City: PeAr" AI!~)ts
MC #
o Stove
o Garage
o Deck
o Other
Add e:sh1h
I I I
Exp. Date: 0 Fi:f6 2/ ?-t:>oc.p
SIZEN ALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
D TOTAL Y AL,IJA TION $ !if ~ ~ I f.; ,~
,., ,~e.m~~ ~~t'~M.
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: Lot Size: Existing Sq. Ft.
Total lot coverage
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
%
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(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.
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 permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno 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 Rl 05.3.2
of the International BuildinglResidential Code, 2003). 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. I am authorize pply for this permit and
!1nderstand that it is my responsibility to determine what permits are required ,not the .City'~' and that ~m:st ob~in s~7!; R its rior to work.
T:\RVESS\BLDG-forms-brochures\2003-Buildingpermit.wpd APPhcan~ ~ ~ J iJ Date: DaJ ~O t
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PREPARED 8/27/04, 13:04:17
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
213 DOGWOOD PL
TODDS HANDYMAN
KLINE DAVID H
06-30-15-6-0-0030-0000-
04-00000698 RES REMODEL
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
:::__:~__~_~___~~~~:N:O:::::~~:::
i
SuaDIV:
PHONE
PHONE :
(360) 461-0779
TIME: 17: 00
PAGE
DATE
8
8/27/04
NOTES --------------------------------------
PREPARED 8/27/04, 13:04:17
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
7
8/27/04
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
213 DOGWOOD PL
TODDS HANDYMAN
KLINE DAVID H
06-30-15-6-0-0030-0000-
04-00000698 RES REMODEL
SUBDIV:
PHONE
PHONE :
(360) 461-0779
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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