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HomeMy WebLinkAbout1822 W 6th St - Building " ,ORT ~ S 11::.-- ~.,~ CITY OF PORT ANGELES 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 06-00000756 Date 292848 1822 W 6TH ST 06-30-00-0-1-4822-0000- MARY TELENICK RES FOUNDATION REPAIR 7/13/06 Owner Contractor HNALeLJ,JLL/ /~S /O~ RS7 RESDNTL SINGLE FAMILY 50 82412 50.00 7/13/06 1/09/07 plan Check Fee Valuation .00 50 ~ ~ \ ~ ~ TELENICK EDWARD / MARY 470 SHERBOURNE RD SEQUIM WA 98382 OWNER Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL Qty Unit Charge Per BASE FEE Extension 50.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 54.50 54.50 .00 .00 - \)J ~ ~ s 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 violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date 7 - (~ -(, Signature of Contractor or Authorized Agent Signatur ner (if owner is builder) T:\PoliciesIl102_15 building permit inspection record05.wpd [1/4/2005] L. 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 UNLA WFUL 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. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLIXJS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLOG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW /WATER AIR SEAL WALLS CEILING I I I FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING 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 ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W./ PW/ ~ CONSTRUCTION - R.W. ENGINEERING 417-4807 /1 PW / ENGINEERING FIRE 417-4653 ( / FIRE DEPT. PLANNING DEPT. 417-4750 I I / PLANNING DEPT. BUILDING 417-4815 ~/,~/#f/) .// J BUILDING T:IPoliciesl1102_15 building pennit inspection record05.wpd (1'4/200~] fI W 1819 6'0 &, . BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: M Q rlA <e l~ 1\.\(. \, \ Owner: f)"'\c A n, ~ ( c "" \"~lC Address: l.{ 70 S h c: r 'b v'f" nR \'t..Of City: ArchitectJEngineer: Phone: Phone: b 8" ~ -l ')2....~ .s ~ V< ~ Zip: '\ &- ~8" "2..... Phone: (... ~ 3. "l.l'L C; Contractor State License #: Exp: Phone: Zip: ZONING: Address: City: PROJECT ADDRESS: J'iS" 2-2. W bot""- st rcc.T PA- LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAMCOUNTYPARCELNUMBER: t'~r 10'" tJ& - 0- r.. 4~1-~ TYPE OF WORK: SIZEN ALUATION: o Residential. 0 New Constr. 0 Re-roof 0 Stove SF. @$ /SF. = $ o Multi-family 0 Addition 0 MoveD Garage SF. @ $ /SF. = $ o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ o Repair 0 Sign XOther ro""""cA..("..h~,, TOTAL VALUATION $ 5'"6. 00 BRIEF DESCRIPTION OF THE PROJECT: C("C"A-V'" l J pC4C.-~ o~ ct\ < 1') COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: .l- Lot Size: Existing Sq. Ft. Total lot coverage % Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. ESA/Wetland(s): 0 Yes DNa SEPAChecklistrequired? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: 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: 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 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 itJs my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. "CIFORMSIBklgP.,,;rlbnn. wpd Awijo'""e · ..r-- Date: ~ is 0 ,