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Home My WebLink About920 E Lauridsen Blvd - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner DZIAK JOSEPH /ANNA 920 E LAURIDSEN BLVD PORT ANGELES 36) 452 9853 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 6 00 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total Unit Charge Per 14 0000 THOU CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983628033 BUILDING PERMIT 85688 179 75 8/28/06 2/24/07 Charged nature of Contractor or Authorized Agent 179 75 179 00 4 50 4 184 25 184 T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] 06 00000943 526962 920 E LAURIDSEN BLVD 06 30 10 5 1 0110 0000 JOE DZIAK RE ROOF RS7 RESDNTL SINGLE FAMILY 7283 Contractor EMERALD ROOFING INC P 0 BOX 879 PORT ANGELES (360) 452 4681 NO PR FEE Plan Check Fee Valuation BASE FEE BL -2001 25K (14 PER K) STATE SURCHARGE Paid 75 00 50 25 Credited 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 -t- 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. 00 00 00 00 Date 8/28/06 WA 98362 00 7283 Extension 95 75 84 00 4 50 Due 00 00 00 00 ti Date Signature of Owner (if owner is builder) Date 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. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS 1 FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 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 HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417-4735 T \Policies \1102 15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO CONSTRUCTION R.W PW/ ENGINEERING 417-4807 FIRE 417-4653 I PLANNING DEPT BUILDING 417-4815 01' FINAL FINAL SEPA. ESA. SHORELINE. ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. 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 Applicant or Agent: Phone: Owner ,-e_ D216 Phone. Address: 92o E Lig I7S6/J 9 4 Architect/Engineer Contractor EM a G4L-i) Po (tqate License EMt t g7Ler Address: Pe 0 f3Ok g'9 City P. A PROJECT ADDRESS 120 6fiatiosetti 13L- {J ZONING LEGAL DESCRIPTION Lot: Block. Subdivision. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. i t Residential New Constr Multi family Addition Commercial Remodel PLANNING USE ONLY Re -roof Stove Move Garage Demolition Deck Repair Sign Other BRIEF DESCRIPTION OF THE PROJECT COMP P-OLtPi 1/ "fib COMMERCIAL/RESIDENTIAL. Occupancy Group No. of Stones. Lot Size. Existing Sq. Ft. Total lot coverage ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other. SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION T O 3/4y 5, e FLT T•\FORMS\BIdgPermitform.wpd Apphcan Q52- g Zip 18' ',g FOR OFFICIAL SSE 01' NL Date Rec. G-Y/ ry Permit 4f Date Approve /0& y Date Issued: ®lam Phone: Exp 0-1 7 -0 1 Phone: 46 Zip '2 72 g3 Occupant Load. Construction Type: Proposed Sq Ft. TOTAL Sq Ft. HZE/✓I ?f 34,4 APPROVALS PLAN BLDG DPWU FIRE. OTHER. 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 apphcation, 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 apphcant (see Section R105.3.2 of the International Building/Residential Code, 2003). No apphcation 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. l 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 must obtain such permits prior to work. TO: ROOFING &k ey PORT •ANGELES, WA .98362 4524681 (360) 462 -8173 FP; (36O) 7.50016 0E b :ETAK 9.20` .EAST LA'URIDSEN BLVD POLY :ANGELES,. °WA 98362 ##.)$7156 00 TAX 593 95 $7749 95 7283.00 TAX 604 49 $7887 49 Payment to be made as follows. ON COMPLETION All material is guaranteed to be as specified. Ali work to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written or verbal orders, and wit become an extra charge aver and above the estimate. All agreements oontingent. upon strikes, accidents or delays beyond our control. Owner to carry lire, tornado, and .otner necessary insurance Our workers are fully covered by Workers Compensation insurance. ACCEPTANCE OF PROPOSAL The above paces, specifications and conditions are satisfactory and are hereby accepted. You are rg authorized to do the work as specified. Payment wit made as outlined above: Date of Acceptance: Authorized Signature Signature PHONE 452 -9853 JOB NAME./ LOCATION SAME JOti NU, et- REROOF HOUSE AND ATTACHED GARAGE TEAR OFF EXISTING ROOFING TO SHEETING (3 LAYERS COMPOSITION) PREP DECK FOR REROOF, POUND DOWN AND PULL EXISTING FASTENERS, INSTALL #301b FELT TO ROOF AREA INSTALL COMPOSITION PER SPECS #1)30yr ARCITECTUAL (ELK OR PABCO) #2)30yr PABCO PREMIER WITH ALGEA BLOCK FLASH CHIMNEY 2 each) WITH METAL FLASHING INSTALL NEW PLUMBING COVERS TO ALL PIPE VENTS REPLACE EXISTING VENTS WITH NEW (AF50 5) ADD 2 MORE AF50 VENTS TO REACH CODE REPLACE EXISTING BATH VENTS WIT NEW RVS4" VENTS INSTALL 'D; E CAP TO 1i RIDGES WS CLET't' 'Up AN 5W4QVE 4OOFI JG DE RIS 1 J.OASITW ALL COM ?6SITIO'1 Vo BE WIND NAI'LED (6 NAOS PEA F6II SHINGLE; ALL WORK NOT ABOVE TO BE A CHANGE ORDER (TIME AND MATERIAL) MANUFACTURERS WARRANTY ON MATERIAL FIVE YEAR WARRANTY ON WORKMANSHIP BID INCLUDES ALL DUMP AND PERMIT FEES Wo hereby subrigt specifications a "estimates tor WE PROPOSE hereby to furnish material and labor complete in accordance with the above specifications, for the sum of: dollars Note. Tyr(s proposal may be withdrawn by u ,t1;o4tcceptad within 103 .OATS JOB PHONE i 90 u✓ue ern days. RE A. i .ftS CUSTOM' it afro 5i r Nc .mr.)0ab PREPARED 2/09/04 12 11 17 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/09/04 ADDRESS 920 E LAURIDSEN BLVD SUBDIV CONTRACTOR ALL WEATHER HEATING COOLING PHONE (360) 452 9813 OWNER DZIAK JOSEPH /ANNA PHONE (360) 452 9853 PARCEL 06 30 10 5 1 0110 0000 APPL NUMBER 04 00000067 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 2/ 9/04 JLL MECHANICAL GAS LINE Jennel 452 9853 4�1 Mike 452 9813 owner 1 00pm or after 3 30pin COMMENTS AND NOTES 15 vi0 PREPARED 2/05/04 12 51 47 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES- INSPECTOR JAMES L LIERLY DATE 2/05/04 ADDRESS 920 E LAURIDSEN BLVD SUBDIV CONTRACTOR ALL WEATHER HEATING COOLING PHONE (360) 452 9813 OWNER DZIAK JOSEPH /ANNA PHONE (360) 452 9853 PARCEL 06 30 10 5 1 0110 0000 APPL NUMBER 04 00000067 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 2/�5 S �0 3- MECHANICAL GAS LINE 2 Jennel 452 9853 COMMENTS AND NOTES J s b S� Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner DZIAK, JOSEPH /ANNA 920 E LAURIDSEN BLVD PORT ANGELES WA 983628033 (360) 452 9853 Permit Additional desc Permit Fee Issue Date Expiration Date Qty 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total T•\PLANNING\FORMS \1102.15 [11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 04 00000067 395443 920 E LAURIDSEN BLVD 06 30 10 -5 1 0110 0000 MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 3200 Contractor MECHANICAL PERMIT FIREPLACE INSERT LINES TANK 57 65 Plan Check 2/04/04 Valuation 8/02/04 Unit Charge Per BASE FEE 10 6500 ECH ME -GAS PIPE 1 TO 5 Charged 57 65 00 57 65 Paid Credited 57 65 00 00 00 57 65 00 Date 2/04/04 ALL WEATHER, HEATING COOLING 302KEMP ST PORT ANGELES WA PORT ANGELES WA 98362 (360) 452 9813 Fee 00 0 Extension 47 00 10 65 Due 00 00 00 sJ 1,0 S nature of Contractq'Authorized Agent bate Signature of Owner (if owner is builder) Date 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 fora 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 local law regulating construction or the performance of construction. c (t ur P ';)(14/15 WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD 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 PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS 1 ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN PLUMBING UNDER FLOOR SLAB ROUGH -IN I WATER LINE (METER TO BLDG) GAS LINE I BACK FLOW WATER AIR SEAL WALLS I CEILING 1 FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS I WALLS ROOF CEILING I DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR 1 INSULATION SLAB 1 WALL FLOOR CEILING 1 MECHANICAL HEAT PUMP GAS LINE 4/9/64/ WOOD STOVE /PELLET /CHIMNEY HOOD DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: YES 1 NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I FIRE DEPT PLANNING DEPT 417 -4750 I 0I PLANNING DEPT BUILDING 417 -4815 1 1 1 BUILDING T\PLANNING\FORMS \1102.15 [11/14/2003] SEPA. ESA. SHORELINE. I I I FFf1 ALL WEATHER HEATING COOLING FAX NO. 360 452 5177 o f vow The Building Permit Pre- application must be Jtrled oat completely Please type or print in ink. If you have any questions, please call 417 Applicant or Agent AU L .t r>sz o e: ?;ZLO Owner Archited/Eagineer: contactor k \k_S_.1at ,o h \AggartAicense li-11V ,k}(, VA72 Rxp :J 0 Phone: oo 4 Sa- 3 a. VV Apt, i p City.,,) 2 7_ �1'eojL.Q.PL '...--.0.19 Zip: �s� P a. 4, d ta,t -e h n_n 9 ZONING: LEGAL O N: Lot Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card 0: Exp. Date: VISA MC Add ress: zip:. r„ Phone: 7'Z OYWORK: ,Er Residential 0 New Constr. o Mrati= f&mily 0 Addition o Commercial 0 Remodel 0 Repair BUILDING PERMIT APPLICATION A v..t Phone: 45 a q (16 3 o Re -roof 0 Woodstove O Move 0 Garage o Demolition 0 Deck o Sign o BRIgP.DESCRIPTION OF THE PROJECT. -R._ p t l a COMMERCIAL/RESIDENTIAL. Occupancy Group: No. of Stories: Lot Size Lot Coverage: Existing Lot Coverage: /sq. ft. Proposed Lot Coverage: PLANK IG USE ONLY- Nobler ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? O Yes o No Other- Jan. 23 2004 11 25AM P2 FOR OFFICIAL USE ONLY Date Roe. ~4L ntit n: 2, Pw 7 Date Approved. Data lased: SIZE/VALUATION: SF /SF SF @S /SF =S TOTAL VALUATION 9 Occupant Load: Constriction Type: Vo /sq. R. TOTAL LOT COVERAGE: APPROVALS: PLAN BLDG. DPW FIRE OTHER leq.ft BUILDING PSRMITAPPLICATION SUBMITTAL. Your oppuendan and site platy rust be/liled atm complata,. to ke oee+epted jor 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 IIn all mocks 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.CI DICI[IEE: 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 OFPLAN REVIEW If no permit is issued within 180 days of the date of application, this application w411 expire. The Building Official can extend the tune 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. 1 hereby ea* that I have read and examined this application and brow the same to be true and correct, and 1 am authorised .to apply for this permit. 1 understand it is not the City's legal responsibilitk to determine what permits are required, It remains the applicant': responsibility to determine what permits are required and to obtajsuch. T•\P0RMS\APPSBuildiagpennit Applican L cci_aLt-e-S4Data: . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. S.;:l.::l.3 8~'1 #5 , DATE ELECTRICAL PERMIT Installed By: o READY FOR INSPECTION License Number: o WI LL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW ~ ~ FURNACE KW 10 i& HEAT PUMP KW 0 ~ rAW"'ALL 1('"' S IVY Vy~ o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS 'f!! SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER 1S("OVERHEAD SERVICE o UNDERGROUN SERVICE VOLTAGE: 0 'l) )<'l" 1 r6 0 3 SERVICE SIZE c::l9O FEEDER SIZE AMPS AMPS DetailslDescription: C'~g~ ~.--~kf . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT OX ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. L",fi O.K. to connect service /'" '0 Final O.K. Site Address: Permit/Receipt No. 001.;)3 Installer: New Meters . Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. -J'~ Eler/ricallnspector NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PEAMIT $ #~O Permit Fee WHITE - Fite by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept.. Bottom: City Hall OLYMPIC PRINTERS INC.