HomeMy WebLinkAbout1205 W 16th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 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
07-00001160 Date 10/05/07
102920
1205 W 16TH ST
06-30-00-0-4-3299-0000-
ANGIE OLSON
RE-ROOF
RS7 RESDNTL SINGLE FAMILY
2263
Owner
Contractor
ANGELINE E OLSEN
1205 W 16TH ST
PORT ANGELES
OWNER
WA 983637007
Structure Information 000 000 TEAR OFF AND RE-ROOF
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date .
BUILDING PERMIT - NO PR FEE
TEAR OFF AND RE-ROOF
112599
109.75 Plan Check Fee
10/05/07 Valuation
4/02/08
.00
2263
Qty Unit Charge Per
Extension
95.75
14.00
BASE FEE
1.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 109.75 109.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 114.25 114.25 .00 .00
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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 has 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 f any state or local law regulating construction or the performance of
construction.
----
Signature of Owner (if owner is builder)
T:FormslBuilding DivisionIBuilding Permit (I 010 I I07).wpd
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
. INSPECTI;D AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
()
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I
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDA nON DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLO DOWNS
WALLS I ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP I FURNACE I DUCTS
GAS LINE
WOOD STOVE I PELLET I CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD I DUCTS
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LlGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 I () - I (" - () 1 YB BUILDING
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T:FormslBuilding Division/Building Permit (10/0 I107).wpd
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For City Use Only:
Date Received \ 0 -6 S-o 1
Permit # 07-- Il (00
Date Approved
Applicant or Agent ~v~(~t;~~ Phon~ "/57- ~Z- 2-'1
Owner M~IE ---{. --~- -' -a. Phone --
Owner's Address I I ~T _'Nt. tc u; s 'VJ f1- c; t (; 3
Contractor/Engineer Phone
Contractor/Engineer's Address
License #
BUILDING PERMIT APPLICA TION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
Expires
Parcel Number
PROJECT ADDRESS
Zoning
Proiect Tvpe & Brief Description:
Check all that apply
o New Construction
o Addition
o Remodel
o Repair
)(Re-roof
, 0 Demolition
o Sign
o Heat System
o Other
Floor Areas
Basement
151 Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Lot
o Commercial
o Multi-family
o Industrial
o wall-mounted 0 projecting 0 freestanding 0 awning
Total si n area s . ft. Maximum allowed si n area s . ft.
o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other
o other
Existinq (SQ. ft.) Proposed (SQ. ft.)
@$
per sq. ft. = $
TOTAL VALVA TlON $
%
00
Total footprint of structures
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
sq. ft. . Lot size
sq. ft. = Lot coverage
ft.
Occupancy group
Occupant load
Construction type
# of bedrooms
# of full baths
# of half baths
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to iter. ine what permits are required, and
projects. . r / _ I
Date IO-O)~O 7 Print Name IAE:VI/\ . (l,f5T/tO/l! I Signature
T:Forms/Building Division/Bldg Permit Appl.-2006 Code. doc