HomeMy WebLinkAbout1535 W 16th St - Building
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000794 Date
948740
1535 W 16TH ST
06-30-00-0-4-3560-0000-
LARRY LACK
RE-ROOF
7/06/07
o
..J
\
-I
~
-C
fPORr~
$~o~~~
rsa
"-~
~
'tOi:c~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
UNKNOWN
275
Owner
Cont"ractor
LACK, JR LARRY
PO BOX 4004
.PORT ANGELES
OWNER
WA 983630997
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
GARAGE - TEAR OFF & RE
106310
50.00 Plan Check Fee
7/06/07 Valuation
1/02/08
.00
275
Qty Unit Charge Per
BASE FEE
Extension
50.00
Other Fees
STATE SURCHARGE
4.50
--t1
z:.
~
c -
~ Vl.
vJ
-4-1 V\
--.
-C
--. L
0-
-\-J
-
~
~
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
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 N
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 ;:J
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of Q
construction. . '-\l
7/t 07 GJ
Date ~
"
Signature of Contractor or Authorized Agent
Date
T:\Policies\l1 02 _15 building pennil inspection rccord05.wpd [11412005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-48] 5 FOR BUILDlNG INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUlvl 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANJ' WORK BEFORE
IlVSPECTED AND ACCEPTED. POST PERMIT 11'\ A CONSPICUOUS LOCA TJON.
KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE.
INSPECTION TYPE llA TE ACCEI'TEll COMMENTS
YES NO
FOUNDA TlON:
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDA TJON DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALlJHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (lNTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
ROUGH-IN
HEATPUMY/FURNACE/DUCTS
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOVE 1 PELLET 1 CHlMNEY
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEPARATE PERMlT#'s SEPA:
I' ARKING/LIGHTING 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
LIGHT DEPT
CONSTRUCTION R. W. 1 PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 ::r 11 'f I 0'1- :11J- BUILDING
T:\Po1iciesll102 15 building permit InspeclJon record05.wpd [1/4/2005]
Nr-
MO
,
m
M
,
r-
~~
(')E-o
<(<(
o.c::l
>< ~
...:I ...:I
I>: I>:
~ (')
H :> ~
...:I , H ~~
E-o c::l ZZ 0. Ul
~Ul gj 00 ..:l ~
~~ :x::x: E-o
~~ Ul 0.0. 0
~ "- Z
E-o", 0
0 P
Z .. I>: ~
01>: 10 ,
HO (J) N ~
E-oE-o E-o , I>: Ul
UU Z , alN E-o
~~ ~ , OM , f;l
0.0. ~Z~ , 10
(J)(J) , M...:I ::E:
ZZ ~OO , ...:Ir- ,<( ::E:
HH o.HU , ~Ol'Z 0
E-o' , ZOr--H U
~0.(J) , HN'<1'~
l1IHE-o , ,,-,
1>:...:1 , m><
, OU=> , (')MI>:(')
0 Z(J)(J) , 0.......0::0
0 ~~ , ...:Ir-<(...:I
0 'PI>: , 00 OH III
0"- ,
'0 !-4 ,
00 H i~
"'I>: ~11l~
10 ,
'" E-o ><M~
10 (J) 0: '0: 11l(J)=>
0:'" Z(J)
.,. :x: <( '... (')H~
M E-o~ ...:10m Z I>:
"'U ,r- H
al M<( 0:00 g ,
(J) ...:I ",00
~ ~ '0 HPP ~~
-..:l >< _00 =>~~
r-~ 100: ~MO ~E-oE-o
0(') MI>: U , , (J)~
~~ 10<( <(",r- O~...:I
M...:I ...:100 O=>l1l
M O::E:
'E-o 11l~0
r-I>: 0: I>: OO:U
0 ' III 0: ,~ m
0. ZO III
0 E-o '?5
~"- (J) -U M
1>:0 (J)E-o<( ...:IZ !-4 0 0
<( ~~~gJtJ...:I H (J)
0.>< ~ , m
~f-< c::lZZZO:l1l 0. m
O:H ~~0~<(11l >< ...:I
o.U f-<UOo.<( 0. f-< III
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.: (- 6" -oJ
Pennit#: 07 -/4 'j
Date Approved: 1-" -0 f
Date Issued: I,
Fill out COMPLETELY and ill 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:
Owner: t--o-- V' y- c.r 1- CL0K
Address:
Phone:
Phone:
LfS7- JZd1
City:
Zip:
Phone:
Exp:
Architect/Engineer:
Contractor
State License #:
Phone:
Address: City:
PROJECT ADDRESS: is ~5 we'51 16J:.)A..-
LEGAL DESCRIPTION: Lot: Block:
CLALLAM COUNTY PARCEL NUMBER:
Zip:
ZONING:
Subdivision:
TYPE OF WORK: /G~
D Residential D New Constr.'xRe-roof D Stove.
D Multi-family D Addition D MoveD Garage
D Commercial D Remodel D Demolition D Deck
D Repair 0 Sign D Other
BRIEF DESCRIPTION OF THE PROJECT:
Tti'-." c?F~ Rc;nec\ R~J A YPI'1
SIZE/V ALUATlON:
SF. @$ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $ 2.. 7 S,c.X)
A/ev Ed, ~IAc\ l01rec{ [<.ar:>R~
COMMERCIAL/RESIDENTlAL: Occupancy Group:
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
No. of Stories: Lot Size:
Total lot coverage
Existing Sq. Ft.
%
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
ESA!W etland( s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No 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 tlJ.e 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.
EXPffiATION 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
Rl05.3.2 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 it.is my responsibility to determine what permits are required ,not the City's, and that I
must obtain such permits prior to work.
nFORMS\BWgPomri<fo=.wpd~t: ~
Date:
7/6/07
I r
FROM :,,.EIEctri c->S
FAX NO.
4526424
Apr. 04 2002 08:41AM Pi
6i~.~T'
ct~. . :, ~
~~ #//#
-o;~....~
ELECTRICAL PERMIT APPLICATION
t-1)\t OFFI(IAI. tJSI!ONL.Y
n,udll.ec: _ .
vcrmit 1/: _.
UaleApp'~~I!d: "'
The Electrical Permit Application must be filled out comaletelv.
Please typo or reprint in ink. If you ha'JQ any que.&tlons. please call (360) 417-
4735
Fax number: (3601417-4711
Address:
Owner or Slsc. Contractor Agent--F-< ~ ... 'f\"-c. t::-
LA............ L<~
\
LJI~ Cily:
Il k ~ -;--1:.-'" s:. License #~: ,,-r 1i' f'J2. r.;:
~ L "D---~..~ \)~ e.& City' ?"""T" __ ~ . t.J '""'\
, I
n OWNER ~TRICAL CONTRACTOR
Credit Card Holder Name: ~n \l.. Q.w.-....C'
A1 _ 11~~r V~ EcQCity: '7aa- ~01---
,
~~
.J
PhM9'
REQUEST INSPECTION 0
U-r2.-{.,yv'f Fa.: S<_
Phone: '-I '-7 -'7" 'f
7ip: 4 r~6. '"
Property Owner.
\~3S-
~~
.~\
Electrical Contractor:
"hon.' 1.1>,--1..'<2.1..1
Zip: L;)j'":(..e.. -L...
Address:
INSTALLATION WIRED BY:
Zip: qV >.L )
VISA=--- MC~
Billing Address'
PROJECT ADDRESS'
1>3, l.V 1lJ.l-
TYPE OF WORK: Check all that apply: 0 New
~; 0 Multi-family 0 Commercial
~nlAddition
o Mobile Home
Sq, Ft
Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
Number of Circuits added or a~ered:
o Low Voltage 0 Telecom. 0 Sign
DESCRIPTION OF THE ELECTRICAL PROJECT:
g~b~ fL..+
S~'-VI.~l2.-
o. ::sA"
v
'g'- ~i.0
e'ectrical Heat Load Additions
PERMIT FEE:
Service Information
rJ Baseboard
o Furnace
o Heat Pump
o Fan-Wall
<;{KW
_KW
_ TON LRA
_KW-
o OVerhead Service
o Temp Service
o Underground Serviee
Voltage:
Phase: 0 1 0 3
Service Size:
Feeder Size:__
I hereby certify that I have read and examined this application and know that same to be true and correct, and I am
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine. what permits are required and to obtain such.
Credit Card Holder's Signature;
ti,u
'~i-\ ~
Date:
3/v
I
~k
Owner or Elee. Cont. Signature:
C:/6LECTRICALPERMIT APPLICATION
Date: