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HomeMy WebLinkAbout1611 Butler St - Building44 os-- LIF1',25 1( 011 5. PREPARED 3/19/09 9 48 03 Application number Correction option Correction description Corrected by Fee Structure Permit Insu STATE SURCHARGE PLAN CHECK FEES 000 000 BPR 00 PERMIT FEES 000 000 BPR 00 CITY OF PORT ANGELES 321 E 5TH STREET P 0 BOX 1150 Totals 216 95 CORRECTION RECEIPT 08 00001465 Refund customer withdrew plans KEMERY Before Amount Credit Paid Remaining 4 50 00 60 70 151 75 00 00 00 Reduced By 4 50 60 70 151 75 216 95 Receipt Date 11/19/08 Time Number 0121413 Cashier KEMERY After Amount Credit Paid Remaining 00 00 00 00 00 09 00 00 00 ICash Adjustment 1 Application O 4 L Receipt 012_1413 Fee Type \1 A} ni Permi Amount Paid.: 2= 16 1 Adjustment Posted Fee Signature Refund Amount New +:Fee Cashier into Payment Type Checl' SEND TO G leh 1611 5. Butler Baft es ALP 9L3 63 sue. RQ &son k e Pal d +o r VII S fax m tt i n !t/ Ava.4 Ce Hs a.r w n 'A a o r o U e e k b e cause_ he wa s ©vex' e. 30% I o-i- cav ,e. o o 2-- 18-0 \le w t eGo h Owns A. u Yci,nt s a._ refu h d Ne plains -4-0 resubni■i and. bui l6. oh. h s d 0 0 i-esc' p ro Pe t h-eir` do r» h rn 1 Application Inquiry SUNOARD'FOOLIC dECTOR HTE NaviL. Application 08. 000014 i Bonds Contractor escrow El Fees 00 Global balance du. 00 Inspection history 50 Miscellaneous Info 50 Names BO Pemdts I/I Plan tracking Receipts• 511 Square footage cal K IJ Structures .c M Valuation calculate W .1 IV Print ')f Exil 4r Refresh Land inquiry Documems Recei t date Recei t tin e Number Cashier Pavrnent re Received Paid with credit Remai 41 Property Information Address Location 1D• Owner name: ASSESSOR PARCEL NUMBER. ALTERNATE ID• Contractor Information Contractor Name Contractor Number. Type Status Contractor Requirements 11/19/08 1611 BUTLER ST .I PORT ANGELES, WA 98362' 99204 KIRSCH, GLEN /LOIS 06-30-00-4.4- 0070-0000- 063000440070 OWNER Dec Number '0121415 KEl I I I iii 141 tt Application Information Application desc Application status Status Date Application type Application date Tenant name /number Valuation Outstanding Inspections Insp Schedule .Type ID Date No outstanding inspections exist 200 S0. FT SHED PLAN REVIBW 11/19/2008 RES ACCESSORY BUILDING 11/19/2008 GLEN LOIS KIRSCH TTES 6000 95 00 Total l 216 95 I 00 Confirmation 1 Number Proiect Tvpe Brief Description. Check all That apply 'jet New Construction (Addition Remodel Repair Re -roof Demolition Heat System Other BUILDING PERMIT APPLICATION 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 Applicant or Agent Property Owner 4. Property Owner's Address ,z„ Contractor /Engineer 4, A-1,4Gk Contractor /Engineer's Address s ,hh License Expires i PROJECT ADDRESS /oN s B /er S t. Parcel Number o Z(o Total footprint of structures 1' Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? ,iResidential JO 54 ,ft -A4 Heat pump o wood- burning stove gas fireplace o pellet stove other Floor Areas Existing (sq. ft.) Posed (sq. ft.) Basement 1 Floor 2 Floor 3rd Floor Garage Carport Covered Porch g 79 .5 Deck Shed _70b y. Other s` an n 1 2 sq ft. T Lot size I 5 6 1 z s q. ft. Lot coverages 2.-W 31 S ft. '/p a Commercial Occupancy group Occupant load Construction type Phone +'2 ao3� Phone 4ia 6/ 5_ Phone h- y /9- 263,E E -mail Lot Zoning RS 1O X2!7 For City Use Only Date Received 11— 19 -0 6 Permit Date Approved dr JanA idirsd c4' J 4'0(17 4414, Multi family Industrial TOTAL VALUATION per sq. ft. 000 00 a 6,00 op of bedrooms of full baths of half baths N/ A' /.S 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 determine what permits are required, and to obtain permits prior to working on projects. Date -19 4Y Pant Name G /e --7 A. ktrscA Signature a w Y -Pet-al:f 4 le' 4. rsdn zo'_ o roe 40' 24 A'2{ 4 SHOP 1152 GAR,1Gb 5Z 24 x22 120— 0 lCOVEREO t WAtK-WAY HOLSE 8 -o 35'— P I. 0 3 IT OS 1 btie` tot 1 A. ti' Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner Contractor KIRSCH GLEN /LOIS 4200 JACJSON HWY CHEHALIS Other Fees WA 98532 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST STH STREET PORT ANGELES, WA 98362 05 00001039 803684 1611 BUTLER ST 06 30 00 4 4 0070 0000 RES DETACHED GARAGE RS9 RESDNTL SINGLE FAMILY 28000 OWNER Structure Information 000 000 DETACHED GARAGE Other struct info NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE Permit ELECTRICAL NEW RESIDENTIAL Additional desc OWNER/ GARAGE Permit pin number 80465 Permit Fee 48 10 Plan Check Fee 00 Issue Date 6/27/06 Valuation 0 Expiration Date 12/24/06 Qty Unit Charge Per 1 00 48 1000 ECH EL R OUTBD /DTCH GAR SEP Date 6/27/06 1 00 1674 00 9630 00 2826 00 Extension 48 10 STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 48 10 48 10 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 52 60 52 60 00 00 INSPECTION TYPE DITCH ROUGH -IN COVER SERVICE F. GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE 4 2/0_,7_12e:01 ACCEPTED YES 1 NO COMMENTS PW- uo2.15 (sisa) s ELECTRICAL WORK PERMIT APPLICATION ,Installation description Job wired by 0 Electrical Contractor D Owner Electrical contractor name ©GVyIe/ Purchaser's mailing address City 0/.5"i /n (o Inspection Date -o4, State ZIP Telephone number FAX number Dole Approved By FINAL e Ap i pr ved By License number Date Expires 'Premises owner's name 6 leel A /lLV:° Address of inspection 2 City Phone number to schedule inspection GD '5/1 7- -,qd-q3 Owner as defined by RCW 19 28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Cash Check After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical instal- Credit Card Visa Mastercard Discover lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Card Utility Specifications. /Signature of owner, electrical contractor or electrical administrator Expiration Date X ,z_ a Date aio �fcard Electrical Load Additions and or subtractions NO LOAD CHANGES Baseboard KW Voltage Furnace KW Overhead Service Phase 1 3 Heat Pump Ton LAR Temp Service Service Size: Fan -Wall KW +O'Underground Service Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7 00 AM 360 -417 -4735 ROUGH-IN THERMOSTAT SERVICE iA/ 124 _,ef&t0 Date Date DITCH Area, Building or Equipment Inspected Commercial Residential New Altered /Addition ifim-6 Approved By Date 'Approved By FEEDER Approved By Date Action Taken A.9 e42(\(--r Kvd Inspection fee /8..10 Service Information Appr ed By Electrical ✓c+.c --tom a .-<r- 0 ..... 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I>:H >< ...:l ll.U ~UOll.~ III E-< III r rI pORT ~Q t>~~~<" "rca~ 1b. -- ""',,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00001039 Date 10/24/05 803684 1611 ~BUTLER ST 06-30-00-4-4-0070-0000- RES DETACHED GARAGE o \5) , - o vJ Jl RS9 RESDNTL SINGLE FAMILY 28000 Owner Contractor . KIRSCH, GLEN/LOIS 4200 JACJSON HWY CHEHALIS OWNER WA 98532 Structure Information 000 000 DETACHED GARAGE Other struct info . . NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE 1. 00 1674.00 9630.00 2826.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL DETACHED GARAGE 63230 445.05 Plan Check Fee 10/24/05 Valuation 4/22/06 178.02 28000 Qty Unit Charge Per Extension 414.75 30.30 BASE FEE 3.00 10.1000 THOU BL-25,001-50K (10.10 PER K) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 445.05 445.05 .00 .00 Plan Check Total 178.02 178.02 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 627.57 627.57 .00 .00 ~ ~ ~ ~7 &J 0.> ? ~ ~ ~ ~ N ~ ~ O~ if) 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 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. ~ Signature of Contractor or Authorized Agent Date ~~d, ~ g~ature of Owner (if owner is builder) / p- ..t...p..~:r Date T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005] , , ~~"'1()39 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, INSULA TE 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 I I ACCEPTED YES NO COMMENTS '. FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALUHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEATP~/FURNACE/DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING / ffJ/'d11L7r /~ II_IJ..'_^- ;~~ M,LJ~ ~ rzl'1lo, .A-P ~ \ <--., \J 3 I I ~ //~Mh / .- ./~ F-r~cr-- I YJ-..h?-~~ J).I- 19(1 I I ~~ ~~ ~~ ~~ i~ PLANNING DEPT. SEPARATE PERMIT #'s P ARKING/LIGHTlNG LANDSCAPING SEPA: ESA: SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO BUILDING 417-4750 417-4815 ! tl, I otifl, -:T u.-. ELECTRICAL LIGHT DEPT CONSTRUCTION - R.W. PW 1 ENGINEERING FIRE DEPT. PLANNING DEPT. BUILDING ELECTRICAL - LIGHT DEPT. 417-4735 CONSTRUCTION R. W. I PW I ENGINEERING 417-4807 FIRE 417-4653 PLANNING DEPT. T:\Policies\1102_15 bUlldmg pennit inspeCl10n record05.wpd (1/4/2005] (X110 0 , .-< \D '" M , .. , 0 ..,. , .-< lO , .. , M , .-< , f>lf>l , "E-< .. , ...:...: f>l , o.Q :E , H , E-< , , , , lO , 0 , , , .-< , '" , , , 0 , .-< , , .. , f>l , ><, E-< , ..:I ...: , ~ Q f>l >< H 1Il ..:I ..:I ...: ~ :> ..:I><f>l ..:I Hf>lf>l CJl..:lH E-< QZZ ~..:I CJl f>lCJl gJOO Of>lr, f>l ~'" :I::I: ZH E-< ~~ CJlo.o. 0..:1 0 :Er,:E Z E-<r, 0. Z>< Q Z .. 01Il ~ O~ H ..,. HO CJl E-<ZlO E-<E-< " E-< ...: f>l " CJl UU ~ Z Q~.-< E-< f>lf>l ~ f>l S~O &l 0.0. Q CJlCJl ..:I HZ~ 0 ~ ~~ H ffioO "'f>110 ::> HU QO 0 1Il E-<' "HO U Qo.CJl Z~'" >< HHE-< H~' ~ CIl~..:I Qf>l.-< '0 ~U::> ..:I:>'" OcJl CJlCJl HO' OcJl f>lf>l ::> 0 of>l 'Q~ 1Il. .-< oU 'U !-o cJlo",: H E-< H.... ~o.~ ~t cJl OOcJl 0 ..:IOf>l 0 ~ "~ PoIcJl f>l Z..,. ZcJl lO ..:I ~!f "Hf>l lO !; Z ~ ", H M 1Il :3 ~ .-<cJl -~ f>l cJl D~o HQQ -..:I =:>f>lf>l lOf>l .-< CJlMO IX!E-<E-< 0" .-< ~, , CJlf>l ~~ \D H\DlO ggJ~ .-< ~OO '" O:E 'E-< .. .. .. ,. .. f>l0 O~ ~ ~~U .-<0 ,~ 'f>l Pol 0. 0 1Il IX! Q E-< '15 f>l'" CJlU .-< ~O gjiii~r;jZ !-o 0 0 H cJl 0.>< ~E-<f>lU..:I ~ , "'E-< Q~~~g; 0. :E ~H >< ..:I o.U 5luOo....: Pol E-< 1Il ~ flORT ~ rS~O~~~ ha k -- 'l.tii:c~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIY 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Owner OWNER Applicati Applicatio Property Ad ASSESSOR PAR Application t Subdivision N Property Use Property Zoning Application valuat Number pin number ess L NUMBER: e description 05-00000778 Date 115960 1611 S BUTLER ST 06-30-00-4-4-0070-0000- RES ACCESSORY BUILDING 9/06/05 RS9 RESDNTL SINGLE FAMILY 28000 Contractor KIRSCH, GLEN/LOIS 4200 JACJSON HWY CHEHALIS WA Other struct info . ER OF STORIES TING LOT COVERAGE LOT IZE PROPO ED LOT COVERAGE TOTAL T COVERAGE NUMBER UNITS Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date EL-DETACHED GARAG DETACHED GARAGE/SHO 59303 95.10 9/06/05 3/05/06 Qty Unit Charge Per BASE FEE 1.00 48.1000 ECH EL-R-OUTBD/DTCH Special Notes and Comments The Fire Department has reviewed the projec has no comments 08/29/2005 12:15 PM SROBERDS --- The p posal wil the construction of a garage/shop in the total lot coverage of 29%. No land use Electrical load calculations and elctr' required. Public works Utility Engineering this plan review. "Jl F\ ~ Fee summary Charged .:s ~ Credited Permit Fee Total Plan Check Total Other Fee Total Grand Total 95.10 .00 4.50 99.60 .00 .00 .00 .00 i0 ~\j3 \' c 0-1 Z' E'Cl) l"fi. \f) -i Separate Permits are required f~r~lectrical work, SEPA, Shoreline, ESA, utilities, private and public provements. This permit becomes nu II and void if work or construe Ion authorized is not commenced within 180 days, if construction 0 ork is suspended or abandoned for a period of 180 days atter th work as commenced, or if required inspections have not been requ sted within 180 days from the last inspection. I hereby certify t~at I have read and examined this application and know the same to be ue and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. e granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating cons uction or the performance of construction. Signature of Contractor or Authorized Agent Date ~d~ Signature of Owner (if owner is builder) 9-~.o~ Date T:\Policies\1102_15 building penn it inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR~UILDING 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, INSULA TE 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 \ WALLS \ FOUNDATION DRAINAGE / DOWN SPO\JTS PIERS \ / POST HOLES (POLE BLDGS.) \ PLUMBING \ UNDER FLOOR / SLAB \ ROUGH-IN WATER LINE (METER TO BLDG) \ GAS LINE \ BACK FLOW / WATER \ AIR SEAL \ II WALLS \ CEILING I \ I I /' FRAMING \ l/ JOISTS / GIRDERS \ SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING \ I / DRYW ALL (INTERIOR BRACED PANEL ONLY) \ / T-BAR \ / INSULATION \ / SLAB V WALL / FLOOR 1 CEILING I 1\ MECHANICAL / \ HEAT PUNW 1 FURNACE 1 DUCTS / \ GAS LINE I \ WOOD STOVE 1 PELLET / CHIMNEY .' \ .' COMMERCIAL HOOD 1 DUCTS I \. MANUFACTURED HOMES / \ FOOTING / SLAB I BLOCKING & HOLD DOWNS / SKJRTING / '\ / PLANNING DEPT. SEPARATE PERMIT #'s I SEPA: I P ARKINGILIGHTlNG /' ESA '~ , LANDSCAPING / SHORELINE: Y}NAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE '" RESIDENTIAL i DATE YES NO COMMERCIAL 'TE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102_15 building pennit inspection record05.wpd (1/4/2005] BUILDING PERMIT - APPliCATION FOR OFFICJ,1ft UtE ONLY: Dalt ReC.:~ {OV) Pelmit#: O~ q Date APproved:.9FI1/r:!!;; ate Issued: Fill out COMPLETELY and in INK. Your appIicatior. and site plan MUST B COl\1PLETE to be accepted for review. If you have any qnestions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: G.'It': 11 A. KJ ;.-U), Owner: &/~n A; k/ ,.:._~"h Address: /L. //): a.)-tJ~r -tl-. i\:rchitectJEngineer: <?c / f Phone: ~tJ- 9F}- .2L2/~- Phone: d~tJ- ~/j?- ~~_.; City: 1'41'.; A ryd1" oS Zip: <lR" 3" .3 Phone: Contractor st:Jf State License #: Exp: Phone: Address: City: Zip: ZONING: Subdivision: ~Le IS l-AllZ ~ { 0070 c:cJOO PROJECT ADDr.ESS: /i.// >'. P>I/{/-L!Y' <to ':"-~iE'GAiDESCiillTioN: L~~~ . ., Block: CLALLAM COUN1Y PARCEL NUMBER: (!;w 30 ~tp Credit Card Bolder Name: Billing Address: Credit Card Type VISA Me # TYPE OF WORK: o 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 DESClITPTION OF THE PROJECT: City: Exp. Date: o Stove o Garage o Deck o Other (0" ,.~'" r ":n,,{ SIZE/V ALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @$ ISF.=$ TOTAL VALUATION $.:If? i!1/Jd. t7J -' "S')u p . COMMERCIALIRESIDENTIAL: Occupancy Group: No. of Stories: _ Lot'Size: ?C,38 Existing Sq. Ft. Total lot coverage &Cf. 3 % Occupant Load: Construction Type: /t,7tj & Proposed Sq. Ft.# 5"2.. = TOTAL Sq. Ft. UU APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA 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 ma.y be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CRECR FEE: IF-a plan checkieeis dueitmusthesubmitted 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 oftbe 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 RI 05.3.2 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 autltorized 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. T:\Policies\BL-ll02 _13 .wpd Applicant: Date: o ~ " ~~ '" -~ .,/ WfR/ ',," 1575 1702 N Area Map " ,. '-.." /'~~ "" I / 1710 I '~,~>;(, This map is not intended to be Itsed as a legal description. "e" This map/drawing is produced by the City of Port Angeles for its own use and purposes. Ii' .~ Any other lISt" of/his map/drawing shall not be the responsibility of/he City. \~/ _J ~2 m4 "" Feel V"tical Datum = NA VD 88 Hariwntal Datum = NAD 83/91