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HomeMy WebLinkAbout4101 C St - BuildingPREPARED 2/29/08 9 27 25 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/29/08 ADDRESS 4101 C ST SUBDIV TENANT NBR BRANT KIM LINDQUIST CONTRACTOR PHONE OWNER BRANT LINDQUIST PHONE (360) 452 3183 PARCEL 06 30 09 5 0 9110 0000 APPL NUMBER 08 00000046 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 2/14/08 JLL BLDG FRAMING TIME 01 00 2/14/08 CA February 13 2008 4 25 48 PM 1pangrle MATT OR BRANT 808 0758 FRAMING CONSULTATION AFTERNOON February 14 2008 3 38 04 PM jlierly consult only no inspection needed/j11 BL3 02 2/22/08 JLL BLDG FRAMING TIME 04 00 2/22/08 AP February 21 2008 4 42 43 PM 1pangrle MATT 808 0758 FRAMING LATE AFTERNOON February 22 2008 4 26 48 PM jlierly BLI 01 2/29/08 LL BLDG INSULATION TIME 04 00 February 29 2008 8 32 56 AM 1pangrle l MATT 808 0758 INSULATION LATE AFTERNOON COMMENTS AND NOTES PREPARED 2/22/08 9 03 53 INSPECTION TICKET PAGE 14 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/22/08 ADDRESS 4101 C ST SUBDIV TENANT NBR BRANT KIM LINDQUIST CONTRACTOR PHONE OWNER BRANT LINDQUIST PHONE (360) 452 3183 PARCEL 06 30 09 5 0 9110 0000 APPL NUMBER 08 00000046 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 2/14/08 JLL BLDG FRAMING TIME 01 00 2/14/08 CA February 13 2008 4 25 48 PM 1pangrle MATT OR BRANT 808 0758 FRAMING CONSULTATION AFTERNOON February 14 2008 3 38 04 PM jlierly consult only no inspection needed/j11 BL3 02 2/22/08 L BLDG FRAMING TIME 04 00 j� J February 21 2008 4 42 43 PM 1pangrle MATT 808 0758 FRAMING LATE AFTERNOON COMMENTS AND NOTES PREPARED 2/14/08 11 05 28 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/14/08 ADDRESS 4101 C ST SUBDIV TENANT NBR BRANT KIM LINDQUIST CONTRACTOR PHONE OWNER BRANT LINDQUIST PHONE (360) 452 3183 PARCEL 06 30 09 5 0 9110 0000 APPL NUMBER 08 00000046 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 2/14/08 JLL BLDG FRAMING TIME 01 00 I o- February 13 2008 4 25 48 PM 1pangrle MATT OR BRANT 808 0758 FRAMING CONSULTATION AFTERNOON COMMENTS AND NOTES PREPARED 1/30/08 12 12 23 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/30/08 ADDRESS 4101 C ST SUBDIV TENANT NBR BRANT KIM LINDQUIST CONTRACTOR PHONE OWNER BRANT LINDQUIST PHONE (360) 452 3183 PARCEL 06 30 09 5 0 9110 0000 APPL NUMBER 08 00000046 RES REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION .TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 30/08 PLUMBING ROUGH IN JOHNa46 30 2008 8 43 53 AM 1pangrle JOHN 460 6902 PLUMBING ROUGH IN COMMENTS AND NOTES Application Number 08 00000046 Date 1/16/08 Application pin number 667746 Property Address 4101 C ST ASSESSOR PARCEL NUMBER 06 30 09 5 0 9110 0000 Tenant nbr name BRANT KIM LINDQUIST Application type description RES REMODEL Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 13000 Owner Contractor BRANT LINDQUIST OWNER 4101 C STREET PORT ANGELES WA 983632310 (360) 452 3183 Structure Information 000 000 INT REMODEL GARAGE TO LIVING SPACE Permit BUILDING PERMIT RESIDENTIAL Additional desc INTERIOR REMODEL Permit pin number 118984 Permit Fee 249 75 Plan Check Fee 99 90 Issue Date 1/16/08 Valuation 13000 Expiration Date 7/14/08 Qty Unit Charge Per BASE FEE 11 00 14 0000 THOU BL -2001 25K (14 PER K) Permit MECHANICAL PERMIT Additional desc Permit pin number 119255 Permit Fee 64 50 Plan Check Fee 00 Issue Date 1/16/08 Valuation 0 Expiration Date 7/14/08 Qty Unit Charge Per Extension BASE FEE 50 00 2 00 7 2500 ECH ME VENT FAN 14 50 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Other Fees CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 PLUMBING PERMIT 119263 86 00 1/16/08 7/14/08 Plan Check Fee Valuation Fee summary Charged Paid Credited Due Extension 95 75 154 00 STATE SURCHARGE 4 50 0 0 0 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 7 00 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00 1 00 15 0000 ECH PL- EA BLDG SEWER 15 00 1 00 7 0000 ECH PL- EA WATER HEATER 7 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 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 hether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any ate t Inc r law regulating construction or the performance of constructio T Forms /Building Division/Building Permit (10 /01 /07).wpd //6 r €rtnf Date Print Name Signature of Contractor or Authori d Agent Signature of Owner (if owner is builder) 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 INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION• FOOTINGS SHEAR WALLS WALLS 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 I DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING ELECTRICAL LIGHT DEPT I FINAL DATE ACCEPTED BY. FINAL PLANNING DEPT SEPARATE PERMIT S's SEPA. PARKING /LIGH•FING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 I I I PLANNING DEPT BUILDING 417 -481 I I I BUILDING T Forms /Building Division/Building Permit (10 /0l /07).wpd DATE ACCEPTED BY. d, i Application Number Application pin number Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 400 25 99 90 4 50 504 65 08 00000046 667746 400 25 99 90 4 50 504 65 00 00 00 00 Page 2 Date 1/16/08 00 00 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 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 of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T Forms /Building Division/Building Permit (10 /01 /07).wpd BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES I 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 Q KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. rQ INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION• FOOTINGS SHEAR WALLS WALLS 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 I 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 M's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -473 30 -OR I .J F)- I 2- ZZ -O2S 1 L. 2-2.9 -o 8 "0 CONSTRUCTION R.W PW/ ENGINEERING 417 -480 I FIRE 417 -465 I PLANNING DEPT 417 -475(1 I BUILDING 417 -4815 T Forms /Building Division/Building Permit (10 /01 /07).wpd YES NO FINAL SEPA. ESA. SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED BY. DATE ACCEPTED YES V) FINAL DATE ACCEPTED BY. 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 �cuv,E u, sIr Property Owner Somme an new Property Owner's Address c,ii©, 6 (k �,xt Q 1\v►ope5 1 u)I}, Ci$b' Contractor /Engineer v,,, Phone Contractor /Engineer's Address License PROJECT ADDRESS L 10I c Parcel Number For, City Use Only Date Received I-- 11,= tY 'i ermit# (�S3- (Date Approved P ne 360-HSL 3143 Phone 360 4S7_, 31S52, fri Expires' r/- ti I, Lot Zoning Project Type Brief Description. pg. Residential Commercial Multi family Industrial Check all that apply New Construction Addition Itti Remodel 'l e- Fcont Ver ior StrIA— i w;Amos c.rt a.DB� 4 u -'c, c� Gal e sf5t cel Repair K�� �re• Lr, \ous %um\ckers. Irt,�tes Re -roof Demolition Sign wall- mounted projecting freestanding awning other Total sign area sq. ft. Maximum allowed sign area sa ft. Heat System Heat pump wood burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (g. ft.) Basement l st Floor I L% 2 Floor 3 Floor Garage Li it Carport Covered Porch Deck D Shed Other Total footprint of structures \S Sd LI Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? NO Occupant load Will a fire sprinkler system be installed? �p Construction type IS. 000 projects. Date 1,-1,1 -2_0055 Print NameJ3Ctx r (are t) s, Signature T.Forms /Building Division /Bldg Permit Appl. -2006 Code doc per sq ft. TOTAL VALUATION l; -2, (fin O sq ft. Lot size 1111/ sq ft. Lot coverage lH 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 tl ap, understand that it is my responsibility to determine what permits are required, and to obtain for th prier 3 Z 6 per it and ing on 4020 Hazel 410 I 11:1:3 Q34 402 O s i I va 5Od OJ8 q' OhOh CITY OF PORT ANGELES Construction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said pie specifications and other data, or from preventing building operations carried on thereunder h i when n. violation of all codes s and ordinances of this jurisdicti on. to W \c –O`t 1 ..9 E Application Number 08 00000042 Application pin number 322010 Property Address 4101 C ST ASSESSOR PARCEL NUMBER 06 30 09 5 0 9110 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor LINDQUIST BRANT 4101 C STREET EXT PORT ANGELES Fee summary Permit Fee Total Plan Check Total Grand Total WA 983632310 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 118919 Permit Fee 64 00 Plan Check Fee 00 Issue Date 1/11/08 Valuation 0 Expiration Date 7/09/08 BOTERO SON ELECTRICAL 940 TAMARACK WAY PORT ANGELES WA 98362 Qty Unit Charge Per 1 00 64 0000 ECH EL R OR RM 0 200 ALT SRV FDR Charged Paid Credited 64 00 64 00 00 00 00 00 64 00 64 00 00 Date 1/11/08 Due Extension 64 00 00 00 00 IN SPECTION TYPE DATE DITCH SERVICE ROUGH IN FINAL COMMENTS: EL FCTRICAL RESULTS INSPECTOR Job wired by Electrical Contractor Owner Electrical contractor name License number Date Expires S__ .S f3t1Ie/i S e 9.r 7 O Purchaser's mailing address 9 `1O „T ,e G/+ City State ZIP A ,eie< 1A 9 6 Telephone number FAX number 3'&) 90- 9/10 1 6o Vc r ises owner's naly 1Z.A 1 /in ro I Address of inspection 1 C /Ca/ S C' 47 7 7 7f c i G ♦'A C A L /e Phone jiumber to schedule inspectio b° 4 /6 /f 9/' O wner as defined by RCW 19.28.261 (I) 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. 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 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 o owner elect al coartractor or electrical administrator Expiration Date >,'S a"Ai) Date//e p� of card ElecGie1'Load ¥dditions and or subtractions NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW SAME DAY INSPECTION, CALL BEFORE 7 00 AM 360- 417 -4735 ROUGH -IN 7 THERMOSTAT Inspection Date //ii /1,4 c I FINAL Ap �y Date 7 Overhead Service Temp Service Underground Service DITCH Area, Building or Equipment Inspected ELECTRICAL WORK PERMIT APPLICA SON /Installation description Cash Check Appr ed By Commercial New t Altered/Addition Wit} p_ fg Av14/ 9 esidential i Mastercard Discover _a_4l )_120_ C Inspection fee Service Information Voltage 2 qt) Phase 1 3 Service Size: 2Db Feeder Size: SERVICE iyate Approved By FEEDER Date Appr ed By Date Appr ed By Date Appr ed By Electrical Inspector '44 ////21.4 v Action Taken mro o ..... '" '" ..... 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ZO III ~ Q E-< -~ ol'" Ul -U .-< 1>:0 UlE-<"; ..:IZ E-< ()I 0 ,,; ~:i!~fHJ..:I H Ul 0.>< ~ , OlE-< QZZZl>:o. 0. .-< I>:H ~OlO3:";o. >< ..:I o.U E-< UO 0."; '" E-< III :f''f'ORT~ tO~<<<t, ,.. L~ ~ ~<:~ 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 07-00001002 Date 8/31/07 441506 4101 C ST 06-30-09-5-0-9110-0000- BRANDT & KIM LINDQUIST RES FOUNDATION REPAIR RS9 RESDNTL SINGLE FAMILY 40000 Owner Contractor BRANDT LINDQUIST 4101 C STREET EXT PORT ANGELES (360) WA 983632310 J GRICE CONSTRUCTION LLC 223 MARSDEN RD PORT ANGELES WA 98362 (360) 457-1708 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL FOUNDATION & FLOOR RPR 109983 569.25 Plan Check Fee 8/31/07 Valuation 2/27/08 227.70 40000 Qty Unit Charge Per Extension 417.75 151.50 BASE FEE 15.00 10.1000 THOU BL-25,001-50K (10.10 PER K) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited ----------------- ---------- ---------- ---------- Permit Fee Total 569.25 569.25 .00 Plan Check Total 227.70 227.70 .00 Other Fee Total 4.50 4.50 .00 Grand Total 801. 45 801.45 .00 Due .00 .00 .00 .00 ~ , ~ \ o tP ~ ? Y <:? 9-- 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 orwork 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. Date Signature of Owner (if owner is builder) Date T:\PoliciesII102_15 building pennit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD o ;.J I CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICALINSPECTJONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINllv1UM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TlON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. g INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO ~ FOUNDATION: FOOTINGS '1/U ' ()7 -:1LL i ~) '~J6 7 J LL JOJ3b/07fiJoti 1\j :ru.. SHEAR WALLS(WALLS) 9t It, Of PB 10-2.:z-07 5~Wo..ll :fl-L FOUNDA TJON DRAINAGE / DOWN SPOUTS I I' JO\HJ'7 S~tnl~ \a,1\ "S'"LL . PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-TN WATER LINE (METER TO BLDG) GAS LlNE FlNAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS 1: CEILING I - . 0 FRAMING ..-- JOISTS / GIRDERS SHEAR W ALLlHOLD DOWNS WALLS / ROOF / CEILlNG V\ DRYWALL (fNTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I 0 MECHANICAL ROUGH-IN HEATPUMY/FURNACE/DUCTS cj) GAS LINE FINAL DATE ACCEPTED BY: + WOOD STOVE / PELLET / CffiMNEY MANUFACTURED HOMES .~ FOOTING / SLAB BLOCYJNG & HOLD DOWNS SKlRTING 8 PLANNING DEPT. SEPARATE PERMIT #'s SErA: ""S' PARKING/LIGHTING ESA: ~ LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE d\ RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED e:- YES NO S ELECTRlCAL - LlGHT DEPT. 417-4735 ELECTRlCAL ~. LIGHT DEPT CONSTRUCTJON R.W./PWI CONSTRUCTION - R. W. ENGINEERJNG 417-4807 PW I ENGINEERrNG 0 FIRE 4] 7-4653 FIRE DEPT. ~ PLANNING DEPT. 417-4750 PLANNING DEPT. ~ BUILDING 4]7-4815 :1- 1.:z., l'-~ '3L.-t,....- BUILDING . . T:\Policies\1 ]02 1.5 buildmg permit mspeclion record05.wpd [1/4/2005] ~ ") -\ BUILDING PERMIT - APPLICATION Residential projects: submit two sets of plans Commercial projects: submit three sets of plans FOR OFFICIAL USE ONLY: Date Rec.: CO -31--0""] Permit#: Or - I ()07~ Date APproved:':51 yY\ M> ~ if ~ Date Issued: 8 I J 107 Fill out COMPLETELY and in INK. Your application, prescriptive energy form, plans, specs, and a 8 Yz" x 11" site plan MUST BE COMPLETE to be accepted Tor review. (360) 417-4815 FAX (360) 417-4711 Applicantor~'2~IIH..1 Jsf<<f4""'~' J""A.JL Phone ~(I-{))OJ Owner f!;)4_'JAJ~"f'" ~ L.t.-v(4)tJ{)~ Phone owner'S~d ess 4/0 I ~ c." S'""I"1JU....( 14'1--(' ~4..c-l ~ 9&3'6'3 ..:J (ijtM< ':1,;.-r- I -&1. ,/ _ I Contrac r gmeey ~~1' (('JIU~,' 21W~ J'4r.t(j.;:"" State License # ~2. ?77 Expires c!t {Z[,rs Contractormngineer.:s Address '3 ~ (k.411' Ia ~ S1:': J(. 1 A-z.-r ,tf.v~"'c..e..r Phone '-<.t I 7 -osc::r I PROJECT ADDRESS: .4101 S, C" Sl'~<rl ZONING: ,eS- c::r LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: ~esidential o Multi-family o ~ommercial [!"" Repair TYPE OF WORK o New Constr. 0 Re-roof 0 Stove o Addition 0 Move 0 Garage o Remodel 0 Demolition 0 Deck o Sign 0 Other SIZEN ALUA TION SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ 1./0. ()() 0 B F DESCRIPTION OF THE PROJECT: o 'toN ~4:;,44~ .. ~';V, ..c. R...h~ COMMERCIALfRESIDENTIAL: Occupancy Existing Structure( s) basement 151 floor 2nd floor 3rd floor Accessory Structures Existing Structure(s) TOTAL -~ ~~5 '5'"11 "- 1 "<'l.~~ofd Occupant Load: Construction Type: Sq. Ft. & Proposed Structure(s) basement Sq. Ft. Sq. Ft. & 151 floor Sq. Ft. Sq. Ft. & 2nd floor Sq. Ft. Sq. Ft. & 3rd floor Sq. Ft. Sq. Ft. & Accessory Structures Sq. Ft. Sq. Ft. & Proposed Structure(s) TOTAL Sq. Ft. TOTAL of existing & proposed structures Sq. Ft. Maximum Height of Proposed Structure(s) Ft. LOT COVERAGE Lot size Sq. Ft. Existing Structure(s) Sq. Ft. Footprint Proposed Structure(s) Sq. Ft. Footprint TOTAL Structure(s) Sq. Ft. Footprint Total Lot Coverage % Are you planning to install a lawn sprinkler system? (Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.) V ALUA nON 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: The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are due at the time of permit issuance. EXPIRA nON OF PLAN REVIEW: An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing unless such application has been pursued in good faith or a permit has been issued; except that the building official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006 105.3.2) 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 d term. e wh permits are required, and that I must obtain such perm1s prJor to work. /: / Date 8( ~ 161 Applicant T:\FORMS\BUILDING DIVISION\BldgPermitAppl.-2006 CODE - backup.wpd