HomeMy WebLinkAbout228 W 11th St - BuildingpORTk
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Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
DURHAM THELMA/
228 W 11TH ST
PORT ANGELES
(683) 3158
Permit BUILDING PERMIT NO PR FEE
Additional desc
Permit Fee 120 75 Plan Check Fee 00
Issue Date 11/29/04 Valuation 3200
Expiration Date 5/29/05
Qty Unit Charge Per Extension
BASE FEE 92 75
2 00 14 0000 THOU BL -2001 25K (14 PER K) 28 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 120 75 120 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 125 25 125 25 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 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 author' t T1t violate or cancel the provisions of any state or local law regulating construction or the performance of
con s2 cti n.
ture of Contractor o utho
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
WA 98362
04 00001103
772741
228 W 11TH ST
06 30 00 0 3 4530 0000
RE ROOF
zed Agent
RS7 RESDNTL SINGLE FAMILY
3200
Contractor
OWNER
SEBRING
/�2 /G V
Date
Date 11/29/04
FL
kfitz°61
o 5 Z a s
Signature of Owner (if owner is builder) Date
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
YES I NO
FOUNDATION:
FOOTINGS I I I
WALLS I I I
FOUNDATION DRAINAGE/DOWN SPOUTS I I
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN I I I
PLUMBING
UNDER FLOOR SLAB I I I
ROUGH -IN I I I
WATER LINE (METER TO BLDG) I I I
GAS LINE I I I
BACK FLOW WATER I I I
AIR SEAL
WALLS I I I
CEILING I I I
FRAMING
JOISTS GIRDERS I I I
SHEAR WALL/HOLD DOWNS I I I
WALLS ROOF CEILING I I I
DRYWALL (INTERIOR BRACED PANEL ONLY) I I I
T -BAR I I I
INSULATION
SLAB I I I
WALL FLOOR /,CEILING I I I
MECHANICAL
HEAT PUMP I I I
GAS LINE I I I
WOOD STOVE PELLET CHIMNEY I I I
HOOD /DUCTS I I I
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
I I I
I I I
I I I
I I I
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION KW PW/ CONSTRUCTION RW
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I I I FIRE DEPT
PLANNING DEPT 417 -4750 I I I I PLANNING DEPT
I BUILDING 417 -4815 I I I I BUILDING
T•\PLANNING\FORMS \1102.15 [11/14/2003]
I I I
I I I
I I I
Applicant or Agent:
Owner.
Address
No. of Stories. Lot Size:
PLANNING USE ONLY
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
Existing Sq Ft.
Total lot coverage
T•\RV ES S\BLDG- forms- brochures\2003- Buildingpermit.wpd
L.t LI "1 City. Zip
Architect/Engineer. Phone
Contractor P y State License
Address. City
PROJECT ADDRESS ,a_94?- (ter' 11 Tb
LEGAL DESCRIPTION Lot: Block:
CLALLAM COUNTY PARCEL NUMBER.
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other.
Exp
Subdivision.
Proposed Sq. Ft.
Phone
Zip
ZONING
FOR OFFICIAL USE ONLY
Date Rec. _/1 '1-
i
Permit
Date Approved.
Date Issued. -7-a
Phone H 7 //t..c 6 ER-
Phone !P S 3 -J(
Credit Card Holder Name:
Billing Address: City.
Credit Card Type VISA MC Exp. Date:
TYPE OF WORK. SIZE/VALUATION
Residential New Constr X' Re -roof Stove SF /SF
o Multi family Addition Move Garage SF /SF
Commercial Remodel Demolition Deck SF /SF
Repair Sign ❑Other TOTAL VALUATION -3
BRIEF DESCRIPTION OF THE PROJECT /r t c-
1 2Q.r lido -,S A. e- C .l C.0 /r), p
COMMERCIAL/RESIDENTIAL. Occupancy Group. Occupant Load. Construction Type:
TOTAL Sq Ft.
APPROVALS.
PLAN
BLDG
DPWU
FIRE.
OTHER.
BUILDING PERMIT APPLICATION SUBMITTAL. The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
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 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 R105.3.2
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 tha I must obtaj ch permits prior to work.
Applican �T Date. 1/2 rap