HomeMy WebLinkAbout527 E 12th St - Building
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CITVOF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Property Address
ASSESSOR PARcEL NUMBER:
APPlication description
subdivision Name
. Property zoning . . .
Application valuation
03-00001009 Date 10/14/03
527 W12TH ST
06-30-00-0-3-4870-0000-
RE-ROOF
900
Owner
Contractor
PENDERGRASS PAUL E
527 W.12TH ST
PORT ANGELES HA 983627502
OWNER
Permit . . . . .
Additional desc .
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
ONE LAYER OVER ONE OF SAME
59.20 Plan Check Fee
10/14/03 Valuation
4/12/04
.00
900
Qty Unit Charge Per
Extension
47.00
12.20
BASE FEE
4.00 3.0500 HND BL-501-2K (3.05 PER C)
Other Fees
STATE SURCHARGE
4.50
0\
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Fee summary Char9'ed Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Penidt Fee Total 59.20 59.20 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 63.70 63.70 .00 .00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
nul' and 'loldif v.'Ork or construction authorized is not commenced within 180 days,. if construction or work is suspended or abandoned
for aperiodof ~ 80 days after the work as commenced, orifrequired inspections have not been requested within 180 days from the last
Inspection.. I hereby certify that I have read ~nd examined this application and know the same to be true and correct. All proyisions of
laws and ordinances governing this type of work will be complied with whether specrfied herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions o~ lpeal. w regulating construction or the performance of
conslnlctlon. . . .. ~ 10 IllfloJ
Slgnature.of Contractor or Authorized. Agent. Date Signature .of Owner (if owner is builder) Date
T:\PLANNING\FORMS\1102.1S [4/2002]
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BUILDINGPERMrrINSPF;CTIONRECORD
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KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
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ACc:E,rrED .'
YES NO
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INSPECfJON TYPE
DATE
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FOUNDATION:
FOOTINGS
WALLS
FOUNDATioN DRAINAGE
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ELECfRICAL (LIGHT DEPT) SEPARATE PERMIT: /I
ROUGH-IN' I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE I PELLET I CHIMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK {Engineering Division) SEPARATE PERMIT I/'s:
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WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT I/'s
PARKINGILIGHTING
LANDSCAPING
RItsIDENTIAL
SEPA:
ESA:
SHORELINE:
":INALINS.1,'~9~~~UI~Ep PRIOR TO ~<lVP,\N~p~'i., '. ."
DATE "'. : ". YES NO ','. CpMMERCIAL
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417-4735' "., .'. '..~rEC1%CAi. ....
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1;.\ A~CEPTED
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ELECTRICAL - LIGHT DEPT. '.'
BUILDING
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417-4807 1/./ //-
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< 417,.,4750 ~.:tIJI~.e- ~cl.;
417-4815 lJ"lJJ.lbC:- NV
tONSTRlk:nON: R. W.
PW I ENGINEERING
FIRE DEPT.
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PLANNING D1WT. . '.,
BUILDING
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CONSTRUCTION R. W.I PWI
ENGINEE~G
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PLANNING DEPT.
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T:\PLANNING\FORMS\I 102.15 (412002)