HomeMy WebLinkAbout312 W 13th St - Buildingo h HQ t5)1
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Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNI'rY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
04 C0000899
947996
312 W 13TH ST
06 3 00 -0 3 8910 0000
RE ROOF
1500
Owner Contractor
LUSTIG SUSANNAH
312 W 12TH ST
PORT ANGELES
(360) 457 0440
WA 983627606
OWNER
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF FELT COMP
Permit Fee 77 50 Plan Check Fee 00
Issue Date 10/04/04 Valuation 1500
Expiration Date 4/03/05
Qty Unit Charge Per
BASE FEE
10 00 3 0500 HND BL- 501I2K (3 05 PER C)
Other Fees
T4LANNING\FORMS \1102.15 [11/14/2003]
STATE SURCHARGE
Date 10/04/04
Fee summary Charged laid Credited Due
Permit Fee Total 77 50 77 50 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total B2 00 82 00 00 00
Extension
47 00
30 50
4 50
Separate ndpu..
Void if work onstruction: provements.'fhispermitbecomes
null and vo d if wo or const uct on electrical
edlis not i i ys u p
A, Shoreline, ESA, utilities, private and public im
com niencedwithin °180.da if c, orwork;issus ended -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 gover`ninglhis type of work will be complied with whether. Specified herein. The granting of a permit does not
presume to give authority to '.violate or cancel .0 0 :provisions of any state or lo .1 law regulating construction Or :performance of
construction.
Signature of Contractor or Authorized,Agent Date Sign of Owner is gW(der) Date
li CAL. F 1\-:§2EC:
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PLI3A PROVIDE A MINIMUM 4 NOTICE. IT IS UNLA1VITILT COVER ANY WORK BEFORE 09
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KEEP PERMIT 0 PIANS AT JOB SITE —9
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDlNG DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Appllcation Number
Pln number
Property Address
ASSESSOR PARCEL NUMBER:
Applicatlon description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000899 Date 10/04/04
.947996
312 W 13TH ST
06-30-00-0-3-8910-0000-
RE-ROOF
Owner
Contractor
EXPIRED
4/~/oG
1500
LUSTIG, SUSANNAH
312 W 12TH ST
PORT ANGELES
(360) 457-0440
OWNER
WA 983627606
~
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N
Permit BUILDING PERMIT - NO PR FEE
Addltional desc TEAR OFF, FELT, COMP
permi t Fee 77.50 Plan Check Fee .00
Issue Date 10/04/04 Valuation 1500
Expiration Date 4/03/05
1'1 Qty Unit Charge Per
Extenslon
BASE FEE 47.00
10.00 3.0500 HND BL-501-2K (3.05 PER C) 30.50
~
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ---------- W
Permlt Fee Total 77 .50 77.50 .00 .00
Plan Check Total .00 .00 .00 .00 4-
Other Fee Total 4.50 4.50 .00 .00 F
Grand Total 82.00 82.00 .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 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 constr I n or the performance of
construction.
Signature of Contractor or Authorized Agent Date
T:\PLANNING\FORMS\1102.15 [11/14/2003]