HomeMy WebLinkAbout428 Orcas Ave - Building CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DWISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 8/28/2001 PERMIT NO: 12908
OWNER/APPLICANT PROPERTY LOCATION
LESS FOX 428 ORCAS S
428 ORCAS Lot: 3&4
Port Angeles, WA 98362 Block: 17 [] Long Legal
360/000-0000 Subdivision: PSCC 2NDADD
T: S: Parcel No: 063010501708000
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $800.00 SFD Units: 0 Commercial: 0
Project Type: SHED SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use: RS-7
PROJECT NOTES
CONSTRUCT A 12X12 SHED
FEES ASSESSMENT
Building Permit: $32.65 Misc Fee 1:
Plan Check: $0.00 Misc Fee 2: ~ ~ ~-~ ~ g--
State Surcharge: $4.50 Misc Fee 3: -~C2
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE:
Plumbing: $0.00 AMOUNT PAID: .... ~ o
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate 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 pedod 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 spec fled here n or not. The granting of a permit does not
presume to give authodfy to violate or cancel the previsions of any stat~'~r/ocel law regulating constructixo, j3]or the performance of
construction. ~,.
Signature of Contractor or Authorized Agent Date ~S~gn~tu~e'~Ow~r (if-d'wner is builder) / ~'~ Date
III llll Illl I II II I1{11
2001 1069517 Counw
I/WE the undersigned owner(s) of the following described property:
(Insert legal descriptio~ here)
do h~by covet ~t ~id ~ s~ll be desi~=tod as one zo~ lot ~ defined ~ Soofio~ 17.08.032
"Z" of~e ~ ~=]es M~cipal Code. ~s coven~t era=res o~= ~s~ble b~ld~ lot ~d
be ~oved ~ough co~li~c~ ~ ~t~ 58.17 RCW (~ubdi~sion ~e~la~Q ~ ~ O~ of P~
~geles' sho~ subdi~sion relations (~mce No. 2222, ~ ~ended).
~is coveumt sh~ll be bmug on ~e o~er(s), heir(s), assi~(s), ~su~essor(s) m mt~est ~d
shall be filed ~ ~e Co~W Auditor's Office. ~s covmant is for ~e mull b~efit of said o~(s),
he~(s), assi~(s), ~d ~ccess~s) m int~e~ md is for ~e ~ p~ose of compli~ce ~ m~ md loc~
l~d use ~d build~g re~lafions. ~s covet may be ~orced by mjunc~ou or o~ ta~l proced~e
~d covenant by ~e recov~ of ~y d~ages resulting ~om non compli~ce.
DASD this ~' day of ~ ~ ,
200~.
(o~) ~ - ~ ~(o~)
(Owner) (Owner)
STATE OF WASHINGTON )
COUNTY OF CLALLAM ) ss
~,-~ ' / L~/~
I, ~ ~ , ~ , , Notary Public in and for the State of Washin~n, do h~reby certi~
to me known to be the indivic~al{s) desribed in and who executed the within instalment and acknowledged that
m~ signed and sealed the same as ~ free and voluntary act and deed for the purposes herein
GIVEN UNDER MY I-IAI'tD AIqD OFFICIAL SEAL th~s ~, ?2-dayof ,'/'A"2 ~'~r''~-- 200_/
~i~'~_~ ~' ~1 ~' N~ARY PUBLIC in and for the State of
~d~ ~' V~'~~°-~ '/~ Washington rcsidin, ,t Port Angeles.
,
Filed for record at the request of ~"'~-L('~.'~..~/-0/~ this~day of
~[~, 200.. I
CLALL~M COUNTY AUDITOR