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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 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
08-00000530 Date
056360
128 WHIDBY AVE
06-30-10-5-0-1010-0000-
BILL HALE
RES REMODEL
5/08/08
RS7 RESDNTL SINGLE FAMILY
4000
Application desc
REMOVE GARAGE ROOF,. NEW TRUSSES / INCREASE HEIGHT
Owner
Contractor
WILLIAM / DEBRA S HALE OWNER
128 WHIDBY AVE
PORT ANGELES WA 983622557
(360) 417-4810
Structure Information 000 000 NEW TRUSSES / INCREASE ROOF HEIGHT
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
ROOF TRUSSES/INCREASE HEIGHT
125955
123.75 Plan Check Fee
5/08/08 Valuation
11/04/08
49.50
4000
Qty Unit Charge Per
Extension
95.75
28.00
BASE FEE
2.00 14.0000 THOU BL-2001-25K (14 PER K)
Special Notes and Comments
MAINTAIN CLEARANCES FROM SERVICE WIRES
Any modifications to the City's electrical facilities will
be at the customer's expense.
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 123.75 123.75 .00 .00
Plan Check Total 49.50 49.50 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 177.75 177.75 .00 .00
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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 regulatin construction or the performance of
construction.
Signature of Contractor or Authorized Agent
,-
.:,
T:Forms/Building DivisionlBuilding Permit (10101/07).wpd
BUILDING PERMIT INSPECTION RECORD
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES 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 FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING I d -13-02 p~
JOISTS / GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION .--
SLAB
WALL / FLOOR / CEILING
MECHANICAL ~.
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 4 I 7-4735 ELECTRICAL
LIGHT DEPT (t>
CONSTRUCTION R. W. / PW/ CONSTRUCTION - R.W. \f\
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 .. PLANNiNG DEPT.
BUILDING 417-4815 10 - \ '2, -() g" pe, BUILDlNG
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. 0
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE oQ..
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. \
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. '-.f\.
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T: Forms/Building Division/Building Permit (I % 1/07). wpd
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BUILDING PERMIT APPLICA TION 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
For City Use Only:
ate Received 05 -0 5-0 g
ermit# O?;-~
ate Approved ~ ~
Applicant or Agent f3i { (
Property Owner
Property Owner's Address
Contractor/Engineer
Contractor/Engineer's Address
License #
Ho. (~
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Phone
Phone
bO - t.f~2--)( ~Z- HIA.f
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Phone
Expires
\ -z-<6 LU~~ A ~\.! AVE.
f) &, 30 It)> () /0 (0 C(!)C1:3
Parcel Number
PROJECT ADDRESS
Lot
Zoning R.S 7
f Residential
Project Tvpe & Brief Description:
Check all that apply
o New Construction
o Addition
o Remodel
t'Repair
oRe-roof
o Demolition
o Heat System
o Other
o Commercial
o Multi-family
o Industrial
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D Heat pump 0 woo -burning stove 0 gas fireplace 0 pellet stove 0 other
Floor Areas Existinq (sq. ft.) Proposed (Sq. ft.)
Basement @$ per sq. ft. = $
1 sl Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALVA TION $ tftJOO '2E-
Total footprint of structures sq. ft. Lot size sq. ft. = Lot coverage %
Max. height of proposed structures ft. Occupancy group # of bedrooms
Will a lawn sprinkler system be installed? Occupant load # of full baths
Will a fire sprinkler system be installed? Construction type # of half baths
I have read and completed this application and know it 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, and to obtain permits prior to working on
projects.
Date 5' ---s ~O ~ Print Name 1; I' ~ ~
\{~lL
0;J1 r~qjL
T:Forms/Building Division/Bldg Permit Appl.-2006 Code.doc
Signature
Whidby;Ave.
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Cf1Y OF
The Iss PORT Arv
Cation IJJnce of thi GELES _
from sand ottler s Permit base Construe,
P!,7.1S, t;ere~fter re:~:a. shall not p~elJPon these pIa 01) ~/an8
bUi!din peclfications nng the corr, ve.nt the blJif, . s. speCifi.
via/atio; :perations be~;d other da~:t/on of erro~' ~ Official
\E" I +'. ^ S : d.eJ f all COdes If carried 0 ' Or from P In said
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 412412001 PERMIT NO: 12620
OWNER/APPLICANT PROPERTY LOCATION
BILL HALE 128 WHIDBY
128 WHIDBY Lot:
Port Angeles, WA 98362 Block: ID [] Long Legal
360/000-0000 Subdivision: p.%4,¢_ ~.,~ ,4 bt)
T: S: Parcel No: ~,
CONTRACTOR ARCHITECT
PENINSULA ROOFING N/A
1216 S. H ST
Port Angeles, WA 98363 , 98360-0000
360/417-1039 360/000-0000
PROJECT INFO
Project Value: $2,760.00 SFD Units: 0 Commercial: 0
Project Type: REROOF SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0 ~.~
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
NO SHEETHING / TEAR OFF / FELT / COMP
FEES ASSESSMENT
Building Permit: $83.25 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $87.75
Plumbing: $0.00 AMOUNT PAID: $87.75
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 period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days Eom the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All previsions 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.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BU1LDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNL/IWFUL TO COVER,
[NSUL.4TE OR CONCE,4L ,4NY WORK BEFORE INSPECTED liND/iCCEPTED. POST PERMIT iN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE ] DATE I YEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOOFINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPAKATE PEILMIT: #
PLUM~ING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
MECHANICAL
PLANNINGDEPT 417-4750 ~ ~f~ I PLANNING DEPT.