HomeMy WebLinkAbout1112 W 15th St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00001205 Date 12/19/03
Property Address ...... 1112 W 15TH ST
~SESSOR PARCEL NUMBER: 06-30-00-0-4-3112-0000-
Application description . . . RE-ROOF
Subdivision Name
Property Use ........
Property Soning ....... ES7 RESDNTL SINGLE FAMILY
Application valHatio~ .... 3500
Owner Contractor
SHAMe MARE LANE AFFORDABLE SERVICES
PO BOX 383 258663 HI - WAY 101
PORT ANGHLEE WA 98362 BEQUIM
SEQUIM WA 98382
(360) 452-5264
Permit ...... BUILDING PaRMIT - NO PR FEE
Additional desc . . TEAR OFF, FELT, COMP
Permit Fee .... 120.75 Plan Check Fee . . .00
Issue Date .... 12/19/03 Valuation .... 3500
Expiration Date . . 6/17/04
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
Sunmmry Charged Paid Credited Due
Fee
Per~it Fee Total 120,75 120.75 .00 .00
Plan Check Total ,00 .00 .00 .00
Other Fee Total 4.50 4.50 .00
Gra~.~ T0~al 125,25 125.25 .00 .00
Sepa~at~P.ermits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and volidif 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 certif~ 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 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 BUILDING INSPECTIONS. CALL 4I 7~4735 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 I DATE [ yEsACCEPTEDI NO COMMENT~
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOVZN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPAKATE PERMIT: #
PLUMBING
UNDER FLOOR ! SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW ! WATER
AIR SEAL
BUILDING PERMIT- APPLICATION
CO~KTB to be fcc~t~ br ~1~, ~ have ~y q~M,
C360) 417~81S
Cr~t C~A
CO~E~I O~cy Oro~; Oc~ut~: C~T~:
No. ofS~m: ~ ~ ~: ~ Sq. Pc & ~ Sq. FC -~T~
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