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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:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
08-00000617 Date
623963
1223 I ST
06-30-00-0-3-6555-0000-
RE-ROOF
5/22/08
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RS7 RESDNTL SINGLE FAMILY
5580
Application desc
TEAR OFF RE-SHEET INSTALL COMP
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Owner
Contractor
GILBERT/LINDA WISE FAMILY TRST
PO BOX 97386
TACOMA WA 984970386
GARLAND CON ST. & MAINT.
2512 E. RYAN DRIVE
PORT ANGELES WA 98362
(360) 457-5186
Permit BUILDING PERMIT - NO PR FEE
Additional desc TEAR OFF INSTALL COMP
Permit pin number 127118
Permit Fee 151.75 Plan Check
Issue Date 5/22/08 Valuation
Expiration Date 11/18/08
Qty Unit Charge Per
Fee .00
----
5580 ~
Extension ~
95.75
56.00
BASE FEE
4.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ---------- \j)
Permit Fee Total 151.75 151.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 156.25 156.25 .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 regulating construction or the performance of
construction.
Signature of Owner (if owner is builder)
T:Forms/Building DivisioniBuilding Permit (1 O/OI/07).wpd
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
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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
JOISTS / GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULA TlON
SLAB
WALL / FLOOR./ CEILING
MECHANICAL
HEA l' 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 OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FlRE 4 17-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 ..:'1." ",'~. .. .~.., .. PLANNING 'DEPT. Y,/.
BUILDING 417-4815 (n- ~ -0 r; ":\U, BUILDING
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T:Forms/Building Division/Building Perm;1 (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:
Date Received ~Z:?- -02
Permit # OS ~ 17
Date Approved c;- z,z., -CJ?J
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Phone
Phone
2;;~-~r2-qff
1>"7 -f; S'ep
Applicant or Agent
Property Owner' .... ,... - .i /~ ill sg,
Property Owne~'s Address I~~, S S.
Contractor/Engineer
Contractor/Engineer's Address .'/f
License # (i err It) CtA/{ (!JIIL!!1 D
PROJECT ADDRESS 1d-d-"3 s
Phone
Expires
I 51
Parcel Number
Lot
Zoning
Proiect Tvpe & Brief Description:
Check all that apply
o New Construction
DAaaition~-'----'
o Remodel
o Repair
~e-roof
o Demolition
o Heat System
o Other
o Residential
o Commercial
o Multi-family
o Industrial
o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other
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Floor Areas Existing (Sq. ft.) Proposed (sq. ft.)
Basement @$ per sq. ft. = $
151 Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALVA TION $
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 wh ~ mlts are required, and to obtain perm?J}'ts P~. t working on
projects.
Date 5: Signature"
ivision/Bldg Permit Appl.-2006 Code.doc
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May 19 08 08:21 p Linda Wise
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We propose neroby to lumish m;)1cri;\1 .'lnd I )oor - complt)t(~ in uccorduncc with the ubove speclllCCllions tor the sum of:
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