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""' "'H Po~<(o. '" :>< '" o.u <(Uoo.<( Po. E-< 01 f-I'ORT A.Ir. t4.0~~~ ~ 'L ~ ~ 'l->i:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVIS10N 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 . . . . 8/04/08 08-00000936 Date 485208 920 W 5TH ST 06-30-00-0-1-0715-0000- RE-ROOF RS7 RESDNTL SINGLE FAMILY 2500 Application desc TEAR OFF RESHEET INSTALL COMP Owner Contractor ERSKINE CHARLES/D 920 W 5TH ST PORT ANGELES OWNER WA 983632113 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE TEAR OFF RESHEET INSTALL COMP 131342 109.75 Plan Check Fee 8/04/08 Valuation 1/31/09 .00 2500 Qty Unit Charge Per Extension 95.75 14.00 BASE FEE 1.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 109.75 109.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 114.25 114.25 .00 .00 0: / ' //qL cJ/s ~ O~ 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. ~ I ?/~~ (lk.rI(J5 L-EKb~e ek4)~ ':. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/l3\1i1ding Permit (05113108).wpd BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES. CALL 417-4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE. ~ ~ 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 ALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULA TION 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 II'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 FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 II) -I'=J -O~ -:1U- BUILDING L ~\ eft \ ~ ~ 1 ~ '0 L-- In ;1.1:. _ r.:..:_:_..II"'I. :I..J;.... ,,__.~~:.I"CII~I"O\""..rl BUILDING PERM/iT 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 fls Permit # Date Approved Applicant or Agent {J {~ L ~V":;{<(';,..e.- Property Owner :. ~s. L.. ~rJk,Y1'€- Property Owner's Address Contractor/Engineer Contractor/Engineer's Address License # Phone Phone -$60 -c{C:;~- 3~79 '76rQ -C{~~ '3 (77 Phone Expires PROJECT ADDRESS Parcel Number Lot Zoning Proiect Tvpe & Brief Description: Check alllhat apply o New Construction o Addition o Remodel o Repair >< Re-roof o Demolition o Heat System o Other )( Residential o Commercial o Multi-family o Industrial tf)r - ---- /P:5/~, o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove Floor Areas Existinq (sq. ft.) Proposed (sq. ft.) Basement @$ per sq. ft. = $ 151 Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALVA TlON $ :1S 00.. CO 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 ::::C~sje Print Name ~1e2 L t.-J:. ,'niL- Signature ~d(~~ T:Forms/Building Division/Bldg Perm:i Appl.-2806 Code. doc