HomeMy WebLinkAbout409 E 12th St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
BERGSTRESER MARCELLA P
409 E 12TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983627
BUILDING
TEAR OFF
66688
165 75
12/05/05
6/03/06
Qty Unit Charge Per
T•1Policies11102_15 building permit inspection record05.wpd [1/4/2005]
05 00001204
508828
409 E 12TH ST
06 -30 00 0 3 4055 0000
RE -ROOF
RS7 RESDNTL SINGLE FAMILY
6055
2,s-01c
Signa r ontract(a Authorized Agent Date
Contractor
RAINMASTER ROOFING
1205 S 0 ST
939 PORT ANGELES
(360) 452 3213
PERMIT NO PR FE E
COMP\ INSTALL COMP
Plan Check Fee
Valuation
BASE FEE
5 00 14 0000 THOU BL -2001 25K (14 PER K)
Other Fees STATE SURCHARGE
Fee summary Charged
Permit Fee Total 165 75 165 75
Plan Check Total 00 00
Other Fee Total 4 50 4 50
Grand Total 170 25 170 25
Paid Credited
00
00
00
00
Date 12/05/05
WA 98362
Extension
95 75
70 00
4 50
Due
00
00
00
00
00
6055
EXPIRED
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 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 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) Date
m
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 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 DATE ACCEPTED COMMENTS
FOUNDATION:
FOOTINGS
WALLS
ELECTRICAL LIGHT DEPT
ort Ids.&
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN
WATER LINE (METER. TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
CONSTRUCTION RW 1 PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
TA\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
YES 1 NO
FINAL
FINAL
SEPA.
ESA.
SHORELINE.
FINAL, INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION RW
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
1 BUILDING
DATE ACCEPTED BY.
DATE ACCEPTED BY.
1 1 1
1 1 1
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