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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 08 00000835 Date 7/14/08
Application pin number 314260
Property Address 203 W 11TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 2675 0000
Tenant nbr name CHIJRCI OF ANGELS CHURCH
Application type description RE ROOFSlGWee44'l
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 29850
Application desc
TEAR OFF EXISTING ROOF AND INSTALL A METAL ROOF
Owner Contractor
CORP CATHOLIC ARCHBISHOP DIAMOND ROOFING ENTERP INC
CCAS PROPERTY CONST P 0 BOX 2963
710 9TH AVE PORT ANGELES WA 98362
SEATTLE WA 98104 (360) 452 9518
Structure Information 000 000 TEAR OFF INSTALL METAL ROOF
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF /INSTALL METAL ROOF
Permit pin number 130047
Permit Fee 468 25 Plan Check Fee 00
Issue Date 7/14/08 Valuation 29850
Expiration Date 1/10/09
Qty Unit Charge Per Extension
BASE FEE 417 75
5 00 10 1000 THOU BL -25 001 50K (10 10 PER K) 50 50
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 468 25 468 25 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 472 75 472 75 00 00
N OC A
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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.
T.Forms /Building Division/Building Permit (I0 /01 /07).wpd
Print Name S gnature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
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
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
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 N's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
1 BUILDING 417 -4815
T Forms /Building Division /Building Permit (10 /01 /07).wpd
BUILDING PERMIT INSPECTION RECORD
YES 1 NO
FINAL
FINAL
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE ACCEPTED BY.
DATE ACCEPTED BY.
0
0
W
DATE \'ES NO COMMERCIAL DATE I ACCEPTED
70
NO (O
E I
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING 1 R
FIRE DEPT
'I• 1 1 PLANNING DEPT :1 eN0A 1 r� 1
BUILDING v %O 1
Applicant or Agent lot €,A a- c,_ Phone
Property Owner 0Ltecv CC Air e C Nt.›. Phone
Property Owner's Address a0. i)i l t —1* iAr t kes
Contractor /Engineer Phone
Contractor /Engineer's Address
License `b 1 CA q M b 1j2 1
i
PROJECT ADDRESS
Parcel Number Lot
Proiect Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
BUILDING P4RMfl 'APPLICATION Print in ink
CITY OF PORT ANGELES
Attn. Building Permit Technician s.
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
Existing (sq. ft.) Posed (sq. ft.)
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
Expires
Residential XCommercial Multi family
Heat pump wood burning stove gas fireplace pellet stove other
per sq ft.
For City Use Onl
Date Received 0 (4
Permit# 3 �r
Date Approved
4-t
13 �3i 0!
Zoning
TOTAL VALUATION $rq, t ic'
sq. ft. T Lot size sq. ft. Lot coverage
of bedrooms
of full baths
of half baths
Industrial
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 —t't (Print Name alov.c tc OAS Signatur Q �lJ• i'
T.Forms /Building Division /Bldg Permit Appl. -2006 Code.doc
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PortArtgefet, WA 98410
360-45240111
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