HomeMy WebLinkAbout711 E Lauridsen Blvd - BuildingCITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
TEAR OFF RE ROOF HOUSE
Owner Contractor
DONNA L CALDWELL OWNER
1335 W 11TH ST
PORT ANGELES WA 98363
(360) 457 3009
Structure Information 000 000 TEAR OFF RE ROOF HOUSE
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF RE ROOF HOUSE
Permit pin number 152272
Permit Fee 83 55 Plan Check Fee 00
Issue Date 8/24/09 Valuation 1600
Expiration Date 2/20/10
Qty Unit Charge Per Extension
BASE FEE 50 00
11 00 3 0500 HND BL -501 2K (3 05 PER C) 33 55
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 83 55 83 55 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 88 05 88 05 00 00
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.
7_)4,09. Any) a i! 1I )l
09 00000860
741200
711 E LAURIDSEN BLVD
06 30 00 0 3 3725 0000
DONNA L CALDWELL
RE ROOF
RS7 RESDNTL SINGLE FAMILY
1600
Date 8/24/09
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:FormsBuilding Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
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 Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
WaII Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting, 1 ESA.
Landscaping 1 SHORELINE.
T /Building Division /Building Permit
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
FINAL Date Accepted by
FINAL Date Accepted by
Date Accepted By
EX(,'+ ll -ia-- lo
E)94
PROJECT ADDRESS
Parcel Number
Floor Areas
BUILDING PERMIT APPLICATION 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
Applicant _DD ►-_n„ 6)
Property Owner 1j -m ,,4' 24
Property Owner's Address 7 1 4 L, r� k .r, d r e f3)
y ,2
Contractor 07) d u 1
Contractor's Address j 3 3 c 1) PO
License Expires v
P, 9./.4
Phone
Phone
711 Lavrq Aseivy B Ivct
For City Use co--Y.-1-1-11
Date Received
Permit 0'% (11.0
Date Approved
X57 ^3aa
Phone Gt a
(/ii A 4 F
E -mail
Existing (sq. ft.) Pguosed (sq. ft.)
Lot Zoning
Proiect Tvoe Brief Description. )ResidentiaI Multi- family
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
e -roof VHouse garage other *tear off re -roof lay over one layer
Heat System Heat pump wood- burning stove gas fireplace pellet stove other
Other
Commercial Industrial
Basement per sq ft.
1 Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION 1 (40 OO
Total footprint of structures sq ft. T Lot size sq ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel including structures paved driveways, sidewalks patios
and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage
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
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 projects.
AP_
AINIKIMA AL.
Date_44.4 jit 0 Print NameOD r Y) d Signature
T Forms /Building Division /Bldg Permit.doc
of bedrooms
of full baths
of half baths