HomeMy WebLinkAbout803 W 5th St - 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
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
TEAR OFF /INSTALL COMP
JOHN WILLIAM CRAWFORD
803 W 5TH ST
PORT ANGELES WA 983632110
10 00000393
166565
803 W 5TH ST
06 30 00 0 1 0265 0000
RE ROOF
RS7 RESDNTL SINGLE FAMILY
3810
Owner Contractor
DIAMOND RFNG ENTERPRISES INC
1295 BLACK DIAMOND RD
PORT ANGELES WA 98363
(360) 452 9518
Date 4/21/10
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF INSTALL COMP
Permit pin number 164152
Permit Fee 123 75 Plan Check Fee 00
Issue Date 4/21/10 Valuation 3810
Expiration Date 10/18/10
Qty Unit Charge Per Extension
BASE FEE 95 75
2 00 14 0000 THOU BL -2001 25K (14 PER K) 28 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 123 75 123 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 128 25 128 25 00 00
Li TcOtivs M. k q J
Date Print Name Signature of Contractor or Authorized Agent
T:FormsBuilding Division/Building Permit
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 1 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)
m
FOUNDATION
Footings
V� 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
Wall Floor Ceiling
MECHANICAL.
Heat Pump Fumace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
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
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping 1 SHORELINE.
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
Accepted By Comments
FINAL Date Accepted by
'FINAL Date
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
Accepted by
Date Accepted By
X o f ire4 IZ -IZZ -I
PROJECT ADDRESS
Parcel Number
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
XRe -roof
Heat System
Other
Floor Areas
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
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 1..l (34,0, 6,
Property Owner IN Crcx..0 C,1>S-ck.
Propert Owner's Address O Wc,
Contractor i- s Phone 3-n _E-A.5 951
Contractor's Address
License T o th of t qi-4 •z ,i/4 E -mail
Residential Multi family
Phone
Phone
Lot
For City Use Only
Date Received -4-
Permit /e 39 2
Date Approved zl tc)
360 LtS: -9 •tF'
3b0- MS.-
Zoning
Commercial Industrial
XHouse garage other kEear off re -roof lay over one layer
Heat pump wood- burning stove gas fireplace pellet stove other
Existing (sq. ft.) F osed (sq. ft.)
Basement per sq ft
1st Floor
2 Floor
3` Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION 3' 00
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
ft.
Occupancy group
Occupant load
Construction type
of bedrooms
of full baths
of half baths
I have read and completed this application and know it to be true and correct. t 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 /0 working on projects
Date k al. -l0 Print Na �e Zo .v.`4 Signature C J! b_Vkail
T /Building Division /Bldg Permit doc
CUSTOMER'S ORDER NO
10
11
12
13
14
15
16
17
18
19
20
RECEIVED BY
a-
5805
DEPARTMENT
NAME
ADDRESS
CITY STATE, ZIP
SOLD BY CASH C.O.D CHARGE ON ACCT. MDSE RETD PAID OUT
QUANTITY 1 DESCRIPTION
2 our- 2.X v
�ft�. �O %.hc
4 30v--_
4rn A
9 t c $10 o0
v
KEEP THIS SLIP FOR REFERENCE
935962
DATE
PRICE AMOUNT