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Application Number 08 00000815 Date 7/09/08
Application pin number 893780
Property Address 3124 MAPLE ST
ASSESSOR PARCEL NUMBER 06 30 15 5 1 2740 0000
Tenant nbr name MARY SUE FRENCH
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 5000
Application desc
TEAR OFF RE ROOF
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Owner Contractor
MARY SUE FRENCH OWNER
3124 S MAPLE ST
PORT ANGELES WA 98362
(360) 477 3528
Structure Information 000 000 TEAR OFF RE ROOF
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF RE ROOF
Permit pin number 129767
Permit Fee 137 75 Plan Check Fee 00
Issue Date 7/09/08 Valuation 5000
Expiration Date 1/05/09
Qty Unit Charge Per Extension
BASE FEE 95 75
3 00 14 0000 THOU BL -2001 25K (14 PER K) 42 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 137 75 137 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 142 25 142 25 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 gg{{anting 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.
Aid M OutL
Date Print Name Signature of Contractor or Authorized Agent Signature wner (if owner is builder)
T.Forms /Building Division/Building Permit (10 /01 /07).wpd
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
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 il's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING
FIRE
PLANNING DEPT
BUILDING
417 -4807
417 -4653 I
417 -4750
417 -4815
T Forms /Budding Division /Building Permit (10 /01 /07).wpd
BUILDING PERMIT INSPECTION RECORD
ACCEPTED COMMENTS
YES NO
I FINAL
I FINAL
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
BUILDING
DATE
DATE
DATE
ACCEPTED BY.
ACCEPTED BY.
ACCEPTED
YES
NO
31
W
3
PROJECT ADDRESS
Parcel Number
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
yl
Demolition
Heat System
Other
Floor Areas
Basement
1 Floor
2nd Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
Max height of proposed structures
Will a lawn sprinkler system be installed?
Will afire 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
0636
c'aiy\c)(\
1 P P Pct r kim eles 9 O (:3
Phone
Applicant or Agent
Property Owner
Property Owner's Address
Contractor /Engineer
Contractor /Engineer's Address roi
License
Lot
Residential
Commercial Multi- family Industrial
4P iuY c S D t po— «r ethiA,ea2
Heat pump wood burning stove gas fireplace pellet stove other
Existing (sq. ft.) Proposed (sq. ft.)
sq ft. Lot size
ft. Occupancy group
Occupant load
Construction type
Expires
For City Use Onl
Date Received –08
Permit 5-
Date Approved
Phone 3(en —q 77 3S2K
Phone
Zoning RS,
per sq ft.
i
TOTAL VALUATION S nf)
sq ft. Lot coverage
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.
Date 9 1 I os Prnt Name 1 r y�� CS RQJ`(1 Signature
T Forms /Building Division /Bldg Permit Appl. 2006 CoA doc
of bedrooms
of full baths
of half baths