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Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
WASNOCK RONALD J
224 COLUMBUS AVE
PORT ANGELES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Permit BUILDING PERMIT
Additional desc TEAR OFF FELT
Permit Fee 162 75
Issue Date 5/18/04
Expiration Date 11/14/04
Qty Unit Charge Per
5 00
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
T• \PLANNING \FORMS \1102.15 [11/14/2003]
04 00000422
962688
1418 1420 S A ST
06 30 00 0 4 1590 0000
RE ROOF
WA 983622504
RS7 RESDNTL SINGLE FAMILY
6800
Contractor
ARMOR ROOFING
2524 RYAN DR
PORT ANGELES
(360) 452 3667
NO PR FEE
COMP
Plan Check Fee
Valuation
BASE FEE
14 0000 THOU BL -2001 25K (14 PER K)
STATE SURCHARGE
Charged Paid Credited
162 75 162 75 00
00 00 00
4 50 4 50 00
167 25 167 25 00
Date 5/18/04
WA 98362
Due
00
6800
Extension
92 75
70 00
4 50
00
00
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
fora 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.
5 7/ WO Z/
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
U
0
ELECTRICAL LIGHT DEPT
T \PLANNING \FORMS \1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
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
YES NO
FOUNDATION•
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN
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
GAS LINE
WOOD STOVE PELLET CHIMNEY
HOOD /DUCTS
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING /LIGHTING I I I ESA.
LANDSCAPING I I I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL
417 -4735 ELECTRICAL
LIGHT DEPT
DATE
ACCEPTED
YES I NO
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I n II I I FIRE DEPT
PLANNING DEPT 417 -4750 I f J� I' HIV' I I PLANNING DEPT I I I
i
BUILDING 417 -4815 I I I j 14- y' I I BUILDING I I I