HomeMy WebLinkAbout4115 St - BuildingApplication 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 1/2 OF ROOF
Owner
MAIR BILL
4113 C STREET EXT
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
12 00 3 0500 HND
Other Fees
Fee summary Charged
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983632310
BUILDING PERMIT
TEAR OFF /INSTALL
132084
86 60
8/12/08
2/08/09
86 60
00
4 50
91 10
T Forms /Building Division /Building Permit (05 /13 /08).wpd
08 00000988
337780
4115 C ST
06 30 09 5 0 9060 2001
RE ROOF
RS9 RESDNTL SINGLE FAMILY
1700
Contractor
OWNER
NO PR FEE
COMP 1/2 ROOF
BASE FEE
BL -501 2K (3 05 PER C)
STATE SURCHARGE
Date 8/12/08
Plan Check Fee 00
Valuation 1700
Paid Credited
86 60 00
00 00
4 50 00
91 10 00
Due
Extension
50 00
36 60
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
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
o'j ,9 /7/1"
Date Print Name Sig nature 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 CALL 417 -4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE,
INSPECTION TYPE
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
I WALL FLOOR CEILING
I 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 It's
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
I FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T r. c /tzr a,t n"i x /111 i!di Pr mit (05/I3/081.wnd
BUILDING PERMIT INSPECTION RECORD
DATE ACCEPTED
YES NO I
FINAL
417 -4735 ELECTRICAL
LIGHT DEPT
COMMENTS
DATE ACCEPTED BY.
I FINAL DATE ACCEPTED BY.
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT I I I
O J I I BUI PLANNING DEPT i I I
co\
v
PROJECT ADDRESS
Parcel Number
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
X Re -roof
Demolition
Heat System
Other
BUILDING PERMIT APPLICATION Print in Inc
CITY OF PORT ANGELES
Attn Bu !ding Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant or Agent
Property Owner 151 1/ I-,A'
Property Owner's Address //r 5, e Contractor /Engineer
Contractor /Engineer's Address
License
2-
Residential
Heat pump wood burning stove gas fireplace pellet stove other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement
1 Floor
2nd Floor fn Q Spy` t
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures sq ft. Lot size
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.
Date 5 /Z-e Print Name
T Forms /Building Division /Bldg Permit Appl. 2006 Code.doc
Commercial Multi- family
Phone
Phone
Phone
Expires
Lot
For City Use Only
Date Received
Permit Cam E$
Date Approved S° 11,
4 IS7 5f4't
Zoning
per sq ft.
Industrial
TOTAL VALUATION 7
sq ft. Lot coverage
of bedrooms
of full baths
of half baths
Signature