HomeMy WebLinkAbout1429 W 16th St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000893 Date 7/17/12
Application pin number 373572
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-3460-0000- REPORT SALES TAX
Application type description RE -ROOF on your state excise tax form
Subdivision Name
r t Property Use to the City of Port Angeles
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 9650
Application desc
TEAR OFF REROOF
Owner Contractor
WARREN E /JOANN R MILLER TTE LARRY'S ROOFING
1429 W 16TH ST AAIS ST. F^ act I 1. r2
POORT T PORT ANGELES WA 98363 PORT ANGELES WA 98362 11'I L
(360) 452 -2215
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF REROOF
Permit Fee 207.75 Plan Check Fee .00
Issue Date 7/17/12 Valuation 9650
Expiration Date 1/13/13
Qty Unit Charge Per Extension
BASE FEE 95.75
8.00 14.0000 THOU BL- 2001 -25K (14 PER K) 112.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 207.75 207.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 212.25 212.25 .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 app' on and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be implied wit whe er specified herein or not. The granting of a permit does
not presume to give authority viol -or cancel the provi s of any, ate local law regulating construction or the performance of
construction.
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D Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
t t
?r 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
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 E 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 FINAL Date Accepted by
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 FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping _SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type 'Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750 t
Building 417 -4815 2.5 t
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TY QF ANGELES For City Use
Permit 1Z' c m
W A S H I N G T O N U.S. o° F
Date Received: q I v v g "'--11
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321 East 5th Street <D
Port Angeles, WA 98362 Date Approved:1' a' I9 z m N
P: 360- 417 -4817 F: 360 417 -4711 r c 2
hcatuzo @cityofpa.us
Building Permit Application
Project Address: l �Zr w 1 VIA 97
Main Contact: Phone
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Property Name cry y I Phone
Owner Mailing Address 1 q l L J -I-1 Email
City State& Zip
Contractor Name -191 06 n Phone
Mailing Address Email
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City 0 A State 0 Zig w_
Contractor License ,bor... r o 8w Expiration: 1 l �3
Project Value: Zoning: Tax Parcel Lot
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Type of Residential ,4 Commercial 0 Industrial Public
Permit Demolition Fire Repair Iii Reroof (mar of /lay over)
For the following, fill out both pages of permit application:
New Construction Remodel Addition Tenant Improvement
Mechanical Plumbing Other
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes No
Project
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Description 1 �1
5\" I have read and completed the 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. I understand the plan review fee is not refundable after review has
occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before
plan review has occurred. I understand that if the permit is not issued wit' 11:' 1 ays of receipt, the
application will be considered aba oned, and the fees forfeit.
Date Print Nang Signature lilk.
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