HomeMy WebLinkAbout2031 W 4th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
property Use
property Zoning . . .
Application valuation
04-00000565 Date
.539405
2013 W 4TH ST
06_30_00_1_0_2900-0000-
RE-ROOF
6/29/04
2200
Contractor
Owner
------------------------
------------------------
DAVES HOME REPAIR
833 W 15TH
PORT ANGELES
(360) 452-8335
WA 98363
SCHROETER SHERIDAN J
4949 SAMISH WAY #27
BELLINGHAM WA 98226
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Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TEAR OFF, FELT, COMP
106.75 Plan Check Fee
6/29/04 valuation
12/26/04
.00
2200
----------------------------------------------------------------------------
BASE FEE
1.00 14.0000 THOU BL-2001-25K (14 PER K)
Qty unit Charge Per
Extension
92.75
14.00
Other Fees
STATE SURCHARGE
4.50
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 106.75 106.75 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 111.25 111.25 .00 .00
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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 as 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
p"~~r to gi,e a"thocily to ,iolate oe oaooe' the pMisio", of aoy state oe looa' law ceg"'atiog ODoslc"tioo oc Ihe pe"oem"oe of
OD c)~~ [)WVtN"~ &/2c(6r
Signature of Contractor or Authorized Agent D~te !
Signature of Owner (if owner is builder)
Date
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T:\PLANNING\FORMS\1102.1S [11/14/2003]
BUILDING PERivIIT INSPECTION RECORD
CALL 4] 7-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICALINSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS A T JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES N~
, v
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TION 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
DR YW ALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB I
WALL / FLOOR / CEILING
MECHANICAL
HEA T PUMP
GAS LINE
WOOD STOVE I PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE / METER
SEWER CONNECTION
SANIT AR Y
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 4 I 7-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 4]7-4750 PLANNING DEPT.
BUILDING 4J7-4815 ,;_ _ ;}... 0'-/ .--.).L BUILDING
T:IPLANNINGIFORMSI 1102. J 5 [11/1412003 ]
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