HomeMy WebLinkAbout622 S Francis St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUn..DING 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
04-00000884 Date
.127820
622 S FRANCIS ST
06-30-00-0-2-0675-0000-
RE-ROOF
10/06/04
RS7 RESDNTL SINGLE FAMILY
3150
Owner
Contractor
ERICKS DEE RENEE
622 S FRANCIS ST
PORT ANGELES
WA 983626433
RAINMASTER ROOFING
1205 S. 0 ST.
PORT ANGELES WA 98362
(360) 452-3213
Permit BUILDING PERMIT - NO PR FEE
Additional desc TEAR OFF, FELT, COMP
Permit Fee 120.75 Plan Check Fee
Issue Date 10/06/04 Valuation
Expiration Date 4/05/05
.00
3150
~
9-J
~
Qty Unit Charge Per
Extension
92.75
28.00
BASE FEE
2.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
V\
o
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 120.75 120.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 125.25 125.25 .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 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.
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\II02.15 [I1114f2oo3]
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
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEfDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: /I
ROUGH-IN I I
PLUMBING
UNDER FLOOR ( SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW ( WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS ( GIRDERS
SHEAR W ALLfHOLD DOWNS
WALLS ( ROOF (CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB I
WALL ( FLOOR ( CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE ( PELLET (CHIMNEY
HOOD ( DUCTS
PW UTILITIES ( SITE WORK (Engineering Division) SEPARATE PERMIT /I's:
WATERLINE ( METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT /I's SEPA:
PARKINGfLlGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T.\PLANNING\FORMS\1102.15 [11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. INSPECTION REPORT. . . . . .
REQUEST:
Date 7-(~/o(,
Time 7 It oV\..
Received by D ~14. "l"5 E- (phone, person)
Location of Work to be inspected b 7- L So ' r ro...VL<... \ S
Name of person requesting inspection 0<,-",- vi.. \' <, E.
Address of person requesting inspection 4 rJt} l1Lr"J 17 <1-6 Phone No. l/-/7 -If 3 </q
Type of Inspection (circle appropriate one): / Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other ~+e{
INSPECTION NOTES:
Inspected: Date I - I ~ - 0 G,
Remarks:
Time C; If ~
By j)-e ""- V\ \ 5 IE
RESTORATION REQUIRED. . . . " YES NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)