HomeMy WebLinkAbout215 N Albert St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application va\~ation .
03-00000716 Date 7/24/03
215 N ALBERT ST
06-30-00-5-1-4040-0000-
RE-ROOF
2500
Owner
Contractor
ANDRES INGRID M
215 N ALBERT ST
PORT ANGELES
WA 983623307
GARLAND CONST. & MAINT.
1117 E 2ND ST
PORT ANGELES WA 98362
(360) 457-5186
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
I
BUILDING PERMIT
TEAR OFF, FELT,
106.75
7/24/03
1/21/04
- NO PR FEE
COMP
Plan Check
Valuation
Fee
.00
2500
Qty Unit Charge Per
Extension
92.75
14.00
BASE FEE
1.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
'P
-
Ot
Fee summary Charged Paid Credited Due
----1------------ ---------- ---------- ---------- ----------
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 electncal 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 penod 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.
Signature of Contractor or Authonzed Agent Date
T \PLANNING\FORMS\1102 15 [4/2002]
BillLDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING 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
,
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I
PLUMBING
UNDER FLOOR I SLAB ,
ROUGH-IN
WATERLINE
GAS LINE
BACK FLOW I WATER
AIR SEAL I
WALLS I
CEILING
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEILING I
MECHANICAL
HEAT PUMP
WOOD STOVE I PELLET I CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineenng DIVIsIon) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEP A-
PARKING/LIGHTING ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R W I PWI CONSTRUCTION - R W
ENGINEERJNG 417-4807 PW I ENGINEERJNG
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 ~, t - e; <. J /.-1- BUILDING
, ,
T \PLANNING\FORMS\1102 15 [412002]
Time I?-- ~ o-J
Location of Work to be inspected 'J-J ~ AI, /J-J ,4'1 r
Name of person requesting inspection /11 ~.... t d /)V'\ Jv-'.s () 1/7
Address of person requesting inspection Phone No. 1'57 1& 30
Type of Inspection (circle appropriate one): Permit No. 7 I h
Sewer Foundation Framing Chimney PIUmbing~eWer Excav. Other
P~q.."" ,'t -fA,... b -k.eL.,L 7B (J ore.0 ~
INSPECTION NOTES:
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUESl
Date 8 (; 107
I
~
Received bYi
Inspected: Date
Remarks:
Time
By
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
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f'ILEO,F,ORll(ilORD AT TftE REOUEST
OF ':>l!c!m5
~ECORDED IN R~rO:O;/Cl^lI.AH co
200~ HAR'<Qy;', AM 9: ,44
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111111111111111111111111111111I111111111111111111111111111II1II111II1I1111111111
2004 1128735
Clallam
County
ZONING LOT COVENANT
I
lAVE the lUlderslgned owner(s) of the followmg descnbed property,
(Inscr1legal descnptton here)
5"26 c::. ~,RoJ\)( 6TR.&G-r
Pokt JJp6Gt.,55 ilt/'A. CJ83/"z.
..t.OTI '
.i.g-r~ ;ZIJ dL..Dck 2.0, A/tJ..eI"?AP .e. .5111/774-5 'SU8111/f!'O).9 t' F 71Jl..vt1..ls::rrs- ~ r:-
;:3/2.-7..4$'6'&.&:5
do hereby covenant that saId property shall be designated as one zoning lot as defined m SectIOn 17,08,032
"Z" of the Port Angeles MunicIpal Code. This covenant creates one inseparable building lot wluch mav only
be removed through compliance WIth Chapter 58 17 RCW (subdIVISIon regulatIOns) and/or the CIty of Port
Angeles short subdIVIsIOn regulatIons (Ordmance No, 2222, as amended)
thIS covenant shall be bindmg on the owner(s), heir(s), aSSlgn(S), and successor(s) In mterest and
shall be filed Wlth the COlUlty AudItor's Office, ThIs covenant IS for the mutual benefit of sald owner(s),
herr(s), assign(s), and successor(s) in interest and IS for the further purpose of comphance wlth state and loca
land use and bUlldmg regulatJOns, ThIS covenant may be enforced by m]unctJOn or other lawful procedure
and covenant by the recovery of any damages resultmg from non comphance.
DATED thlS / day of /?'?/ll2cJ.I , 20 01-.
6~ /hi/>> .5 ~/~ -
(Owner) (Owner)
(Owner) (Owner)
5S
GIVEN UNDER MY HAND AND OFFICIAL SEAL tillS
AUDITOR'S CERTIFICATE
FJled for record at the request of
Mi1VCV1
G r :;--1k-l \'Yl '; tlus ~'Y of
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