HomeMy WebLinkAbout202 E 6th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDlNG DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
2/09/05
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000083 Date
.825588
202 W 6TH ST
06-30-00-0-1-6405-0000-
RE-ROOF
~pleED
'8/6/05
RESIDENTIAL HIGH DENSITY
2100
Owner
Contractor
JOHNSON NELS H
202 W 6TH ST
PORT ANGELES
WA 983626009
AFFORDABLE SERVICES
258663 HI - WAY 101
SEQUIM WA 98382
(360) 683-9619
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TEAR OFF, FELT, COMP
106.75 Plan Check Fee
2/09/05 Valuation
8/08/05
.00
2100
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
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 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.
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Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
T:\Pohcles\1102_15 bUlldmg penmt mspeclIon record05.wpd [1/4/20051
FE~07-2005 05:49 AM 2D673A53.73784237
360 582 9029
P.01
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BUILDING PERMIT M APPLICATION
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Fill Ollt COJ\Ul.El'ltL Y "lid In INK. Your applitlUon Rod rAte plul MUST BE
COMPLl~'!'E! to be a~H:ptt:d fur review. If yuu blJ.ve IIllv qUedtltlll~, r...1l
(360) 417.4815
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ArchitcctlEngin.m' ._ ... ,~'N'nc ____ _ :
Contractor~:;""""l6. K( +iJ).L\ H\.. Stnte :'1t:-cns&r~['!L~~lx~?: ~,;5~ rl)l)nc..?t/d)(~3( !~'.'~f
Addre9B:~~~u.~ I-IIA " I:'lk~.._-.___ CIty: ~:)(1' ,_, ('\,~ L'(' ~::...--, .._ ZIP:CJf1~'JV'-1.4<J:.!
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PROJECT ADDRESS.----i-..d21/ VIi 112 '"'....L.!u....L~-s..____ tONING: !
LEGAl. DBSCRIPTIOK L.)! __". B)t)(:k:____.__ ~'ubdlVisl(l': ~
CLALLAM COwrY PAFCE1. ~1JMBEP: ._.______~.. .,___....
4~' ';01 .
Cred1tCardH.lderNUIle!~("''''~~E.-. ~ -1-( hi \LH ___..... ..
BU1iJl&Addr,..: 'Z~QJ(r)& .A~~L<' (/ QL~__ City: :'")~j Il~ H( ._._...1.1c:'A- q 05'02 -7f..,17C,,':...._
Credit CIU"dTy,. VlSA~.MC' _ /I OT\ E.J.l..e=--. ___ E~. Date: ~
TYl'EOFWOltK: SlZKN-U.UA.TION: (
o Rltldelltial r.J NowCOUBtr ~roclf 0 SLIm _._____gF,@:~.. JP.-S
:J Multi-family CJ Addition ::l i\1on~ (j Gll.flIge _ ~F, @ $._~P.'" S
:l C'.omau=w 0 Remodel :-: Demo llulI; , :J Deck ____ SF, @ S____.......JSF. D $
o Repair ::: Slgn :J OU~r rOTAL V~~LU^TION $~
BlUEP DESC1UPTION OF nJE PR()JECT. __ll..U.Y ~ / kit I .....Lar..r:..\:f:L ...f1I.Ll4A---=
COMME.RClALJllESmINTJAl.. (}~upU\cy Gr('up O.:CupUlI UJW, __.._ . ')lli>l!',lctoon Type:
So. orStoflea: _ Lot SIze. P,JlUlIJJl\ Sq. fit., . &. l~l)po!ICd Sq ~;. '_"M . __ ... TOTAL Seth,
E:ci'ltina lot cOYemp _ % &: Pt'~po5cd lot covccagt: _ % · Toml 101 coveragc____~
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ArPROVA.US: i
PLANJ___. .
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OTHER.:"_
! PLANNING USE ONLY:
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, !:S....'Wotland(a): D y~ 0 No SbJ~A Cht:clchs! req\Un:tl? 0 Yell Cl NQ OUlet,
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RUll.DING PERMIT APPLICATION SUBMf1'1'Al: The Bt:ildl1.l1 DIVl:lllJl1 ca.:1 "rov!.~ y'fJ.. ',1.1tJl informatiun on the appl1cal:;Oll lm'~
p I all sulxmual requ!remeDD jf you bave quations.
VALUATION or CONSTRUCTION: In.u Cllsell, a vlIlual1ol1 amount mult De entered by the applicant. Tbis fiFo will be 1'CYlC:we,:
anl1 maybe m'IIed bytbl ButldwgDl\I1BLOO to compl}' wlth cwunt fee schedules. Contactthe Pcral1t Coor:diDlUor 1t4] 7-481 j for UIU:I&nC(
PLAN CHECK FEE: IP I plan chcc.il; fee IS dut: it must bt $ubmltte.d ill till: tlllltl tho buildlug penral lIpphc:otion and con.!Ittuction pllll1S :U'.
BUbmi.ttIld. An otber peoml feef. L"'e due It the ttme ofperrnit issuance:.
EXPrRATION OF PLAN lUtVIEW: If no permit is iNNed withln 1110 day. of the date 01:' appl:cetion. the IIppllcadoD will e%plre. Tnt:
BUllctioa Ofncial ell extend the time: fer aCtloD by the: apphel[l\ up to ] 80 day. upon wr.ttm I'cqU.ellt by the appliQBnt (tlOCl SOl:Uon : U7 ., c'
~he UJUlonn BulldUtg Code CW':'eOt edltion) No ap?lIcllt10n Cart be extended mort t.l,an OD:"
. hereby eM/fy hit I ~M reed aM Uill71IflOO /hIS BDplicat;an Dnd }((10W tne ~!Ime fu be true and conltCt. ,I 8fTl alAhortz8d ro Ippty for this plio/I 8'"
.tloorstand the!; III my /NpatlSibillty 10 rJtlermine wtJar penrirs are roqlJvsll,not !he C1fy'B, .rI(/ that I "',ust oNa/fl ~ucl1 permltf prior 10 fVl)l"k.
r \F'RMSWPS\3\llldmprmll,\\Ipd Applll:lUlt: 1/ L trcltl!--_=-..:. Date: 1--7 -0 s