HomeMy WebLinkAbout1514 W 12th 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:
Appllcation description
Subdlvision Name
Property Use
Property Zoning . . .
Appllcation valuation
04-00000922 Date
.595890
1514 W 12TH ST
06-30-00-0-3-6515-0000-
RE-ROOF
10/12/04
Owner
Contractor
EXPIRED
4fl/tJf7
RS7 RESDNTL SINGLE FAMILY
6784
ABRAMS, BRENDA E
1514 W 12TH ST
PORT ANGELES
WA 983635518
RAINMASTER ROOFING
1205 S. 0 ST.
PORT ANGELES WA 98362
(360) 452-3213
Permlt BUILDING PERMIT - NO PR FEE
Additional desc TORCH DOWN
Permit Fee 162.75 Plan Check Fee .00
Issue Date 10/12/04 Valuation 6784
Explration Date 4/11/05
Qty Unit Charge Per Extenslon
BASE FEE 92.75
5.00 14.0000 THOU BL-2001-25K (14 PER K) 70.00
-
Other Fees
STATE SURCHARGE
4.50
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 162.75 162.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 167.25 167.25 .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 abandon~d
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
loJ IL-/u{
Date
Signature of Owner (if owner is builder)
Date
T.IPLANNING\FORMS\1102.15 [11114/2003]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date '-I - 7. D 8
Time i ~ tv\..
Received by ^!.L,^-:~ E (phone, person)
Location of Work to be inspected /5/ t.{ i-tJ. l .3 i!.-
Name of person requesting inspectionU? " '^ ; ., E-.
Address of person requesting inspection C.'b ,--;C Vc_r.::i
I
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
Ii 'J-t.5 Phone No. iff 7-<{8YCj
Permit No.
Sewer Excav. Ot~ tJ ",,-1- e ,-=j
INSPECTION NOTES:
Inspected: Date '-i ~ 7 - {) l? Time
Remarks: ,.Q,e.,tic...c. <"J 2, / 0 \- c.:....,'-si.
. ' ( I
5 r..:. k e..l.... c: . 0 P.. i! G. -j'ked' tJ ,,:..5
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'I: :10 ~";r...,- By ().( ., "1. i'5 r=:.
irc",- iJA+".r t1A.L'I..;.... wd'L
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RESTORATION REQUiRED...... YES
NO x:.
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # #-3()5'lz--/gz.
o COMPLETE
o INCOMPLETE
_ __IContinue.on.r,e",erse,side if necessary)
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