HomeMy WebLinkAbout4113 C St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Appl~cation Number
P~n number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdiv~sion Name
property Use
Property Zoning . . .
Appl~cation valuation
04-00000444 Date
.242244
4113 S C ST
06-30-09-5-0-9060-0000-
SIDING
8/09/04-
RS9 RESDNTL SINGLE FAMILY
2000
(5Yp( l080
4/U 100
Owner
Contractor
MAIR BILL
4113 C STREET EXT
PORT ANGELES
OWNER
WA 983632310
Permit BUILDING PERMIT - NO PR FEE
Add~tional desc INST VINYL SIDING ON DOUPLEX
Perm~t Fee 45.75 Plan Check Fee .00
Issue Date 8/09/04 Valuation 2000
Exp~ration Date 2/06/05
Qty Unit Charge Per Extension
15.00 3.0500 HND BL-501-2K (3.05 PER C) 45.75
.z
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-
Other Fees
STATE SURCHARGE
4.50
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 45.75 45.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 50.25 50.25 .00 .00
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Separate Permits are required forelectncal work, SEPA, Shoreline, ESA, utilities, pnvate and public Improvements. ThiS permit becomes
null and void If work or construction authonzed 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 compiled with whether specified herein or not. The granting of a permit does not
presume to give authonty to violate or cancel the provisions of any state or local law regulating construction or the performa e of
construction.
Signature of Contractor or Authorized Agent
Date
M~111a{n~
Signature of Owner (if owner is builder)
T \PLANNING\FORMS\1102 15 [11/14/2003]
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,
BUILDING PERMIT - APPLICATION
FOR OFFICLJ\L USE ONLY
Date Rec 6--/ r-8Jf
Pemllt # 0 l.j - 4 '-I '-I
Date ApplOved
Date Issued
,
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
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ApplIcant or Agent. 17/ /j # 4//? Phone' ;J?c/' - 413-7-:!7-jL'?
I ( Phone.
Owner:
Address: L-f//J ~~ e CIty: ;/A ZIp: q~:J.cJ
.
ArchItect/Engmeer Phone:
Contractor State LIcense #: Exp: Phone:
Address: CIty: ZIp:
PROJECT ADDRESS: q.// :J '7' ~ ZONING:
LEGAL DESCRIPTION: Lot: Block: SubdIvIsIOn:
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name:
Billing Address: City:
Credit CardType VISA MC # Exp. Date:
TYPE OF WORK: SIZEN ALUATION:
;qzesIdentIal o New Constr. ORe-roof o Stove SF @$ ISF. = $
Multl-fannly o AddItlon o Move o Garage SF @$ /SF = $
o Commercial o Remodel o DemolItlOn o Deck SF @$ /SF. = $
o Reparr o SIgn 2l. Other 7 W /~f TOTAL VALUATION $ 2- tPd~ r'
BRIEF DESCRIPTION OF THE PROJECT'
I ~?/4/1 Y /"'1// ,
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COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load' ConstructlOn Type:
No. of Stones: - Lot SIZe: EXlstmg Sq. Ft & Proposed Sq. Ft. = TOTAL Sq. Ft.
Total lot coverage %
APPRO V ALS:
PLANNING USE ONLY: PLAN:
BLDG:
DPWU:
SEPA ChecklIst requrred? 0 Yes 0 No Other: FIRE:
ESAlWetland(s): 0 Yes 0 No OTHER:
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BUILDING PERMIT APPLICATION SUBMITTAL: The Bmldmg DivlslOn can provIde you WIth infonnatlOn on the apphcatlOn and
plan subnnttal requrrements if you have questlOns
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the apphcant. Tills figure will be revIewed
and may be reVIsed by the Bmldmg DlvlslOn to comply WIth current fee schedules. Contact the Pernut Coordmator at 417 -4815 for aSSIstance.
PLAN CHECK FEE IF a plan check fee is due It must be subnntted at the trrne the buildmg pernut apphcatlOn and constructlOn plans are
subnntted All other pemnt fees are due at the tlme of pernut Issuance
EXPIRATION OF PLAN REVIEW: Ifno permit is Issued WIthm 180 days of the date ofapphcation, the application will expire. The
Bmldlllg OffiCial can extend the tlllIe for action by the apphcant up to 180 days upon wntten request by the apphcant (see SectlOn 107.4 of
the Ul1lform Bmldlllg Code, cunent edltlOn). No apphcatlOn can be extended more than once.
I hereby certify that I have read and examined thIS application and know the same to be true and correct. I am authoT/zed to apply for this permit and
understand that it is my responsibility to determme what permits are required ,not the City's, and that I must obtam such permits prior to work.
T \FORMS\APPS\BlIlldmgpermlt wpd ~. , Date' 7-- /9 - &?..y
Applicant. # #f..#f'
~~
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY
DateRec '1'--Z"2.. oc./
PermIt # I:> L/ - ~S; I
Date Approved
Date Issued
Address:
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
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G ~); 1/11'1 ?0h Phone: ? ~ 0
e- &fi/A~T
C-- A- /1 / ~ //1 -4~~ty:
-?If' 7-;5 9~Y
Apphcant or Agent:
Owner: L cI t/ Ij
;tf /2
Phone:
;(~
ZIp:
Address:
/-1 II)
7>d>;-.,
5" t!!
It? /.2
Phone:
,r: '1 t> 'g L. "1
... 6,,/(-1 State License #: 6"# plt;v/1 V Exp: t --;z 7-L't Phone: 4f ~/' 7-} 9~7'
CIty: /P// /f/:~-7/d ZIp: <7 <Z } ~ J
c:. A-- ~ /p'.//' /f ~ -t
ArchItectlEngmeer:
Contractor 6,;. /J
PROJECT ADDRESS:
ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
SubdiVlslOn:
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
-8( ResldentIaI 0 New Constr 0 Re-roof
o Muln-fannly 0 Addlnon 0 Move
o Commercml 0 Remodel 0 Demohnon
o Repair 0 Slgn
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
o Stove
o Garage
o Deck
o Other
SlZEN ALUATlON:
SF. @ $ /SF. = $
SF. @$ /SF. = $
SF @ $ /SF. = $
TOTAL VALUATION $'-- 7 t? t:/t:f.. tJ~
!//J,rt/J 5-;d/~;p
/
COMMERCIALIRESIDENTlAL: Occupancy Group: Occupant Load: Construcnon Type:
No. of Stones: - Lot Size: EX1Stlng Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq. Ft.
Total lot coverage %
,
APPROVALS: I
PLANNING USE ONLY: PLAN:
BLDG:
DPWU:
ESAlWetland(s): 0 Yes 0 No SEP A Checklist requrred? 0 Yes 0 No Other: FIRE:
OTHER:
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I
BUILDING PERMIT APPLICATION SUBMITTAL: The Bmldmg DIV1SIon canprovlde you WIth mformatlOn on the apphcanon and
plan subrmttal requrrements if you have quesnons. I
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the apphcant. Tills figure WIll be revlewed
and may be revlsed by the Bmldmg DIvision to comply WIth current fee schedules. Contact the Penmt Coordmator at 417 -4815 for assIstancel
PLAN CHECK FEE. IF a plan check fee IS due It must be subrmtted at the hIDe the buildmg penmt apphcatlOn and construcnon plans arb
subrmtted All other perrmt fees are due at the trrne of perrmt Issuance. I
EXPIRATION OF PLAN REVIEW: Uno penmt IS Issued Wltbm 180 days of the date of applIcation, the application will expire. The
Bmldmg Official can extend the nme for action by the apphcantup to 180 days upon wrItten request by the applicant (see SectlOnRI05.3.2
of the Intemanonal Buildmg/Residennal Code, 2003). No apphcation can be extended more than once. I
I
I hereby cerltfy that I have read and examined thiS application and know the same to be true and correct. I am authorized to apply for thIS permit an~
understand that it is my responsibility to determine what permIts are required ,not the City's, and that I must obtain such permits prior to work i
T \RVESS\BLDG-forms-brochures\2003-BUlIdmgperrmt wpd Applicant: ~4/ -?f ~ - Date: q' _;2.2- ~.eI' L/'
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