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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:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
3/28/05
05-00000211 Date
.091420
528 WHIDBY AVE
06-30-10-4-3-0165-0000-
RE-ROOF
~P( teED
,q /?4/0(
RS7 RESDNTL SINGLE FAMILY
2715
Owner
Contractor
ST LAURENT MICHAEL H
4022 BLOSSOM DR NE
TACOMA WA 984222328
RAINMASTER ROOFING
1205 S. 0 ST.
PORT ANGELES WA 98362
(360) 452-3213
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TEAR OFF, FELT, COMP
106.75 Plan Check Fee
3/28/05 Valuation
9/24/05
.00
2715
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
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 do s not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performan of
construction.
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Date
Signature of Owner (If owner IS builder)
tor or Authorized Agent
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT
ISSUED: 12/10/2001
PERMIT NO: 13132
OWNER/APPLICANT
MICHAEL ST LAURENT
4022 BLOSSOM DR NE
TACOMA, W A 00000
253/000-0000
T:
PROPERTY LOCATION
528 WHIDBY
Lot:
Block:
S:
Subdivision:
Parcel No:
D Long Legal
TX#7949EXCT AX#8271
063010430165000
CONTRACTOR
LARRY'S ROOFING
352 AVIS ST
Port Angeles, W A 98362
360/452-2215
PROJECT INFO
Project Value: $800.00
Project Type: REROOF
Occupancy Type: RESIDENTIAL
Occupancy Group:
Construction Type:
Zoning Use: RS7
ARCHITECT
N/A
, 98360-0000
360/000-0000
SFD Umts: 0 Commercial: 0
SFD sa FT: 0 Industrial: 0
Garage: 0
MFD Units: 0
MFD sa FT: 0
PROJECT NOTES
OVERLAY (2) LAYERS COMPo W/NEW LAYER COMPo
RECEIPT #8623
FEES ASSESSMENT
Building Permit:
Plan Check:
State Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
Misc Fee 1:
Misc Fee 2:
Misc Fee 3:
$32.65
$0.00
$4.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE:
$37.15
$0.00
$37.15
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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 authonzed 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 da from the last
inspection. I her certify that I have read and examined this application and know the same to be true and correct. II provisions of
laws and ordinan es g veming this type of work will be complied with whether specified herein or not. The granting of a p rmlt does not
preSUm~giVe utho'ty to violate or cancel the provisions of any state or local law regulating construction or the pe ormance of
construct .
!c-{D-€) I
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)