HomeMy WebLinkAbout1005 S F St - Building...... CITY OF PORT ANGELES
°~% DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 04-00000159 Date 2/24/04
Pin number ....... 690034
Property A~dress ...... 1005 S F ST
ASSBSSOR PARCEL NUMBER: 06-30-00-0-3-1640-0000-
Application description . . . RES REMODEL
Subdivision Name ......
Property Use ........
Property Zoning ....... UN~OWN
Application valuation .... 1000
Owner Contractor
K~DISH, STEWART L/~ARGIE OWNER
P. O. BOX 507
PORT ANGELES WA 98362
(360) 457-5005
Permit ...... BUILDING PERMIT - NO PR FEE
A~ditional desc . . REPAIR DECK
Permit Fee .... 62.25 Plan Check Fee . . .00
Issue Date .... 2/24/04 Valuation .... 1000
Ex-piration Date . . 8/22/04
Qty Unit Charge Per Extension
BASE FEE 47.00
5.00 3.0500 ~ BL-501-2K (3.05 PER C) 15.25
Other Fees ......... STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 62.25 62.25 .00 .00
Plan Check Total .00 .00 .00 .00
Other
Fee Total 4.50 4.50 .00 .00
Grand Total 66.75 66.75 .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 previsions of
laws and ordinances 9overnin9 this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to 9ive authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
constructior~. 7 /.
Signature of Contractor or Authonzed Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\ 1102.15 [l 1/14/2003]
FOR OFFICIAL USE ONLY:
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date Approved:
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815 Date Issued:
Applicant or Agent: ~'I-~.t,O [e_, /</FO {~-/4 Phone: "~¢,'~7
Owner: ~_ Phone:
Address: ~D ~o Ci~: ~ o~ z ~5 Zip:
Mchitect/En~neer: Phone:
Con.actor State License ~: Exp: Phone:
Address: CiW: Zip:.
PRO~CT ~D~SS: / ~0 ~ ~' ~ ~ ~ ZONING:
LEGAL DESC~ON: Lot:- /0 Block: ~ / ~ Subdivision:
T
CLALL~ CO~Y P~CEL ~BER: ~ .~ oo~ - 0 ~ ~ ~, ~0
Credit Card Holder Name:
Billing Address: City:_
Credit CardType VISA__MC __ # Exp. Date:
TYPE OF WORK: SIZE/VALUATION:
[] Residential [] New Constr. rn Re-roof [] Stove SF. ~ $ /SF. = $
[] Multi-family [] Addition [] Move [] Garage SF. @ $ /SF.
[] Commercial [] Remodel [i~emolition D/Deck /~ SF.@$~~° /SF.=$
[] Repair [] Sign [] Other TOTAL VALUATION $
BRIEF DESCRIPTION OF THE PROJECT: ~>tE .~'i> ~ 47'-',q~ ~ ~>z~-~/C.~ q~ ~'7
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: __ Construction Type:
No. ofStories: !~/& Lot Size: .~ff_)~O Existing Sq. Ft. ///~ & Proposed Sq. Ft. /~4¥~= TOTAL Sq. Ft.
Existing lot coverage ~ % & Proposed lot coverage ~_% = Total lot coverage 27_ -5 %
APPROVALS:
PLANNING USE ONLY: PLAN: __
BLDG:
DPWU:
FIRE:
ESA/Wetland(s): [] Yes [2 No SEPA Checklist required? [] Yes [] No Other: OTHER:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submi~ed. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of applicatiou, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby codify 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 and
understand that it is my responsibility to determine what permits are required ,n, pt, the City's, and that I must obtain such permits prior to work.
T:WO RM S~A PPSm uildingpermit.wpd Applicant:._~ ~'~ Date: / r-~/r~ ~/[