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HomeMy WebLinkAbout3018 S Peabody St - Building iw� N CITY OF PORT ANGELES •1� PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000898 Date 8/30/11 Property 3018 PEABODY ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 15 -5 -1 -9040 -0000- On your state excise tax form Application type description PUBLIC WORKS UTILITES Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Install driveway RCP #11 -27 Owner Contractor COKER DOROTHY W PEERLESS QUALITY CONST. LLC 3018 S PEABODY ST 211 W 15TH ST PORT ANGELES WA 98362 PORT ANGELES WA 98362. (360) 477 -9574 Permit DRIVEWAY INSTALLATION Additional desc Permit pin number 191395 Permit Fee 180.00 Plan Check Fee .00 Issue Date 8/30/11 Valuation 0 Expiration Date 2/26/12 Qty Unit Charge Per Extension `J"" BASE FEE 180.00 Special Notes* and Comments No traffic revision without prior submission and approval of traffic control plan. Applicant responsible for erosion control and surface restoration. Call City inspector prior n to start of work. Fee summary Charged Paid Credited Due Permit Fee Total 180.00 180.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 180.00 180.00 .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 does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of con uction. g/-0/ I Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:Forms /Building Division /Public Works Permit PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE, IT IS UNLAWFUL TO COVER; INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS' LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE: SITE EROSION CONTROL PARKING SIDEWALK CURB R GUTTER DRIVEWAY' APPROACH BACK-FLOW DEVICE ,t'. ;:,e'f,t.'-:: .:',..`..'''.4,.. ..!.,',11:•' 4 4 4 ?..V., ,.,,,O ..„2_ 'i t „t *>,c ...x fir, S 1 -fit FINAL INSPECTIONS_ REQUIRED PRIOR TO OCCUPANCY /,USE RESIDENTIAL DATE' YES' NO COMMERCIAL DATE ACCEPTED j YES NO EN ING. R W P: W/ 4174807 ENGINEERING W RiNG t. CON F IRE 417 -4653 FIRE DEPT.. PLANNING DEPT 417 -4750 PLANNING.DEPT. BUILDING 417 BUILDING '4815 T Forms /Building Division/Public Works' Permit o a,. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc NEW SIDING ON THE EAST SIDE OF THE HOME 09 00000762 192648 3018 S PEABODY ST 06 30 15 5 1 9040 0000 DOROTHY W COKER SIDING RS7 RESDNTL SINGLE FAMILY 800 Owner Contractor DOROTHY W COKER OWNER 3018 S PEABODY ST PORT ANGELES WA 98362 (253) 227 1987 Structure Information 000 000 NEW SIDING EAST SIDE OF HOUSE Fee summary Charged Paid Credited Due Date T:Forms/Building Division/Building Permit Date 8/03/09 Permit BUILDING PERMIT NO PR FEE Additional desc RE SIDE EAST SIDE OF HOME Permit pin number 150961 Permit Fee 59 15 Plan Check. Fee 00 Issue Date 8/03/09 Valuation 800 Expiration Date 1/30/10 Qty Unit Charge Per Extension BASE FEE 50 00 3 00 3 0500 HND BL 501 2K (3 05 PER C) 9 15 Other Fees STATE SURCHARGE 4 50 Permit Fee Total 59 15 59 15 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 63 65 63 65 00 00 r1 f/ 2 Print Name 7 Signature of Contractor or Authorized Agent 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 has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that 1 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. Signaure of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting Date Accepted By PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. T:Forms /Building Division /Building Permit Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Comments FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By 0 cT=" Applicant C,I) 1 f- Property Owner Property Owner's Address P�>°� ,S Contractor V9"6:4 J Contractor's Address License Expires PROJECT ADDRESS /,l Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? I have read and completed this application a that it is my responsibility to determine wh p Date Q -g -b9 Print -Name T.Forms /Building Division /Bldg Permit.doc BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 ).e1, de, --C Lot Zoning A'Residential Multi family Commercial Industrial. x) Q 4 s, ;House garage other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other Existing (sq. ft.) Pposed (sq. ft.) ft. Occupancy group Occupant load Construction type Phone- Phone Phone E -mail per sq ft. For City Use Only Date Received 5< nct Permit# C)1 Date Approved TOTAL VALUATION ©/2 Total footprint of structure de g sq ft. T Lot size sq ft. Lot coverage ok Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage of bedrooms of full baths of half baths know it to be true and correct. I am authorized to apply for this permit and understand 'ts are e u; red nd t obtain permits prior to working on project. g J9 a_e Signature Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc repair sewer Owner DORTHY COKER 3018 SO PEABODY ST PORT ANGELES (253) 227 1759 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date T•\Policies \1102.15R [1/05] Qty Unit Charge Per 1 00 40 0000 EA Fee summary WA 983622728 133108 40 00 8/25/08 2/21/09 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00001062 242364 3018 S PEABODY ST 06 30 15 5 1 9040 0000 PUBLIC WORKS UTILITES RS7 RESDNTL SINGLE FAMILY 0 SANITARY SEWER HOOK UP SAN SEW REPAIR Contractor MORRISON EXCAVATING INC P 0 BOX 3051 PORT ANGELES (360) 452 7179 Plan Check Fee Valuation Charged Paid Credited Permit Fee Total 40 00 40 00 00 Plan Check Total 00 00 00 Grand Total 40 00 40 00 00 Date 8/25/08 WA 98362 Due 00 0 Extension 40 00 00 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 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 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER; INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE PW UTILITIES (Engineering Division) WATERLINE /METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSIONCONTROL PARKING SIDEWALK. CURB Bc GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R:W PW ENGINEERING, FIRE PLANNING DEPT. BUILDING T4olicies \1102.15R [1/053 INSPECTION TYPE DATE ACCEPTED FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE`'* YES 'NO` COMMERCIAL 417 -4807 417 -4653 I 417 -4750 I 417 -4815 PERMIT' INSPECTION RECORD .r. YES 1 NO CONSTRUCTION RW PW/ ENGINEERING I FIRE DEPT. I PLANNING DEPT BUILDING COMMENTS DATE' I- >ACCEPTED YES' NO PREPARED 8/18/06 13 02 52 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/18/06 ADDRESS 3018 S PEABODY ST SUBDIV TENANT NBR STEVE HALL CONTRACTOR PHONE OWNER HALL STEVEN F PHONE PARCEL 06 30 15 5 1 9010 0000 APPL NUMBER 06 00000732 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 8/04/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 8/04/06 DA 08/04/2006 04 16 PM PBARTHOL VERTICAL BARS NEED TO BE IN PLACE BL1 02 8/07/06 JLL BUILDING FOUNDATION FOOTING TIME 09 00 8/07/06 AP OVERRIDE TAKEN BY DYASUMUR DATE 08/04/06 TIME 14 12 01 MEL 206 851 1479 08/04/2006 01 38 PM DYASUMUR 08/07/2006 04 50 PM JLIERLY BL3 01 8/10/06 JLL BUILDING FRAMING 8/10/06 AP 08/10/2006 08 59 AM PERMITS DAVID 477 5198 08/10/2006 03 38 PM JLIERLY BL3 02 8/18/06 LL BUILDING FRAMING TIME 13 00 NO NAME 206 851 1479 08/18/2006 08 32 AM DYASUMUR COMMENTS AND NOTES PREPARED 8/10/06 11 05 23 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/10/06 ADDRESS 3018 S PEABODY ST SUBDIV TENANT NBR STEVE HALL CONTRACTOR PHONE OWNER HALL STEVEN F PHONE PARCEL 06 30 15 5 1 9010 0000 APPL NUMBER 06 00000732 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 8/04/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 8/04/06 DA 08/04/2006 04 16 PM PBARTHOL VERTICAL BARS NEED TO BE IN PLACE BL1 02 8/07/06 JLL BUILDING FOUNDATION FOOTING TIME 09 00 8/07/06 AP OVERRIDE TAKEN BY DYASUMUR DATE 08/04/06 TIME 14 12 01 MEL 206 851 1479 08/04/2006 01 38 PM DYASUMUR 08/07/2006 04 50 PM JLIERLY BL3 01 8/11/06 JLL BUILDING FRAMING l 08/10/2006 08 59 AM PERMITS DAVID 477 5198 COMMENTS AND NOTES PREPARED 8/07/06 11 20 09 INSPECTION TICKET PAGE 16 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/07/06 ADDRESS 3018 S PEABODY ST SUBDIV TENANT NBR STEVE HALL CONTRACTOR PHONE OWNER HALL STEVEN F PHONE PARCEL 06 30 15 5 1 9010 0000 APPL NUMBER 06 00000732 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 8/04/06 JLL 8/04/06 DA BL1 02 8/07/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 08/04/2006 04 16 PM PBARTHOL VERTICAL BARS NEED TO BE IN PLACE BUILDING FOUNDATION FOOTING TIME 09 00 OVERRIDE TAKEN BY DYASUMUR DATE 08/04/06 TIME 14 12 01 MEL 206 851 1479 08/04/2006 01 38 PM DYASUMUR COMMENTS AND NOTES PREPARED 8/04/06 8 14 25 CITY OF PORT ANGELES ADDRESS 3018 S PEABODY ST TENANT NBR STEVE HALL CONTRACTOR OWNER HALL STEVEN F PARCEL 06 30 15 5 1 9010 0000 APPL NUMBER 06 00000732 RES REMODEL PERMIT TYP /SQ BL1 01 BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS 8/04/06 t 4 JLL INSPECTION TICKET INSPECTOR JAMES L LIERLY SUBDIV PHONE PHONE BUILDING FOUNDATION FOOTING TIME 13 00 MEL 206 851 1479 08/03/2006 10 05 AM DYASUMUR COMMENTS AND NOTES \l 1\CI) tt0' PAGE 12 DATE 8/04/06 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 06 00000732 Application pin number 287664 Property Address 3018 S PEABODY ST ASSESSOR PARCEL NUMBER 06 30 15 5 1 9010 0000 Tenant nbr name STEVE HALL Application type description RES REMODEL Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 5000 Owner Contractor HALL STEVEN F PO BOX 488 BRINNON WA BRINNON Special Notes and Comments The Fire Department has reviewed the project application and has no comments 07/31/2006 11 13 AM SROBERDS The proposal will allow the repair of a front porch in the RS 7 zone to a non conforming structure The work does not involve work outside the original footprint Electrical load calculations and elctrical permits are required Public Works Utility Engineering has no requirements for this plan review Other Fees WA 98320 OWNER Date 8/01/06 Permit BUILDING PERMIT RESIDENTIAL Additional desc Permit pin number 82065 Permit Fee 137 75 Plan Check Fee 55 10 Issue Date 8/01/06 Valuation 5000 Expiration Date 1/28/07 Qty Unit Charge Per Extension BASE FEE 95 75 3 00 14 0000 THOU BL 2001 25K (14 PER K) 42 00 STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due 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 Permit Fee Total 137 75 137 75 00 00 Plan Check Total 55 10 55 10 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 197 35 197 35 00 00 fi/ A_C T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 BUILDING 417-4815 WI T \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] V BUILDING PERMIT INSPECTION RECORD 06 J1.1 1 1 1 1 I I 1 1 1 1 1 I V V/1010.6 I `7hti 1 I I I I I 1 1 1 1 1 1 1 1 I I FINAL Fra.. int-$1$/b6 40 J!_ FINAL SEPA. ESA. SHORELINE. 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT 1 BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO I I I 1 1 I 1 1 vo r r ti BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Y our application and site plan MUST BE COMPLETE to be accepted for le-view If you have an; question- call PERMITS (360) 417 -4815 FAX(360)417-4711 Apphcant or Agent: t, f-+ u-- Owner T vi v.e 3e.,r A-r /es Address /3/ City Architect/Engineer Ts-) L.A., L, ---Pde 4- s raN� osz-eo Contractor .vc (a,,, w�nQ� State License Address f OX S'I City• crCvo 4 thl4- PROJECT ADDRESS 3° t f Pd.$adh LEGAL DESCRIPTION Lot: ��_.t/ED Bloc Subdivision. CLALLAM COUNTY PARCEL NUMBER. O6 3 r s ?o Z 0 TYPE OF WORK. :Residential New Constr Multi- family Addition Commercial Remodel Repair BRIEF DESCRIPTION OF THE No of Stones: Lot Size. Total lot coverage PLANNING USE ONLY Re roof Move Demolition Sign PROJECT Stove Garage Deck Other A poL.CJ/, /,'.5 7aL Ai St Z's COMMERCLAL/RESIDENTIAL. Occupancy Group Existing Sq Ft. ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Phone Phone Exp 4:.457 FOR OFF1CAAL )SE D>ILY ate Rec. 7 to/0 lX ermit 732 pate Approve Date Issued Phone Z G o S L5C/ 6 7 -6r9 Zip 'C Z— Phone.*' /'4L Zip ZONING i< SIZE/VALUATION SF /SF SF /SF 2.m SF /SF -c 0 TOTAL VALUATION tlaro Occupant Load. Construction Type Proposed Sq Ft. TOTAL Sq Ft. APPROVALS PLAN BLDG DPWU FE RE OTHER VALUATION OF CONST.RUCTION 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 submitted. All other permit fees are due at the time of pemut issuance. EXPIRATION OF PLAN REVIEW If no per is issued within 180 days of the date of application, the application will expire. The Building Official can extend the tune for action by the applicant up to 180 days upon written request by the applicant (see Section R1053) ofthe International Building/Residential Code, 2003) No application can be extended more than once. 1 hereby certify that 1 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 if is my responsibility to determine what permits are requir not the City's, and th 1 ust obtain such permits prior to work. T es \13L 1 102_13.v✓pd Applicant. Date: 0.4 1 24 I co 1-6 (lbvis 1.14A- 4;_ v o e t 04004-t. j 3005; 2923 ,r 3015 333 332 4 3 Viewcrest Ave 3006 3018 40 va trx )1, P 1 CITY OF PORT ANE ELES Construction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building -operations being carried on thereunder when in violation of all codes and ordinances of Ibis jurisdiction. Approval Date By 3 7 4 A 1- VdeiCi AAI -L s ,L0 —c o _.5ECT I if 1 k 1 L t FILE c ol vkri-ot CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 9/19/2001 PERMIT NO: 12981 OWNER/APPLICANT PROPERTY LOCATION DEAN BLACK 3018 PEABODY S 1215 MARINE DRIVE PO BOX 93 Lot: SHP 77-12-12 MARYSVILLE, WA, WA 98271 Block: [] Long Legal 425/422-3745 Subdivision: T: S: Parcel No: CONTRACTOR ARCHITECT SANDPIPER ROOFING N/A 261 JOHN JACOBS RD Port Angeles, WA 98362 , 98360-0000 360/452-7542 360/000-0000 PROJECT INFO Project Value: $2,200.00 SFD Units: 0 Commercial: 0 Project Type: REROOF SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES TEAROFF / FELT / COMP RECEIPT # 8089 FEES ASSESSMENT Building Permit: $83.25 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $87.75 Plumbing: $0.00 AMOUNT PAID: $87.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 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 lasl inspection. I hereby certi~ that I have read and examined this application and know the same to be true and correct. All previsions oI laws and on;linances governing this type of work will be complied with whether specified herein or not. The granting of a permit does nol presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance ol · §i~r~re of Cont'ractor or Authorized Agent Date Signature of Owner (if owner is builder) Date