HomeMy WebLinkAbout120 1/2 Vashon Ave - Building .... CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 5~26~2002 PERMIT NO: 13402
OWNER/APPLICANT PROPERTY LOCATION
GREG HANSON 120 1/2 VASHON
41 GRETA'S PLACE Lot: 5 & 6
SEQUIM, WA 98382 Block: 5 [] Long Legal
360/681-2035 Subdivision: PSCC 2ND ADDT
T: S: Parcel No: 063010500560000
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $2,500.00 SFD Units: 0
Project Type: RE-ROOF SFD SQ FT: 0 - o
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use: RS7
PROJECT NOTES
OVER LAY ONE LAYER ON TOP Of TWO LAYERS, ARCH 3 TAB, REPAIR
FLOOR AT SHOWER, PLACE WASHER STAND PIPE, NEW SIDING
RECEIPT#9058
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 ,f 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
(~ ~on.//
~'/~'~'~r or Author,zed Agent
Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\1102.15 [4/2002]
o~.~xoe FOR OFFICIAL USE ONLY:
BUILDING PERMIT - APPLICATION Permit#:~
Date Issued:
The Building Permit dpplication must be filled out completely.
Please type or print in in~ If you have any questions, please call 41%4815
Owner: ~ ~( m ~(d ~0 ~) ' Phone:
Address: ~ ~'~ ~ ~f~ity: ~'
,
~chitec~ngineer: Phone:
Contractor License ~: Exp: Phone:
Ad&ess: City:. Zip:
CL~L~ CO~TY P~CEL N~BER: Credit Card Holder ~me:
Credit Card 8: ' ~ Exp. Date: ~ ~' ~SA MC
TYPE OF WORK: SIZE/VALUATION:
[] Residential [] New Constr. ~ Re-roof [] Wood-stove SF. ~ $ /SF. =.$
[] Multi-family [] Addition [] Move [] Garage SF. ~ $ /SF. = $
[] Commercial rn Remodel [] Demolition [] Deck SF. ~ $ /SF. = $
~ Repair [] Sign [] TOTAL VALUATION
"-' ' - ' 7/ ~' ' - tT0'- "' ' t /
COMyERCIAL/RESIDENTIAL: Occupancy Group: ~"-- Occupant Load: Construction
So. of Sto.es: / LotSize: % Lot Coverage: q%
Existing Lot Coverage: /sq. ft. + Prtoposed Lot Coverage: c~rq'~.:._ Js,..,_~q. ft. = TOTAL LOT COVERAGE: /sq. ft.
PLANNING USE ONLY: APPROVALS: PLAN
Notes: BLDG.
DPW
FIRE
ESA,rvVetland(s): [] Yes [] No SEPA Checklist required? [] Yes [] No Other: OTHER
BUILDING PERMIT APPLICATION SLIBMITTAL: Your application and site plan must be filled out completely to be accepted for
review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your
completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division.
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: Your plan check fee is due at the time the building permit application and constxuction plans are submitted. 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 application, this 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 certify that I have read and examined this application and know the same to be true and correct, and ! am authorized to apply for
this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's
responsibility to determine what permits are required and to o~
Applicant~-~~----"------ Date: ~,_~--
T:WORM S~APPS~Buildingpermit