HomeMy WebLinkAbout832 W 9th St - Building /
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUiLDiNG DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00000697 Date 7/21/03
Property Address ...... 832 W 9TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-9935-0000~
Application description . . . RES REMODEL
Subdivision Name ......
Property Zoning .......
Application valuation .... 1500
Owner Contractor
CORNELSON JER~4Y/LI SA OWNER
832 W 9T~ ST
PORT ANGELES WA 983635724
Permit ...... BUILDING PERMIT -RESIDENTIAL
Additional desc . , REPAIR FIRE DAMAGE
Permit Fee .... 77.50 Plan Check Fee . . 31.00
Issue Date .... 7/21/03 Valuation .... 1500
Expiration Date . . 1/18/04
Qty Unit Charge Per Extension
BASE FEE ~7.00
10,00 3.0500 ~ND BL-501~nK {3.05 PER C} 30.50
......... STATE SURCHARGE 4.50
Other
Fees
sununary Charged Paid Credited Due
Fee
Per~it Fee Total 77.50 77.50 .00 .00
Plan Check Total 31.00 31.00 .00 .00
Ot~er Fee Total 4.50 4.50 .00 .00
Grand Total 113.00 113.00 .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 cedify that I have read and examined this application and know the same to be true and correct. All provisions of
awn and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
)resume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
:onstruction. ~ ·
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PL A NN]rN G\¥OP. NI S\ t 102.15 [4/2002]
/
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~ -I [~ 0~' Time Received by (phone, person)
Location of Work to be inspected _~ ~'~ L~ (~ ~LL~
Name of person requesting inspection
Address of person requesting inspection Phone No.~-~ ~-~:~
Type of Inspection (circle appropriate one): Permit No~_
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav.
Inspected= Date ?~,[~'li~? Time ~..~; By t
Remarks:.
RESTORATION REQUdIRE~ ..~-~YE~ ~ ~ ~ ~
/
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt r-]PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
~-]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ? '- ~? ? - c"~r'*~ Time / (-~" :~-~- Received by <~.-~;~'~-~ (phone, person)
Location of Work to be inspected ~'~ 3 ~7~ L/,~ ~, /z/~
Name of person requesting inspection _~ /.<, d2 ('~__~ ~ ~ ~ ~'
· 1~'o~'9
Address of person requesting inspection Phone No.
Type of Inspection (circle approl~riate one): Permit No. ~_~
Sewer Foundatio, n Framing ~imney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date Time By
Remarks:.
RESTORATION REQUIRED ...... YES_ NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt (--~PCC [~Other
[-1 Repaired by City Work Order #
r-} Repaired by Permittee L~ COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)