HomeMy WebLinkAbout4104 C St - Building CITY OF PORT ANGELES
s DEPARTMENT OF COMMUNITY &ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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Application Number 12- 00000774 Date 6/14/12
iwo Application pin number 103630
Property Address '4104 C ST q
1' F, ASSESSOR PARCEL NUMBER: 06- 30- 08 -5 -8- 1200 -0000- REPORT SALES TAX
Application type description RE -ROOF on your state excise tax form
Subdivision Name
a. Property Use to the City of Port Angeles
j Property Zoning RS7 RESDNTL SINGLE FAMILY
r Application valuation 3940 (Location Code 0502)
h
Application desc
TEAR OFF REROOF
Owner Contractor
KEIM, BRUCE LARRY'S ROOFING
4104 C ST EXT 352 AVIS ST.
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 797 -3262 (360) 452 -2215
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF REROOF
Permit Fee 123.75 Plan Check Fee .00
Issue Date 6/14/12 Valuation 3790
Expiration Date 12/11/12
Qty Unit Charge Per Extension
BASE FEE 95.75
2.00 14.0000 THOU BL- 2001 -25K (14 PER K) 28.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
fi na� (Q'/ I
Permit Fee Total 123.75 123.75 .00 .00
1
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 128.25 128.25 .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 commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I h- ead and examined this application and know the same to be true and correct. All provisions
6 of laws atpd ordinances govern' this ty�' work will be complied with ther specified herein or not. The granting of a permit does
r jnot presprne to give authority ti' iolate cel the provisio any or local law regulating construction or the performance of
1 construct) n.
Ak..II\ i .1,
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h Date
1 Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD ,171.
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 Date Accepted By Comments
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 FINAL Date Accepted by
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 FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
vcsi
Electrical 417-4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653 0
Planning 417 -4750 t tl
Building 417 -4815 to-2.5' I a"
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Permit 12°' W W Z
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Date Received: Co (4-'19' o
321 East 5th Street W o z
Port Angeles, WA 98362 Date Approved: (0 I I2 0 z 0 9
P:360-417-4817F:360-417-4711 -1-F� t W m
hcatuzo @cityofpa.us EL
Building Permit Application
Project Address: q 0 4, c i
Main Contact: I h oz.f..s Phone 4
Property Name g K Phone —Ion 3u2...,
Owner Mailing Address 4l 04 c 4 L Email
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City A State r Zip
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Contractor Name J it C 0 Phone /1' e 2 az
Mailing Address Email
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City State Zip Z
Contractor License Expiration:
Project Value: Zoning: Tax Parcel Lot
31 'I Uf9 o S I ZOO
Type of Residential A Commercial Industrial Public
Permit Demolition Fire Repair Reroof (tear off /lay over)
For the following, fill out both pages of permit application:
New Construction Remodel Addition Tenant Improvement
Mechanical Plumbing Other
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes No
Project
Q° 6 i ®1I OC 6 6f e �s 11 30 r
Description
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I have read and completed the application and know it 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, and to obtain
permits prior to working on projects. I understand the plan review fee is not refundable after review has
occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before
plan review has occurred. I understand that if the permit is not issued wit 180 days of receipt, the
application will be considered ab ned, and the fees forfeit.
Date I Print Namr Signature IV
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Clallam County Assessor Treasurer Property Details 64130 BRUCE C KEIM for Ye... Page 1 of 5
Cla Ilam County Assessor Treasurer
Property Search Results 64130 BRUCE C KEIM for Year 2011 2012
Property
Account
Property ID: 64130 Legal Description: LOTS 1 AND 2 BL 12
PENNSYLVANIA
PARK ADDITION
Geographic ID: 0630085812000000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi-Family Redevelopment: N
Township: Section:
Range:
Location
Address: 4104 S C ST EXT Mapsco:
PORT ANGELES, WA 98363
Neighborhood: PA West Res Map ID: 2
Neighborhood CD: 5151000
Owner
Name: BRUCE C KEIM Owner ID: 211982
Mailing Address: 2247 E ENNIS CREEK RD 84 Ownership: 100.0000000000%
PORT ANGELES, WA 98362
Exemptions:
[Taxes and Assessment Details
Property Tax Information as of 06/14/2012
Amount Due if Paid on: 0-. NOTE: If you plan to submit payment on a future date, make sure you enter the date and
click RECALCULATE to obtain the correct total amount due.
Click on "Statement Details" to expand or collapse a tax statement.
f 1 First Half 1 Second Half
Year L Statement ID I Base Amt. jBaseAmt. Penalty Interest 1_ Base Paid Amount Due r i
i" Statement Details
2012 46000 $708.70 $708.62 90.00 90.00 9708.70 $708.62
Statement Details
2011 158202 $793.14 $793.08 90.00 $0.00 $1586.22 $0.00'
I Values
Improvement Homesite Value: $0
Improvement Non-Homesite Value: $88,568
Land Homesite Value: $0
Land Non-Homesite Value: $31,875
Curr Use (HS): $0 $0
Curr Use (NHS): $0 $0
Market Value: $120,443
Productivity Loss: $0
Subtotal: 9120,443
Senior Appraised Value: $0
Non-Senior Appraised Value: 9120,443
Total Appraised Value: $120,443
Senior Exemption Loss: $0
Exemption Loss: $0
Taxable Value: $120,443
1 Taxing Jurisdiction
Owner: BRUCE C KEIM
Ownership: 100.0000000000%
Total Value: $120,443
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP
[Levy Code Tbescription [Levy Rate jAppraised Value L Taxable Value rEstimated Tax LE:1
i STATE SCH STATE 2.3523324994 8120,443 $120,443 $283.32
SCHOOL
1 CC GENERAL CLALLAM 1.2567736569 $120,443 $120,443 $151.37 1
COUNTY
GENERAL
I DEVDISIBLT DEVELOPMENT 0.0250000006 $120,443 $120,443 $3.01
DISABILITIES
COUNTY
i LND ASSMT LAND 0.0012000000 $120,443 $120,443 $0.14 1
1 ASSESSMENT
1 COUNTY
!TAX REFUND TAX REFUND 0.0000000000 $120,443 $120,443 $0.00
FUND COUNTY
i VET RELIEF VETERAN'S 0.0112499996 $120,443 $120,443 $1.35 1
I RELIEF
1-- COUNTY
http ://web srv8 cl all am.net/propertyacces s/Prop erty. aspx?cid=0&year=2011 &prop_id=64130 6/14/2012
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32] 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
08-00001304 Date 10/10/08
988184
4104 C ST
06-30-08-5-8-1200-0000-
BRIAN M GAGNON
MECHANICAL APPL. PERMIT
RS7 RESDNTL SINGLE FAMILY
1736
Application desc
INSTALL WOOD-BURNING STOVE
Owner
Contractor
BRIAN M GAGNON
4104 C ST
PORT ANGELES
(360) 670-6177
OWNER
WA 98363
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
INSTALL WOOD-BURNING STOVE
136259
60.65 Plan Check Fee
10/10/08 Valuation
4/08/09
Qty Unit Charge Per
Extension
50.00
10.65
BASE FEE
1.00 10.6500 ECH ME-OTHER APPL. N/R
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60.65 60.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 60.65 60.65 .00 .00
.00
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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 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 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 performance of
construction.
(; -/O-or:
Date
Signature of Contractor or Authorized Agent
T:Forms/Building Division/Building Penn it
BUILDING PERMIT INSPECTION RECORD
- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS -
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4807 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCA TION. KEEP PERMIT AND APPROVED PLANS A T JOB SITE.
Inspection Type Date Accepted By: Comments
FOUNDATION:
Footinqs
Stemwall
Foundation Drainage I Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor / Slab
Rouqh-In
Water Line (Meter to Bldg)
Gas Line
Back Flow I Water FINAL Date: Accepted by:
AIR SEAL:
Walls I
Ceiling I I
FRAMING:
Joists I Girders
Shear Wall I Hold Downs
Walls I Roof I Ceiling
Drywall (Interior Braced Panel Only)
T-Bar
INSULATION:
Slab I
Wall I Floor I Ceiling
MECHANICAL:
Heat Pump I Furnace I Ducts
Gas Line
Wood Stove I Pellet I Chimney Date: i (\ -15 ~ D kcepted b;J L L
Commercial Hood I Ducts FINAL
MANUFACTURED HOMES:
. Footing I Slab
Blocking & Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parkinq I Liqhtinq I I ESA:
Landscaping I I SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY / USE
RESIDENTIAL DATE Accepted By: Commercial Date Accepted By:
Electrical 417-4735 Electrical
Construction - R.W. Construction - R.W.
PW I Engineering 417-4807 PW I Enaineerina
Fire 417-4653 Fire
Plannina 417-4750 Plannina
Building 417-4815 Buildinq
T:Forms/Building Division/Building Permit
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BUILDING PERMIT APPLICA TION 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
. For City Use Only:
Date Received \0 - l () -0 &'
Permit # O?l - \ 3(')Lf
Date Approved
Applicant or Agent
Property Owner
Property Owner's Address
Contractor/Engineer
Contractor/Engineer's Address
License #
E-mail
.!.f/OL( C .s(rr-(r-
PROJECT ADDRESS
Pa[cel Number
Lot
Zoning
Proiect Tvpe & Brief Description: o Residential o Commercial o Multi-family o Industrial
Check all thaI apply
o New Construction
o Addition
o Remodel
o Repair
oRe-roof
o Demolition
~at System o Heat pump )(wood-burning stove 0 gas fireplace 0 pellet stove 0 other
o Other
Floor Areas ExistinQ (SQ. ft.) Proposed (SQ. ft.)
Basement @$ per sq. ft. = $
151 Floor
2nd Floor
3'd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $ 17J~ - O()
Total footprint of structures sq. ft. Lot size sq. ft. = Lot coverage %
Max. height of proposed structures ft. Occupancy group # of bedrooms
Will a lawn sprinkler system be installed? Occupant load # of full baths
Will a fire sprinkler system be installed? Construction type # of half baths
I have read and completed this application and know it 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, and to obtain permits prio working on
projects.
Date ;O-/U-t:{ Print Name
J3c;~ CCr~
Signature
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000026 . /
4104 S C ST Y
06-30-08-5-8-1200-0000-
RES FOUNDATION REPAIR
Date
1/13/04
RS7 RESDNTL SINGLE FAMILY
7689
Owner
Contractor.- CW r-. ~-r-
STEINMAN, RANDY
3405 SO. LAUREL ST
PORT ANGELES WA 98362
(360) 457-1948
FOX I a RIilU9];'Ii:1.IR9 ~ IlQaFIlil3"
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POR'f M~",,;:nl!08
(HIl) U'1 0342
tffi 983E;2
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc
Permit Fee 176.75 Plan Check Fee 70.70 -C
Issue Date 1/13/04 Valuation 7689
Expiration Date 7/11/04
Qty Unit Charge 0
Per Extension -C
BASE FEE 92.75
6.00 14.0000 THOU BL-2001-25K (14 PER K) 84.00
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 176.75 176.75 .00 .00
Plan Check Total 70.70 70.70 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 251. 95 251. 95 .00 .00
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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 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.
! elf
Date
Signature of Owner (if owner is bUilder)
Date
ractor or Authorized Agent
T IPLANNINGIFORMSIII02.15 [11/l4/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIvIsIon) SEPARATE PERMIT #'5.
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEP ARA TE PERMIT #'5 SEPA:
PARKING/LIGHTING ESA
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W / PW/ CONSTRUCTION - R W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 4]7-4653 FIRE DEPT.
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 I) _I ~ -oAI J./..., BUILDING
T \PLANNING\FORMS\] ] 02 15 [11114/20031
FJUI : fUl("5 RB'IJIJEl..INi AND ..u:F lNi
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CITY OF PORT ANGELES - ConstruCtIon Plans
The Issuance of this permit based upon these plans. speclfl.
cabons and other data shall not prevent the building offICial
from thereafter requiring the co,rrection 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 this jurisdiction.
(SECTION 303(c) . Uniform Buildmg Code.) t< vi
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FOrs REMOD~l.lNG"a: ROOFING
_ 01tCAS
P02T ANO~S. WA. 98tk5a
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PREPARED 2/13/04, 12 54 29
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES ~ LIERLY
PAGE
DATE
4
2/13/04
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
4104 S C ST
SUBDIV
PHONE
PHONE
(360) 457-1948
STEINMAN, RANDY
06-30-08-5-8-1200-0000-
04-00000026 RES FOUNDATION REPAIR
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFR 01
1/14/04
1/14/04
JLL
DA
BUILDING FOUNDATION REPAIR
RANDY 457-1948
p1res are reqd to be 24x24x12 w1th pos1t1ve
anchorsjconnectlon to post some post are mlss1ng deck block
not adequate for support/lumber spans to meet 97ubc 1~360 pt
s111 w111 anchors at 1800 upl1ft res1stance/vent 1 at 150
l:~04, f sf/lpg tank f111 to be located 5ft from vent/J1m
~:~~_01__4~u~_u~~~~:~::~::::s AND NOTES ____n_______n_uuuumuuuum
BUILDING DIVISION
CITY OF PORT ANGELES
*
*
Correction Notice
Job Located at
if J 04
\' (' ~'
Sr
s.
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
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These co~rect.ions must be made and are not to be
covered until relnspection is made. When corrections
have been made, please call Lf J
for inspectioz
Date II~. of
BUILDING DIVISION
CITY OF PORT ANGELES
*
*
Correction Notice
Job Located at 41 d/
sr
5. \\~ *,
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
/~(izf2.~ AT2~ ~Ut(LrSO J.-:u
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L;:Qu~l ~ I BcDI ~) s u(1 L!--~ .
These corrections must be made and are not to be
covered until reinspection is made. When corrections
have been made, please call ~J 7 - L/ f'1 ~
for inspection.
Date II J'-iL 0 t-f
-'
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PREPARED 1/14/04, 12,26 54
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
6
1/14/04
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
4104 S C ST
FOX'S REMODELING AND ROOFING
STEINMAN, RANDY
06-30-08-5-8-1200-0000-
04-00000026 RES FOUNDATION REPAIR
SUBDIV
PHONE
PHONE
(360) 417-0342
(360) 457-1948
PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
Typ/sQ COMPLETED RESULT RESULTS/cOMMENTS
BLFR 01 1/14/04 JLL BUILDING FOUNDATION REPAIR
_____________________~---~~:~-4::~::::S AND NOTES ______________________________________
~