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Home My WebLink About215 N Francis St - BuildingApplication Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner BLOMBERG THOMAS /MINNIE 215 N FRANCIS ST PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per WA 983623505 BASE FEE 1 00 10 6500 ECH ME -GAS PIPE 1 TO 5 Charged Paid Credited Fee summary MECHANICAL PERMIT LPG STOVE 57 65 3/28/05 9/24/05 Permit Fee Total 57 65 57 65 00 Plan Check Total 00 00 00 Grand Total 57 65 57 65 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 T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000212 781320 215 N FRANCIS ST 06 30 00 5 1 3830 0000 MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 1400 Contractor OWNER Date 3/28/05 Plan Check Fee 00 Valuation 0 Due Extension 47 00 10 65 00 00 00 A' /06 Date Signature of Owner (if owner is bi(rilder) Date BUILDING PERMIT INSPECTION RECORD 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 I NO FOUNDATION: FOOTINGS 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 PLANNING DEPT 417 -4750 BUILDING 417 -4815 I t \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] I I I I I I I I I I I I I I I I I I I I I I I I I i I I I I I I I I I I I I I I I I I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO SEPA. ESA. SHORELINE. 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT (\94t4 -0b1 v r I I BUILDING PLANNING DEPT I I I I I I I I I "" , ,""0 , '- , 0 , '"" , '- , en , , , , , r<1 r<1r<1 , CIl ~E-< , ::> <1;<1; , 0 "'0 , ;r: , <'< , 0 , , <1; , r<1 , '"" ~ , (D <1; , '" , "" >-'1 , , ::: , N , en E-< , "" ~ , ~ , '" , 0 , '" 0 >< , <'1 r<1 ~ >-'1 , >-'1 ~ , ~ r<1 , .. ~ r<1 H , :> ~ ~ >-'1 , H r<1r<1 <1; E-< , 0 ZZ '" ~ CIl r<1C1l , ~ 00 >-'1 <1; 1>1 ~1>1 : ;r:;r: ~ E-< ~~ CIl "'''' 0 , ~ <'< Z E-<IJ , 0 , 0 0 Z , ~ ~ O~ , "" , HO , CIl N 1>1C1l E-<E-< , E-< "",..-fP::(f) CIl UU , Z m" 1>1 E-< 1>11>1 , 1>1 0,," 'U Z "'0. , :s "" u 1>1 CIlCll ~Z:S , >-'1<1; :s ZZ ~OO ~r--O,:::C :s H H ~HU FtOI.DZ:>-t 0 E-<'- ZO~H~ U ~"'CIl H N <'<>-'1 0. 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E-< o:l f90AfA.,o,: A....J...O~~ "~~~ 'L ~ ~ ~IC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DrVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 o ----1. , .-r:. ..c vJ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000493 Date 966625 215 N FRANCIS ST 06-30-00-5-1-3830-0000- MINNIE BLUMBERG RE-ROOF 5/07/07 RS7 RESDNTL SINGLE FAMILY 4451 Owner Contractor BLOMBERG THOMAS/MINNIE 215 N FRANCIS ST PORT ANGELES WA 983623505 EMERALD ROOFING INC P. O. BOX 879 PORT ANGELES WA 98362 (360) 452-4681 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE TEAR OFF AND RE-ROOF 101139 137.75 Plan Check Fee 5/07/07' Valuation 11/03/07 .00 4451 Qty Unit Charge Per 3.00 BASE FEE 14.0000 THOU BL-2001-25K (14 PER K) Extension 95.75 42.00 Other Fees STATE SURCHARGE 4.50 N - ~ ~ "2. tJ. g 0"" 9 /.. ~~ " '-.~ 0.> Vl V\ -r- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 137.75 137.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 142.25 142.25 .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 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. ~ I 70 ~ '- -V"/ Date Signature of Owner (if owner is builder) Date T:\Polieies\II02_15 building penni! inspection record05.wpd [1/4/2005] \. BUILDING PERMIT INS1~ECTION RECORD CALL 4] 7-48] 5 FOR BU1LDING lNSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL lNSPECTJONS. CALL 4] 7-4807 FOR PUBLIC WORKS UT1LlT1ES PLEASE PROVlDE A IvllN1MUM 24 HOUR NOTJCE. IT IS UNLA WFUL TO COVER, J1VSULATE OR CONCEAL A.fIll' rVOIU( BEFORE l/VSPECTED A/VD ACCEPTED. POST PERMIT IN A CONSPJCUOUS LOCATlON. KEEP PERMlT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO FOUNDA TION: FOOTINGS SHEAR WALLS I WALLS FOU!H)A TIOt-! DRAINAGE I DOWI, SPOUTS PIERS I I I POST HOLES (PO[~E BLDGS.) PLUMlllNG UNDER FLOOR I SLAB ROUGH-IN W A TEll. LINE (METER TO BLDG) GAS UNE HNAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING I FRAMING JOISTS I GIRDERS SHEAR WALL/HOLD DOWNS WALLS I ROOF I CEILING DRYW ALL (fNTERJOR BRACED PANEL ONL V) T-BAR INSULATION SLAB W ALL I FLOOR I CEILING MECHANICAL ROUGH-IN }ffiAT PUMY I FURNACE I DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE I PELLET I CI-nMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKING &. HOLD DOWNS SKIRTING PLANNING DEPT. SEP ARA TE PERMIT #. S SErA: 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 RW./ PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING' 417-4815 5/10101 :1Ll BUILDING '[:IPo11clesl] ]02 I) bUl]dmg penmt mspewol1 recOId05.wpd [1/4/2005J ,,~~~G/ C;:h,"'~'Ii'Yi"'''M'''''' '(Cf. ~/~~'t.~. .~~>> m ~.w "1: 'r.1/,'.-.".....'.:,:1 "","'" ."1\"",."_.,",,,~1, 't."-'~~~" ~ BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: OS-ol-o7 I'ermit#: O"l -1..1Q3 Date Approved: 05 -07-0 Date Issued: 0 c;- 0 7--0 Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FA.X(360)417-4711 Applicant or Agent: Owner: f\(;J1J tE r::)II.r:RAl-V ~tJ(;7 6{UN\~ IrVc'- Phone: '-t~O - 4-Lf7 ( Phone: Address: City: Zip: Architect/Engineer: Phone: Contractor E!\~9 ~M ({\JCState License #: tmtlflfLT4. 7 /.iff) Exp: IO-J7-07 Phone: ~rl.:fr.rV (L 5 City: c:;- T . Zip: ZONING: eb Address: -7 PHOJECT ADDRESS: ;;LtS LEGAL DESCIUPTTON: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: T)lPE OF WORK: / V Residential D New Constr. eYRe-roof 0 Stove o Multi-family D Addition 0 MoveD Garage o Commercial D Remodel 0 Demolition 0 Deck o Repair D Sign 0 Other BRIEF DESCRIPTION OF TIlE l'ROJECT: SIZE/VALUATION: SF. @$ /SF. = $ SF.@$ /SF.=$ SF.@$ /SF.=$ TOTAL VALUATION $ Y-45) ~f) 5' i?vttH SEen ON t9F fiatS&- RE f!,d)F .?] rlfLt'1-6zF / IIf) 3-7>113 eCOFtIV"h, ~ 11) f>,i), 1h'rtfY;Ft1t- Occupant Load: Construction Type: -- -r: O~ (;741ZA-~F ~9It3er ~ fiN 'p P--B? oOF COMMERCIAL/RESIDENTIAL: Occupancy Group: fiND No. of Stories: Lot Size: Total lot coverage Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq. Ft % PLANNING USE ONLY: AJ'PROV ALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESAlWetland(s): DYes 0 No SEPA Checklist required? 0 Yes D No Other: 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 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, 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 R105.3.2 of the International BuildinglResidential Code, 2003). 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. I am authorized to apply for this permit and understand that itis my responsibility to determine what permits are required ,not the City's, and that I must obtain such permas prior to work. /J T,IFORMSlBldgP""",,,,=wpd APPlicantr ~ - DateS. - ?- D '7