HomeMy WebLinkAbout110 Lopez Ave - Buildingof pORT,k,O
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Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
377360
110 LOPEZ AVE
06 30 10 5 0 1528 0000
RE ROOF
RS7 RESDNTL SINGLE FAMILY
4400
Owner Contractor
MILLIGAN ROBERT LARRY S ROOFING
777 MANDALAY BEACH RD 352 AVIS ST
OXNARD CA 930351074 PORT ANGELES
PORT ANGELES
(360) 452 2215
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAROFF FELT COMP HOUSE GARA
Permit Fee 134 75 Plan Check Fee 00
Issue Date 9/08/04 Valuation 4400
Expiration Date 3/08/05
Qty Unit Charge Per
BASE FEE
3 00 14 0000 THOU BL 2001 25K (14 PER K)
Other Fees
Fee summary
T•\PLANNING \FORMS\ 1102.15 [11/14/2003]
Charged
04 00000780 Date 9/08/04
STATE SURCHARGE 4 50
Paid Credited Due
WA 98362
Permit Fee Total 134 75 134 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 139 25 139 25 00 00
Extensi
92 75
42 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 ordinance governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presum o give rity to violate or cancel the provisions of any state or local law regulating construction or the performance of
construe i n.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
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 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
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN
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
GAS LINE
WOOD STOVE PELLET CHIMNEY
HOOD DUCTS
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING/LIGHTING ESA.
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I I I FIRE DEPT I I
PLANNING DEPT 417 -4750 I I I I PLANNING DEPT I
t
BUILDING 417 -4815 I 0 l V l5Y I [I I '.2.1.,- I I BUILDING
T \PLANNING\FORMS \1102.15 [11/14/2003]