HomeMy WebLinkAbout1012 1014 Madrona St - BuildingApplication Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
BURWELL J ROSS
703 S LIBERTY ST
PORT ANGELES
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
2 00 14 0000 THOU
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
T•\PLANNING\FORMS \1102.15 [11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Charged Paid
04 00001188
796364
1012 1014 MADRONA ST
06 30 08 5 8 1305 0000
RE ROOF
WA 983626664
BUILDING PERMIT
OVERLAYCOMP
120 75
12/27/04
6/26/05
120 75
00
4 50
125 25
RS7 RESDNTL SINGLE FAMILY
3800
BASE FEE
BL -2001 25K
120 75
00
4 50
125 25
Contractor
STATE SURCHARGE
04'
Signature of Contractor or Authorized Agent Date
LARRY S ROOFING
352 AVIS ST
PORT ANGELES
PORT ANGELES
(360) 452 2215
NO PR FEE
(14 PER K)
Credited
00
00
00
00
Date 12/27/04
WA 98362
Plan Check Fee 00
Valuation 3800
Extension
92 75
28 00
4 50
Due
00
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 certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances o rning this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give aut ority o violate or cancel the provisions of any state or local law regulating construction or the performance of
construct' n.
Signature of Owner (if owner is builder) Date
ELECTRICAL LIGHT DEPT
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 1 NO
FOUNDATION:
FOOTINGS I I
WALLS I I I
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN 1 1
PLUMBING
UNDER FLOOR SLAB 1 I I
ROUGH -IN 1 I I
WATER LINE (METER TO BLDG) 1 I I
GAS LINE 1 1 BACK FLOW WATER 1 I
AIR SEAL
WALLS 1 I I
CEILING 1 1
FRAMING
JOISTS GIRDERS 1 I
SHEAR WALL/HOLD DOWNS 1
I
WALLS ROOF CEILING I I I
DRYWALL (INTERIOR BRACED PANEL ONLYI I I
T -BAR I 1 1
INSULATION
SLAB I I
WALL FLOOR CEILING 1 1
MECHANICAL
HEAT PUMP 1 I I
GAS LINE I I I
WOOD STOVE PELLET CHIMNEY I I I
HOOD DUCTS
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE METER I I
SEWER CONNECTION I I I
SANITARY 1 I I
STORM 1 1 I
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING/LIGHTING I I I ESA.
LANDSCAPING
1 I I SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION RW PW/ CONSTRUCTION RW
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I 1 1 FIRE DEPT.
PLANNING DEPT 417 -4750 I PLANNING DEPT
BUILDING 417 -4815 Ixpiv41 �I BUILDING
T-\PLANNING\FORMS \1102.15 [11/14/2003]