HomeMy WebLinkAbout2239 W 16th St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF coMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREEt, PORT ANGELES,WA 98362
Application Number ..
pin number .. . . . .
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use . . . .
Property Zoning . . .
Application valuation
6/04/04
RS9 RESDNTL SINGLE FAMILY
o
owner
Contractor
PILOT INTERNATIONAL
2594'03' HWY 101
SEQUIM WA 98382
(360) 457-7222
OWNER
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Permit
Additional desc .
Permit Fee
Issue Date
Expiration Date .
PUBLIC WORKS RES WATER SERV
640.00
6/04/04
12/01l04
Plan Check Fee
Valuation . .
.00
o
Qty Unit Charge Per
1.00 640.0000 BA PW W/M 1" SERV 5/8" METER
Extension
640.00
Fee sununary Charged Paid Credited Due
----------------- -..-------- ---------- ---------- ----------
Permit Fee Total 640.00 640.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 640.00 640.00 .00 .00
Separate Permits are required for electrical work, SEPA,.Shoreline, ESA, utilities, privat~and public improvemeJlts...Thisp@rr!ilt~C9J!1'S
null and void if work or construction authorized is not colTltnen.c(:ld within 180 dayS', if construction or woi1<lsSDsPend!id~orabafldo'n~
for~period of180 days after the work as commenced, orif required Inspections have not,been requested wit~jn'~OdaYsJroin the last
inspection. I hereby certify that I have read and examined this application and know the sarpe to be trueandcPrrect.. A1Jprovisi()lls of
laws and ordinances governing this type of work will be compiled with whether specified herein or not The granting.6f a. permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construf?ticirr 6rthe' performance of
consbu on. PvW. ... . . ..
T:\PLANNING\FORMS\II02.1S [11/1412003)
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BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING lNSPECfIONS. CALL417~735 FOR ELECfRICAL lNSPECfIONS.
PLEASE PROVIDE A MINIMUM 24HOURNOTICR IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORKBEiORE
INSPECTED AND ACCEPTED.. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT.cARD AND ApPR.OVED PLANS AT JOB SITE
iNSPECTIQN TYPE .... DATE' ACCEPTED .,' CQMMENTS ..'
YES .' I NO. ,
." , .
FOUNDATIQN: .
FOOTINGS .
.
WALLS . .' ;.
-
FOUNDA nOoN DRAlNAGEIOOWN'SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ....
..
ROUGH-IN I . . '.
.
. ,
PLUMBING .' .
UNDER FLOOR! SLAB .
ROUGH-IN
WATER LINE (METER TO BLOG) '. " ,
GA&.LINE " . -cc
,
BACK FLOW ! WATER ,
AIR SEAL .
wALLS ..
CEILING '. I " I >, I , '!
..'
FRAMING ., c.
;
JOISTS! GIRDERS
SHEAR W ALLIHOLD DOWNS .
WALLS! ROOF! CEILING ..'
DRYWALL (iNTERIOR BRACED PANEL,ONL Y) .
T-BAR I... ic
'. .
INSULATIQN
,
SLAB . I I
';-.,!
WALL! FLOOR! CEILING I I I .'
MECHANICAL
HEAT PUMP
GAS LINE .
WOOD STOVE! rELLET ! CHIMNEY
HOOD! DUCTS . .
PW UTIL1TI~1 SITE WQRK (Engineering Division) SEPARATE PERMIT#'s:
W A TEiu.INE! METER
SEWERCoNNEcnON , ..
SANITARY
STORM '.
.
PLANNING DEPT. SEPARAT.E PERMIT #'s '. SEPA:
PARKINGIJ,.IGHTING> ,. -;:c- ESA:
..'
- . . ..-.
,. LAN~ING . , '" , 'it' . . ~o~~-
'" " ,/ ,', ~i:.: ,J1V'!AL Il\l~PEq1QNS R!QPlREI) PRIQR TO. Oq:U,PANCYllJSE, ,.. . . .'>, .'
" . .,' ....
RESIDENTIAL , DATE .... .YES NO. I. COMMERCIAL DATE..';' ) ACCEJ>TED
.., C'd" ......YEs. NO.
. ..
-:c '. ,d ..~,.,. . . .
; ELECTRICi:AL - LIGHT DEPT. 4p-473S ELECTRICAL . . I
.. LIGHT DEPT .
....
CQNSTRUCTIQN R. W.! PW! CONSTRUcnQN - R. W. \.
ENGINEERING ... 417-4807 ,: \ PW!ENG~ERING .; ','
" '. ' -} ;
FIRE 417:..uiS3' I, FIRE DEPT.-' .
. . .
'-. .'
PLANNING DEPT. , '. 417-47S0 PLANNING DEPT. . .'r-c.
.< h '" .'~ 7.d
BUILDING 417-481S BUILDING
T:\PLANNING\FQRMS\II02.1S [1111412003]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362 04- 4q ~
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
property Use
Property zoning . . .
Application valuation
04-00000498 Date
.687678
2239 W 16TH ST
06-30-00-1-0-7800-0000-
PUBLIC WORKS UTILITES
6/04/04
223 q !tV 11t;-ih
RS9 RESDNTL SINGLE FAMILY
o
Owner
Contractor
PILOT INTERNATIONAL
259403 HWY 101
SEQUIM WA 98382
(360) 457-7222
OWNER
-----------------------------~----------------------------------------------
Permit PUBLIC WORKS RES WATER SERV
Additional desc
Permi t Fee 640.00 plan Check Fee
Issue Date 6/04/04 valuation
Expiration Date 12/01/04
.00
o
Qty Unit Charge Per
1.00 640.0000 EA PW W/M 1" SERV 5/8" METER
Extension
640.00
Fee sununary Charged Paid Credited Due
------~---------- ---------- ---------- ~--------- ----------
Permit Fee Total 640.00 640.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 640.00 640.00 .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 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
constru 'on. r'V..U .
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\I 102.15 [11114/2003]