HomeMy WebLinkAbout1020 S Laurel St - Engineering
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CITY OF PORT ANGELES
FIRE DEPARTf\1ENT PER,J\y1IT
321 East 5th Street, Port Angeles, W A 98362
Application Number
pin number . . . .
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000340 Date
.196380
1020 S LAUREL ST
06-30-00-0-3-2790-0000-
FIRE ABANDON TANK IN9PECTION
4/26/04
RS7 RESDNTL SINGLE FAMILY
800
FlHAt-eD
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Owner
Contractor
SAMUEL L/KELLY J A YADON
1020 S LAUREL ST
PORT ANGELES WA 983627732
PETTIT OIL CO.
638 MARINE DRIVE
PORT ANGELES
(360) 457-9404
WA 98362
permi t . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
UNDERGROUND TANK RES
ABAND IN PLACE, SLURRY FILL
15.00 Plan Check Fee
4/26/04 Valuation
10/23/04
.00
o
Qty Unit Charge Per
BASE FEE
Extension
15.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 15.00 15.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 15.00 15.00 .00 .00
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This pennit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
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 recognized standards, laws and ordinances governing this type of work will be com pied
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
the p vlsions,of an~ tute or '?fallaw regulating the work specified in the permit.
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Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date
FIRE PERMIT INSPECTION RECORD
Call 360-417-4655 for fire 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
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM
Rough-in inspection
Alarm final
LP-GAS Completed by Contractor:
Underground piping inspection/pressure test Test # I
Above ground piping inspection/pressure test Piping pressure test pSI
Time initiated
Tank (container) inspection Test #2
Appliance inspection Piping pressure test pSI
Time initiated
LP-gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable/combustible liquids
Tank appropriately abandoned
UST abandonment final
PERMIT OTHER (specify)
perm it final J-{ -? 0l..1) i
Inspection Type
I Date Passed I
Comments
J
GENERAL COMMENTS:
2/15/00