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Home My WebLink About132 W Forest Ave - Engineering c!I'O"T~ /~ ~ ... -- """~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Oq _ /0/ Q Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 11/02/04 04-00001010 Date .760580 132 FOREST AVE 06-30-09-5-2-3535-0000- PUBLIC WORKS UTILITES RS7 RESDNTL SINGLE FAMILY o Owner -Contractor HERR BETTY J 132 FORREST AVE PORT ANGELES LAKESIDE INDUSTRIES P. O. BOX 7016 ISSAQUAH WA 980277016 (425) 531-3260 WA 983622516 Permit RIGHT OF WAY Additional desc CURB CUT FOR DRIVE WAY permi t Fee 45.00 Plan Check Fee Issue Date 11/02/04 Valuation Expiration Date 5/02/05 Qty Unit Charge Per 1. 00 45.0000 ECH RIGHT OF WAY PERMIT .00 o Extension D~ Fee summary Charged Paid Credited ----------------- ---------- ---------- ---------- Permit Fee Total 45.00 45.00 .00 Plan Check Total .00 .00 .00 Grand Total 45.00 45.00 .00 .00 .00 .00 8, }-l~l(v 13?-- ~R8S,\ ~ ---- 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 Date Date Signature of Owner (if owner is builder) T:\PLANNlNG\FORMS\1102.15(1111412003) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT . . . . . REQUEST: Date 4' ;/.f /r; 5' I I Time / /}vi Received by l}./~ (phone. person) location of Work to be inspected / S 2. ;;;....~./- Name of person requesting inspection eo: 6e/-...b~7 Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final Phone No. , Permit No. 0"--10/ D Sewer Excav. ~ ,$;./../;...4; &, b f J'vhL<r INSPECTION NOTES: Inspected: Date /;jf~? I , Remarks: 6. K ~ Time ~ "pM By c?:t c RESTORATION REQUIRED . . . . .. YES NO .J..- SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City D Repaired by Permittee D No Damage Found Work Order # D COMPLETE D INCOMPLETE (Continue on rAVAr!=r.p. ~irlp. if nlPlr.p.cc:.:uv' ~ VORT ~ $~O~~~ Ra -- -=-- ~ 't,\~ CITY OF PORT ANGELES DEP ARTMENT 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 04-00001010 Date .760580 132 FOREST AVE 06-30-09-5-2-3535-0000- PUBLIC WORKS UTILITES 11/02/04 4 f~-r ( u~ RS7 RESDNTL SINGLE FAMILY o Owner Contractor HERR BETTY J 132 FORREST AVE PORT ANGELES WA 983622516 LAKESIDE INDUSTRIES P. O. BOX 7016 ISSAQUAH WA 980277016 (425) 531-3260 ------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY CURB CUT FOR 45.00 11/02/04 5/02/05 DRIVE WAY Plan Check Fee Valuation .00 o Qty Unit Charge Per 1.00 45.0000 ECH RIGHT OF WAY PERMIT Extension 45.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 45.00 45.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 45.00 45.00 .00 .00 -. vl 'P 'tJ ~ V '1. ~ ~ 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. . . 11-2'-o~ Date Signature of Owner (if owner is builder) Date T:IPLANNINGIFORMSII102.15 [11114/2003] 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 UNLA WFUL TO COVER, INSULA TE 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 I I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN W f.. TER LINE (METER TO BLDG) (JAs LINE BACK FLOW 1 WATER AIR ISEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNINGIFORMS\ 11 02.15 [11/14/2003]