HomeMy WebLinkAbout413 1/2 W 2nd St - Engineering
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362 () :;; -.35 2-
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Property Zoning . . .
Application valuation
03-00000352 Date 4/30/03
413 1/2 W 2ND ST
0630000035630000
PUBLIC WORKS UTILITES
o
Owner
Contractor
JOSH, ARMSTRONG
333 GRIFFITH FARM ROAD
SEQUIM WA 98382
(360) 457-5752
OWNER
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Permi t . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
640.00
4/30/03
10/27/03
Plan Check Fee
Valuation
.00
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Qty Unit Charge Per
1.00 640.0000 EA PW W/M SFR 5/8"
Extension
640.00
Fee swnmary 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
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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
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1102.15 [4/2002]
CITY OF PORT ANGELES
DEPARTMENT:OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST: -"1..
Date (/- 7- C> / Time Received by (phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing
f{/
~nd (
Chimney Plumbing Final Sewer Excav. Other
Phone No.
Permit f?l.- 3,62-
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INSPECTION NOTES:
Inspected: Date
Remarks:
TIme By.
Ft)-n 1/ ~...erv (f;:1tv
.-eJ/'c.,' I 2 ! r 0-
C'- ;EVIl
r ~73-L)
RESTORATION REQUIRED . . . . .. YE NO
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SURFACE RESTORATION: /'
SURFACE TYPE: 0 Unimproved 0 Gravel iZJ.ASPh~lt 0 Other
o Repaired by City Work Order # ~ '2 I 1f:
[] Repaired by Permittee ~COMPLETE o. \1'6:\ t-~~~~~.,q, w,t\;\
[] No Damage Found 0 INCOMPLETE \--\0\ fA \ ':>( .....( \<.... 1...\ -'2<)-03
~G};-f;llfNf;J,lx;;~ Stele ~/Ic
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
BillLDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
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 NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15 [4/2002]