HomeMy WebLinkAbout1220 W 10th St - Engineering
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362 0 -3 -~43
Application Number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Zoning
Application valuation
Illf
Owner
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03-00000643 Date 7/07/03
1220 W 10TH ST
06-30-00-0-3-1620-0000-
PUBLIC WORKS UTILITES
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Contractor
OWNER
RIGHT OF WAY
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Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
45 00
7/07/03
1/04/04
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
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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
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Signature of Owner (if owner is builder)
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Date
T'\PLANNING\FORMS\II02.15 [4/2002J
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING 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
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION
FOOTINGS
WALLS
FOUNDA TION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT 1/
ROUGH-IN I
PLUMBING ,
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW I WATER ,
AIR SEAL
WALLS
CEILING T
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL I FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE I PELLET I CHIMNEy
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT I/'s:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT I/'s SEPA.
PARKING/LIGHTING ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/vSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W I PWI CONSTRUCTION R.W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T'IPLANNINGIFORMSIII 02.15 [412002J
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
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