HomeMy WebLinkAbout333 W Park Ave - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32\ EAST 5TH STREET, PORT ANGELES, W A 98362 U 3 - 9' ;:1c;2
Application Number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Zoning
Application valuation
03-00000944 Date
333 W PARK AVE B
06-30-09-5-2-3865-0000-
PUBLIC WORKS UTILITES
9/26/03
o
iJ~r
J/J '7
Owner
Contractor
J & J KEY CONSTRUCTION, INC
PO BOX 2151
PORT ANGELES WA 983620408
OWNER
----------------------------------------------------------------------------
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
640 00
9/26/03
3/25/04
Plan Check Fee
Valuation
00
o
Qty Unit Charge Per
1 00 640 0000 EA PW W/M SFR 5/8"
Extension
640 00
Fee sununary Charged Paid
----------------- ---------- ----------
Permit Fee Total 640 00 640 00
Plan Check Total ,00 00
Grand Total 640 00 640 00
Credited Due
00 00
00 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
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T-\PLANNING\FORMS\II02.15 [4/2002]
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32\ EAST 5TH STREET, PORT ANGELES, W A 98362 3 a ~ ~
(J - /' )
Application Number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Zoning
Application valuation
03-00000943 Date
333 W PARK AVE A
06-30-09-5-2-3865-0000-
PUBLIC WORKS UTILITES
9/26/03
o
jJ \(r
17~
Owner
Contractor
J & J KEY CONSTRUCTION, INC
PO BOX 2151
PORT ANGELES WA 983620408
OWNER
----------------------------------------------------------------------------
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
$280 FOR WATER MAIN EXTENSION
920 00 Plan Check Fee
9/26/03 Valuation
3/25/04
00
o
Qty Unit Charge Per
Extension
280 00
640 00
BASE FEE
1 00 640 0000 EA PW W/M SFR 5/8"
Fee sununary Charged Paid
----------------- ---------- ----------
Permit Fee Total 920 00 920 00
Plan Check Total 00 00
Grand Total 920 00 920 00
Credited Due
00 00
00 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
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1102.15 [4/2002]
J
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
DateL(J-~ ~ Time Received by
Location of Work to be inspected :3:~;A...e:J;L q W, ;:;0.. r Ie
Name of person requesting inspection j- f..A,) ,I (o?:
Address of person requesting inspection I -; +A ~ f5
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
(1 '131'
~
(phone, person)
PhO~~o-' 93f
Permit No
( AJ c:.t +-e J,--
-
INSPECTION NOTES-
Inspected Date
Remarks
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By
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 pcc 0 Other
WorkYrder # qq37- ~~f
~OMPlETE co ;3
o INCOMPLETE
,,,--_.....~- - -- -- --___ _:-1_ :.ll'_________,
,
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date! (J-~ --oJ Time Received by
Location of Work to be inspected :3 J JA-M> ];L q W, j/o.. r Ie
Name of person requesting inspection T- (/....) I t (0 C
Address of person requesting inspection I 1+'11 <f- a
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other l JJ ct+e ;,--
q t1 ji'
c)V7
(phone, person)
Pho~~O"' 93f
Permit No
INSPECTION NOTES'
Inspected Date
Remarks
l' (>J t,
~ \
A a~ 1.1.~1
t\~\ .J
By
t:j?? ~( ?V i-. . T:A.i 5fa 1/.
L<.; 0\. -j--t:r .s-e YvJ~ ( ~5
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NO
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U
Q,I c-~
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PC\y-K
21 ( c - J <A V1' :A,e I've- q I r."tJ yYf prdfJ~ t'1-,/
SURFACE RESTORATION'
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 pcc D Other
Workyrder # qq37- ~~i
[l{r'COMPLETE oc ;3
o INCOMPLETE
,,..,-~_...!_ _ __ ___ ____ _ ..J_:.c ________. ,
BUILDING PERMIT INSPECTION RECORD
CALL417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 I NO -
FOlfNDA TJON
FOOTINGS
WALLS
FOUNDA TION DRAINAGE
-
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROt rGII-IN I -
-
PUIMRING
-
UNI1ER FLOOR 1 SLAB
ROUGII-IN
WATER LINE
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
WALLS I ROOF 1 f:EILlNG
I1RYWALL
T-IlAR
INSULA TION
SLAIl
W ALL I FLOOR I CEILING
MECIIANICAL
ilEA T PUMP
WOOD STOVE 1 PELLET 1 CIIIMNEY
1I00D I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
W A TERl.INE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'5 SEPA.
PARKING/LlGHTING ESA.
LANDSCAPINC 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 1 PWI CONSTRUCTION R.W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 4 I 7-4750 PLANNING DEPT
-
IlUILDlNG 417-4815 BUILDING
T \PLANNlNG\FORMS\1 102.15 [4/2002J
BUILDING PERMIT INSPECTION RECORD
CA LL 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 LOCA nON
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO -
FOllNDA TION
FOOTINGS
WALLS
FOUNDA TION DRAINAGE
-
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROt J(i1I-IN I
PLUMBING
-
UNDER FLOOR / SLAB
ROt JGH-IN
WATER LINE
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
WALLS 1 ROOF I CEILING
DRYWALL
T-IlAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
IIEAT PI IMP
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD / DIICTS
PW UTlLlTlF:S / SITE WORK (Engineering Division) SEPARATE PERMIT #"s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNINC DF:PT SEPARATE PERMIT #"s SEPA.
PARKING/LIGHTING ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQtIIRF:D PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YF:S NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL I.IGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W 1 PWI CONSTRUCTION R.W
ENGINEERING 417-4g07 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
-
BUILDING 417-4g15 BUILDING
T-\PLANNING\FORMS\1102.15 [4/2002]