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Home My WebLink About1200 Marine Dr - Engineering 0' .O"T ~ ,~~~ ~"." "= -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll.,DING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 tJ;3' --?b- Application Number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property zoning Application valuation 03-00000842 NO PARCEL NUMBER 99- RIGHT OF WAY _ DL;n2~/b /200 ~ o Owner Contractor ALBERT GRAHAM/ CONTRACTOR P 0 1845 PORT ANGELES WA 98362 (360) 452-0966 OWNER ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY REMOVE FALLEN TREE 00 8/27/03 2/24/04 FIREWOOD Plan Check Fee Valuation 00 o Fee SUIlllllary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 00 00 00 00 Plan Check Total 00 00 00 00 Grand Total 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. 03 Signature of Owner (if owner is builder) Date T.\PLANNING\FORMS\1102.15 [4/2002] 3 r' %12--- WAIVER AND RELEASE FOR AND IN CONSIDERATION ofperrmsslOn from the CIty of Port Angeles for thenghtto ~1L ~~iJOtJ 6~ f~ ~ hA-o ~-b~ ~... m..r-v -d..u 'p~ .. ~ on the property located, at:a:J ~ ?\.4J'V --a.... I ~ &.e1.. .....,.... ~ ~ ~ O'")v ~?::>~ The undersIgned, for themselves, theIr heIrs, successors and assIgns, hereby waIves, releases, and forever dIscharges any clalms agamst the CIty of Port Angeles or ItS employees for personal mJunes or damages ansmg out of the entry onto the above referenced property for the purpose as set forth above. Dated tins ;;21 day of ~ 2003 (}nYl)j~ STATE OF WASHINGTON) ) ss COUNTY OF CLALLAM ) On thIS Gl day of '"H0GQ~\ ,2003, before me, the underSIgned, a Notary Pubhc m and for the State of Washmgton, duly comnllsslOned and sworn, personally appeared ~\.. ~"~ Cc~"R "'"" ~M. , to me known to be the mdlvldual described m and who executed the foregomg mstrument, and acknowledged to me the (s)he SIgned and sealed the sald mstrument as rus/her free and voluntary act and deed for the uses and purposes therem mentloned. GIven under my hand and offiCIal seal the day and year m thIS certIficate first above wntten. .~\\""tI"""ll. ~\\.. II/, -# ~~\f\lE Ii,~. ;I~ ~ ')."~'''i>. ~ ~ ..."\' 'A_~ ~ " -, ~ gJ!~OTA~}o\~~ - . l:~ \ .... - :: f/) i"""'fJ' 03-01.()4: :: ::-'~ :~E ~ .,.~ \..,oUSL\C l 0 ~ ~" .,,' ~ ~ .... .",.~:::: ~ 0 ---..... ~v ~ ~//1. ~ WAS~\ ~,#' '11111111' II IU"""" 0~"'TY~t"\.CY~~~ NOTARY PUBLIC m and for the State OfWashmgton, resldmg at Port Angeles, Washmgton. BUILDING PERMIT INSPECTION RECORD CALL 417-4815 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. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT /I ROUGH-IN 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 MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT /1'5: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT /I'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 4 I 7-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W / PW/ CONSTRUCTION R.W ENGINEERING 4 I 7-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE .