HomeMy WebLinkAbout403 N Liberty St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362 0 '3 - ~ ~ 3
Application Number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Zoning
Application valuation
Owner
SOELTER CLINT D
54 EDGEWOOD LN
PORT ANGELES
9/05/03
03-00000863 Date
403 N LIBERTY ST
06-30-00-7-8-0322-0000-
RES FOUNDATION REPAIR
20000
Contractor
OWNER
+
~
~
WA 98363
Structure Information
Construction Type
Occupancy Type
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
MOVE FR 1029 GEORGIANA TO 403 N LIBERTY-----
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
C.
\-
-
~
1+
DRIVEWAY INSTALLATION
145 00
9/05/03
3/04/04
Plan Check Fee
Valuation
00
o
Qty Unit Charge Per
BASE FEE
Extension
145 00
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
69 00
9/05/03
3/04/04
Plan Check Fee
Valuation
00
o
Qty Unit Charge Per
Extension
47 00
7 00
15 00
In e;;f-0V pd
BASE FEE
1 00 7 0000 ECH PL- EA INSTALL WATER PIPE
1 00 15 0000 ECH PL- EA BLDG SEWER
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
45 00
9/05/03
3/04/04
Plan Check Fee
Valuation
00
20000
Qty Unit Charge Per
1 00 45 0000 ECH RIGHT OF WAY PERMIT
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Extension
45 00
SANITARY SEWER HOOK UP
95 00
9/05/03
3/04/04
Plan Check Fee
Valuation
00
20000
Qty Unit Charge Per
1 00 95 0000 EA SAN SEWER HOOKUP
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
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 atterthe 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.
Date
Signature of Contractor or Authorized Agent
T.\PLANNINGIFORMS\1102.15 [4/2002]
Date
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number 03-00000863
Fee summary Charged Paid
----------------- ---------- ----------
Permit Fee Total 354 00 354 00
Plan Check Total 00 00
Other Fee Total 1774 50 1774 50
Grand Total 2128 50 2128 50
Page 2
Date 9/05/03
Credited Due
00 00
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
TWLANNTNGIFORMS\ 1102.15 [4/2002]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362 0 -3 - s: Z. .5
Application Number
property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Zoning
Application valuation
03-00000823 Date
403 N LIBERTY ST
06-30-00-7-8-0322-0000-
PUBLIC WORKS UTILITES
9/03/03
o
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4b~ . ,
Owner
Contractor
SOELTER, CYDNEY
54 EDGEWOOD DR
PORT ANGELES
(360) 452-8132
OWNER
WA 983624226
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
rO'
t
640 00
8/21/03
2/18/04
Plan Check Fee
Valuation
00
o
c
Qty Unit Charge Per
1 00 640 0000 EA PW W/M SFR 5/8"
Extension
640 00
-.....,
\
Fee summary 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
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Separate Permits are requirea for electrical work, SelSA, ShoNIlM, ESA, i.iatIti., priVate and public improvements. This permit becomes
null and void if work or construction authorized is not.commenced within 110 daya, if construction or work Is suspended or abandoned
for a period of 180 days after the work as commenced, or if ..-qulrec:llnspecttons have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this appncatlon 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 [4120021
~90f':T~.
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362 0
640 00
8/21/03
2/18/04
Plan Check Fee
Valuation
00
o
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~
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Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Zoning
Application valuation
000823 Date 8/21/03
1303 E CAROLINE ST
~:~O~-~;~;~:04 -6 2-? IJ Z-
o
Owner
Contractor
SOELTER, CYDNEY
54 EDGEWOOD DR
PORT ANGELES
(360) 452-8132
OWNER
WA 983624226
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
Qty Unit Charge Per
1 00 640 0000 EA PW W/M SFR 5/8"
Extension
640 00
Fee summary 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
'X~
.f' \
S
')~
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
ate
T-IPLANNING\FORMSlll 02. J 5 [4/2002]
;)Iiw
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:! I
Date _~/?dJ 01
Time
Sewer Foundation Framing Chimney
4101/01
INSPECTION NOTE~i 1 F1 ~ ;K2
Inspected Date H ~ Time J I ~ By
Remarks :'San Sr;~er (>Ohh-EJc.TJDJj @ CTL-~y
fvlL.~ RUh sou.JA (')V, Ll ~.e~YTV ,I) LOT
I
Received by (phone, person)
I~)D Uv~ .
L/ &~/iq 1D3 A1 LJ~Alzt
c ~:J EiLC! A lJA Ti n 1-1
f
Phone No
RtJqe'4&o-OD1~ Permit No 0'3-323
lumbing Final Sewer Excav Other
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
- ------ dY
/"Iii
RESTORATION REQUIRED . . . . .. YES
=--~-----=-_~ -2 ~ P \ -1 ~ " ':;" 30 / / S <-
-r--------- -- ---------- ___c____ ~.--
to,S- Luf'>._~___':_!"'__E _ ____ ____
NO
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SURFACE RESTORATION' /
SURFACE TYPE 0 Unimproved 0 Gravel )Lf'AsPhalt 0 PCC 0 Other
o Repaired by City Work Order #
o Repaired by Permittee 0 COMPLETE
o No Damage Found 0 INCOMPLETE
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
ap~~lca~10n ~umoer
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Zoning
Application valuation
03-00000823 Date 8/21/03
1303 E CAROLINE ST
06-30-00-7-8-0320-0000-
PUBLIC WORKS UTILITES
o
Owner
Contractor
SOELTER CYDNEY
54 EDGji:WOOD DR
PORT ANGELES
(360) 452-8132
OWNER
WA 983624226
----------------------------------------------------------------------------
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
640 00
8/21/03
2/18/04
Plan Check Fee
Valuation
00
o
V'J
C>
~ W
00 \l1
-~ ~
c:7 r
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()
-
/ - ...
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-r
I
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Qty Unit Charge Per
1 00 640 0000 EA PW W/M SFR 5/8"
Extension
640 00
Fee summary 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
o'vV
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 Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
TWLANNINGIFORMSI1I02.15 [4/2002]
IASHIHGTOH OHE CALL
Ticket No 2~4283
:~U~ TO ?rA~G~vl 5eq No
2 FULL BUSINES~ n~!~
2 Map Ref
.
Tnnsmi t Date 8/19/03 Time 12 11 PM Op lay
Original Call Date 8/19/03 Time 10 16 AM Op lay
Work to Begin Date 8/22/03 Time 12 00 AM
State WA County CLALLAM Place PORT ANGELES
Address Street N LIBERTY ST
Nearest Intersecting Street E CAROLINE ST
Twp 30N Rng6W Sect-Q11
Twp Rng Sect-Qtr
Type of Work FOuNDATION EXCAVATION/RELOCATE WATER SVC
Location of Work MARK ENTIRE LOT LOC AT NE CORNER OF ABV INTER
Remarks CALLER GAVE TOWNSHIP, RANGE, SECTION INFO
Overhead Lines N
Company C AND J EXCAVATING
Contact Name DAN WITHERS
A1t Contact STAN SULLINS
Contact Fax
Work ~eing Done For SOELTER
Additional Members
PTANGL01 USWEST44
Best Time
Phone (360) 683-7741
Phone
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Ticket ~o 4076093
Send 'To PTANGL01 Seq No
2 FULL BUSINESS DAYS
1 Map Ref
Transmit Date 3/25/04 Time 8 47 AM Op mary
Original Call Date 3/25/04 Time 8 40 AM Op mary
Work to Begin Date 3/30/04 Time 12 00 AM
State WA County CLALLAM Place PORT ANGELES
Address' Street N LIBERTY
Nearest Intersecting street E CAROLINE
Twp 30N
Twp
Rng6W
Rng
Sect-Q2r'
Sect-Qtr
Type of Work INSTALL SEWER SERVICES
Location of Work AT NE INTER MARK ENTIRE LOT ALL ROW AND EASEMENTS
Remarks BEST INFORMATION AVAILABLE++CALLER GAVE LEGALS++
Overhead Lines N
Company
Contact Name'
Alt Contact
Contact Fax '
Work Being Done For
Additional Members
USWEST44
C AND J EXCAVATING
DAN WITHRES
STAN SULLINS
Best Tim.'
Phon. (360)683-7741
Phon. (360) 461-1834
SOELTER
MAR 2 5 3lO4
IU::: ,// )' 55'2-
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . INSPECTION REPORT. . . . . . . .
REQUEST
Date t:') 3 .-C) 3
Time
Location of Work to be inspected -I / S IV
Name of person requesting inspection 1)Ct.1..V1.(~
Address of person requesting inspection Gv f>
Type of Inspection (circle appropriate one)
Sewer Foundation Framing
Chimney Plumbing Final
INSPECTION NOTES
Inspected Date c; - 3 ---0 "3
Remarks ./Vf..~Jd ZiP V L I
I I I /
Time 2
~ X +e vtded.
Received by 2::e-tKI'? e (phone, person)
Libert-v
fC- I
I(CLrd
Phone No
Permit ~
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P t1A.... By D t: vl ~ · 5 ~:=:
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RESTORATION REQUIRED
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E Lu"-ollVLe
SURFACE RESTORATION
SURFACE TYPE D Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
YES
NO X
415 ;J L i be r t- '/
I'
72
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2.' pt/L
o Asphalt 0 PCC 0 Other
Work Order # 8532-
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
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CITY OF PORT ANGELES
DEPARTMENTOF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REOUEST ! L
Date ~~ I 3t:) {)1
Time
(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 Chimney
4/0/104
INSPECTION NOTE~ 1:___ I 7) ~ ~
Inspected Date ~_ J "?-1 ~ Time J I .~ By
Remarks . <~f1 /j S :_t.L-J(-, r (J 0 h II ~c T jD"I @ a CJLEy
t U / L L J: L I h S () lI-+ h (') VI L I A .~.J- yTV T /) U) T
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f!tlQe.l1r.-:O--001:1 Permit No
lumbing Final Sewer Excav Other
.y
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RESTORATION REQUIRED
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YES
NO
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SURFACE RESTORATION /
SURFACE TYPE D Unimproved D Gravel ?AsPhalt D PCC D Other
D Repaired by City Work Order # \ 0\ 'E> ~ ~ \
[] Repaired by Permittee ~ COMPLETE A tea. ~ .;e&
D No Damage Found D INCOMPLETE ~ \tV\ ~d-\- J"\~ V
(DATE)
BUILDING PERMIT INSPECTION RECORD
CALL 417~4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVE
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATIO
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB ..
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER I,
AIR SEAL
WALLS I
CEILING I
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) SEP ARA TE PERMIT # 's:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARA TE 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 ELECTRlCAL
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
BUILDING 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 LOCATIO'
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION
FOOTINGS
WALLS
FOUNDATION DRAINAGE
.
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN
PLUMBING
-
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
WALLS / ROOF 1 CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL 1 FLOOR / CEILING I
MECHANICAL
HEA T PUMP
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'5 SEPA.
PARKING/LlGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT 417-4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R. W 1 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 [412002]
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
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
FOUNDATION
FOOTINGS
WALLS
FOUNDA nON DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATERLINE
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
WALLS 1 ROOF 1 CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUMP
WOOD STOVE 1 PELLET 1 ClllMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNEcnON
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKINGILIGHTlNG ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W 1 PWI CONSTRucnON - R.W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T IPLANNINGIFORMSIII02.15 [4/2002]
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 LOCA nON
KEEP PERMIT CARD AND APPROVED PLANS A T JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDATION
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
WALLS 1 ROOF 1 CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL 1 FLOOR / CEILING I I
MECHANICAL
HEAT PUMP
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.
PARKINGILIGHTlNG ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
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 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T-IPLANNING\FORMS\1102.15 [4/2002J
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO CO'VER,.
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
I INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT II
ROUGH.IN
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
WALLS 1 ROOF 1 CEILING
DRYWALL
TBAR
INSULATION
SLAB .
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'5 SEPA:
PARKING/LlGHTING 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 1 PW/ CONSTRUCTION R.W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 4 I 7-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
c1 ~ORr ""v.
S
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'"--~
----
~IC~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
property Zoning . . .
Application valuation
03-00000863 Date
403 N LIBERTY ST
06-30-00-7-8-0322-0000-
RES FOUNDATION REPAIR
9/05/03
20000
Owner
Contractor
SOELTER CLINT D
54 EDGEWOOD LN
PORT ANGELES
OWNER
WA 98363
Structure Information
Construction Type . . . .
Occupancy Type . . . . .
MOVE FR 1029 GEORGIANA TO 403 N LIBERTY-----
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
DRIVEWAY INSTALLATION
145.00
9/05/03
3/04/04
Plan Check Fee
Valuation
.00
o
BASE FEE
Extension
145.00
-I:
C0
ul
Qty Unit Charge Per
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
69.00
9/05/03
3/04/04
Plan Check Fee
Valuation
.00
o
<-
Qty Unit Charge Per
Extension
47.00
7.00
15.00
""r-
BASE FEE
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE
1.00 15.0000 ECH PL- EA. BLDG SEWER
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
r-
45.00
9/05/03
3/04/04
Plan Check Fee
Valuation
.00
20000
~
Qty Unit Charge Per
1.00 45.0000 ECH RIGHT OF WAY PERMIT
Extension
45.00
C\f+
(j)
~
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
95.00
9/05/03
3/04/04
Plan Check Fee
Valuation
.00
20000
Qty Unit Charge Per
1.00 95.0000 EA SAN SEWER HOOKUP
Extension
95.00
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
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:\PLANNTNG\FORMS\1102.15 [4/2002]
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.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I 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 #'5 SEPA:
P ARKING/LIGHTlNG 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 [4/2002J
c1I'ORT ""'-
@
~--
~IC~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . , . .
03-00000863
Page 2
Date 9/05/03
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 354.00 354.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 ,00 .00
Grand Total 2128.50 2128.50 ,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
Date
Signature of Owner (if owner is builder)
T:\PLANNTNG\FORMS\1 \02.15 [4/2002]
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 LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
WALLS 1 ROOF 1 CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP
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:
PARKlNG/LIGHTlNG 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. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1 ] 02.15 [4/2002]
d'''''T ~
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"t.O;/CW:F'
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
property Zoning . . .
Application valuation
03-00000823 Date 9/03/03
403 N LIBERTY ST
06-30-00-7-8-0322-0000-
PUBLIC WORKS UTILITES
o
Owner
Contractor
SOELTER, CYDNEY
54 EDGEWOOD DR
PORT ANGELES
(360) 452-8132
OWNER
WA 983624226
Permit PUBLIC WORKS RES WATER SERV
Additional desc
Permit Fee 640.00 Plan Check Fee .00
Issue Date 8/21/03 Valuation 0
Expiration Date 2/18/04
Qty Unit Charge Per Extension
1.00 640.0000 EA PW W/M SFR 5/8" 640.00
Fee summary 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
.::t
G
lJJ
~
r-
~
J.
C\?
Co
'i
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]
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.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA nON DRAINAGE
.
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
-
UNDER FLOOR 1 SLAB
ROUGH.IN
WATER LINE
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
WALLS 1 ROOF 1 CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL - .
HEAT PUMP
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:
PARKING/L.lGHTING 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. 1 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:\PLANNlNG\FORMS\1102.15 [4/2002]