HomeMy WebLinkAbout1104 E Lauridsen Blvd - Building
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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PUBLIC WORKS CONSTRUCTION Issued: 9/14/98 LC Permit No: 871
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT--------------------____PROPERTY LOCATION----------______________
DOROTHY MUNKEBY 1104 LAURIDSEN BLVD E
1104 E LAURIDSEN BLVD Lot: 7-13
Port Angeles,WA98362 Block: 4 Long Legal:
360/452-2241 Sub: CAMPBELLS CJ
PROJECT INFO-----------________________________________________________________~
Work is N/A traveled road Value Work: $0.00
fT
Plans Required: N/A
Contractor: GARY'S PLUMBING & HEATING
Start:
Finish:
/
/
/
/
1
Performance Bond Required: N/A
Proof Insurance:
Amount:
$0.00
Work to Perform: INSTALL * Watermain
Sanitary Sewer
Storm Drain
Underground Tele/Ele
Misc
NOTES----------_________________________________________________________
J 80 I
PROJECT
L 7q 4-~
PROJECT FEES ASSESSMENT-------______________~__~?_~_~~~~~________________
R/W Excav: $0.00 San Sewer SFR: $0.00
Sidewalk: $0.00 San Sewer MFR: $0.00
Curb/Gutter: $0.00 Add Unit: 0
Driveway: $0.00 Other San Sewer: $0.00
Dwy Culvert: $0.00 Sew Tap Wye/Man Tap: $0.00
Street Cut: $0.00 Sew Cap/ W/M Removal: $0.00
Other R/W: $0.00 Alter/Repair Sewer: $0.00
Fire Hydrant: $0.00 Storm Drain Tap: $0.00
Res Water Serv: * $512.50 Catch Basin per ea: $0.00
* 5/8" Sewer System Dev: $0.00
3/4" Milwaukee Dr. Sew Assess: $0.00
1" R/W Use Perm: $0.00
Corom Water Serv: $0.00 D.R.A.: $0.00
1" Admin Costs (D.R.A): $0.00
1 1/2" Misc: $0.00
2" ==============================
Oth Water Serv: $0.00
Water Sys Dev: $0.00
Receipt No: 4405
Inspection Fee:
TOTAL FEE:
AMT PAID:
$512.50
$512.50
$0.00
-----------------------
BAL DUE:
$0.00
R/W
SANITARY
WATER
DWY
STORM
DRA
OTHER
Separate Permits are required for electrical work, 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
BUILDING PERMIT INSPECfION 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 1YPE DATE ACCEJ'TFD COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
WAlLS
FOUNDATION DRAINAGE
ll.ECTRICAL (UGIIT DEP1)
ROUGH-IN I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER liNE
BACK FLOW I WATER
AIR SEAL
WAll.S
CEIliNG I I I
FRAMING
JOISTS I GIRDERS
SHEAR WAlL
WAlLS I ROOF I CEIliNG
DRYWAlL
T-BAR
INSULATION
SLAB
WAlL I FLOOR I CEIliNG I I
MECHANICAL
CHIMNEY
WooDSTOVE I PEUEf
DUCTS
PW UTILITIES I SITE WORK (Engineering Division)
WA TERUNE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE I EROSION CONTROL
PARKING
OTHER
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL UGIIT DEPT 417-4746 ELECTRICAL
UGIIT DEl'T
CONSTRUCTION R.W I PWI CONSTRUCTION R.W
ENGINEERING 417-4807 PW I ENGINEERJNG
ARE (MULTI-FAM. ONLY) 417-46.54 ARE DEPT
BUILDING 417-4815 BUILDING
GENERAL COMMENTS:
PW-II02.I~ [4/96}