HomeMy WebLinkAbout1215 C St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Zoning
Application valuation
03-00000813 Date 8/19/03
1215 S C ST
06-30-00-0-3-7158-0000-
PUBLIC WORKS UTILITES
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Owner
Contractor
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HOCH, RICK TERRI
4201 TpMWATER TRUCK RTE
PORT ANGELES WA 983637257
( 36) 452-5381
OWNER
----------------------------------------------------------------------------
Permit
Additional desc
permi t Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
640 00
8/19/03
2/16/04
Plan Check Fee
valuation
00
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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
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\] ]02.]5 [412002]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . .
REQUEST
Date '1 - Z - D ?
Time
Received by Dc"'-........, s E.
(phone, person)
- . " ,
Location of Work to be inspected / LIS ~ ~ C 5t-u~i
Name of person requesting inspection De..l1. "'-I',:, E
Address of person requesting inspection Cor~ Yu.rd
Type of Inspection (circle appropriate one)
Phone No
Permit ~;g /3
Sewer Excav Oth .'0
Sewer Foundation Framing
Chimney Plumbing Final
INSPECTION NOTES
Inspected Date q - Z - 0 3
Remarks ~ ?:00ed 2 I L-r
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Time 2> (/vV\... By ])C'-'\..~"-l"') F .
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f1A....41 vt . ((AlA ( r-:' c _ I D 17_; 5 <) (j C .
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RESTORATION REQUIRED YES NO >(
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SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel
[] Repaired by City
[] Repaired by Permittee
[] No Damage Found
D Asphalt D PCC D Other
Work Order # 32 ZZ-
D COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
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BillLDING 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 LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT 1/
ROUGH-IN
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 / CE]LING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT I/'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT 1/'5 SEPA.
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT 4] 7-4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R.W / PW/ CONSTRUCTION R.W
ENGINEERING 417-4807 PW / ENGINEERING
F]RE 417-4653 F]RE DEPT
PLANN]NG DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
.n.J:.IJ:.I..L..L\,;c:t....l.u.u .L'IWlwez:
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000813 Date 8/19/03
1215 S C ST
06-30-00-0-3-7158-0000-
PUBLIC WORKS UTILITES
o
Owner
Contractor
HOCH, RICK TERRI
4201 TUMWATER TRUCK RTE
PORT ANGELES WA 983637257
( 36) 452-5381
OWNER
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
640.00
8/19/03
2/16/04
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
1.00 640.0000 EA PW W/M SFR 5/8n
Extension
640.00
'f>
-
0\
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
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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 Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
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 UNLAWFUL 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 TYPE DATE ACCEPTED COMMEl'lTS
r YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT' #
ROUGH-IN I I
PLUMBING:
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS I
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYW ALL
T-BAR
INSULATION
SLAB I
WALL / FLOOR / CEILING I I
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeering DIVISIon) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEP ARA 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
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R W./ PW/ 9-'J -t) 3 ~f, CONSTRUCTION - R.W.
ENGINEERJNG 417-4807 PW / ENGINEERJNG
FIRE 417-4653 FIRE DEPT
PLANNING DEPT. 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING