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Home My WebLink About1134 Caroline St - Building <1 'PORT ........G~ ~~ ~(~ r. t:. --- '\rO:-;""'";:? CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 0 3 _ 7/5 Application Number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Zoning Application valuation M' 03-00000715 Date 1034 CAROLINE ST 06-30-00-8-1-0205-0000- PUBLIC WORKS UTILITES 7/24/03 35000 Owner Contractor OLYMPIC MEMORIAL HOSPITAL 939 CAROLINE ST PORT ANGELES WA 983623909 HOCH CONSTRUCTION 4201TUMWATER TRUCK TRAIL POR'l;' ANGELES WA 98363 (360) 452-5381 ~ ~J ~ Permit BUILDING PERMIT - COMMERCIAL Additional desc 4 LIGHT STANDARDS Permit Fee 120 75 Plan Check Fee 78 49 Issue Date 7/24/03 Valuation 4000 Expiration Date 1/21/04 Qty Unit Charge Per Exte:Q.sion BASE FEE 92 75 2 00 14 0000 THOU BL-2001-25K (14 PER K) 28 00' Permit Additional desd Permit Fee IssuEl Date Expit-ation Date DEMOLITION DEMO 1 RES 47 00 7/24/03 1/21/04 HOME & GARAGE Plan Check Fee Valuation 00 o BASE FEE Extension 47 00 ~ Qty Unit Charge Per Permit Additional desc Permit Fee Issue Date Expiration Date DRIVEWAY INSTALLATION DRIVE CLOSURE & INSTALL 145 00 Plan Check Fee 7/24/03 Valuation 1/21/04 00 o BASE FEE Extension c-r45 00 ~ Qty Unit Charge Per Fee summary Charged Paid ----------------- ---------- ---------- Permit Fee Total 312 75 312 75 Plan Check Total 78 49 78 49 Grand Total 391 24 391 24 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 construe .on. ./4 ()~ ate Signature of Owner (if owner is builder) Date T-\PLANNING\FORMS\ll 02.15 [4/2002] HI L=: uJ F 7 7 I (, CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST Date 1-/ / -- 0 r; Time Received by (phone, person) Location of Work to be inspected I D ~ Y C (1... V 6 ) / Iv ~ Name of person requesting inspection .--;- L-U I I L 'E-X Address of person requesting inspection I ? f/t -6-!3 Phone No Type of Inspection (circle appropriate one) Permit No 03 7 / ~ Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other LJ.J c('----~ y- INSPECTION NOTES Inspected Date Remarks TI Tim; J. By ~ IV }; ,e'-.- ( I /U-e C-0 ,5--e(/ L!,C-e.. ('");tJ \u " +/1 ./ r, q1[ e-fPv- ~ X I {J...J (~+,- t-- (. /1 C ~~,lV Net' ~ ~ ~ co.. VD \ il{\f~ "\) '^ t ~ 10" Ac- A;3 ~ ~ /' ........ [7 \f ~v tU~~~ U \}Jel S k' SURFACE RESTORATION RESTORATION REQUIRED YES /.. 1-/' NO SURFACE TYPE D Unimproved D Gravel D Repaired by City [] Repaired by Permittee o No Damage Found D Asphalt D PCC D Other Workyrder # 711 b []/COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) 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 YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB I ROUGH-IN WATER LINE GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR WALL WALLS 1 ROOF 1 CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP WOOD STOVE / 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/LIGHTING 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 PWI CONSTRUCTION R.W ENGINEERING 417-4807 PW 1 ENGINEERJNG FIRE 417-4653 FIRE DEPT PLANNING DEPT 4 I 7-4750 PLANNING DEPT BUILDING 4]7-4815 BUILDING T.\PLANNING\FORMS\l ]02.15 [4/2002] , I