HomeMy WebLinkAbout410 S Chambers St - Engineering
Application Number
property Address
ASSESSOR PARCEL NUMBER
Application description
Property Zoning
Application valuation
Property owner
Owner address
CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362 ()3 ---'" / ) &
1/05~
03-00000116
410 S CHAMBERS ST
0630000177100000
RIGHT OF WAY
Date
2/07/03
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Contractor
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M M FRYER & SONS INS INC
PO BOX 1347
PORT ANGELES
( )
BRYAN ANDERSON
WA 983620249
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
45 00
2/07/03
8/06/03
Plan Check Fee
Valuation
00
o
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-
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BASE FEE
Extension
45 00
Qty Unit Charge Per
Fee sununary
Charged
Paid
Credited
Due
Permit Fee Total
Plan Check Total
Grand Total
45 00
00
45 00
45 00
00
45 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
T.\PLANNING\FORMS\1102.15 [4/2002J
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . .
REQUEST ) ~
Date ~ 11 /)3
Received by ~~
/ I
Location of Work to be inspected ~ S ~~
Name of person requesting inspection /}'\...-
Address of person requesting inspection Phone No Q -- 36 Z'7
Type of Inspection (circle appropriate one) Permit No 0:3 -/ / (p
Sewer Foundation Framing Chimney PIU[# ~inal ~ o~lC _
Time
(phone, person)
INSPECTION NOTES ~ /
Inspected Date ~ -f; tJ;5
Remarks ~ I 30 A- M ~ ,d e ...v 91 ~
(? &' '-'''l'e .fii:-
Time
By
Fo..,.1IO., \ Ill"'\.
dWI
o k T'o
r e. iLA .,...
RESTORATION REQUIRED
YES
NO X.
SURFACE RESTORATION
SURFACE TYPE D Unimproved 0 Gravel 0 Asphalt 0 PCC
D Other
[] Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
o 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,
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 #
ROUGH-IN I
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 I DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARA TE PERMIT #'s SEPA.
P ARKING/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 / PW/ CONSTRUCTION R.W
ENGINEERING 4] 7-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-48]5 BUILDING
T.\PLANNING\FORMS\1102.15 [4/2002]