HomeMy WebLinkAbout636 E Front St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000055 Date
.994825
636 E FRONT ST
06-30-00-5-1-2100-0000-
FIESTA JALISCO
~UBLIC WORKS UTILITES
1/25/05
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Owner
Contractor
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COMMERCIAL ARTERIAL
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PEDRO ARCEO/J LOPEZ BAUTISTA
636 E FRONT ST
PORT ANGELES WA 98362
GARY'S PLUMBING INC
PO BOX 255
PORT ANGELES WA 98362
(360) 457-8249
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
STREET ALLEY RESTORATION
230.00
1/25/05
7/24/05
plan Check Fee
Valuation
.00
o
~~
Qty Unit Charge Per ];'.".:~~...;=
BASE FEE C 230.00 ~
-------------------------------------------------------------------- -------
Permit SANITARY SEWER HOOK UP
Additional desc
Permit Fee 35.00 Plan Check Fee .00
Issue Date 1/25/05 valuation 0
Expiration Date 7/24/05
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Permit RIGHT OF WAY
Additional desc
Permit Fee
Issue Date
Expiration Date
45.00
1/25/05
7/24/05
plan Check Fee
valuation
.00
o
Qty Unit Charge Per
1.00 45.0000 ECH RIGHT OF WAY PERMIT
Exten~
C 45.00
Due
Fee summary Charged Paid Credi ted
----------------- ---------- ---------- ----------
Permit Fee Total 310.00 310.00 .00
Plan Check Total .00 .00 .00
Grand Total 310.00 310.00 .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 no! commenced within 180 days, if cOD~tC'!~on 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:\Policies\1102.15R (1/05]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date I I..z..s; I D~ Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
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G~/<; P/~ _~ K'UaAt4-
Phone No.
Permit No, tJS- S~
Sewer Foundation Framing Chimney Plumbing Fina0"ewer E~ Other
INSPECTION NOTES:
Inspected: Date / /2.1 f' Ins Time By
Rema~~ ~~~~Pj~~eY w~~~)~ ~4~ !~J;#;n
YJ'1OM,. /.() 1/ - - -/YO nOt!,;/W. ~"1& 7J' B
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" . . . .. YES NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT . . . . . .
.....
. . . .
REQUEST
Date tf - I 5 .. () S-
Time
7 A ~ Received by
Oe,,; ~ Ie; .E. (phone, person)
Location of Work to be inspected 63f.o E
Name of person requesting inspection // t' ~1 "1/ S
Address of person requesting inspection Lo r'" vJ
I
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing Final
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I 7 'f 1; Phone No <; ( 7 ' '-I [('I 9
Permit No '
Sewer Excav Othe~ +0
INSPECTION NOTES
Inspected Date 'l r 50S- Time 2
Remarks J2.e...{Jc'\ I r It! Cl k ct i-tla. re 11 v f (..1 M
3/" /J C , J
/'1 r- c- c{t-t . C()l-V\.r')res~ 10.'<. Vh I ('iA
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RESTORA TION REQUIRED YES )< NO
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
~epaired by City
[] Repaired by Permittee
o No Damage Found
Ie; ^ 8'
~Asphalt OPCC o Other
Work Order # 50 34 ~ '-cdL-!
~MPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)