HomeMy WebLinkAbout17th & A St - BuildingApplication Number 06 00000560
Application pin number 168560
Property Address UNASSIGNED
ASSESSOR PARCEL NUMBER 06 30 00 0 4 4425 0000
Application type description CLEARING GRADING
Subdivision Name
Property Use
Property Zoning INDUSTRIAL LIGHT
Application valuation 0
Owner Contractor
BURT W /KIKI M REID
919 W LAURIDSEN BLVD
PORT ANGELES WA 983637535
OWNER
Structure Information 000 000 SITE DEVELOPEMENT
T \Policies \1102.15R [1/05]
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Date 6/01/06
Permit CLEAR GRADE
Additional desc C G #06 05
Permit pin number 78535
Permit Fee 100 00 Plan Check Fee 00
Issue Date 5/31/06 Valuation 0
Expiration Date 11/27/06
Qty Unit Charge Per Extension
BASE FEE 100 00
Fee summary Charged Paid Credited Due
Permit Fee Total 100 00 100 00 00 00
Plan Check Total 00 00 00 00
Grand Total 100 00 100 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
CALL 417 -4807 FOR UTILITY 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
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
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PERMIT INSPECTION RECORD
YES 1 NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
I I
I I
I I
1
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
I I I I
I I I I
1 1 1
1