HomeMy WebLinkAbout516 S Peabody St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362 0 4 -I D q ~
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
04-00001092 Date 11/24/04
.831160
516 S PEABODY ST
06-30-00-0-1-9985-0000-
RIGHT OF WAY
Owner
Contract<;>r
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/(e d - tou Cn:4-
COMMERCIAL OFFICE
o
DRYSDALE, JANET
P. O. BOX 3174
PORT ANGELES
{ 36} 457-2855
WA 98362
KED-TER CONSTRUCTION
1231 THREE CRABS RD
PORT ANGELES WA 98362
(253) 874-4884
Permit RIGHT OF WAY
Additional desc
Permit Fee 45.00 plan Check Fee
Issue Date 11/24/04 Valuation
Expiration Date 5/24/05
Qty Unit Charge Per
1. 00 45.0000 ECH RIGHT OF WAY PERMIT
.00
o
Fee summary Charged Paid Credited
-----~----------- ---------- ---------- ----------
Permit Fee Total 45.00 45.00 .00
Plan Check Total .00 .00 .00
Grand Total 45.00 45.00 .00
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Due
.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.
Date
Signature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
T:\PLANNING\FORMS\I ]02.15 [11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQlJEST: )! A
Date /~LP--~~ime Received by (phone, person)
Location of Work to be inspected
Name of person requestin~ inspection .
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
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Phone No. WJ-O/~
Permit No.
Sewer Excav. Other)(kA-<<~
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INSPECTION NOTES;, J; J ^ .I
Inspected: Date / t.?1 ~ Time
,
Remarks:
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RESTORATION REQUiRED...... YES
NO 'If
I
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
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number .. .. . .
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00001092 Date
.831160
516 S PEABODY ST
06-30-00-0-1-9985-0000-
RIGHT OF WAY
1/12/05
COMMERCIAL OFFICE
o
Owner
Contractor
PURVIS, BONNIE E
516 S PEABODY
PORT ANGELES
WA 98362
KED-TER CONSTRUCTION
1231 THREE CRABS RD
PORT ANGELES WA 98362
(253) 874-4884
Permit RIGHT OF WAY
Additional desc
Permit Fee 45.00 Plan Check Fee .00
Issue Date 11/24/04 Valuation 0
Expiration Date 5/24/05
Qty Unit Charge Per Extension
1. 00 45.0000 ECH RIGHT OF WAY PERMIT 45.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 45.00 45.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 45.00 45.00 .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.
0/1/ F/Lc:
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102.15R [l/05]
PERMIT INSPECTION RECORD
CALL 417 -4807 FOR UTILITY 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
I YES NO
PW UTILITIES (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRlVEW A Y APPROACH
BACK-FLOW DEVICE I
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W. I PWI CONSTRUCTION.. R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102.15R [1/05]