HomeMy WebLinkAbout431 1/2 E 6th St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DrvISION
321 EAST 5TH STREET, PORT ANGELES, W A 9836201_ 4- 3 ~.
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zoning . .
Application valuation
04-00000435 Date
.294525
431 1/2 E 6TH ST
06-30-00-0-1-9870-0000-
PUBLIC WORKS UTILITES
5/21/04
1;;2 / 1?-G {pi::A
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RESIDENTIAL HIGH DENSITY
o
Owner
Contractor
JONES DARLENE DIANE
2315 E 6TH AVE
PORT ANGELES WA 983629015
THE REIHIT COMPANY INC.
2520 S. LAUREL
PORT ANGELES WA 98362
(360) 417-6774
Permit
Additional
Permit Fee
Issue Date
Expiration
.00
o
Qty Unit Charge Per
1.00 640.0000 EA PW W/M 1" SERV 5/8" METER
Extension
640.00
Fee summary Charged Paid Credited Due
----------------- ----~-~--- ---------- ----------
Permi t Fee Total 640.00 640.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 640.00 640.00 .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\FORM$\11 02.15 [11/14/2003]
P" \',
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date 0 '-(0 -0'1
,
;
.
Time
10: 00 It"'-t Received by
D.eV\.VL is E
(phone. person)
Location of Work to be inspected <{ :5 ({ E .
Name of person requesting inspection D-evcVl. ; S E.
Address of person requesting inspection Co .-() y~ r d
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
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(7~ 9- A Phone No.
Permit No. 0
Sewer Excav. Oth r 0a..J e.. r
INSPECTION NOTES:
Inspected: Date C, - 10 .. 0 1/ Time
Remarks: AJetJ ()( 5"/8 Se,'/rc..e... -(-""''''Ud.
I I
By
0<<' a. 2."
(?. V.L .
iAA..A I V\, .
P 1~~~3(;~
RESTORATION REQUIRED . . . . .. YES X NO
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2" p.tl.C z' Ouf 13' ~
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'1 .~
~ ro+t.. -S
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
gx8
)5?f Asphalt 0 PCC 0 Other
Work Order # 1'-I:70>---oZf(
81 COMPLETE At-~~ t'e~o..J t'~J-
o INCOMPLETE w,~~ \J\Q,<t' M, '>('
/(0 J4v(JfdJ
(Continue on reverse side if necessary)
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STREET SUPERINTENDENT (DATE)
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Appl~cat~on Number
P~n number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subd~vis~on Name
Property Use
Property Zon~ng . . .
Application valuation
04-00000449 Date
.717180
431 1/2 E 6TH ST
06-30-00-0-1-9870-0000-
PLUMBING REPAIR
5/26/04
RESIDENTIAL HIGH DENSITY
500
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Owner
Contractor
JONES DARLENE DIANE
2315 E 6TH AVE
PORT ANGELES WA 983629015
DAVIDSON PLUMBING
513 OLSON RD.
SEQUIM
(360) 683-4578
WA 98382
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
NEW WATER SERVICE
54.00
5/26/04
11/22/04
TO UNIT
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
Extension
47.00
7.00
-2:.
~
BASE FEE
1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE
Fee summary Charged Pa~d Credited Due
----------------- ---------- ---------- ---------- ----------
Perm~t Fee Total 54.00 54.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 54.00 54.00 .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 ordmances governing this type of work will be complied with whether specified herein or not. The grantmg 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.
Date
Signature of Owner (if owner is builder)
Date
T-\PLANNING\FORMS\1102 15 [11/14/2003]
\
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
P~n number . . . .
Property A\l.dress
ASSESSOR PARCEL NUMBER:
Appl~cation description
Subd~v~sion Name
Property Use
Property zoning . . .
Application valuation
04-00000435 Date
.294525
431 1/2 E 6TH ST
06-30-00-0-1-9870-0000-
PUBLIC WORKS UTILITES
5/21/04
RESIDENTIAL HIGH DENSITY
o
Owner
Contractor
JONES DARLENE DIANE
2315 E 6TH AVE
PORT ANGELES WA 983629015
THE REIHIT COMPANY INC.
2520 S. LAUREL
PORT ANGELES WA 98362
(360) 417-6774
Permit
Additional desc
Permit Fee
Issue Date
Expirat~on Date
PUBLIC WORKS RES WATER SERV
640.00
5/21/04
11/17/04
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
1.00 640.0000 EA PW W/M 1" SERV 5/8" METER
Extension
640.00
.:r:.
~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 640.00 640.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 640.00 640.00 .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.
Signature of Owner (If owner is builder)
Date
,
Signature of Contractor or Authorized Agent
Date
T \PLANNING\FORMS\I 102.15 [11/14/2003]