HomeMy WebLinkAbout2322 W 10th St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
NORTH PENINSULA BUILDERS ASSOC
P 0 BOX 748
PORT ANGELES WA 98362
(360) 452 8160
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
T•1Policies\1102.15R [1/05]
Qty Unit Charge Per
1 00
Fee summary
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
07 00000429
128657
2322 W 10TH ST
06 30 00 1 0 5510 0000
PUBLIC WORKS UTILITES
RS9 RESDNTL SINGLE FAMILY
0
Contractor
RIGHT OF WAY
SUBDIVISION CONSTRUCTION
100107
50 00
4/23/07
10/20/07
Plan Check Fee
Valuation
50 0000 ECH RIGHT OF WAY PERMIT
RJ SERVICES
514 IRVING JACOBS RD
PORT ANGELES WA
PORT ANGELES
(360) 457 1420
Charged Paid Credited
Permit Fee Total 50 00 50 00 00
Plan Check Total 00 00 00
Grand Total 50 00 50 00 00
Date 4/23/07
WA 98362
Due
0 0
0
Extension
50 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
c
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.
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
T•\Policies \1102.15R [1/05]
RESIDENTIAL
CONSTRUCTION E.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES NO
I I
I I
I I I
I I I
I I
I I
I I I
I I I
I I
I I I
I I I
I I I
I I I
I I I
I I I
1 I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
BUILDING
COMMENTS
T \1102.15R [1/05]
Application Number 06 00001004
Application pin number 081204
Property Address 2322 W 10TH ST
ASSESSOR PARCEL NUMBER 06 30 00 1 0 5510 0000
Application type description PLUMBING REPAIR
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Owner Contractor
NORTH PENINSULA BUILDERS ASSOC
P 0 BOX 748
PORT ANGELES WA 98362
(360) 452 8160
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5Th STREET PORT ANGELES, WA 98362
OWNER
Date 9/13/06
Permit PLUMBING PERMIT
Additional desc WATER LINE CHECK VALVE
Permit pin number 86843
Permit Fee 57 00 Plan Check Fee 00
Issue Date 9/13/06 Valuation 0
Expiration Date 3/12/07
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 7 0000 ECH PL -OTHER BACKFLOW 2 7 00
Fee summary Charged Paid Credited Due
Permit Fee Total 57 00 57 00 00 00
Plan Check Total 00 00 00 00
Grand Total 57 00 57 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 Q
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.
1
Signature of Contractor or Authorized Agent Date nature 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.
INSPECTION TYPE DATE ACCEPTED
YES I NO
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 RW PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T•\Policies \1102.I5R [1 /05]
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
I I
I I I
I I I
I I I
I I
I I I
I I I
I I I
I I
I I
I I
I I I
I I I
I I I
I I I
I I
I I I
I I
I I I
I I
I I I
I I
I I
I I
I I
I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
I I
I I
I I
I I
CONSTRUCTION RW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
COMMENTS
I I I
I I
I I
I I
Owner
T \1102.15R [1/05]
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
NORTH PENINSULA BUILDERS ASSOC
P 0 BOX 748
PORT ANGELES WA 98362
(360) 452 8160
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
Fee summary Charged
Permit Fee Total 175 00
Plan Check Total 00
Grand Total 175 00
Signature of Contractor or Authorized Agent
06 00000996
933164
2322 W 10TH ST
06 30 00 1 0 5510 0000
PUBLIC WORKS UTILITES
RS9 RESDNTL SINGLE FAMILY
0
Contractor
OWNER
PUBLIC WORKS RES WATER SERV
TEMP 5/8 DROP IN WATER METER
86751
175 00
9/13/06 Valuation
3/12/07
BASE FEE
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Plan Check Fee
Paid Credited
175 00 00
00 00
175 00 00
Date 9/13/06
Due
00
00
00
00
0
Extension
175 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
V UTILITIES (Engineering Division)
NATERLINE METER
iEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
I SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
I BACK -FLOW DEVICE
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T•\Policies \1102.15R [1/05]
PERMIT INSPECTION RECORD
LL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
SULATE 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
YES I NO
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION 1LW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
COMMENTS
'(I
"I4iir~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
121 EAST 5TH STREET. PORT ANGELES. WA 98362
06-00000982 Date
607440
2322 W 10TH ST
06-30-00-1-0-5510-0000-
ELECTRICAL ONLY
9/13/06
Appllcatlon Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Appllcatlon type description
Subdlvlslon Name
Property Use
Property Zoning
Application valuation
RS9 RESDNTL SINGLE FAMILY
o
Owner
Contractor
N PENINSULA HOME BUILDERS AS
PO BOX 748
PORT ANGELES WA 98362
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457-9270
WA 98363
Permlt
Addltlonal desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Explratlon Date .
ELECTRICAL TEMPORARY SERVICE
SIMPSON/100A TEMP
86587
SIMPSON ELECTRIC
48.10 Plan Check Fee
9/13/06 Valuation
3/12/07
00
o
Qty Unlt Charge Per
1 00 48 1000 ECH EL-TEMP SRV - 0-100 SRV FDR
Extension
48.10
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 48.10 48 10 00 00
Plan Check Total 00 .00 .00 00
Grand Total 48 10 48 10 00 .00
COMMENTS/ ACTJON NEEDED
)..J
lJ,)
/')0
~
It
I
I
I
--
o
I}
(;J
-1
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ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULATE OR CONCEAL ANY WORK BEFORE"' IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCItPTED COMMENTS
YES NO
UU l.,;.l1
RClUnJ.l_IN Il.,;UV~K
SHR VICE
FINAL ~a-~~ ~~ .A
GENERAL COMMENTS:
PW-II02." (4'961
. . . . .
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT . . .
/
REQUEST:
Date r;:, - 26-07
Time
Received by
r<V
(phone, person)
Location of Work to be inspected z'; ze: W {O'f IA (ko+ II )
'V" S '
Name of person requesting inspection ""'....> n .e-v\ e.~S
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. ('j h - I ():S {
Sewer Foundation Framing Chimney Plumbing Final ~E~ Other
INSPECTION NOTES:
Inspected: Date (,o-Ze. -0r Time By
Remarks: N'f2'<J l(/' rye -S-<2.-IAI€...- CO"".1.".c:.+:CvL -to
ad-- ?,-opedv II~-e- ,
I /
KV
"" P v c.. 10..+<,,0. (
RESTORATION REQUIRED . . . . .. YES
NO x:...
'VI'"
N
t
-j:.~
~"'I:>
(pI' Pye.
i ,..\
\..."",' e.
D
iJ'"r ~"Trr L...-.
.. ~8i(' ~i/~
NlIW
l-f "pVC E~<.\(
"",,,,ie,
V~(v'l.
J-<
N-t.uJ t
~+<ee.
woe',
v- ST.
(.D'^'
1 9o.ra~e. r
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
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
i1Y
..
S"'~.
...~ .'1
... "
_..
ELECTRICAL WORK PERMIT APPLICATION
;,
Job wired by 1Electrical Contractor 0 Owner
ElecldcaJ COnlrl:l.ctor Il~.I';!$ II License nLUnbe,. . Dale lixpircs
s,''1'1-i.1$<:7n !u'e.Llr/C- ,s,m~S<!L-~'7J f4J
Purchaser'l mailin8 addrejs / _ I /() ~J
~<f3 O~t:- !/'flPfI /
,
Cily h;e:r /J<'9i'/ i?Cj- Sl~ZIP "iF;]&.;>
JustalJ:uion dl:scriplion
{J Commerci~l '" Residcntial
CJ New Q Altered/Addition
/19-0
~.~
..
"
Addrc!i5 of Inspectiun
/~ /k'rn"
(J
Pb4N~;vu.A-
City fJo/t;f- 't1n'fdes
thoue nu.mbur to schedule iospectjoo:
/::) - O?/(p
Owftf-r a:~; defined by RCw'J9.28.26/:(I) OWNe,. II!W a('Cllpy lh~ struc;eW-rtforlWo -:
jears afie,> this ele<:tf/cu/1permit is jinali;c:u. (2) lMtller j~' I'l:quin:d (0 }zirr:,' aI, electr,,,,,!
COf/.lruct<Jr if aboW! .~ajd 'properly i9 for !"'ale, "~fll or fease.
Afttl re:uling the abo\'~ statcment, 1 bereby certify tbut 1 .am ~ho owner of the abQVloli
named propelty Or a Iicel1s~d e!ectri(;aJ contractor. I am making lhe r:loJctrkal instill.
lalilJn or altCl'atiOll in c~mpJiallC~ wi'h the electrical laws. N,E.C., RCW. Chapter
19.28, WAC. Chapter 296-46B, The City of PC)rt Allgde:; Municipal ClJd~. and
Utility Specifications, : .
Sicnature 0 choir 01' ,te~trical udmiois(I'afot
??7"J)ate: f".ls ~ (.
r5/JJR-S AB;>,
60,)( 7~~
~t?
oc.. o~
o Credit Car Visa _ Mastercard
Card # _ _ _ .. !t,.l'e-
/
Discover
Expim.tion Date
of card
InspecHon fee
$ .If J', t,g,
ServIce Information
trilL tl n n
I:l NO LOAD CHANGgS
I:l Baseboard _ KW
o Furnace KW
- ,
o Heat Pump _ Tor' _ LAA
o Fan-Wall KW
tracti n
o O\,fethead Service
,.<<"1- amp Service
o Underground Service
Voltage
PhasaOl03
Service Siza:
Feeder Sl2e:
SAME DAY INSPECTION. CALL BE};'ORE 7:00 AM 360-417-4735
ROlfGH-lN THERMOSTAT
SERVICE
0111;
A['Ipl"l)V<;<J By
011111
Appruvu<JJ)y
D~(o:
Apllmw<;:JSy
FINAL
nrrCli
l'EEDER
D~,
^pproY~d lJy
l)llt..
"'[ljll'~Y<;<J By
D~,
ADprav~d J:l.y
Inspection
Date:
Area, Building or Equipm.eat lnspcttcd
Action Taken
,'-"
ElocttiCiJ.l
inspector
Ai
10 39\1d
~I~~~3l3 NOSdWIS
0LG6L~P
~~:10 900G/~0/60