HomeMy WebLinkAbout16th & O St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Pl.n number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application description
Subdivision Name
Property Use
Property Zoning . . .
Appll.cation valuation
04-00000427 Date
.326734
NO PARCEL NUMBER
99-
16TH & 0 ST
PUBLIC WORKS UTILITES
5/19/04
CENTRAL BUSINESS DISTRICT
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Owner
Contractor
PORT ANGELES
WA 98362
C&J EXCAVATING
PO BOX 430
CARLS BORG
(360) 683-7741
WA 98324
* UNKNOWN
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
FIRE HYDRANT METER
42.50 Plan Check Fee
5/19/04 Valuation
11/15/04
.00
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BASE FEE
Extension
42.50
-
liS'-
-t
s
Qty Unit Charge Per
Permit
Additl.onal desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
CLALLAM CO HOUSING AUTHORITY
45.00 plan Check
5/19/04 Valuation
11/15/04
Fee
.00
o
Qty Unl.t Charge Per
1.00 45.0000 ECH RIGHT OF WAY PERMIT
Extension
45.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Perml.t Fee Total 87.50 87.50 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 87.50 87.50 .00 .00
Separate Permits are reqUired for electrical work, SEPA, Shoreline, ESA, utilities, pnvate and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction orwork 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 compiled 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 IPLANNINGIFORMSIII02.15 [11/14/20031
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDp A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCA nON
\ KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engmeermg DIVISion) SEPARATE PERMIT #'s
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA
P ARKING/LIGHTING -ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W 1 PWI 13~1f /~- !?V CONSTRUCTION - R W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 , ,
FIRE DEPT.
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
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T \PLANNING\FORMS\I 102 15 [I 1/14/2003]