HomeMy WebLinkAbout436 Marine Dr - Building
CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East 5th Street, Port Angeles, W A 98362
BUILDING PERMIT
OWNER/APPLICANT
JOHN RALSTON
Port Angeles, WA 98360
360/452-8415
T:
S.
ISSUED: 8/09/2000 PERMIT NO: 12122
PROPERTY LOCATION
436 MARINE DR
Lot: 11
Block: 35 D Long Legal
Subdivision: TPA
Parcel No:
CONTRACTOR
R. J. SERVICES
122 S. Brook
Port Angeles, WA 98362
360/457-1420
PROJECT INFO
Project Value: $0.00
Project Type: ABANDON F.S.T.
Occupancy Type:
Occupancy Group:
Construction Type:
Zoning Use: IL
ARCHITECT
N/A
, 98360-0000
360/000-0000
SFD Units: 0
SFD sa FT: 0
MFD Units: 0
MFD sa FT: 0
Commercial:
Industrial:
Garage:
o
o
o
PROJECT NOTES
REMOVE POSSIBLE 5-UGST
+
~
{\'
"$
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1\1
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G
(Y)
F
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: REMOVE UST $100.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $000
Manufactured Home: $0.00
Sign: $000 TOTAL FEE: $100.00
Plumbing: $0.00 AMOUNT PAID: $100.00
Mechanical: $0.00 BALANCE DUE: $0.00
Radon. $000
This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
180 days from the last inspection. I hereby certify that I have read and examinw this application and know the same to be
true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compied
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
the provisions of any state or local law regulating the work specified in the permit.
SIgnature of Contractor or Authorized Agent
Date
Date
Signature of Owner (if Owner is builder)
e
e
ACCOUNT PERMIT ACCOUNT DOLLAR
NAME NUMBER NUMBER AMOUNT
Surcharge ($4.50) 001. 2291000
D.RA Fees Plus Interest 001 2392000
Burning Permit Fee 600.32290014
Fire InspecUPermlt Fee I.~l '22- 600.34220015 fi)i5 , 0("")
Fire Sprinkler Plan Review Fee 600.34220016
Construction 711.32210017
Plumbing 711 32210018
Mechanical 711.32210019
Sign 711.32210020
Clear/Grade Permit 711.32210021
House Moving 711.32210033
Sidewalk/Driveway/Curb PermiURlght of Way Permit 711 32240011
Publications 711 34150000
Blueprlnts- Aerial 711.34320000
Administration Cost (5%) 711.34320010
Plan Check Fee 711 34583000
Engineering Service Fees 711 34895000
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;~~~l!f};;~S::'~i.{{~;,,;tj;l{%,~1;PT AL' GENERAC;;FUND ;,~~!~14ij;;;:;,:;;;;::"~:{' f;:;;;~~rpT ALt~:vi<';: "'~~4QQ:t:.,1.1J,1:POO;i!;FJJ;' ,;;;J'fJ.!;{40. ,'i.~:lf7'!\.
StreeU Alley Restoration 752 32210032 v .......,
Storm Drain/ Tap 75234490010
sm Co-Op 752 36990000
~.; '!(:;',;:,TOTAt: STREET FUND, ,lj<""'" ,,<:'(OTALC';:;': >:; :':102;"';11090:)",/ ;',:'1:;2<: ,', :.';,: "j' :"~'1;(1)'>',
~"~"~n,~''*~"""",> ~ "'> ,,":':
Electrical Permits /Inspections 911 32210028
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P.B IA 650 2319200
p\~~;1;Fll;~~';iri~1ll~~~a~1!~1:(jT~[tp~BIX::)~C,~~:;'~ ~ ~,,~, '~.~:,:.~g ~~ '",; ;,,' :/,"TOTAbl~:.::";' "'''''650'1111000'' , .. ',:''';':'
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iF ;~~"~'l";\':rOT AllrCAPITAL; 'IMPROVEMENT. FUND> ,:: " ',~,~.~ :;t"'l':,rOT Al:.1~;:;:; :i;~:f31,O:1'1;11 OOj:h;Ji,i?'; ", , ;;-' ,';E!;~i
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Property Sales 715 39510010
~~~;iii'!(;;;,~;:':~t:TQr~l;J~;W.lMPROVEMENT; fUNQ:;:::;~: ,~" f"~" ',::F:rQT ~!,i.. ';':.; r;;[,;;;~f~.~,4~1,1.,11.00Q:r~;",':,,; ;';~ij" ' .'::\":f,{'
Hot Tap (watermaln) 753 34340023
F.H. Install! Meter 753 34340024
W/M Installation 753 34340025
Water System Developement Charge 75334480010
m':l;,l,~,*S~t}tf~k~~ti)~Y,~~~~!TOTACWATER F'UND i~<4,i,. :i;,u;', .,,; , " ',), TOr ~L'''; 1,0' .. . 'i::402:f111ooo;.;,:2' ~ ~ 1: . ,.{,.' ,. .": ",":' '. '~.l;Ji:"J'~
Sanitary Sewer Permit 754 32210029
Sanitary Sewer Tap/Cap or MH Tap 754 34350018
Sewer System Development Charge 754 34350024 i
ULlD 215/ Equivalent Service Connection Fee 782 34350025 I
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Milwaukee Dr Assessment 755 34370030
i~~t:~!*,~,'\itt'.:?'''TO,TALSOL1D WA$TE .FUND " '~t''-:.' "::':/ ," ':, " u~'u, ~Q" '';: '.;;:,404;~,1110QO", '. '?,:,:;" r: ' " . "~',
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RECEIPT # N~ 6 4 8 0 :~~~&;i~~T~(;:j?:~~:~:;:':'W~:~;;1;1~1f;~1;11;:~~~;;'~~~:;~!i:i~~~l~1l1k;::~;~la',~~:!f~~r~
CITY OF PORT ANGELES PUBLIC WORKS DEPARTMENT
FILL-IN COMPLETELY - TOTAL EACH FUND AND GRAND TOTAL
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Last Revised Dee 1999
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