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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00000954 Date 9/26/03
Property Address ...... 720 MARINE DR
ASSRSSOR PARCEL NUMBER: 06-30-00-0-0-9715-0000-
T~nant nbr, name ...... FRED HILL MATERIALS
Application description . . . PUBLIC WORKS UTILITES
Subdivision Name ......
Property Zoning .......
Ap91ication valuation .... 0
Owner Contractor
Expiration Date . . 3/25/04
Qty Unit Charge Per Extension
Fee summary Charged Paid Credited Due
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 o[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 kqow 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:~PLANNINGWORMS\1102.15 [4/2002]
r;/"ORT~
s.~ ~~
~
L~
----
't&;:~p
CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362 {) 3-q:
Application Number
property Address
ASSESSOR PARCEL NUMBER
Tenant nbr. name
Application description
Subdivision Name
Property zoning
Application valuation
03-00000954 Date
720 MARINE DR
06-30-00-0-0-9715-0000-
FRED HILL MATERIALS
PUBLIC WORKS UTILITES
9/26/03
IC/J1II15 C'
t/> ~2-6
o
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
R/W USE #03-25
175 00
9/26/03
3/25/04
3RD ST BIOSWALE
Plan Check Fee
valuation
00
o
f1'~
11,0
Owner
Contractor
BLAKE SAND & GRAVEL INC
490 SOUTH BLAKE AVE
SEQUIM WA 98382
OWNER
----------------------------------------------------------------------------
BASE FEE
Extension
175 00
Qty Unit Charge Per
Fee sWlUllary
Charged
Paid
Credited
Due
Permit Fee Total
Plan Check Total
Grand Total
175 00-
00
175 00
175 00
00
175 00
00
00
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
T'\PLANNING\FORMS\II02.15 [4/2002]
~ ~ORT A.\.:
",4.0~~
Uf'ira'"
L -=..::w
~
'l.&i:",~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER
Application description
property Zoning
Application valuation
03-00000325
72 0 MARINE DR
0630000097150000
PUBLIC WORKS UTILITES
Date
3/25/03
o
Owner
Contractor
BLAKE SAND & GRAVEL INC
490 SOUTH BLAKE AVE
SEQUIM WA 98382
OWNER
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
Plan Check Fee
Valuation
00
o
60 00
3/25/03
9/21/03
Qty Unit Charge Per
Extension
60 00
BASE FEE
Fee summary Charged Paid
----------------- ---------- ----------
Permit Fee Total 60 00 60 00
Plan Check Total 00 00
Grand Total 60 00 60 00
I
Credited Due
00 00
00 00
00 00
D3 --'525
tzlWtls-e
()3-!()
-.s
~
~
~
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 IPLANNINGIFORMS\1102.15 [4/2002J
e
"= --
'l.&i::C~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362 0 3 __ ~ >p
Date 8 14/03
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr. name
Application description
Subdivision Name
Property zoning
Application valuation
720 MARINE DR
06-30-00-0-0-9715-0000-
FRED HILL MATERIALS
RIGHT OF WAY
o
Owner
Contractor
BLAKE SAND & GRAVEL INC
490 SOUTH BLAKE AVE
SEQUIM WA 98382
OWNER
45 00
8/14/03
2/n/04
Plan Check Fee
Valuation
00
o
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
Qty Unit Charge Per
1 00 45 0000 ECH RIGHT OF WAY PERMIT
Extension
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
~
~
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
constructiQn.
l'- l 4 )( (, K.'
Signature of Contractor or Authorized Agent
/(r
Date
~
--:>
Date
Signature of Owner (if owner is builder)
T'IPLANNINGIFORMSII ] 02.15 [4/2002]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST
Date
Time
Received by
(phone, person)
Location of Work to be inspected !'II;; r- ,n" , V I (J I,.
Name of person requesting inspection L;;) nj (?r,mo)
Address of person requesting inspection
Type of Inspection (circle appropriate one)
" ,~.., ill
;'
Phone No
Permit No
-------.
Sewer Foundation Framing Chimney Plumbing Final~~~_~~~v Other
INSPECTION NOTES
Inspected Date
Remarks
)1) - 7- 03
Time
J/ ;"1]
,
By
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RESTORATION REQUIRED
YES
NO X
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SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel D Asphalt D PCC
D Other
D Repaired by City
[] Repaired by Permittee
CI No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES' JDt &27
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUE~T _ a_D ')
Date JD!l:.. Time Received by (phone, person)
Location of Work to be inspected 1 A.o Vj41 t:tv, ~ J:fr,
Name of person requesting inspection I (A.) " J ~ y
Address of person requesting inspection I '1..f1.t ~ PpherOmn~lt NNO 1J4f1
Type of Inspection (circle appropriate one) _ ___
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other t). J(A,,+-et---
INSPECTION NOTES
CfJ1-e-/-ev
Time By _ /I
j;~ 5~YV~t~ ' :;L't CoWIfJ(JUnd
~ ftll!?
Ie 0200/713
I /
NO L/
YES
Inspected
Remarks
Date
RESTORATION REQUIRED
Nt
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'?1~~~!W'o- p~~\
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RjiYf\b f)!L 5pY
o Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
o Asphalt 0 PCC ~ 9ther
Wo~rder # ')0 i; 7
if COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
Request for Biiiing
TO.
Rebecca Veldhouse, Accounting Tech
_LO rxt:iJ.- - -r~ ~
/O/lwlo3
Please send a invoice in the amount of $ z-O 4- z ~
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A-1TN.: jev-y't B~Dw~le.lL
q7() (lpr~I>WY1 ep
'5 e b u. I VV\ U2il:: tJ.J?382-
FROM:
Date:
Name
Address
O?-4t:f()
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GeneraVMiscellaneous
landfill Accounts
Leasehold Excise Tax
Light Department
Medic 1 Transport
Police Department
ParXs Department
ParXinglBus Improvement Area
PenCom Dispatch Services
Public WorXs Department
to
IJ
This invoice is for Z \lJ'I\-~ V\A~ I\'-.lSTf\:-L.L.kr.lDN.. @
ne..cLJ+\ l-l,... MIrIl9~laJS '7 ZD MarLh-e... '"\.)~.
~r~'-T~ 05-99D
_6Go4;) ~~
_JJ4'(t2--'~
.__~t2z. - 73g0-3Q2'102.5
Actual Labor Costs
Actual Material Costs
Actual Vehicle Costs
Misc Costs
Billing Fee
Sales Tax
Total
Authonzlng Signature
Accounting Code
~cg fr;
$-
$
S
$---
$ - ----
$
$
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING 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
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT 1#
ROUGH-IN 1 T
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB I -I 1
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING/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 / PW/ CONSTRUCTION R.W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING 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
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE .
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING/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 / PW/ CONSTRUCTION R.W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T IPLANNINGIFORMSII102.1S [4/2002]
BUILDING PERMIT INSPECTION RECORD
CA LL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE 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 I NO -
FOUNDA TlON
FOOTINGS
WALLS
FOUNDA TION DRAINAGE
-
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT /I
ROUGH-IN I
PLlJM81NG
-
IINDER FI.OOR I SLAB
ROlJGH-IN
WATER LINE
GAS LINE
BArK FLOW / WATER
AIR S!':AL
WALLS
CElLlNG
FI~AMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF I CEILING
DRYWALL
T-BAR
INSlJLATlON
SLAB
WALL / FI.OOR / CEILING I I
M!':CHANICAL
flEA T PUMP
WOOD STOVE I PELLET / rlllMNEY
II00D / Dl ICTS
PW lfTlLITI!':S / SIT!': WORK (Engineering Division) SlOP ARA TE PERMIT #'s:
WATERI.INE / METER
SEWER rONNECTION
SANITARy
STORM
PLANNING D!':PT SEPARATE PERMIT #'s SEPA.
PARKING/LIGHTING ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIR!':D PRIOR TO OCCUPANCY/USE
R!':SID!':NTIAL DATE Y!':S NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRlIrTION R.W / PW/ CONSTRlJCTION R.W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
-
BUILDING 417-4815 BUILDING
T IPLANNINGIFORMSIII02.15 [4/2002]