HomeMy WebLinkAbout400 Block E Railroad Ave - Building CiTY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT ~ BUiLDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
App£1cat/on Nt~mber ..... 04-00000241 Date 3/29/04
Pin number ....... 1S4948
Property Address ...... 400 BLOCK E RAILROAD AVE
ASSESSOR PARCEL NUMBER: 06 30 00-5-0-0412-0000-
Application description . · · PUBLIC WORKS UTILITES
Subdivision Name ......
Property Use ........
Property Zoning ....... UNKNOWN
Application valuation .... 0
Owner Contractor
JACK & SHIRLEY OLAUB~RT TTE OWNER
JACK GLAUBERT FAMILY TRST
SEQUIM WA 98382
Permit ...... RIGHT OF WAY
Additional desc . . RUP #03-14
Permit Fee .... 60.00 Plan Check Fee . · .00
Issue Date .... 3/29/04 Valuation .... 0
Exq~iration Date · · 9/25/04
Qty Unit Charge Per Extension
BASE FEE 60.00
Fee stur~ary Charged Paid Credited Due
Permit Fee Total 60.00 60.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 60.00 60.00 .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 ff required inspections have not been requested within ~180 days from the last
inspection, I hereby certif~ 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 authodty to violate or cancel the provisions of any state or local Jaw regulating construction or the performance of
construction·
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANN lNG\FORMS\ l 102· 15 [11/14/2003]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000240 Date
.054720
400 BLOCK E RAILROAD AVE
06-30-00-5-0-0412-0000-
CLEARING & GRADING
3/29/04
UNKNOWN
o
Owner
Contractor
JACK & SHIRLEY GLAUBERT TTE
JACK GLAUBERT FAMILY TRST
SEQUIM WA 98382
OWNER
Structure Information CLEARING & GRADING #03-05
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
CLEAR & GRADE
#03-05
30.00
3/29/04
9/25/04
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
1.00 30.0000 MIN
CLEAR & GRADE
Extension
30.00
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Q
Fee summary
Charged
Paid
Credited
Due
Permit Fee Total
Plan Check Total
Grand Total
30.00
.00
30.00
30.00
.00
30.00
.00
.00
.00
.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\1102.15 [11/1412003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 DRAINAGElDOWN 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 I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI 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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