HomeMy WebLinkAbout321 E 5th St - Engineering "�F CITY OF PORT ANGELES
T F
U VO j� PUBLIC WORKS UTILITIES
o 321 EAST 5TH STREET, PORT ANGELES WA 98362
Application Number 11- 00000227 Date 3/17/11
Application pin number 517751 REPORT SALES TAX
Property Address 321 ENGINEERIN E 5TH ST
ASSESSOR PARCEL NUMBER: R6- 30- 00 -0 -0 -0000 -0000- On your state excise tax form
Tenant Application type description PUBLIC WORKS UTILITES to the City of Port Angeles
Subdivision Name (Location Code 0502)
Property Use
Property Zoning CENTRAL BUSINESS DISTRICT
Application valuation 0
Application desc
AMI fiber nods, lines, multi attachments RUP #11 -05
Owner Contractor
CITY OF PORT ANGELES EXCEL UTILITIES CONSTRUCTION
PO BOX 1150 54 W. MISTY LN
PORT ANGELES WA 983620217 PORT ANGELES WA 98362
(360) 452 -1110
Permit RIGHT OF WAY
Additional desc RUP #11 -'05
Permit pin number 182543
Permit Fee 75.00 Plan Check Fee .00
Issue Date 3/17/11 Valuation 0
Expiration Date 9/13/11 N
Qty Unit Charge Per Extension
BASE FEE 75.00
Special Notes and Comments
Applicant responsible for traffic control, erosion control
and restoration. Installation must meet all NESC clearance v
requirements. A separate Electrical Permit must be obtained R
for each location
Fee summary Charged Paid Credited Due
5 r
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
ro
u1
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 anoinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
pr dime to give authority to violat: or cancel the provisions of any state or local law regulating construction or the performance of
nstru On.
l r
l�� A -7 -17i(
ure of C•ntracto •r Authorized Agent Date Signature of Owner (if owner is builder) Date
T:Forms /Building Division /Public Works Permit
PERMIT INSPECTION RECORD
CALL 417 -4831 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.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE'
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
PW UTILITIES Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE:
SITE EROSION CONTROL
PARKING
SIDEWALK
x
CURB &GUTTER
DRIVEWAY' APPROACH
BACK FLOW DEVICE
r
S
5
i
i X
M3�$,.,
z 1'INAL INSPECTIONS. REQUIRED,`PRIOR TO OCCUPANCY /USE
r RESIDENTIAL DATE N O COMMERCIAL DATE ACCEPTED
YES, NO
CONSTRUCTION R W CONSTRUCTION: -'R.W
ENGINEERING
417-4807 PW ENGINEERING
FIRE 417.4653 FIRE DEPT.
PLANNING DEPT 417 -475 0 PLANNING DEPT:
BUILDING 4 -7 ;BUILDING
4815
T Form /Building Division /Publk/ Works'Permu ;r
/wFC CITY OF PORT ANGELES
,I II PUBLIC WORKS UTILITIES
V_ NI.-1/ 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000322 Date 4/13/11
Application pin number 610260
Property Address 321 ENGINEERIN E 5TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: R6- 30- 00 -0 -0 -0000 -0000- on your state excise tax form
Application type description PUBLIC WORKS UTILITES
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning CENTRAL BUSINESS DISTRICT
Application valuation 0
Application desc
Fiber Optics Redundant System Install RUP 11 -07
Owner Contractor
CITY OF PORT ANGELES EXCEL UTILITIES CONSTRUCTION
PO BOX 1150 54 W. MISTY LN
PORT ANGELES WA 983620217 PORT ANGELES WA 98362
(360) 452 -1110
Permit RIGHT OF WAY
Additional. desc RUP 11 -07 FIBER OPTICS
Permit pin number 183715
Permit Fee 75.00 Plan Check Fee .00
Issue Date 4/13/11 Valuation 0
Expiration Date 10 /10 /11
Qty Unit Charge Per Extension
1.00 75.0000 ECH RIGHT OF WAY PERMIT 75.00 \1�'
Special Notes and Comments
Consult w /City Electrical Inspector regarding permi
requirements prior to start of work. All work to be in
accordance with attached conditions. No travel lane closure
or revision without traffic control plan approved by the
City. r
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00 :5.
Plan Check Total .00 .00 .00 .00
ZS
Grand Total 75.00 75.00 .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 an ordinances governing this t •,e of work will be complied with whether specified herein or not. The granting of a permit does not
pres e o give authority to vial. dr cancel the provisions of any state or local law regulating construction or the performance of
c struc on.
Sut ure of ontractor •r Authorized Agent Date Signature of Owner (if owner is builder) Date
T:Forms /Building Divi..n /Public Works Permit
PERMIT INSPECTION RECORD
CALL 417 -4831 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.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES •'(Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING.
SIDEWALK
DRIVEWAY APPROACH
,BACK- FLOW`DEVICE.
r
I a r an :a
`.4 4 a i a
FINAL INSPECTIONS.REQUIRED`PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE I ES NO COMMERCIAL DATE y ACCEPTED
CONSTRUCTION R W W CONSTRUCTION, .R'.W
ENGINEERING,ga P. 417 -4807 PW ENGINEERING
FIRE 417 -461;3 FIRE DEPT..
PLANNING DEPT 417- 47.50 PLANNING, DEPT.
BUILDING, 417 BUILDING
4815
T Forms /Bwldmg'Dtvtsion/Public Works, Permit h
f~ORT "-v.
$4.0~~~
rea
-- ~
~
't.,i{~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Appl~cation descript~on
Subdivis~on Name
Property Use
Property Zoning . . .
Applicat~on valuation
04-00000363 Date
.310841
321 E 5TH ST
06-30-00-0-1-7050-0000-
1115 E FRONT ST
PUBLIC WORKS UTILITES
5/03/04
PUBLIC BUILDINGS & PARKS
o
Owner
Contractor
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES WA 983620217
OWNER
Permit
Additional desc
Perm~t Fee
Issue Date
Exp~rat~on Date
PUBLIC WORKS COMM WATER SERV
HOT TAP 2" ON 8" MAIN
.00 Plan Check Fee
5/03/04 Valuation
10/30/04
.00
o
Special Notes and Comments
PROPJECT #WFI6077-16077-17US0401
tN
?
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Perm~t Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total .00 .00 .00 .00
-
~
0'(
""t
:s
~
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 authonzed is not commenced Within 180 days, if construction or work is suspended or abandoned
for a penod 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)
Da
T \PLANNING\FORMS\\ 102 15 [11/14/2003]
PREPARED 3/30/06, 12-23 36
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
3
3/30/06
------------------------------------------------------------------------------------------------
ADDRESS
TENANT, NBR,
CONTRACTOR
OWNER
PARCEL _ _
APPL NUMBER
321 E 5TH ST
CITY OF PORT ANGELES
SUBDIV,
CITY OF PORT ANGELES
06-30-00-0-1-7050-0000-
06-00000254 COMM REMODEL
PHONE
PHONE
------------------------------------------------------------------------------------------------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
PL2
01
~~
PLUMBING ROUGH-IN TIME 13 00
* OVERRIDE TAKEN BY DYASUMUR DATE, 03/29/06 TIME, 15 28-17
03/29/2006 03 27 PM DYASUMUR -----------________________
Clty of port angeles 417-4815
-------------------------------------- COMMENTS AND NOTES ----------------------________________