HomeMy WebLinkAbout1121 Grant Ave - Engineering CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUiLDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00000196 Date 10/28/03
Property Address ...... 1121 GRANT ST
ASSESSOR pARCEL NUMBER: 06-30-14-5-6-0134-0000-
A~plication description . . . CLEARING & GRADING
Subdivision Name ......
Property Zoning ....... RS9 RESDNTL SINGLE FAMILY
Application valuation .... 0
Owner Contractor
RALSTON JOHN M/GAIL T RJ SERVICES
PO BOX 1405 122 S. BROOK
PORT ANGELES WA 983620259 PORT ANGELES,WA
PORT ANGELES WA 98362
(360) 457-1420
...... Structure Information 60 -80CU. Y~D FILL .....
Construction Type ..... TYPE V NON-RATED
Occupancy Type ...... SINGLE FAM & CONGREGATES
Permit ...... CLEAR & GRADE
Additional desc . .
Per. it Fee .... 22.50 Plan Check Fee . . .00
Issue Date .... 10/28/03 valuation .... 0
Expiration Date . . 4/26/04
Qty Unit C~arge Per Extension
BASE FEE 22.50
Fee summary Charged Paid Credited Due
Permit Fee Total 22.50 22.50 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 22.50 22.50 .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:\PiANNING\FORMS\1102.15 [4/2002]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362 A ~
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Application Number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Zoning
Application valuation
03-00000196 Date 10/28/03
1121 GRANT ST
06-30-14-5-6-0134-0000-
CLEARING & GRADING
~ ~ 0 {)3~}7
RS9 RESDNTL SINGLE FAMILY
o
Owner
Contractor
RALSTON JOHN M/GAIL T
PO BOX 1405
PORT ANGELES
WA 983620259
RJ SERVICES
122 S BROOK
PORT ANGELES,WA
PORT ANGELES
(360) 457-1420
60 -80CU YRD FILL
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
WA 98362
Structure Information
Construction Type
Occupancy Type
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
CLEAR & GRADE
22 50
10/28/03
4/26/04
Plan Check Fee
Valuation
00
o
BASE FEE
Extension
22 50
Qty Unit Charge Per
Fee summary
Charged
Paid
Credited
Due
Permit Fee Total
Plan Check Total
Grand Total
22 50
00
22 50
22 50
00
22 50
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
TWLANNING\FORMS\1 102.15 [4/2002J
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 #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULA TION
SLAB
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 SEPARA TE PERMIT #'s SEPA.
PARKING/LIGHTING ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL LIGHT DEPT 417-4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R.W / PW/ CONSTRUCTION R.W
ENGINEERING 417-4807 PW / ENGINEERlNG
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T'\PLANNINGIFORMS\I 102.15 [4/2002]