HomeMy WebLinkAbout517 S Lincoln St - BuildingpORT k
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Alley NE of 517 S Lincoln St
Owner
CHEVRON USA INC
PO BOX 285
HOUSTON
Permit RIGHT OF WAY
Additional desc RUP #08 26
Permit pin number 130716
Permit Fee 70 00 Plan Check Fee 00
Issue Date 7/29/08 Valuation 0
Expiration Date 1/25/09
Qty Unit Charge Per
Special Notes and Comments
Alley is to remain open to thru traffic cone around work
site Contact abutting business and property owners as to
activity Applicant is to install H 20 load rated monitoring
well lid assemblies
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
T•\Policies \1102.15R [1/05]
TX 770010285
Signature of Contractor or Authorized Agent
BASE FEE
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
08 00000892
316020
517 S LINCOLN ST
06 30 00 0 2 0045 0000
PUBLIC WORKS UTILITES
COMMUNITY SHOPPING DISTR
0
RUP #08 26
Contractor
OWNER
Charged Paid Credited
70 00 70 00 00
00 00 00
70 00 70 00 00
Date 7/29/08
Due
Extension
70 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
7/a 9Iap
Date Signature of Owner (if owner is builder) Date
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
CONSTRUCTION RW PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T•\Policies \1102.15R [1/051.
RESIDENTIAL
PERMIT INSPECTION RECORD
CALL 417 -4807 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
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL= DATE' ,ACCEPTED
I YES I NO
I I
I
I I
I I
CONSTRUCTION RW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
I I I
I. I I
I.
I. I
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
CHEVRON USA INC
PO BOX 285
HOUSTON
T•\Policies \1102.15R [1/05)
Qty Unit Charge Per
Fee summary Charged
TX 770010285
Permit Fee Total 140 00
Plan Check Total 00
Grand Total 140 00
Signature of Contractor or Authorized Agent
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5T11 STREET PORT ANGELES, WA 98362
06 00001250
663750
517 S LINCOLN ST
06 30 00 0 2. 0045 0000
PUBLIC WORKS UTILITES
COMMUNITY SHOPPING DISTR
0
Contractor
OWNER
Permit RIGHT OF WAY
Additional desc 2- MONITOR WELLS RUP #06 35
Permit pin number 90829
Permit Fee 140 00 Plan Check Fee 00
Issue Date 11/30/06 Valuation 0
Expiration Date 5/29/07
Extension
BASE FEE 140 00
Paid Credited Due
140 00 00
00 00
140 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.
la/aj/
Date
Date 11/30/06
00
00
00
Signature of Owner (if owner is builder) Date
CALL 417 -4807 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.
INSPECTION TYPE DATE ACCEPTED
YES I NO
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
T•\Policies \1102.15R [1/05]
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
I I I
I I I
I I I
I I I
I I
I I I
I I I
I I I
I I I
I I I
I I
I I I
I I I
I I I
I I I
I I I
I I I
I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
I I
I I
I I
I I
CONSTRUCTION LW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
COMMENTS
I I
I I
I I
I I
Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
CHEVRON USA INC
PO BOX 285
HOUSTON
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
T• \PLANNING \FORMS \1102.15 11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
04 00000782
362656
517 S LINCOLN ST
06 30 00 0 2 0045 0000
CLEARING GRADING
TX 770010285
Structure Information REMOVE CONTAMINATED SOIL
Construction Type TYPE V NON RATED
Occupancy Type BUSINESS OFF /PRO /MED /REST
CLEAR GRADE
COMMUNITY SHOPPING DISTR
0
Contractor
OWNER
BASE FEE
Fee summary Charged Paid Credited Due
Date 9/03/04
75 00 Plan Check Fee 00
9/03/04 Valuation 0
3/03/05
Permit Fee Total 75 00 75 00 00 00
Plan Check Total 00 00 00 00
Grand Total 75 00 75 00 00 00
Extension
75 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
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
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE PELLET CHIMNEY
HOOD DUCTS
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE METER
SEWER CONNECTION I
SANITARY I
STORM I
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 I NO
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I
T•\PLANNING\FORMS \1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
I I I
I I I
I I I
CITY OF PORT ANGELES /.3 ~rf
f LIGHT DEPARTMENT PERMIT NO.
!
. ELECTRICAL PERMIT DATE /0/ '/!?7
,
Site Address: o READY FOR o WILL CALL FOR
INSPECTION INSPECTION
Installed By: Phone:
31J1
Owner/Busi Phone:
Owner/Busi Sq. Ft.
!4<l.t!vt
o Residential o New Construction o Overhead
Heat KW o Remodel o Underground
o Baseboard 0 Furnace/Boiler o Service update/alter/repair Voltage
o Heatpump o Other o 10 03.0
o Commercial/Industrial load o Add/alter circuits Service size Amps
Total Connected load o Auxiliary power o Temporary
(attach breakdown) (list below)
Total Motor load ~special equipment
(attach breakdown) (list below)
Detai Is/Description:
~ .. tt;;lf ~Sf/l)
.
W.S. No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
<EJ lmcn Inspection O.K.
& Hough-In/cover O.K.-
-bJ O.K. te eeA198ct 3t:~iee
111}- ~al O.K.
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
Site Address:
~ I
\
'.
\
\
,
Notify the Depart ent of City ight by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Insp ctor in Writi on t Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224.
1 ~ -."pNO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ::2l, @
Inspector Amount paid
WHITE - file by address Y PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLV~PIC PRINTER5. INC.
(I"..'
. '8
~ ,-
.....
ELECTRICAL WORK PERMIT APPLlCAT1lON
Elcctric3.1 ~OI1tl"3Cl0r noune
oLiliillth;. ~/8cry"c..
Purchaser's mailing adl1t'\:ss J
tI Zl:;).JO"oll-1l.V~'"
~ Sta(~ ZIP
" o/f IJn ~ aiM wI'!
..Telephone number
'~' '0,)
,..S 5
PrlnJllies OWbcrts u,mc
.~
~~
LiCecSe: number Da(~ Expire::;
o 1'/,., fle C, ~ (? s J') /
.
"vlJ t'/9JlJ
Iff G 31J
FAX number
~S;) :Jq
Installution dc~criptjon
fJi( Cummurciad a Re,idtDtht)
,JiNew O.A.JteredlAddition
Job wired by
&filElectrica. Contractor 0 Owner
'It- A ,0 ~e Y' VI "6e.
"AA~reli~ of inspl.1ctlUI'
;; :t-)t ~ Le /l ~O J
~t;~ PO,,-r IJl'tgn~".r
Pbon~ number to :ichcdulll iDlIipcdiun:
~
.' ,
ql/-/:JLI~
OWner as defined by RCw'J9.:UJ.26/:(/) OWI1~" will occupy tier! ~1"14c:t/,m: for two
Yf:urs lI,ficr this electrical permit i~ finalized. (2) OWIli!~r is r(!(/ui,.l:c/ 10 hin: an t1/t:'cericaJ
cotltractor if above sajd properiy is jor saIl!. rem or leuj'e,
After reading \hI: above statement, 1 hereby certify that 1 am the owner of the above
'naincd propel1)' or :1 licensed ~rectljcal contractor. I 3lU making the ~I~ctl'jcal insul.
lation OJ" alt~rB[ion in complillnce with. the electrical laws, N..E::.C., RCW, Chapter
19'-28, WAC, Chaptet 29G.46B. The City of POt[ AilgeJes MUllicip;31 Code. and
Vt~Ji(y Specifications.
Slgll;llllre OWQer, eleetrlul COlllrac:lOr or electrical achllJu'Untor
i,' Date: f /;8~(
o Cash 0 Check #
o Credit Card VI$O
Card #
Mastercard
Discover
Expiration Date
of card
/Jt.Dverhead ServicE~
"" Temp Service
a Underground Service
Vollage J~/ ;;'~I)
PhaseJl 1 0 3
Service Sj~e: ~
Feeder Size:
.
~~~
.::....
.:......:.
.;:"J
",:~;:
Dlil~
AppfOV,od Uy
SERVICE
O~l" APIlro~~u By
FEEDER
Dllt" Approved By
. '
'"
/' ROUGH-IN
Dul" Appru1lcd Ih
FINAL
~Iz- rio' Ac.o
/ Datu' .-\pP'(lVCld By../
THERMOSTAT
.
\
..
D~IC Appl'Clvud Oy
nrrcu
~ .. Jrlspectioa
.. ..:.. Date
Area, Building Or Equipmt'Il' In::;pc:c::tc:t!
Action Taken
Electtj(;al
Inspector
.!'--':,q ..
'.,
o
p.
~
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JlolJ3l3 JldW^lO
86PE2:,P09E
62::L0 9002:/81/60
DPlE
7~Fl-~~
OWNER/CONTRACTOR
OL . t::. t:.
ADDRESS
5/7 .,.j
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
PERMIT #
N riLL
L, 11,/ c. <> L.
sr
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . ~
D. . . . . . .. . . . . . . .. . . . . . FINAL. . . . . . . . . . . .. . . . . . . . 0
(!)
~L..-r"o oS.....-c. - iJ,fU 1/'
.
.I b~O ;/I!..(T~ 8 E~~7 INIO
71+L ~~C> - LLAJ/~ C!/~
CORRECTIONS NEEDED:
('~"-LtV1I1" .r 77D.)../
F. Jc ,c>"-y,, A'./)
. .
Mu...
8-0eJ --z,.,{" l.!r
~ ~J"" ev-yu...rL.
/~~
~
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381