HomeMy WebLinkAbout1702 Milwaukee Dr - Building w F� CITY OF PORT ANGELES
•Ivo PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 10- 00001515 Date 12/30/10
Application pin number 398355
Property Address 1702 MILWAUKEE DR REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 99 -0 -0- 9610 -0000- on your state excise tax form
Application type description PUBLIC WORKS UTILITES Y
Subdivision Name to the City of Port Angeles
Property Zoning (Location Code 0502)
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
RUP #10 -43 Tree Removal
Owner Contractor
DEXTER, TTE RICHARD N BLUE MOUNTAIN TREE SERVICE INC
1702 MILWAUKEE DR P. 0. BOX 333
PORT ANGELES WA 983631106 PORT ANGELES WA 98362
(360) 452 -1106
Permit RIGHT OF WAY
Additional desc RUP #10 -43 TREE REMOVAL
Permit pin number 179713
Permit Fee 75.00 Plan Check Fee .00
Issue Date 12/30/10 Valuation 0
Expiration Date 6/28/11 j
Qty Unit Charge Per Extension Q
1.00 75.0000 ECH PW RW CONST EXCAVTION OTHER 75.00
Special Notes and Comments
see attached conditions
Fee.summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
c
7K
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.
5 1 )—-e/e, 12 —v 1 b
tur Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:: \Policies \1102.15 [10/03]
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 (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W. PW/ CONSTRUCTION R.W.
ENGINEERING 417 -4331 PW ENGINEERING
FIRE 417 -4653 FIRE DEPT.
PLANNING DEPT. 417 -4750 PLANNING DEPT.
BUILDING 417 -4315 BUILDING
T:APolicies \1102.15 [10/08]
Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
DEXTER TTE RICHARD N
1702 MILWAUKEE DR
PORT ANGELES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983631106
Permit RIGHT OF WAY
Additional desc WAVE BROADBAND RUP #04 15
Permit Fee 60 00 Plan Check
Issue Date 4/16/04 1 Valuation
Expiration Date 10/13/04
Qty Unit Charge Per
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
T \PLANNING\FORMS \I 102.15 [11/14/2003]
Charged
04 00000312
472696
1702 MILWAUKEE DR
06 30 99 0 0 9610 0000
WAVE BROADBAND
PUBLIC WORKS UTILITES
60 00
00
60 00
RS9 RESDNTL SINGLE FAMILY
0
Contractor
OWNER
BASE FEE
Paid Credited
60 00
00
60 00
00
00
00
Date 4/16/04
Fee 00
0
Extension
60 00
Due
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
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
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 1 NO
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
I FIRE 417-4653
PLANNING DEPT 417 -4730
BUILDING 417 -4815
T\PLANNING\FORMS \1102.15 11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
1 BUILDING
YES NO
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nl!
16594
Port Angeles, washJngton______.______..~.._:...-?__~..______..___........__..., 192E
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to dO electrical work as listed below.
~~::;s ...~~...~~~~.P-'V.. Occupancy---7'jL4_.-...---.-----...---.--
wiring~~~~:~~~~~::~;.~;;~~~:~?::~~;::::::::::::::.:.....~~:::::::::=::::=::::::::::=::::::::::=:::::::::
LIght outlet._____...::l....'?.___.___._.._..__ Service, volt. ___/ti.:'!..L...~::::-t[__ Type of WIring:
Receptacle Outlets.....Z_~.._m__....... No. wires h__.:1....:..............!0...... Armored Cable h__..__m_..............__
Dryer, KW __..._________?~~-----mmm-mm Size Wlre.')t..f(q.l;!;~"-" Non.Metalllc ..------......---.--------.......
/ J_ "'l~ .-p r n Knob & Tube.............._.._...___.._....._
Range, KW u.._n___,..___.__._.___.____.._...___._. Main fuse ..~h........;;_..h........_h.....
Water Heater~ ! Enclosure ....~..___..____..._________....
Heat~:~.~~:~~.....;~'3;._-;.r.~;;I2~~.-_~:. TYP~::r:~;:n~:ble ...._...._._..._......
Motors: Bize....voltB and phase:
::'~~:Z=~::::::::::::::::::::::::::
,
RIgid Conduit
Meta1l1c Tubing ....__.........
Current transrormers:
No. & Size..__._..____mmm___..._
Ser. No.........__.____.._.________.__....._.____....
Ser. No..............................................
RIgid Conduit .______....__.._______________
Metallic Tubing ......................._..
Raceway ....~....m...._.....___._
Circuits. L1gb~z............................._._
~ :~ti ty ..:2<2~~:~~~~~~~~~~~~~~~~~~~:~:~=
7
Range ...._....................-....----..---..--
Water Heater .;;2"'::...._....__._...__..__
Motor ..._......_....___..______.____.__........._
Dryer..___..~-...-.........-...........-.--
Furnace .....___...._............'_._...._..._....._..
Ser. NO...____............................h.........
Total 'Load..____...____._______..___... Sec. No.................._.......................... Total .....~2-...h...............
Remarks: --n--mn.m..nn---------7.7."--...g.---t,..d'-------------c.~~t:i!~'i./.'.______.____________.___.__..__...........__....____...____
._________n..____n__nm__.______h___n_______.____________________.___________nnnnn______________________.__--.:--"2J-------.n...------..........------......--.--
Permit Fee Treas. Receipt (7 ~/ f1t: ~ ~
$:.____..;?.~._.r!!..__..____.__..__. No.__.__...__._______.______... By ~~q....:__...__.~..Jk'Ld.!..._..~~~~..e.:~~.-/
". , '.-
NOTICE--Current must not be turned on until Certificate or Inspection has been issued. If work is to be con.
cealed due noUce must be given the Inspector so that work may be inspected berore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
\
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/
l
j
ELECTRICAL PERMIT
Address
,-
N?
16594
Date..._.........._.__.._.........._._...._......____...._
Owner........____._________......___...._......_.._......_......_.._...........................__.__.___...__._._...._._.___...Tenant......_._._._..._............_...._..._....___.._.__.__._.__....__..
Wiring 1ontractor--.----__________.........______...____:........--...------....................-------------..____.__......._______....... By._________...______.........__.....____.....______...___...__
NO'l}ICE-CU~'rent must not be turned on until Cert1f1cate of Inspection has been issued. If work ~s to be con-
cealed due noUc must be given the Inspector so that work may be inspected berore concealment.
/'
1M Olympic Printers. Inc.
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