HomeMy WebLinkAbout200 N Lincoln St - Building CITY OF PORT ANGELES
1 N PUBLIC WORKS UTILITIES
G' 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000389 Date 4/27/11
Application pin number 795606
Property Address 200 N LINCOLN ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: R6- 30- 00 -0 -0- 0.000 -0000- on our state excise tax form
Tenant nbr, name NORTH OLYMPIC MUSTANG CLU Y
Application type description PUBLIC WORKS UTILITES to the City of Port Angeles
Subdivision Name
Proper Use (Location Code 0502)
Property Zoning CENTRAL BUSINESS DISTRICT
Application valuation 0
Application desc
2011 North Olympic Mustang Club RUP #10 -42
Owner Contractor CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217
Permit RIGHT OF WAY
Additional desc RUP #10 -42
Permit pin number 184689 X
Permit Fee .00 Plan Check Fee .00
Issue Date 4/27/11 Valuation
Expiration Date 10/24/11
Special Notes and Comments
Applicant responsible for pick -up, set up and return of
traffic control devices. Coordinate with traffic division
417 -4822. Traffic control per attached plan.
Fee summary Charged Paid Credited Due
Permit Fee Total .00 .00 .00 .00 n
Plan Check Total .00 .00 .00 .00
Grand Total .00 .00 .00 .00
s
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 sive authority ;•late or cancel the provisions of any state or local law regulating construction or the performance of
constr io
I I I I s� 2 7
Signature of Contractor or 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 NO
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE.
SITE EROSION CONTROL
PARKING
SIDEWALK
DRIVEWAY "APPROACH
.`BACK= FLOW'DEVTCE.
y 5 k
,,i6 ..N 0g
FINAL' INSPECTIONS REQUIRED PRIOR TO OCCUPANC7 /USE
t f RESIDENTIAL DATE YES:, NO COMMERCIAL 1 PATE :ACCEPTED
n'
E ING R W /,PW! 417-407' CON ENGINEERING CTION .R W
FIRE 417 -4653 FIRE DEPT..
PLANNING DEPT. 417 -4750 PLANNING DEPT.
BUILDING 4i7 BUILDING
4815
Tt.
T Forms /Budding Droision/Publfc Works Penmt
w °F
T CITY OF PORT ANGELES
F
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES WA 98362
Application Number 11- 00001076 Date 9/30/11
Application pin number 524044
Property Address 200 N LINCOLN 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
Dungeness Crab Seafood Festival RUP #11 -26
Owner Contractor
CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217
Permit RIGHT OF WAY
Additional desc DUNGENESS CRAB SEAFOOD FEST
Permit pin number 193524
Permit Fee 675.00 Plan Check Fee .00
Issue Date 9/30/11 Valuation 0
Expiration Date 3/28/12
Qty Unit Charge Per Extension
BASE FEE 675.00
Special Notes and Comments
Traffic control per attached plan.
Fee summary Charged Paid Credited Due
Permit Fee Total 675.00 675.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 675.00 675.00 .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.
////tV ./)Vb-'//4
Signature of Contractor or 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 (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. RW CONSTRUCTION R.W.
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417-4653 FIRE DEPT..
PLANNING DEPT. 417 -4750 PLANNING DEPT.
BUILDING 4bT .BUILDING
4815
T Forms /Building Division/Public Works Permit 2
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
Application Number 12- 00000479 Date 4/26/12
Application pin number 748728 VJ
Property Address 200 N LINCOLN ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: R6- 30- 00 -0 -0 -0000 -0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning CENTRAL BUSINESS DISTRICT
Application valuation 0
Application desc
WDMS Wireless service
Owner Contractor
CITY OF PORT ANGELES OLYMPIC ELECTRIC CO INC
PO BOX 1150 4230 TUMWATER
PORT ANGELES WA 983620217 PORT ANGELES WA 98363
(360) 457 -5303
Permit ELECTRICAL NEW COMMERICAL
Additional desc
Permit Fee 132.00 Plan Check Fee .00
Issue Date 4/26/12 Valuation 0
Expiration Date 10/23/12
Qty Unit Charge Per Extension
1.00 132.0000 ECH EL -COM 0 -200 SRV FEEDER 132.00
Fee summary Charged Paid Credited Due
Permit Fee Total 132.00 132.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 132.00 132.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE /I-7 I
ROUGH -IN
FINAL «1 7/ '2
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
°p7"4,° ELECTRICAL INSPECTION
WIRING REPORT
n 7 6,, 417 -4735
RKS 6
DATE: 1, PERMIT INSPECTOR
OWNS
L i o1
CONTRACTOR
L.--U V. i IL_ Lf rZ-) C
ADDRESS
2-CO y,� a �G N J
7 APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED: fl-t) N v 4 .2 4 1, L I
I
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
A
CITY OF PORT ANGELES PERMIT APPLICATION r f
Building Division /Electrical Inspections 1 -10
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711 NOSINIV
Date: 02/22/2012 n Multi Family or Commercial*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet 0
Job Address: LINCOLN ST. RAILROAD AVE 2 V r
Building Square Footage:
Description of above WIRELESS ACCESS POINT 061
Owner Information Contractor Information
Name: CITY OF PORT ANGELES Name: OLYMPIC ELECTRIC
Mailing Address: 321 EAST 5TH STREET Mailing Address: 4230 TUMWATER
City: PORT ANGELES State: WA Zip: 98363 City: POR TANGELES State: WA Zip: 98363
Phone: 457-0411 Fax: Phone: 360 -457 -5303 Fax: 360 452 -3498
License Exp. License Exp. OLYMPEC265D1
Item Unit Charge Total (Qty Multiplied by Unit Charge)
Service /Feeder 200 Amp. 132.00 1 132 00
Service /Feeder 201 -400 Amp. 160.00
Service /Feeder 401 -600 Amp 225.00
Service /Feeder 601 -1000 Amp. 288.00
Service /Feeder over 1000 Amp. 410.00
Branch Circuit W/ Service Feeder 5.00
Branch Circuit W/O Service Feeder 74.00
Each Additional Branch Circuit 5.00
Branch Circuits 1-4 86.00
Temp. Service/ Feeder 200 Amp. 102.00
Temp. Service /Feeder 201 -400 Amp: 121.00
Temp. Service /Feeder 401 -600 Amp. 164.00
Temp. Service /Feeder 601 -1000 Amp 185.00
Portal to Portal Hourly 96.00
Sign /Outline Lighting 88.00
Signal Circuit/ Limited Energy Multi- Family 64.00
Signal Circuit/ Limited Energy First 1500 sf Commercial 96.00
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy 5KVA System or Less 113.00
Thermostat 56.00
Note: $5.00 for each additional T -Stat
132.00 Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that l am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: Cash Check
Credit Card expense code 451- nee 5946510. project CLO511. work order 130101
MICHAEL L RUTTEN
X Dated: 02/22/2012 01/01/2012
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Dungeness Crab Seafood Festival RUP #10 32
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit RIGHT OF WAY
Additional desc DUNGENESS CRAB SEAFOOD FEST
Permit pin number 174847
Permit Fee 675 00
Issue Date 10/06/10 Valuation
Expiration Date 4/04/11
Qty Unit Charge Per
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
T \Policies \1102 15 [10/08]
WA 983620217
BASE FEE
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET PORT ANGELES, WA 98362
10 00001134
690146
200 N LINCOLN ST
R6 30 00 0 0 0000 0000
PUBLIC WORKS UTILITES
CENTRAL BUSINESS DISTRICT
0
Contractor
OWNER
Plan Check Fee
Special Notes and Comments
Security to be provided for all temporary traffic control
devices until 3AM on 10 11 10 or all devices to be moved to
a secure location 12AM on 10 11 10 for City collection at
8AM 10 11 10
Charged Paid Credited
675 00 675 00 00
00 00 00
675 00 675 00 00
Date 10/06/10
Due
00
00
00
00
0
Extension
675 00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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
g
z
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4831
FIRE 417 -4653 I
I PLANNING DEPT 417 -4750
BUILDING 417 -4815
T ,Policies \1102 15 [10/081
PERMIT INSPECTION RECORD
CALL 417 -4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL 9NY 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 1 NO
I I
I I
I I
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
PLANNING DEPT
I BUILDING
I I
I I
I I
I
Ponr t
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Arts in Action RUP #10 08
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
WA 983620217
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET PORT ANGELES, WA 98362
10 00000772
690432
200 N LINCOLN ST
R6 30 00 0 0 0000 0000
PUBLIC WORKS UTILITES
CENTRAL BUSINESS DISTRICT
0
RIGHT OF WAY
ARTS IN ACTION RUP #10 08
170027
300 00 Plan Check Fee
7/23/10 Valuation
1/19/11
BASE FEE
Contractor
OWNER
Special Notes and Comments
Traffic control per attached plan Event sponsor to take
down traffic control devices Sunday Store at a secure
location and return to Corporation yard Monday morning
Nothing may placed to obstruct the sidewalk
Fee summary
Signature of Contractor or A prized Agent
T' \Policies \1102 15 [10108]
Charged Paid Credited
Permit Fee Total 300 00 300 00 00
Plan Check Total 00 00 00
Grand Total 300 00 300 00 00
Date 7/23/10
Due
00
0 0
00
00
0
Extension
300 00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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
7A5/
Date Signature of Owner (if owner is builder) Date
g
1
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
INSPECTION TYPE
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4831
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T \Policies \1102.15 [10 /08]
YES NO
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DATE ACCEPTED
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 R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
COMMENTS
OF VO µC
ftetc vox
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
North Olympic Mustang Club RUP #10 12
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
WA 983620217
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET PORT ANGELES, WA 98362
10 00000428
849780
200 N LINCOLN ST
R6 30 00 0 0 0000 0000
PUBLIC WORKS UTILITES
CENTRAL BUSINESS DISTRICT
0
Contractor
OWNER
RIGHT OF WAY
RUP #10 12
164616
00 Plan Check Fee 00
4/29/10 Valuation 0
10/26/10
Special Notes and Comments
Traffic control per attached City approved plan Applicant
is responsible for pick up placement and return of traffic
control devices and signs
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
T' \Policies \l 102 15 [10/081
Charged Paid Credited
00 00 00
00 00 00
00 00 00
Date 4/29/10
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 governin• his type of work will be complied with whether specified herein or not. The granting of a permit does not
presume 0, ive authorit violate cancel the provisions of any state or local law regulating construction or the performance of
construe lop
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
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
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 \I102.15 [10/08]
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4831
FIRE 417 -4653 I
PLANNING DEPT 4I7 -4750
BUILDING 417 -4815
PERMIT INSPECTION RECORD
YES I NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Dungeness Crab Festival RUP #09 40
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit PW ENGINEERING
Additional desc EVENT SERVICES
Permit pin number 154674
Permit Fee 925 00
Issue Date 10/06/09
Expiration Date 10/12/09
T \Policies \1 102.15 10 /08]
Qty Unit Charge Per
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
Fee summary
WA 983620217
BASE FEE
RIGHT OF WAY
CRAB FESTIVAL
154666
75 00
10/06/09
10/12/09
BASE FEE
Special Notes and Comments
Traffic control to be per attached plan
Permit Fee Total 1000 00 1000 00 00
Plan Check Total 00 00 00
Grand Total 1000 00 1000 00 00
106 0
'Signature of Contract or "uthorized A ent Date
9 g
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET PORT ANGELES, WA 98362
09 00001029
591389
200 N LINCOLN ST
R6 30 00 0 0 0000 0000
PUBLIC WORKS UTILITES
CENTRAL BUSINESS DISTRICT
0
Contractor
OWNER
REVIEW ST /ALLEY
RUP #09 40
Plan Check Fee
Valuation
Charged Paid Credited
Date 10/06/09
Extension
925 00
Plan Check Fee 00
Valuation 0
Due
Extension
75 00
00
00
00
0 0
0
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
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
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 15 [10/08]
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4831
FIRE 417 -4653
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES 1 NO
COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
of PORT, e
f"
Application Number 08 00001266 Date 10/07/08
Application pin number 787392
Property Address 200 N LINCOLN ST
ASSESSOR PARCEL NUMBER R6 30 00 0 0 0000 0000
Tenant nbr name OLY PEN COMM CELEBRATIONS
Application type description PUBLIC WORKS UTILITES
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 0
Application desc
Dungeness Crab Festival
Owner Contractor
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
WA 983620217
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
OWNER
Permit RIGHT OF WAY
Additional desc DUNGINESS CRAB FEST RUP #08 38
Permit pin number 135798
Permit Fee 70 00 Plan Check Fee 00
Issue Date 10/07/08 Valuation 0
Expiration Date 4/05/09
Qty Unit Charge Per Extension
BASE FEE 70 00
Special Notes and Comments
Traffic control devices to be picked up 17th B Street by
10 9 08 Contact 417 4822 for pick up information All
staging by applicant Return TCD S to Corp yard 17th B
Street on Mon 10 13 08
Fee summary
T•\Policies \1102.15R [1/05]
Charged Paid Credited
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.
Due
Permit Fee Total 70 00 70 00 00 00
Plan Check Total 00 00 00 00
Grand Total 70 00 70 00 00 00
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
5
5
PW UTILITIES (Engineering.Division)
WATERLINE [METER
sirvikaii4ECtiorr
SANITARY
STORM
SITE,DRAINAGE
1
SITE EROSIO000NTROL.,
SIDEWAIK
PARICING
CURD,rdi:JTTEit
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 WORliBEFOIIEINSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
okiVEVAfth
4-a
z 'ARV"
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RESiDENTIL
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CONSTRUCQNRWPWi
GINEERING
TIRE:
iPLANNING DEPT:
:BUILDING'
TAIrr -7
INSPECTION TYPE DATE
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
'DATE YES COMECA —DATE' 1 ACCEPTED'
417,4807
r
417-4653 1 1 1 F DEPT.
417-470 I 1 1 1
PLANNING DEPT
417-4815 1 7' BUILDING
YES 1 NO
1
1 ,1
0. .11r
I
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4
.1 4 4,4411[, 43,
1 1 1
.LAL
1
'I
ACCEPTED COMMENTS
CONSTRUCTION R.W
PW1 ENGIN, EERING
-1 1» ••1»
1_ .1
OF PORi„v
IL MGM
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Fire hydrant meter
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
T \Policies \1102.15R [1/05]
Qty Unit Charge Per
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
WA 983620217
50 00
00
50 00
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
08 00000643
681633
200 N LINCOLN ST
R6 30 00 0 0 0000 0000
PRIMO CONST
PUBLIC WORKS UTILITES
UNKNOWN
0
BASE FEE
Contractor
OWNER
Permit PUBLIC WORKS RES WATER SERV
Additional desc FIRE HYDRANT METER
Permit pin number 127456
Permit Fee 50 00
Issue Date 5/30/08
Expiration Date 11/26/08
Plan Check Fee
Valuation
Paid Credited
50 00 00
00 00
50 00 00
Date 5/30/08
0 0
0
Extension
50 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
fora 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. j j
A 5(36(0$
Signature of Contractor or Authorized Agent Date 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 CQVER,
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
YES 1 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.RW' PW
ENGINEERING 417-4807
FIRE 417 -4653 I
,PLANNING DEPT 417 -4750 I
BUILDING' 417 -4815
PERMIT INSPECTION RECORD
I
I I
1 I
1 1
CONSTRUCTION RW
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
BUILDING
COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE -g_ YES' NO COMMERCIAL DATE ACCEPTED
YES 1 NO,
of ,ORT~.
t,~~
(.j~
If 'EiiI
~--
~~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Appllcatlon type descrlptlon
Subdlvlslon Name
Property Use
Property Zoning . . .
Application valuatlon
06-00001108 Date 10/06/06
548540
200 N LINCOLN ST
R6-30-00-0-0-0000-0000-
PUBLIC WORKS UTILITES
UNKNOWN
o
~
,
.........
..........
~
Owner
Contractor
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES WA 983620217
OWNER
Permlt . . . . .
Additional desc .
Permlt pln number
Permlt Fee
Issue Date
Expiration Date .
RIGHT OF WAY
R/W USE #06-27
88518
.00
10/06/06
4/04/07
Plan Check Fee
Valuatlon
.00
o
Fee summary Charged Paid Credlted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
Plan Check .Total .00 .00 .00 .00
Grand Total .00 .00 .00 .00
N
~
~
.
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.
f
~
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102.1SR (1105]
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE I
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING -
T:\Policies\1102.15R [1I05J