HomeMy WebLinkAbout2400 W 12th St - Building`Fl OP PORT
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Application Number 07 00001519
Application pin number 179175
Property Address 2400 W 12TH ST
ASSESSOR PARCEL NUMBER R6 30 00 0 0 0000 0000
Tenant nbr name QWEST
Application type description PUBLIC WORKS UTILITES
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 0
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
Date 12/21/07
EXCEL UTILITIES CONSTRUCTION
54 MISTY LN
PORT ANGELES WA 98362
(360) 452 1110
Permit RIGHT OF WAY
Additional desc BURIED PHONE 2400' BL-W 12TH
Permit pin number 118042
Permit Fee 00 Plan Check Fee 00
'Issue Date 12/21/07 Valuation 0
Expiration Date 6/18/08
Fee summary Charged Paid Credited Due
Permit Fee 'Total 00 00• 00 .00,
Plan Check Total 00 00 00 0
Grand Total 00 00 00 00
Separate Permits are required tor electrical work, SEPA, Shoreline, ESA, utilities, private aiid 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 18 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 F 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 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 \1102.15R [I/05]
O
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 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T \1102.15R [1/05]
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 I NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
I BUILDING
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
T•\Policies \1102.15R [1/05]
Permit Fee Total
Plan Check Total
Grand Total
WA 983620217
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00001095
093420
2400 W 12TH ST
R6 30 00 0 0 0000 0000
PUBLIC WORKS UTILITES
UNKNOWN
0
Contractor
OWNER
RIGHT OF WAY
3 PWER CROSSINGS ON 12TH ST
88344
00
10/04/06
4/02/07
Plan Check Fee
Valuation
Charged Paid Credited
00 00 00
00 00 00
00 00 00
Date 10/04/06
Due
00
00
00
00
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 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 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
RESIDENTIAL
CONSTRUCTION RW PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T•\Policies \1102.15R 1 /05)
PERMIT INSPECTION RECORD
YES I NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES i NO
CONSTRUCTION RW
PW ENGINEERING
I FIRE DEPT.
I PLANNING DEPT.
BUILDING
f dR tax vaE
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
Permit RIGHT OF WAY
Additional desc WATER /SEWER CROSSINGS
Permit pin number 88799
Permit Fee 50 00
Issue Date 10/10/06
Expiration Date 4/08/07
T•\Policies\ 1102.15R 1105]
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Qty Unit Charge Per
1 00 50 0000 ECH
Fee summary Charged
Permit Fee Total 50 00
Plan Check Total 00
Grand Total 50 00
WA 983620217
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5Th STREET PORT ANGELES, WA 98362
06 00001116
005392
2400 W 12TH ST
R6 30 00 0 0 0000 0000
PUBLIC WORKS UTILITES
UNKNOWN
0
Contractor
RIGHT OF WAY PERMIT
VISION BUILDERS INC
3705 CRITCHFIELD RD
PORT ANGELES WA 98363
(360) 452 1186
Paid Credited
50 00
00
50 00
ON 12TH
Plan Check Fee
Valuation
00
00
00
Date 10/10/06
Due
00
00
00
00
0
Extension
50 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 •'s type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to� authori to ol. to or cancel the provisions of any state or local law regulating construction or the performance of
cons �t9
Signayure of Contractor 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 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
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T•\Policies \I 102.15R 1 /05)
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES I NO
RESIDENTIAL
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COMMENTS
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 1LW
PW ENGINEERING
I FIRE DEPT.
I PLANNING DEPT
BUILDING
I I I
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