HomeMy WebLinkAbout520 Lopez Ave - BuildingApplication Number 04 00000818
Pin number 859854
Property Address 520 LOPEZ AVE
ASSESSOR PARCEL NUMBER 06 30 10 4 3 0390 0000
Application description PUBLIC WORKS UTILITES
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Owner
PIERSON KELLY JO
520 LOPEZ ST
PORT ANGELES
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Fee summary Charged
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
WA 983626509
Permit Fee Total 640 00
Plan Check Total 00
Grand Total 640 00
Contractor
ANGELES PLUMBING
P 0 BOX 1151
PORT ANGELES
(360) 452 8525
PUBLIC WORKS RES WATER SERV
RELOCATE WHIDBY TO VINE
640 00 Plan Check
9/14/04 Valuation
3/14/05
640 00
00
640 00
9 -/E-i-0
Signature of Contractor or Authorized Agent Date
Date 9/14/04
WA 98363
Fee 00
0
Qty Unit Charge Per Extension
1 00 640 0000 EA PW W/M 1 SERV 5/8 METER 640.100
Paid Credited Due
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
constru
o p
Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
ELECTRICAL LIGHT DEPT
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL 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
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]
YES 1 NO
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
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
BUILDING
I I I
I I I
I I I