HomeMy WebLinkAbout2028 E 3rd Ave - BuildingP ony
4'
Owner
JACKSON SUE A
2409 S CHASE ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
T•\Policies\ 1102.15R [1/05]
WA 98362
EUGA SAN SEWER HOOKUP
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 07 00000545 Date 5/22/07
Application pin number 701535
Property Address 2028 E 3RD AVE
ASSESSOR PARCEL NUMBER 06 30 12 5 2 1914 0000
Application type description EUGA PUBLIC WORKS UTILITIES
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 0
Contractor
PRIMO CONSTRUCTION INC
PO BOX 296
CARLSBORG WA
SEQUIM WA 98382
(360) 683 5447
101907
120 00 Plan Check Fee 00
5/22/07 Valuation 0
11/18/07
Qty Unit Charge Per Extension
1 00 120 0000 EA EUGA SAN SEWER HOOKUP 120 00
Other Fees EUGA COUNTY SEWER DEV FEE 3000 00
EUGA SEWER LATERAL CHARGE 300 00
EUGA CITY SEWER DEV FEE 1000 00
Fee summary Charged Paid Credited Due
Permit Fee Total 120 00 120 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4300 00 4300 00 00 00
Grand Total 4420 00 4420 00 00 00
Separate Permits are required forelectrical 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 goveming 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
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 1
PLANNING DEPT 417 -4750 1
BUILDING 417 -4815
T•\Policies \1102.15R (1/05]
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
1 1
1 1
1 1
1 1
1 1
1 1
1
1 1
1 1
1 1
1
1 1
1 1
1 1
1 1
1 1
1 1
YES NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R.W
PW ENGINEERING
1 FIRE DEPT
1 PLANNING DEPT
BUILDING
1 1
1 1
1 1
1 1.