HomeMy WebLinkAbout2158 W 4th St - BuildingSig'
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 09 00000431
Application pin number 419913
Property Address 2158 W 4TH ST
ASSESSOR PARCEL NUMBER 06 30 00 9 4 0072 0000
Tenant nbr name WAVE BROADBAND
Application type description PUBLIC WORKS UTILITES
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Direct bury TV cable along R/W
Owner
O KEEFE DANIEL KIM
2158 W 4TH ST
PORT ANGELES WA 983631402
(360) 565 0131
Qty Unit Charge Per
T \Policies \1102 15 [10 /O8]
BASE FEE
Contractor
DECIBELS INC
P 0 BOX 515
SPANAWAY
(253) 473 5855
Permit RIGHT OF WAY
Additional desc DIRECT BURY TV CABLE ALONG R/W
Permit pin number 145730
Permit Fee 70 00 Plan Check Fee
Issue Date 5/15/09 Valuation
Expiration Date 11/11/09
Fee summary Charged Paid Credited
Date 5/15/09
WA 98387
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
00
0
Extension
70 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
v -15 -67
e of ontractir 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 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
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
I BACK -FLOW DEVICE
RESIDENTIAL
CONSTRUCTION R.W PW
ENGINEERING 417 -4831
I FIRE
PLANNING DEPT
BUILDING
T \Policies\] 102 1 [10/08]
417 -4653 I
417 -4750
417 -4815
PERMIT INSPECTION RECORD
YES NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE 1 ACCEPTED
I I
I I
I I
I
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
I BUILDING
YES NO