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Home My WebLink About2300 W 16th St - BuildingHABITAT FOR HUMANITY CL COUNTY 3430 HWT 101 E STE #32 PORT ANGELES WA PORT ANGELES WA 98362 Application desc Engineering review for Maloney Heights Application Number 09 00'000936 Date 1/22/10 Application pin number 280968 Property Address 2300 W 16TH ST ASSESSOR PARCEL NUMBER 06 30 99 1 1 0220 0000 Tenant nbr name HABITAT FOR HUMANITY Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning RESIDENTIAL MEDIUM DENSTY Application valuation 0 Owner Contractor CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 OWNER Permit PW ENGINEERING REVIEW SAN SEW Additional desc Permit pin number 153346 Permit Fee 300 00 Plan Check Fee 00 Issue Date 1/22/10 Valuation 0 Expiration Date 7/21/10 Qty Unit Charge Per Extension 600 00 5000 LF PW ENG REVIEW SAN SEW(LF) 300 00 Permit PW ENGINEERING REVIEW ST /ALLEY Additional desc Permit pin number 153361 Permit Fee 220 00 Plan Check Fee 00 Issue Date 1/22/10 Valuation 0 Expiration Date 7/21/10 Qty Unit Charge Per 440 00 5000 LF PW ENG REVIEW ST /ALLEY /PARK Extension 220 00 Permit PW ENGINEERING REVIEW STORM Additional desc Permit pin number 153353 Permit Fee 375 00 Plan Check Fee 00 Issue Date 1/22/10 Valuation 0 Expiration Date 7/21/10 Qty Unit Charge Per Extension BASE FEE 300 00 3 00 25 0000 ECH PW ENG REVIEW STORM WATER 75 00 1 Permit PW ENGINEERING REVIEW WATER 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 T' \Policies \1102 15 [10/08] 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 -4831 I FIRE 417 -4653 I I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I T \Policies \1102 15 [10/08] RESIDENTIAL 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 1 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 I BUILDING OR r CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 Application Number 09 00000936 Date 1/22/10 Application pin number 280968 Additional desc I Permit pin number 153338 j Permit Fee 550 00 I Plan Check Fee 00 Issue Date 1/22/10 Valuation 0 Expiration Date 7/21/10 Qty Unit Charge Per 1100 00 5000 LF PW ENG REVIEW WATER(LF) Special Notes and Comments Fees applied per PAMC 3 70 115 fees to be paid by applicant prior to any further review by Publlic Works and Utilities I Fee summary Charged P Credited Due I Permit Fee Total 1445 00 14 00 00 00 Plan Check Total 00 I 00 00 00 Grand Total 1445 00 1445 00 00 00 Signature of Contractor or Authorized Agent T \Policies \1 102.15 10/08] 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 wil 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. Date Extension 550 00 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 \1102 15 [10/08] RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD YES 1 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 1 PLANNING DEPT BUILDING ftly