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Application Number 08 00001033
Application pin number 913465
Property Address 1300 ROOK DR
ASSESSOR PARCEL NUMBER R6 30 00 0 0 0000 0000
Tenant nbr name GREEN CROW
Application type description PW ENGINEERING REVIEW
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 0
Application desc
Campbell Ave PRD West side Sewer 25249 03
Owner Contractor
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
T\Policies \1102.15R [1/05]
WA 983620217
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
OWNER
Date 8/25/08
Permit PW ENGINEERING REVIEW SAN SEW
Additional desc
Permit pin number 132670
Permit Fee 186 00 Plan Check Fee 00
Issue Date 8/22/08 Valuation 0
Expiration Date 2/18/09
Qty Unit Charge Per Extension
372 00 5000 ECH PW ENG REVIEW SAN SEW(LF) 186 00
Permit PUBLIC WORKS INSPECTION
Additional desc INSPECTION DRAW DOWN
Permit pin number 132696
Permit Fee 330 00 Plan Check Fee 00
Issue Date 8/22/08 Valuation 0
Expiration Date 2/18/09
Qty Unit Charge Per Extension
6 00 55 0000 HR PW INSPECTION 330 00
Fee summary Charged Paid Credited Due
Permit Fee Total 516 00 516 00 00 00
Plan Check Total 00 00 00 00
Grand Total 516 00 516 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
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 8c GUTTER
DRIVEWAY _APPROACH
.BACK -FLOW: DEVICE
T \Policies \I 102.15R [1/05J
RESIDENTIAL''"'
CONSTRUCTION R.W PW
ENGINEERING 417 -4807
FIRE' 417 -4653 I
.PLANNING DEPT. 417 -4750 I
BUILDING' 417 -4815
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
YES I 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.
PLANNING DEPT
BUILDING
COMMENTS
pORT
0
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Campbell Ave PRD Phase 1 25249 02
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Permit
Qty Unit Charge Per
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
T-Wolicies \1102.15R [1105]
WA 983620217
132662
301 50
8/22/08
2/18/09
132647
250 00
8/22/08
2/18/09
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
08 00001032
828360
1300 ROOK DR
R6 30 00 0 0 0000 0000
GREEN CROW
PW ENGINEERING REVIEW
UNKNOWN
0
Contractor
OWNER
PW ENGINEERING REVIEW ST /ALLEY
PUBLIC WORKS INSPECTION
Plan Check Fee
Valuation
Date 8/25/08
00
0
Extension
603 00 5000 ECH PW ENG REVIEW ST /ALLEY /PARK 301 50
PW ENGINEERING REVIEW STORM
PLUS 8 CB SE $55 00
132654
790 00 Plan Check Fee
8/22/08 Valuation
2/18/09
BASE FEE
2 00 25 0000 ECH PW ENG REVIEW STORM WATER
PW ENGINEERING REVIEW WATER
Plan Check Fee
Valuation
00
0
Extension
740 00
50 00
00
0
Qty Unit Charge Per Extension
60 00 5000 ECH PW ENG REVIEW WATER(LF) 30 00
4 00 55 0000 ECH PW ENG ADDITIONAL REVIEW 220 00
Separat and void i f w are r co qred i struc for
ion authorizediis Shoreline, ESA,
within utilities, private and public
days, if construction or l works suspended or abandoned
null and void 1 work or construct
f p p ct io n of 180 days after the a work as read and examined this l a applica
tion a nd know the to be true and correct. Al l provisions of
la an o I hereby overn that I have
laws me e to give authority governing thority to violate r of
ancel theip be rovisions e of any state or herein or not. The
regulating construction n or the performance of
presume to give auo
construction.
Date Signature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
0
0
B
CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COV.E&
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
SITE EROSION'CONTROL
PARKING:
SIDEWALK,
CURB GUTTER
DRIVEWAY:APPROACH
,BACK -FLOW DEVICE
INSPECTION TYPE DATE ACCEPTED
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
PERMIT INSPECTION RECORD
YES 1 NO
RESIDENTIAL
CONSTRUCTION RW` PW
ENGINEERING,
T•\Policies \1 IO2.15R°[ I /05]="
417 -4807
FIRE: 417 -4653 1
PLANNING DEPT 417 -4750
BUILDING 417 -4815
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE' YES NO` COMMERCIAL DATE-'
CONSTRUCTION RW
PW ENGINEERING
I FIRE DEPT.
I PLANNING DEPT
BUILDING
COMMENTS
7ACCEPTED
YES I NO.'
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Page 2
Application Number 08 00001032 Date 8/25/08
Application pin number 828360
Additional desc INSPECTION DRAW DOWN
Permit pin number 132639
Permit Fee 880 00 Plan Check Fee 00
Issue Date 8/22/08 Valuation 0
Expiration Date 2/18/09
Qty Unit Charge Per Extension
16 00 55 0000 HR PW INSPECTION 880 00
Fee summary Charged Paid Credited Due
Permit Fee Total 2221 50 2221 50 00 00
Plan Check Total 00 00 00 00
Grand Total 2221 50 2221 50 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
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T•\Policies \1102.15R [1/05]
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
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE, DRAINAGE
SITE EROSION' CONTROL.
P
SIDEWALK
CURB GUTTER
:DRIVEWAY APPROACH
BACK -FLOW DEVICE
RESIDENTIAL
CONSTRUCTION R W
ENGINEERING
`FIRE
PLANNING DEPT
BUILDING'
r \Policies \I 102.15R (1/05)
PERMIT INSPECTION RECORD
INSPECTION TYPE DATE ACCEPTED
417,4807
417 -4653 I
417 -4750
417 -4815
YES I NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE s YES 'NO COMMERCIAL--- DATE== ACCEPTED;
yEs
CONSTRUCTION R:W
PW ENGINEERING'
FIRE DEPT.
PLANNING DEPT
BUILDING
COMMENTS