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Home My WebLink About2807 Porter St - BuildingPREPARED 5/23/07 8 17 28 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/23/07 ADDRESS 2807 PORTER ST SUBDIV CONTRACTOR PHONE OWNER UNITED STATES OF AMERICA PHONE PARCEL 06 30 14 2 1 0050 0000 APPL NUMBER 05 00000817 COMM ADDITION PERMIT BPC 01 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS IONY 01 12/05/06 JLL INSPECTION ONLY TIME 13 00 12/05/06 AP BUD 206 300 9925 12/04/2006 01 47 PM DYASUMUR 12/05/2006 03 36 PM JLIERLY BL99 01 5/23/07 JLL BLDG FINAL 2-3 05/17/2007 02 26 PM LPANGRLE JAY 206 200 9743 WED 05 23 07 AFTER 10 00 AM BUILDING FINAL COMMENTS AND NOTES PREPARED 4/04/07 11 09 59 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/04/07 ADDRESS 2807 PORTER ST SUBDIV CONTRACTOR PHONE OWNER UNITED STATES OF AMERICA PHONE PARCEL 06 30 14 2 1 0050 0000 APPL NUMBER 05 00000817 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMRRCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 4/04/07 LL BUILDING FOUNDATION MONO SLAB 04/04/2007 08 47 AM PBARTHOL BRYAN 206 200 9977 COMMENTS AND NOTES PREPARED 12/05/06 10 41 39 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/05/06 ADDRESS 2807 PORTER ST SUBDIV CONTRACTOR PHONE OWNER UNITED STATES OF AMERICA PHONE PARCEL 06 30 14 2 1 0050 0000 APPL NUMBER 05 00000817 COMM ADDITION PERMIT BPC 01 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS IONY 01 12f 05/06 LL INSPECTION ONLY TIME 13 00 BUD 206 300 9925 12/04/2006 01 47 PM DYASUMUR COMMENTS AND NOTES Other struct info Other Fees CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 05 00000817 Application pin number 380569 Property Address 2807 PORTER ST ASSESSOR PARCEL NUMBER 06 30 14 2 1 0050 0000 Application type description COMM ADDITION Subdivision Name Property Use Property Zoning Application valuation 50000 Owner Contractor UNITED STATES OF AMERICA OWNER NISQUALLY NATL WILD REF OLYMPIA WA 98506 HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE NUMBER OF UNITS Special Notes and Comments PERMIT EXTENDED LETTER ON FILE 06/08/2006 11 19 AM DYASUMUR The Fire Department has reviewed the project application and has no comments 09/02/2005 05 08 PM SROBERDS The proposal to install a new antenna array was approved by CUP 05 02 with the condition that a building permit be obtained for the work Therefore no land use should be anticipated Connect Fee does not apply 09/02/2005 08 33 AM JHEBNER Public works electrical engineering has no requirements for this plan review Any modifications to the electrical facilities will be at the customer s expense 09/02/2005 08 33 AM JHEBNER Public Works Utility Engineering has no requirements for this plan review Fee summary Charged Paid Credited Due T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] Date 6/08/06 1 1 00 1 00 1 00 1 00 1 00 Permit BUILDING PERMIT COMMERCIAL Additional desc Permit pin number 79764 Permit Fee 00 Plan Check Fee 00 Issue Date 6/08/06 Valuation 50000 Expiration Date 12/05/06 STATE SURCHARGE 4 50 Permit Fee Total 00 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 4 50 4 50 00 00 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes I v 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. /46C //5/06 BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES 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 NO FOUNDATION: l v' 0 h t S 1 �y Jo 410-1- :L- FOOTINGS I 1 ^�J I WALLS I 1 FOUNDATION DRAINAGE DOWN SPOUTS 1 PIERS 1 1 POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /SLAB 1 1 ROUGH -IN I 1 WATER LINE (METER TO BLDG) 1 GAS LINE I 1 FINAL DATE ACCEPTED BY: BACK FLOW WATER 1 AIR SEAL WALLS I 1 CEILING 1 FRAMING JOISTS GIRDERS I 1 SHEAR WALL/HOLD DOWNS 1 1 WALLS ROOF CEILING 1 1 DRYWALL (INTERIOR BRACED PANEL ONLY) 1 1 T -BAR 1 INSULATION SLAB 1 WALL FLOOR CEILING 1 1 MECHANICAL HEAT PUMP /FURNACE /DUCTS 1 1 GAS LINE 1 WOOD STOVE PELLET CHIMNEY 1 1 FINAL DATE ACCEPTED BY. COMMERCIAL HOOD DUCTS 1 MANUFACTURED HOMES FOOTING SLAB 1 1 BLOCKING HOLD DOWNS 1 1 SKIRTING 1 1 1 1 PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING 1 1 ESA. LANDSCAPING I I SHORELINE: FINAL. INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO ELECTRICAL LIGHT DEPT CONSTRUCTIONRW PW/ CONSTRUCTION RN/ ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 4653 I 1 I I FIRE DEPT. PLANNING DEPT 417 -4750 I I 1 1 PLANNING DEPT BUILDING 417 -4815 1 1 1 BUILDING T n 0 1 1.. I4;.. ..nm .t .vcnechon record05.wod 11/4/20051 417 -4735 ELECTRICAL LIGHT DEPT 1 1 1 I. 16/23/61 1 (6/8/2006) David Yasumura Request for extension of permit 59352 (2807 Porter Street) (WA1 White Creek) Page 1 From 'Renken, Robert' <Robert.Renken @alcoa.com> To <dyasumura @cityofPA.us> Date. 6/5/2006 9 AM Subject: Request for extension of permit 59352 (2807 Porter Street) (WA1 White Creek) Mr Yasumara, Ms Sue Roberds requested I forward this this request to your for an extension of our approved building permit. It has taken longer than anticipated to secure our necessary materials to start this project. We would like to request an additional 180 day extension for the existing permit. If this is acceptable please rely as notice of your approval and the new expiration date for this permit. Thank you and sincerely Bud Robert L. Renken Senior Project Manager WA Market Lead Alcoa Wireless Services 4030 Lake Washington Blvd NE Suite 300 Kirkland WA 98033 -7870 ?xml:namespace prefix o ns urn: schemas microsoft- com•office•office (0) 425 803 -2183 (M) 206 300 -9925 (F) 206 350 -4981 robert.renken @alcoa.com Robert, I have enclosed both your and our copies of the building permit,please sign both of the copies. Keep one for the contractor, which will need to be posted on site dunng construction. Please return the other signed copy to our office. I have included two electncal permit applications which are separate from the building permit. These will need to be applied for at the time the work is started. Any questions regarding the electrical permit should go to Al Oman Electncal inspector 360 -417 -4735 Please contact me if I can be of assistance. Pat Barthohck 360 417 -4815 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner UNITED STATES OF AMERICA NISQUALLY NATL WILD REF OLYMPIA WA 98506 Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per BASE FEE 25 00 10 1000 THOU BL -25 001 50K (10 10 PER K) Special Notes and Comments The Fire Department has reviewed the project application and has no comments 09/02/2005 05 08 PM SROBERDS The proposal to install a new antenna array was approved by CUP 05 02 with the condition that a building permit be obtained for the work Therefore no land use should be anticipated Connect Fee does not apply 09/02/2005 08 33 AM JHEBNER Public works electrical engineering has no requirements for this plan review Any modifications to the electrical facilities will be at the customer s expense 09/02/2005 08 33 AM JHEBNER Public Works Utility Engineering has no requirements for this plan review Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged 667 25 433 71 4 50 1105 46 Signature of Contractor or Authorized Agent T \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000817 380569 2807 PORTER ST 06 30 14 2 1 0050 0000 COMM ADDITION 50000 OWNER HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE NUMBER OF UNITS BUILDING PERMIT COMMERCIAL TELECOMMUNICATIONS TOWER 59352 667 25 Plan Check Fee 433 71 9/21/05 Valuation 50000 3/20/06 STATE SURCHARGE Paid Credited 667 25 433 71 4 50 1105 46 Contractor Date 00 00 00 00 Date 9/21/05 1 1 00 1 00 1 00 1 00 1 00 Extension 414 75 252 50 4 50 Due 00 00 00 00 [2 eto G /oc rf t 1 z 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 Owner (if owner is builder) Date CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES 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 FOUNDATION FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER it AJR SEAL WALLS C EILING y.� k R�AMIN+C. OISTS /ERS 'I SHEAR /HOLD DOWNS 1 n. WALLS 70F CEILING DRYWALh NTERIOR BRACED P 9 T -BAR tsA ilklogif .fir 0 '1NSULATI® 4114 SLAB 4 IA WALL FLOOR CEILING MECHA4 HEAT P1.Ift FURNACE DUCTS GAS LINE WOOD JOVE PELLET CHIMNEY COMME!P L HOOD DUCTS lr MANUFACT RED HOMES FOOTIN4i�(S 01 BLOCKING HOLD DOWNS o ll SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING FIRE PLANNING DEPT RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING Ann ONLY) BUILDING 417 -4815 1 1 1 I I I I 1 1 1 1 T \Policies \1102 15 building permit inspection record05.wpd [1/4/2005) BUILDING PERMIT INSPECTION RECORD DATE ACCEPTED I I 1 I 1 1 1 1 I I I I I I YES 1 NO SEPA. ESA. SHORELINE. COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT 417 -4807 CONSTRUCTION ENGINEERING W 417 -4653 I 1 1 1 FIRE DEPT 417 -4750 I 1 1 1 PLANNING DEPT 1 1 BUILDING ALCOA City of Port Angeles Building Department 321 East Fifth Street Port Angeles, WA 98362 Att: Permit Counter "Pat" Re: Venzon Wireless' Building Permit 2807 Porter Street WA1 White Creek Dear Building Department, Per conversation on 9/14/05 with Pat in the Building Department, attached is the required fee for issuance of the Building Permit for the Venzon Wireless project to add antennas to and existing Bonneville Power Authority tower located at 2807 Porter Street. Per Pat's direction, the check is enclosed to issue the permit. If possible please sign the attached Confirmation of receipt and use the enclosed UPS overnight package to mail the permit to our Kirkland, WA office. I appreciate working with the City of Port Angeles on this development and look forward to possible future projects. If you should have any questions regarding the process please feel free to contact me at your convenience. Sincerely, Robert L. Renken Project Manager Alcoa Wireless Services Attachments Alcoa Wireless Network Services, Inc. is a subsidiary of Alcoa Inc. Alcoa Wireless Services 4030 Lake Washington Blvd. NE, Suite 300, Kirkland, WA 98033 Office: 425- 803 -2183 Fax. 206-350-4981 robert renken @alcoacom rITY OF PORT ANGELES pt. of Community Development Applicant or Agent: S e s Y3 L P &a Ve.ri oN W r�ejr s oboe' .,rKa CHI con IN 'treks; Seeufces Owner 8ONI11EUIL�E POW62 ASS An Al p�, G�cN r sva\e -3 as 'Addre z• O o Lo kv, W o, S��no.� a r. Qo \ra. City k I J LA Architect/Engineer KD C. kt- 6 Contractor TT' Address. PROJECT ADDRESS 2.$rY7 pc i-Atr LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. OG 3o I 1 1 —24 o /2_0 Credit Card Holder Na?-. Billing Address City• Credit Card Type VISA MC Exp. Date TYPE OF WORK Residential New Constr Re -roof Stove Multi family it Addition Move Garage Commercial Remodel Demolition Deck Repair Sign Other TOTAL VALUATION 50, c20 1 BRIEF DESCRIPTION OF THE PROJECT lkAA �oY. ogr a.,�te s or. }o eX 144 i C.or..rhun{c.o�t^,to. To vac.— w ki‘ 0. t tom2.v.' V J COMMERCIAL /RESIDENTIAL Occupancy Group No of Stories: V Lot Size 5 77 1 0 S$Existing Sq Ft. NSA Total lot coverage 1 PLANNING USE ONLY BUILDING PERMIT APPLICATION www.cityofpa.us Print out form and fill out COMPLETELY in INK. Your application and plan MUST BE COMPLETE to be accepted for review Questions? Call. PERMITS (360) 417 -4815 Fax (360) 417 -4711 State License City. ESA /Wetland(s) Yes No SEPA Checklist required? Yes No Other SIZE /VALUATION SF /SF SF /SF SF /SF FOR OFFICIAL USE ONLY Date Rec. Permit tt• Date Approved Date Issued: Phone: 72.5" ga3' a/S3 Phone: 360 6 1 63 2$ W P! Zip 9 033 Phone: 4 L S 670 —$65 Exp Phone: Zip ZONING C y Prod,,.{. 1 Occupant Load. Construction Type. (y �p Proposed Sq Ft. 2.2 S TOTAL Sq Ft. I APPROVALS PLAN BLDG DPWU FIRE OTHER BUILDING PERMIT APPLICATION SUBMITTAL. The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3 2 of the International Building /Residential Code, 2003) No application can be extended more than once. I hereby certify that 1 have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, t the City's, an th 1 must obtain such permits prior to work. www.cityofpa.us Applicant: D Y :SINS70.10. ,11K4';WP..i,•1•+ sui: :.AifKS :w )0,)10;4 .,:mstwdx'1? Ars.: 9.'V U 4 :WyF4 s4s; %0 ...,a PROPOSED PROJECT AREA SEE PROPOSED VERIZON WIRELESS EQUIPMENT CABINETS ON PROPOSED 9'- 0'x1 -0" CONCRETE PAD XIS7ING 146'-0" NIGH _ATTICS TOWER EXISTING 0.11. r UIILIIY L iii (1YP) r EXISTING BUILDING t. 83' 5,t TO C.L. OF NEW ANTENNAS 1 SITE ALPHA HO: I OA17 I ISSUED AS I Prelirninury Prt iminsrv- Rmi.,ed 1 Zs',nn- Special Use Permit Aooliccuionl I Cuvtruc :'on Pcrmlt 'Aanlicntion I 'ssues to Zomno /Con0trurtion 1 Is.luee 'or CansIructio4 I Is.uce Zon ne N Cnnstruclinn''ermit I As Suitt/Record Set 1 Far 0, Id Eng, ng Appi VERIZON WIRELESS I CELLULAR DESIGN ENGINEER APPRCVAL 1 PRINTED NAME 1 SIGNATURE TITLE rDATE _VERIZON WIRELESS i PROPERTY OWNER APPROVAi. I PRINTED NAME S0;141'IURE I TITLE (DATE APPROVALS /ISSUE DATES L PARK STREET PROPERTY LINE 585'81 .440 "E 591.84' J EASEMENT PARCEL 06,70 14- 2 10 120 PROPERTY LINE N8816'I TV 638.57' PER CLALLAM TITLE COMPANY ORDER N0. 93377 -6 DATED MARCH 18, 2005: THE NORTHWEST OUAR7ER OF THE NORTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 14, TOWNSHIP 30 NORTH, RANGE 6 NEST, W.M. CLALLA4 COUNTY, WASHINGTON. EXCEPT THE WEST 30 FEET CONVEYED 70 CLALLAM COUNTY FOR ROAD PURPOSES BY DEED RECORDED NOVEMBER 19, 1958 UNDER AUDITOR'S FILE NO 311540; ALSO EXCEPT THAT PORTOIN CONVEYED TO THE CITY OF PORT ANGELES BY DEED RECORDED JUNE 28, 1996 UNDER AUDITOR'S FILE N0. 747488. SITUATE 1N THE COUNTY OF CLALLAM, STATE OF WASHINGTON. LEGAL DESCRIPTION FROM SEATAC AIRPORT 534' -5"4 TO C.L. OF NEW ANTENNAS 1 EN DRIVING DIRECTIONS TURN RIGHT (5OWrI) ONTO sR -99 (INTERNATIONAL BLVD) 2.0 MI TURN LEFT (EAST) ONTO 5 2001H 5I 0.4 MI 1AKE RAMP (RIGHT) ONTO 1 -5 18.7 MI AT EX; 132. 11641 9I09T ONTO RAMP 0.1 MI TAKE RAMP (RAG +IT) OATO SR 6 27 0 M• ROAD NAM) CHANCES TO SR- 25 3 4` TURN LEFT (NORTH- -'w)SI) UNTO SR -104 15.8 MI K7EP STRAIGHT ONTO US ^1 37.2 MI TURN L -.F (S0U11 ONTO (N) L ERTY ST 0.7 444 TURN RIGHT (WEST) ONTO F PARK AVL 2.1 MI TURN LEr SOUTH) ONTO 704 ",R S1 M% 1 1 1 1 PROPERTY UNE 505•08'17'W 100.00' 1 1 •OUR 011744 DEED REC N0. 741488 10 THE CITY -1 1 1$ s I Ip 30' -0" WIDE EASEMENT FOR STREET PURPOSES REC N0. 346002 PROPERTY UNE 585'51 40"E 40,00' Li.}... 30' ^O" WIDE ROAD EASEMENT -..E O'1249Q8' SCALE 1'40 -9V 1 1017 SCALE T41.7-01\, CONFIDENTIAL AND PROPRIETARY Nut lul oisclosure outs;dc VERIZON WIRELESS withau' perm155,on. 1 roA Alwelw '1 tie 141Ki il i1 SUE 1 VICINITY MAP WAD 83 LAT 48'0605.0 N LONG. 1, 25'36.5" W pORTANGELES W A S H I N G T O N U S A Economic Community Development June 13, 2005 Mr Rob Renken Alcoa Wireless 4030 Lake Washington Blvd., Suite 300 Kirkland, WA 98033 Re Conditional Use Permit CUP 05 -02 Venzon Wireless 2807 Porter Street, Port Angeles (White Creek site) Dear Mr Renken. As you know, following a public heanng conducted on June 8, 2005,. the Planning Commission approved the co- location of a telecommunications facility at 2807 Porter Street as described in your application to this department. The facility will be co- located on an existing tower within the Bonneville Power Substation site per the following conditions Conditions. 1 The applicant shall construct the additional antennae array on the existing utility pole located at 2807 Porter Street, Port Angeles, per the Conditional Use Permit application submitted on May 2, 2005, to the City of Port Angeles. All standards for the proposed construction shall be observed and as part of the development, Bonneville Power Association will assess and venfy the structural adequacy of the structure 2 The support site will require .a building permit issued by the City of Port Angeles. Utility service shall be underground at the applicant's expense If you have any questions regarding the conditions of approval, please don't hesitate to contact this department. Good luck! Sincerely, Sue Roberds Assistant Planner cc Public Works and Utilities Phone 360- 417 -4750 Fax: 360- 417 -4711 Website www cityofpa. us Email smartgrowth @cityofpa us 321 East Fifth Street P 0 Box 1150 Port Angeles WA 98362 -0217 Application Number 05 00000226 Pin number 416086 Property Address 2807 PORTER ST ASSESSOR PARCEL NUMBER 06 30 14 2 1 0050 0000 Application description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning Application valuation 0 Owner Contractor UNITED STATES OF AMERICA OWNER t NISQUALLY NATL WILD REF OLYMPIA WA 98506 Expiration Date 9/27/05 Fee summary Charged Paid Credited T•\Policies \1102.15R [1/05] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Date 3/31/05 Permit PUBLIC WORKS COMM WATER SERV Additional desc F/H METER Permit Fee 40 00 Plan Check Fee 00 Issue Date 3/31/05 Valuation 0 Qty Unit Charge Per Extension BASE FEE 40 00 Due Permit Fee Total 40 00 40 00 00 00 Plan Check Total 00 00 00 00 Grand Total 40 00 40 00 00 00 Separate Permits are requiredforelectrical 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 orwork is suspended or abandoned fora 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 Of 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 RESIDENTIAL CONSTRUCTION RW PW/ ENGINEERING 417 -480' FIRE 417-4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T\Policies \1102.15R 1/05] 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 I 1 1 i 1 1 1 I 1 1 YES 1 NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO CONSTRUCTION RW PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING