HomeMy WebLinkAbout1216 Spruce St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
SHADOW ROBIN A
268 BLACK DIAMOND RD
PORT ANGELES WA 983632403
Permit
Additional desc
Permit pin number 49924
Permit Fee 715 00
Issue Date 5/26/05
Expiration Date 11/22/05
Qty Unit Charge
1 00 715 0000
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
1 00 110 0000
Other Fees
Fee summary
T•\Policies \1102.15R 1/051
PUBLIC WORKS RES WATER SERV
Per
EA PW W/M 1 SERV 5/8 METER
SANITARY SEWER HOOK UP
49932
110 00
5/26/05
11/22/05
Per
EA SAN SEWER HOOKUP
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
05 00000399
202043
1216 SPRUCE ST B
06 30 08 1 3 0175 0000
PUBLIC WORKS UTILITES
RS7 RESDNTL SINGLE FAMILY
0
Contractor
OWNER
Plan Check Fee
Valuation
Plan Check Fee
Valuation
SEWER SYSTEM DELV CHARGE
PW WATER SYSTEM USE FEE
Charged Paid Credited
Permit Fee Total 825 00 825 00 00
Plan Check Total 00 00 00
Other Fee Total 1770 00 1770 00 00
Grand Total 2595 00 2595 00 00
Date 5/26/05
00
0
Extension
715 00
00
0
Extension
110 00
745 00
1025 00
Due
00
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
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
T\Policies \1102.15R [1/05]
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
I I
I I
I I
I I
CONSTRUCTION ILW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
BRADOW ROBIN A
268 BLACK DIAMOND RD
PORT ANGELES WA 983632403
Permit
Additional desc
Permit pin number 49908
Permit Fee 715 00
Issue Date 5/26/05
Expiration Date 11/22/05
T•\Policies \I 102.15R (1/051
Qty Unit Charge Per
1 00 715 0000 EA
Other Fees
Qty Unit Charge
1 00 110 0000
Permit
Additional desc
Permit pin number 49916
Permit Fee 110 00
Issue Date 5/26/05
Expiration Date 11/22/05
Fee summary Charged
Permit Fee Total 825 00
Plan Check Total 00
Other Fee Total 1770 00
Grand Total 2595 00
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
05 00000398
101286
1216 SPRUCE ST A
06 30 08 1 3 0175 0000
PUBLIC WORKS UTILITES
RS7 RESDNTL SINGLE FAMILY
0
Contractor
OWNER
PUBLIC WORKS RES WATER SERV
SANITARY SEWER HOOK UP
Per
EA SAN SEWER HOOKUP
Plan Check Fee
Valuation
PW W/M 1 SERV 5/8 METER
Plan Check Fee
Valuation
Date 5/26/05
00
825 00 00 00
00 00 00
1770 00 00 00
2595 00 00 00
SEWER SYSTEM DELV CHARGE 745 00
PW WATER SYSTEM USE FEE 1025 00
Paid Credited Due
0
Extension
715 00
00
0
Extension
110 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
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
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\ 1102.15R [1/05]
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
PERMIT INSPECTION RECORD
YES I NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
I I
I I
I I
I I
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
I I I
I I I
I I
of ?ORT
APIPNab-
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
BRADOW ROBIN A
268 BLACK DIAMOND RD
PORT ANGELES WA 983632403
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
T• \Policies \1102.15R 1/05]
Qty Unit Charge
1 00 110 0000
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
PUBLIC WORKS RES WATER SERV
49882
715 00
5/26/05
11/22/05
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
05 00000397
000529
1216 SPRUCE ST
06 30 08 1 3 0175 0000
PUBLIC WORKS UTILITES
RS7 RESDNTL SINGLE FAMILY
0
Contractor
OWNER
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 715 0000 EA PW W/M 1 SERV 5/8 METER
SANITARY SEWER HOOK UP
49890
110 00 Plan Check Fee 00
5/26/05 Valuation 0
11/22/05
Per
EA SAN SEWER HOOKUP
SEWER SYSTEM DELV CHARGE
PW WATER SYSTEM USE FEE
Charged Paid Credited
825 00 825 00 00
00 00 00
1770 00 1770 00 00
2595 00 2595 00 00
Date 5/26/05
00
0
Extension
715 00
Extension
110 00
745 00
1025 00
Due
00
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 GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
CONSTRUCTION RW PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
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
YES I NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION RW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING