HomeMy WebLinkAbout1928 Lindberg Rd Irr - BuildingT•\Policies \1102.15R [1/05)
Application Number 06 00001094 Date 10/03/06
Application pin number 097466
Property Address 1928 LINDBERG RD IRR
ASSESSOR PARCEL NUMBER 06 30 13 5 7 0005 0000
Tenant nbr name OLYMPIC VIEW PARTNERS
Application type description PLUMBING REPAIR
Subdivision Name
Property Use
Property Zoning RESIDENTIAL HIGH DENSITY
Application valuation 0
Owner Contractor
OLYMPIC VIEW PARTNERS LLC OWNER
113 SOUTH VALLEY STREET
PORT ANGELES WA 98362
(360) 417 1110
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Permit PLUMBING PERMIT
Additional desc
Permit pin number 88336
Permit Fee 57 00 Plan Check Fee 00
Issue Date 10/03/06 Valuation 0
Expiration Date 4/01/07
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 7 0000 ECH PL OTHER BACKFLOW 2 7 00
Fee summary Charged Paid Credited Due
Permit Fee Total 57 00 57 00 00 00
Plan Check Total 00 00 00 00
Grand Total 57 00 57 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 goveming 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 loc law regul ng constriction or the performance of
construction.
Signature of Contractor or Authorized Agent Date
nature 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.
INSPECTION TYPE DATE ACCEPTED
YES 1 NO
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
Y
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
r
a
RESIDENTIAL
CONSTRUCTION RW PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T•\Policies \1102.15R 1/05]
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
1 I
1 I I
1 1 I
1 1 I
1 I 1
1 1
I I
1 1 I
1 1
1 1 I
1 1 1
1 1 I
1 1 I
1 1 I
1 1
1 1 I
1 1 1
1 1 I
1 I 1
1 1 1
1 1 I
1 1 1
1 I
1 1
1 1 I
COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
1 1
1 I
1 1
I 1
CONSTRUCTION }LW
PW ENGINEERING
1 FIRE DEPT.
1 PLANNING DEPT
BUILDING
1 1 1
1 1 1
1 1
1 1
yonr Ntomdes
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
T•\Policies\ 1102.15R 1/05]
OLYMPIC VIEW PARTNERS LLC
113 SOUTH VALLEY STREET
PORT ANGELES WA 98362
(360) 417 1110
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
Fee summary Charged
Permit Fee Total 425 00
Plan Check Total 00
Grand Total 425 00
PUBLIC WORKS RES
2 TURBO DROP IN
87924
425 00
10/03/06
4/01/07
Signature of Contractor or Authorized Agent Date
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00001066
100966
1928 LINDBERG RD IRR
06 30 13 5 7 0005 0000
PUBLIC WORKS UTILITES
RESIDENTIAL HIGH DENSITY
0
Contractor
OWNER
BASE FEE
WATER SERV
METER
Plan Check Fee
Valuation
Paid Credited
425 00 00
00 00
425 00 00
Date 10/03/06
Due
00
0
Extension
425 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 goveming 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 onstruction or the performance of
construction.
ature of Owner (if owner is builder) Date
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
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.
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T'\PoliciesU 102.I5R 1 /05]
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES I NO
RESIDENTIAL
PERMIT INSPECTION RECORD
COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
I I
I I
1 I
I I
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
1 PLANNING DEPT
BUILDING
1 I I
1 1 1
1 I
1 1