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Home My WebLink About3471 E Kolonels Way - Building OF CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 09- 00000941 Date 9/23/10 Application pin number 635033 Property Address 3471 E KOLONELS WAY REPORT SALES TAX ASSESSOR PARCEL NUMBER: 05-30-07-6-2-0500-0000- on our state excise tax form Application type description PUBLIC WORKS UTILITES y Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning UNKNOWN Application valuation 0 Application desc Sewer system construction inspection fees Owner Contractor WAL -MART STORES INC OWNER PROPERTY TAX DEPT PO BOX 8050 BENTONVILLE AR 727128050 Permit PUBLIC WORKS INSPECTION Additional desc SEWER SYSYEM CONST INSPECTIONS Permit pin number 153429 Permit Fee 550.00 Plan Check Fee .00 Issue Date 9/23/10 Valuation 0 Expiration Date 3/22/11 Qty Unit Charge Per Extension 10.00 55.0000 HR PW INSPECTION 550.00 Fee summary Charged Paid Credited Due Permit Fee Total 550.00 550.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 550.00 550.00 .00 .00 Q 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] 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 I NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. PW/ CONSTRUCTION R.W. ENGINEERING 417 -4831 PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING T:APolicies \1102.15 [10/08] vo r44 44, 0C WZ Application Number 09 00000857 Application pin number 200393 Property Address 3471 E KOLONELS WAY ASSESSOR PARCEL NUMBER 05 30 07 6 2 0500 0000 Tenant nbr name WALMART Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Application desc New Walmart supercenter sewer plan review fee s Owner Contractor WAL MART STORES INC PROPERTY TAX DEPT PO BOX 8050 BENTONVILLE Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary AR 727128050 PW ENGINEERING REVIEW SAN SEW 152199 897 50 8/20/09 2/16/10 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 OWNER Qty Unit Charge Per 1795 00 5000 LF PW ENG REVIEW SAN SEW(LF) Charged Paid Credited Date 8/21/09 Plan Check Fee 00 Valuation 0 Due Permit Fee Total 897 50 897 50 00 00 Plan Check Total 00 00 00 00 Grand Total 897 50 897 50 00 00 Extension 897 50 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] 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 INSPECTION TYPE DATE ACCEPTED YES 1 NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER I DRIVEWAY APPROACH BACK -FLOW DEVICE T•\Policies \1102 15 [10/081 RE CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 I PLANNING DEPT 417 -4750 BUILDING 417 -4815 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED I YES 1 NO I PERMIT INSPECTION RECORD I I I I I I I CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT I BUILDING COMMENTS I I I I I I I I