HomeMy WebLinkAbout2421 E Pioneer Rd - BuildingOF pORT,N
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 08 00000016 Date 1/08/08
Application pin number 817600
Property Address 2421 E PIONEER RD
ASSESSOR PARCEL NUMBER 06 30 12 5 7 1410 0000
Application type description EUGA PUBLIC WORKS UTILITIES
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 0
Owner Contractor
ITURRALDE CUEVAMERCEDES H
1002 GLENWOOD ST
PORT ANGELES WA 983639619
PRIMO CONSTRUCTION INC
PO BOX 296
CARLSBORG WA
SEQUIM WA 98382
(360) 683 5447
Permit EUGA SAN SEWER HOOKUP
Additional desc
Permit pin number 118547
Permit Fee 120 00 Plan Check Fee 00
Issue Date 1/08/08 Valuation 0
Expiration Date 7/06/08
Qty- Unit Charge Per Extension
1 00 120 0000 EA EUGA SAN SEWER HOOKUP 120 00
Other Fees EUGA COUNTY SEWER' DEU FEE 3000• 00 N
EUGA SEWER LATERAL CHARGE 5166 93
EUGA CITY SEWER DEV FEE 1000 00
1
Fee summary Charged Paid, Credited Due
Permit Fee Total 120 00 120 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 9166 93 9166 93 00 00
Grand Total 9286 93 9286 93 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,l 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]
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
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
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T•\Policies \1102.15R [1/051
RESIDENTIAL
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES 1 NO
COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION RW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING