HomeMy WebLinkAbout115 Valley Creek Dr - Buildingt!,‘„
1
Qty 'Unit: :Charqd Ter
'BASE TEE
1 00 R- 0 .00:0 ;EA.- ',1).1.* 'PROTECTI ON. •.<014.42
;Fee ;summary fCharged: °T.a.id` :Credited
`PerMit Tee ',Total ....'57 :OD: .53 `0 6 _oo
p1'an, -CheCk. 'Total i00:„ :00
‘y 'Grand :Tot E::7 '1101.9 .53 '00- 00
Application :Number
•m:SU:cation ,pin :number
:Property 'Address
;ASSESSOR 'PARCEL NUMBER
Application :type description
Subdivision 'Name
'Property Use
:Property :Zoning
:Applicat'ion' -valua
Application `desc
DOUBLE CHECK "BACKELOW.DEVIGE4FOR;WAI'ERING,TLANTH
Owner
PORT' 'ANGELES .PLAT
ASSOCIATES) :LLC
12301, NE 10TH ,PL
:BELLEVUE
(:36'6 L4'54' '00:0
'permit
Additional -de s c.
Permit p±ii nurither
Permit
Issue Date
:Expiration Mat,e`-
CITY:OF TORT .ANGELE$
DEPARTME'NTiOF "COM1\413 -St!ECONOMIC BUILDING 'DIVI S ION
:32:12EAST Tal STREET PORT ANGELES, 4A
.(SHERRON :S ",.PLUMBING HEATING ;INC
P. 0. ;BOX :282
SEQUIM
'WA -(360..) 1996'
T,LUMBINd3PERMIT:
DEL-OHK13ACKFLOW :DEVICE
16.831:0
'Plan 'Chedk Tee,
Valuation
712/2043:0 A
:10 :00000665
¶58193.0
'115 %VALLEY `CREEK MR
-06 3.0 '36 :5 5 .0002 .00.00
PLUMBING 'REPAIR
:PLANNED .RESDNTL ,DEVLPMEMT
10,0
Contractor'
'WA '983182
Exb endi oi i
7. .0 0
'bp
=00
REPORT SALES TAX
on your state se xciselak form
Jo:the ,City PortyAngeles
f(Location Code050
L'fy
4•• 5 A''. r..
I
'T i 'L, y+ ?Irk
Separa l'ermits:are:.required for electrical :')/vbr-lc 'SEPA, Shoreline 'ESA., utilities private AnchpUblie jrnproVements. thissperniifbecomeS'aull and
void if work construction-authOrizecilsmot commenced within 180 days if construction or workis.suispended;O:gbgadoned 1
7aft6r-thewotkhaS:CoMmeneed, or if required.i0pectionihavesnot'beeArequeSted Within.f80 .1 .hereby certifythatihaye
read and examined this application and know the same to be.4rue,,and..correct. All provisions oflawsand,;ortlinaneet governing this type of work will
be complied with Whether-specified The granting'.6f.W.permitdoeS'not presume to cancel the provisions of any
s. state or local law regulating construction Of the performance of. 'strliciiciii.
-01-lv (Lk; 13-77.., Elraz: I
Date Print Name Signature of Contractor or Authorized Ageit
T:Forn Divisionifiuilding,'petrilit ,17
Signatufe-Of Owrier.-(if owner-is buildet)
Date
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
DOUBLE CHECK BACKFLOW DEVICE
Owner
PORT ANGELES PLAT (SHERRON
ASSOCIATES) LLC
12301 NE 10TH PL
BELLEVUE
(360) 454 8900
Permit PLUMBING PERMIT
Additional desc DBL -CHK BACKFLOW DEVICE
Permit pin number 168310
Permit Fee 57 00
Issue Date 7/02/10
Expiration Date 12/29/10
Qty Unit Charge Per
1 00
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
T:FormsBuilding Division/Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
STE 303
WA 98005
57 00
00
57 00
10 00000665
581990
115 VALLEY CREEK DR
06 30 16 5 5 0002 0000
PLUMBING REPAIR
PLANNED RESDNTL DEVLPMENT
100
FOR WATERING PLANTS
Contractor
BASE FEE
7 0000 EA PL- BACKFLOW PROTECTION
BILL S PLUMBING HEATING INC
P 0 BOX 282
SEQUIM WA 98382
(360) 683 7996
Plan Check Fee
Valuation
Paid Credited
57 00 00
00 00
57 00 00
<OR =2
Date 7/02/10
Due
Extension
50 00
7 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 has 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 struction.
st
Print Name Signature of Contractor or Authorized Age /t
00
0
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature of Owner (if owner is builder)
Inspection Type
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Date Accepted By
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I I ESA.
Landscaping I I SHORELINE.
T.Forms /Building Division /Building Permit
Comments
V 1 Ron
FINAL Date I Accepted by 0,P,f icr-
N
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Date Accepted By
c:›
p
p
LI
F
S c7
C
3
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
WATER METER FOR IRRIGATION
Owner
SHERRON ASSOCIATES L L C
BELLEVIEW
BELLEVUE
WA 98005
Permit PUBLIC WORKS RES WATER SERV
Additional desc DROP IN WATER METER
Permit pin number 168302
Permit Fee 420 00
Issue Date 7/02/10
Expiration Date 12/29/10
Qty Unit Charge Per
1 00 420 0000 EA
Other Fees
Fee summary Charged
Permit Fee Total 420 00
Plan Check Total 00
Other Fee Total 1980 00
Grand Total 2400 00
Signature of Contractor 9/Authorized Agent
T \Policies\ 1102 15 [10/08]
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET PORT ANGELES, WA 98362
10 00000664
156416
115 VALLEY CREEK DR
06 30 16 5 5 0002 0000
PUBLIC WORKS UTILITES
PLANNED RESDNTL DEVLPMENT
0
Contractor
OWNER
Plan Check Fee
Valuation
PW WATER METER DROP IN
PW WATER SYSTEM USE FEE
Paid Credited Due
420 00
00
1980 00
2400 00
2 -/O
Date
00
00
00
00
Date 7/02/10
1980 00
00
00
00
00
00
0
Extension
420 00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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
co tyti 'on
Signature of Owner (if owner is builder) Date
CALL 417 -4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL 9NY 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
CONSTRUCTION R.W PW/
ENGINEERING 417 -4831
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T \Policies \1102 15 [10/08]
RESIDENTIAL
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
PERMIT INSPECTION RECORD
YES I NO
I I
I I
I I
I I
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
PLANNING DEPT
BUILDING