HomeMy WebLinkAbout1000 Golf Course Rd - Buildingo rraa
7 44\° 11111 °°Rr
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
T•\Policies \1102.15R 1/05]
WA 983620217
00
11/20/06
5/19/07
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5111 STREET PORT ANGELES, WA 98362
06 00001255
202650
1000 GOLF COURSE RD
R6 30 00 0 0 0000 0000
QWEST
PUBLIC WORKS UTILITES
UNKNOWN
0
Contractor
RIGHT OF WAY
MOVE PHONE PED OUT OF R/W
91033
EXCEL UTILITIES CONSTRUCTION
54 MISTY LN
PORT ANGELES
(360) 452 1110
Plan Check Fee
Valuation
Paid Credited
00 00 00
00 00 00
00 00 00
Date 11/20/06
WA 98362
Due
00
00
00
00
0
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 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.
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 11/05)
RESIDENTIAL
CONSTRUCTION R.W PW/ 417 4807
ENGINEERING
FIRE 417 -4653
PLANNING DEPT 417 -4750 1
BUILDING 417 -4815
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES 1 NO
11 1 1 1
.1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1
1
1 1
1 1
1 1
N 1 1
1 1
1 1
1 1 1
1 1
1 1 1 1
1
1 1
1 1
1 1 1
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
1 1
1 1
1 1
1 1
CONSTRUCTION R.W
PW ENGINEERING
1 FIRE DEPT
1 PLANNING DEPT
BUILDING
COMMENTS
1 1 1
1 1 I
1 1