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Home My WebLink About100 S Bay View Ave - BuildingCITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 10 00000200 Date 3/15/10 Application pin number 148000 Property Address 100 S BAY VIEW AVE ASSESSOR PARCEL NUMBER R6 30 00 0 0 0000 0000 Tenant nbr name VERN PETERS /ROY JONES Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Application desc 570 sewer main extension South Bay View Ave Owner Contractor Clallam County PRIMO CONSTRUCTION INC 223 E 4th Street PO BOX 296 PORT ANGELES WA 983620217 CARLSBORG WA 98324 (360) 683 5447 Permit PW ENGINEERING REVIEW SAN SEW Additional desc 592 OF 8 SEWER MAIN Permit pin number 161604 Permit Fee 296 00 Plan Check Fee 00 Issue Date 3/09/10 Valuation 0 Expiration Date 9/05/10 Qty Unit Charge Per Extension 592 00 5000 LF PW ENG REVIEW SAN SEW(LF) 296 00 Permit PUBLIC WORKS INSPECTION Additional desc Permit pin number 161612 Permit Fee 440 00 Plan Check Fee 00 Issue Date 3/09/10 Valuation 0 Expiration Date 9/05/10 Qty Unit Charge Per Extension ^C 8 00 55 0000 HR PW INSPECTION 440 00 Permit RIGHT OF WAY Additional desc Permit pin number 161596 \v Permit Fee 150 00 Plan Check Fee 00 E Issue Date 3/09/10 Valuation 0 Expiration Date 9/05/10 -I f Qty Unit Charge Per Extension 1 00 150 0000 ECH PW RW CONST EXCAVTION OTHER 150 00 Special Notes and Comments Sanitary sewer inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required 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 construct 3400_ Sig urr of Contractor r Authorized Agent Date Signature of Owner (if owner is builder) Date TcPolicies \1102.15 [10/081 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 ii 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 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T \Policies \1102 15 [10 /08] RESIDENTIAL PERMIT INSPECTION RECORD YES 1 NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4831 PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING Application Number Application pin number Special Notes and Comments Call 417 4831 for inspection Fee summary Charged Paid Credited 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] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 10 00000200 148000 Page 2 Date 3/15/10 Due Permit Fee Total 886 00 886 00 00 00 Plan Check Total 00 00 00 00 Grand Total 886 00 886 00 00 00 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 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 \I 102 15 [10/08] KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 YES 1 NO COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 1 I I I I II CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT BUILDING