HomeMy WebLinkAbout529 1/2 W 6th St - Building 0 N CITY OF PORT ANGELES
I PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000773 Date 7/27/11
Application pin number 714211
Property Address 529 1/2 W 6TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -0- 9550 -0000- on your state excise tax form
Application type description PUBLIC WORKS UTILITES
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning UNKNOWN
Application valuation 0
Application desc
Separate water 'service
Owner Contractor
BRANDO SCOTT BLORE OWNER
PO BOX 3029
PORT ANGELES WA 983623029
(360) 808 -0970
Permit PUBLIC WORKS RES WATER SERV
Additional desc
Permit pin number 189795
Permit Fee 1160.00 Plan Check Fee .00
Issue Date 7/27/11 Valuation 0
Expiration Date 1/23/12
Qty Unit Charge Per Extension
1.00 1160.0000 EA PW W/M 1" SERV 5/8" METER 1160.00 v"'(
Fee summary Charged: .Paid .Credited Due
Permit Fee Total 1160.00 1160.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 1160.00 1160.00 .00 .00
V
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.
444-igeh
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:Forms /Building Division /Public Works Permit
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 :a:
SIDEWALK 'it: i
CURB &GUTTER'
DRIVEWAY APPROACH
"BACK FLOW DEVICE;._
e. a t.:: 1 .hv p .i ;T o
g ;":.e
1 1 i t w a :i U .e 'v 4u w.x 9 c
FINAL INSPECTIONS REQUIRED PRIOR'TO OCCUPANCY /USE
RESIDENTIAL' DATE I ES NO COMMERCIAL DATE•.ACCEPTED
ENGINEERING;:
417 PW ENGINEERING
CONSTRUCTION R W "PW/ CONSTRUCTION ='R W
FIRE 417 -4653 FIRE DEPT.
PLANNING DEPT. 417 -4750 PLANNING. DEPT.
r
4815 ILDING 417 ;BUILDING
T Forms /Building Division/Publtc Works Permn