HomeMy WebLinkAbout1400 W 14th St - Building w °F CITY OF PORT ANGELES
�N� PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES WA 98362
Application Number 11:00000948 Date 9/07/11
Application pin number 980896
Property Address 1400 W 14TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: R6- 30- 00 -0 -0 -0000 -0000- on your State excise fax form
Tenant nbr, name JORDAN EXCAVATIONG
Application type description PUBLIC WORKS UTILITES
to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning UNKNOWN
Application valuation 0
Application desc
Fire hydrant meter, 14th and Pacific Vista
Owner Contractor
CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217
Permit PUBLIC WORKS RES WATER SERV
Additional desc 14TH AND PACIFIC VISTA
Permit pin number 191932
Permit Fee 450.00 Plan Check Fee .00 t�
Issue Date 9/07/11 Valuation 0
Expiration Date 3/05/12
Qty Unit Charge Per Extension 0
1.00 450.0000 EA FIRE HYDRANT METER 450.00
Fee summary Charged Paid Credited Due
Permit Fee Total 450.00 450.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 450.00 450.00 .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 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.
4 of Contractor or uthorized 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 NO
PW UTILITIES '(Engineering Division)
WATERLINE./ METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL"
PARKING
SIDEWALK t
CURB GUTTER
DRIVEWAY APPROACH
BACK F.LOW:DEVICE
9
P S 1 t h %i
3
3 k r r t
4 h 4 t 4
Q D PRIOR TO OCCUPANCI /USE r,
1 F[NAL INSP ECTIONS RE UIRE
RESIDENTIAL:. DA TE IES N O COMMERCIAL DATE .A
YES NO.
CONSTRUCTION R W /;PW/ CONSTRUCTION: R' W
ENGINEERING 417 4801 PW ENGINEERING
FIRE
417-4653 FIRE DEPT..
PLANNING DEPT 417- 4750 PLANNING DEPT.
BUILDING 4 417 ,BUILDING
•4815
T Forms /Building Division /Public Works Permit k