HomeMy WebLinkAbout600 G St - Building %wF CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000974 Date 9/08/11
Application pin number 866822
Property Address 600 G ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: R6- 30- 00 -0 -0 -0000 -0000- on your State excise tax form
Tenant nbr, name PENINSULA DREAM MACHINES t�
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
Car show RUP# 11 -19
Owner Contractor
CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217
Permit RIGHT OF WAY
Additional desc RUP 11 -19
Permit pin number 192252
Permit Fee .00 Plan Check Fee .00
Issue Date 9/08/11 Valuation 0
Expiration Date 3/06/12
Special Notes and Comments
Applicant responsible for delivery, set up, take down and
return traffic control devices, traffic control per attached
plan.
Fee summary Charged Paid Credited Due
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total .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 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.
Sign- ure t• ractor 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
P• UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE:
SITE EROSION CONTROL
PARKING.
SIDEWALK �t
DRIVEWAY APPROACH.
BACK FLOW DEVICE
t s Y r a iK L .z. e• r Yc n:`• Y. u ,..a.x"... a 1 .-.."ti
4
FINAL •INSPECTIONS PRIOR'TO OCCUPANCI /USE
RESIDENTIAL DA
TE I ES' `NO COMMh RCIAL y DATE ACCEPTED
;,:YES ,:NO
CONSTRUCTION R W 5 PW/ s "CONSTRUCTION. R W
ENGINEERINGS 417 -4807 PW ENGINEERING
FIRE 417 -4653 FIRE DEPT.
PLANNING DEPT. 417 470 PLANNING
BUILDING,, 417 BUILDING
4815
T Forms /Building D}vrsion /Public Works Permit