HomeMy WebLinkAbout1500 Owen Ave - Building PORT CITY OF PORT ANGELES
U T A N
7�� PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 10- 00001519 Date 12/30/10
Application pin number 961783
Property Address 1500 OWEN AVE REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 0 30 00 0000 541O
Application type description roBLIC WORKS UTILITES on your state excise tax form
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning UNKNOWN
Application valuation 0
Application desc
RUP 10 -44 Tree Removal
Owner Contractor
CITY OF PORT ANGELES BLUE MOUNTAIN TREE SERVICE INC
PO BOX 1150 P. 0. BOX 333
PORT ANGELES WA 983620217 PORT ANGELES WA 98362
(360) 452 -1106
Permit RIGHT OF WAY
Additional desc RUP 10 -44 TREE REMOVAL
Permit pin number 179747
Permit Fee 75.00 Plan Check Fee .00
Issue Date 12/30/10 Valuation 0
Expiration Date 6/28/11
Qty Unit Charge Per Extension
1.00 75.0000 ECH PW RW CONST EXCAVTION OTHER 75.00 0
Special Notes and Comments
See attached conditions
Fee summary Charged Paid Credited Due 0
Permit Fee Total 75.00 75.00 .00 .00 ro
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .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.
i• a, e, Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
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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
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W. PW/ CONSTRUCTION R. W.
ENGINEERING 417 -4831 PW ENGINEERING
FIRE 417 -4653 FIRE DEPT.
PLANNING DEPT. 417 -4750 PLANNING DEPT.
BUILDING 417 -4815 BUILDING
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