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Home My WebLink About2035 W 6th St - Engineering (I !::..-- ~,,~ CITY OF PORT ANGELES DEP ARl h~~NT OF COMMUNITY DEVELOPMEN BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ;) 3- 43<f1 Application Number Property Address ASSESSOR PARCEL NUMBER Application description Property Zoning Application valuation 03-00000434 Date 2035 W 6TH ST 0630991.034350000 PUBLIC WORKS UTILITES 5/16/03 o Owner Contractor CEBELAK DAVID A 2027 W 6TH ST PORT ANGELES OWNER WA 983631611 ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date DRIVEWAY INSTALLATION 145 00 5/16/03 11/12/03 Plan Check Fee Valuation 00 o ~ ~ ~ ~ ~ ~ & Qty Unit Charge Per ~ BASE FEE 145 00' -------------------------------------------------------------- '--------- -- Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee Issue Date Expiration Date 640 00 5/16/03 11/12/03 Plan Check Fee Valuation 00 o Qty Unit Charge Per ~xte . 1 00 640 0000 EA PW W/M SFR 5/8" 640 0 '-". ---------------------------------------------------------------- ----------- Permit RIGHT OF WAY Additional desc Permit Fee Issue Date Expiration Date 45 00 5/16/03 11/12/03 Plan Check Fee Valuation 00 o Qty Unit Charge Per 1 00 45 0000 ECH RIGHT OF WAY PERMIT Extension 45 00 ------------------------------------------------------------------- Permit SANITARY SEWER HOOK UP Additional desc INCL CONECTION FOR 2ND UNIT Permit Fee 140 00 Plan Check Fee Issue Date 5/16/03 Valuation Expiration Date 11/12/03 Qty Unit Charge Per BASE FEE 1 00 95 0000 EA SAN SEWER HOOKUP 00 o Other Fees SEWER SYSTEM DELV CHARGE Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 970 00 970 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 745 00 745 00 00 00 Grand Total 1715 00 1715 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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T'IPLANNTNGIFORMSIJ 102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST Date ~ - ( ? - () J; Time " Received by (phone, person) location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney Plumbing ~63 S- ~ kJ --r-W i 1 Irflt -&- 0 ~-f1 C6 Y- , Phone No C>3 -431 UJc~r- Permit No Final Sewer Excav Other INSPECTION NOTES Inspected Date Remarks Time By ];/)J) I-~I/ /L/--e-<<-J ,)( ,- ~ I/-J~ 2.--- <" ,"> / ~rU,( -e ' c ..... J3~3 P Ig23F~7 R ~STORA TION REQUIRED YES NO ))1' , b (( A-e- "'" ~ I:AI ~ --; -- ~ !:..--- ~ W (+/1 ~ I 1 \(; ~- ~ SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC 0 Other o Repaired by City Work Order # ~~:h 73 7 S- O Repaired by Permittee ~MPlETE CJ No Damage Found 0 INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ~ \- ') o '< i: \!) - ..\.j ~~ r- r-l ~ \ \- \1\ ~ <T rJ '- 'J.J ~~ \!J J- ~~~ ~ r= lcl '\Jj )-..1\ V) ~ T ~ ....J ~ ~ v ~ ~,-I:J ~ ~ \.f) ~ ..9 tJ' "'" , .0 'I" ~ V) lR ~ N "'~ \-... 't t 0 i;) ~ ~ ~ i- L :::. ~ 0 ~';0 .0 ~ t: 0), - - '1 Qf. \ ~ r, ~ '" 011/ '7 ..... CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . INSPECTION REPORT. . . . . . ,/ '(~ REQUEST Date Le 111 I 0 <1 ..... Time Received by ~F (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney 2.. 03S lA.J t.J2~ r e 13 a.f2 cUr .J INSPECTION NOTES t / Inspected Date U t'l (J Lj Remarks ---i/lt-l:L\ 04 TF . :~ ~S{J V) . ~P.loe.v 1\1\ sPe..LTl D., 6y\JY\'e....V To ~Il~\-'Yql SI(-e.T{~ \ g ~ -tj?f By Phone No Permit Plumbing Final ~~ ~~~~~~;;:~ ~ ~ -, j"":::> 1 P J hJ fl'\ r ct\fY{'-uSlC!Yj .b, .L> T ~ 5' 11 / 611.JEPTtt l"$~ Ok ( RESTO~TioN REQUIRED YES '/ NO SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE o INCOMPLETE ~ (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)