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HomeMy WebLinkAbout1729 1/2 E 3rd St - Engineering ~ i'ORT ~ t,~O~~"" ~~~ L -=..:II' :-=- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Applicat10n description Subd1v1sion Name Property Use Property Zon1ng . . . Application valuation 04-00000802 Date .720498 1729 1/2 E 3RD ST 06-30-00-5-5-0265-0000- PUBLIC WORKS UTILITES 9/10/04 RS7 RESDNTL SINGLE FAMILY o Owner Contractor DAMAZIO, JOHN S./MARY 1410 N 10TH COLTON CA 92324 OWNER Perm1t Add1tional desc Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 640.00 9/10/04 3/10/05 Plan Check Fee Valuation .00 o Qty Unit Charge Per Extension 1.00 640.0000 EA PW W/M 1" SERV 5/8" METER 640.00 ------------------------------------------------------------------------~--- Other Fees . . . .. PW WATER SYSTEM USE FEE 1025.00 -, Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 640.00 640.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1025.00 1025.00 .00 .00 Grand Total 1665.00 1665.00 .00 .00 -...) ~ -.!\ :-::--.::: ~ '" '-.)oj T P- VI :--\ 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 compiled 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. l' {Or-Ot( Date Signature of Owner (if owner is builder) T \PLANNING\FORMS\1102 15 [11/14/2003] r;f"ORr.......o ^'...~~ "~ ~~ ~ "'i.""" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] EAST 5TH STREET, PORT ANGELES, WA 98362 04 ~ g DL Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use property zoning Application valuation 04-00000802 Date .720498 1729 1/2 E 3RD ST 06-30-00-5-5-0265-0000- PUBLIC WORKS UTILITES 9/10/04 RS7 RESDNTL SINGLE FAMILY o ./ 7Lq/b E3fi-o( Owner Contractor DAMAZIO, JOHN S./MARY 1410 N 10TH COLTON CA 92324 OWNER - 640.00 9/10/04 3/10/05 plan Check Fee Valuation .00 o -J ~ ~ :-;:: \) ~ \N ~ Permit Additional desc Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV Qty Unit Charge Per 1. 00 640.0000 EA PW W/M 1" SERV 5/8" METER EX~ 640.00 Other Fees PW WATER SYSTEM USE FEE Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 640.00 640.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1025.00 1025.00 .00 .00 Grand Total 1665.00 1665.00 .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 01 work will be complied with whether specilied herein or not. The granting 01 a permit does not presume to give authority to violate or cancel the provisions 01 any state or local law regulating construction or the performance 01 construction. Signature 01 Contractor or Authorized Agent Date Signature 01 Owner (il owner is builder) Date T:\PLANNING\FORMS\1102.15 [11114/2003] .. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date IO-IZ--Ocf Time 7/ft..A.. Received by ~l'\ I S C (phone, person) -- -.. J- ~J. Location of Work to be inspected 11 Z. <} 1-- E 3 Name of person requesting inspection De",vtI S F. Address of person requesting inspection c:."rJO Yo..rJ, II Cj- :is / Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other 00..- +e v INSPECTION NOTES: Inspected: Date fo -{ '2. -0<.( Time I { A WI. By OeM-"f ,'S E. Remarks: Cv+ a?0'~ (T- -PrOM/\. Wl<<., ~ '10 11A..RT-t'r, '1:;.,tJ 'f" C.::;:s r I/o..., e +e",cl I" ai, Ci......6 Se+ ~+er it€.K'r +0 e' 15+/' t,-J.:'_+~r/ xrVlC Re'VLove old J4-trlrer bo C-tV\.d se. te..-Ioo ~ Z2J2t<. '~or bDtk jIv\.~,+e.r5. C bf30 r O#:i:YC%'::;'bt RESTORATION REQUiRED...... YES X ' NO ..j11 2- ~<...<; " o >Ii!. Me-h.r &O~ 1\ I ,.,.~_ 'a ~~ ~( 0 J). ">l '-(uer 3{IOUr> /' <=-~7,'-4' . :;:: ~ EXS;5t'~ cf .-' If E. 3rd /e.p /D -1-.:> LJe~T, '0 o "p.r. \!'J < . .>0' Z-' \d..e<:., \ -\4\ x. SURFACE RESTORATION. 3 ~) I t.. X 2 ~ SURFACE TYPE: 0 Unimproved DGravel ;q Asphalt 0 PCC . 0 Other ~lOTC\ o Repaired by City Work Order # 14 7h. S- - 077 , ~ it I o Repaired by Permittee ci COMPLETE ,'~ \<e~~ C\ No Damage Found 0 INCOMPLETE ~ '^ ~~)"\ lJt \ -( --rz, 5'/r<!2pl- /o//4/04n- \CJ -. \<4 -G~ 1,4c'_ (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)