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HomeMy WebLinkAbout413 1/2 W 2nd St - Engineering f flORT ~ t~O~~~ ,. "-~ ~ 'l<i:,,~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 () :;; -.35 2- Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Property Zoning . . . Application valuation 03-00000352 Date 4/30/03 413 1/2 W 2ND ST 0630000035630000 PUBLIC WORKS UTILITES o Owner Contractor JOSH, ARMSTRONG 333 GRIFFITH FARM ROAD SEQUIM WA 98382 (360) 457-5752 OWNER ---------------------------------------------------------------------------- Permi t . . . . Additional desc Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 640.00 4/30/03 10/27/03 Plan Check Fee Valuation .00 o ~ --- ~ ~ Qty Unit Charge Per 1.00 640.0000 EA PW W/M SFR 5/8" Extension 640.00 Fee swnmary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 640.00 640.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 640.00 640.00 .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:\PLANNING\FORMS\1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT:OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: -"1.. Date (/- 7- C> / 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 f{/ ~nd ( Chimney Plumbing Final Sewer Excav. Other Phone No. Permit f?l.- 3,62- {' ~~j-tV INSPECTION NOTES: Inspected: Date Remarks: TIme By. Ft)-n 1/ ~...erv (f;:1tv .-eJ/'c.,' I 2 ! r 0- C'- ;EVIl r ~73-L) RESTORATION REQUIRED . . . . .. YE NO LII') Yt- J )~( iJ ~\A l' ?-b1 ( -< (/I ~6b ~ ~~ ~ ~ --- W J-Vttl s i , SURFACE RESTORATION: /' SURFACE TYPE: 0 Unimproved 0 Gravel iZJ.ASPh~lt 0 Other o Repaired by City Work Order # ~ '2 I 1f: [] Repaired by Permittee ~COMPLETE o. \1'6:\ t-~~~~~.,q, w,t\;\ [] No Damage Found 0 INCOMPLETE \--\0\ fA \ ':>( .....( \<.... 1...\ -'2<)-03 ~G};-f;llfNf;J,lx;;~ Stele ~/Ic (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) BillLDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [4/2002]